Abstract
Background Mammalian bite injuries create a public health problem because of their frequency, potential severity, and increasing number. Some researchers have performed fragmentary analyses of bite wounds caused by certain mammalian species. However, little practical information is available concerning serious mammalian bite wounds that require hospitalization and intensive wound management. Therefore, the purpose of this study was to perform a general review of serious mammalian bite wounds. Methods We performed a retrospective review of the medical charts of 68 patients who were referred to our plastic surgery department for the treatment of bite wounds between January 2003 and October 2012. The cases were analyzed according to the species, patient demographics, environmental factors, injury characteristics, and clinical course. Results Among the 68 cases of mammalian bite injury, 58 (85%) were caused by dogs, 8 by humans, and 2 by cats. Most of those bitten by a human and both of those bitten by cats were male. Only one-third of all the patients were children or adolescents. The most frequent site of injury was the face, with 40 cases, followed by the hand, with 16 cases. Of the 68 patients, 7 were treated with secondary intention healing. Sixty-one patients underwent delayed procedures, including delayed direct closure, skin graft, composite graft, and local flap. Conclusions Based on overall findings from our review of the 68 cases of mammalian bites, we suggest practical guidelines for the management of mammalian bite injuries, which could be useful in the treatment of serious mammalian bite wounds.
| Original language | English |
|---|---|
| Pages (from-to) | 705-710 |
| Number of pages | 6 |
| Journal | Archives of Plastic Surgery |
| Volume | 40 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 2013 Nov 1 |
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Keywords
- Antibiotic prophylaxis
- Bites and stings
- Plastics
- Wounds and injuries
ASJC Scopus subject areas
- Surgery
Cite this
An analytical study of mammalian bite wounds requiring inpatient management. / Lee, Young Geun; Jeong, Seong-Ho; Kim, Woo-Kyung.
In: Archives of Plastic Surgery, Vol. 40, No. 6, 01.11.2013, p. 705-710.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - An analytical study of mammalian bite wounds requiring inpatient management
AU - Lee, Young Geun
AU - Jeong, Seong-Ho
AU - Kim, Woo-Kyung
PY - 2013/11/1
Y1 - 2013/11/1
N2 - Background Mammalian bite injuries create a public health problem because of their frequency, potential severity, and increasing number. Some researchers have performed fragmentary analyses of bite wounds caused by certain mammalian species. However, little practical information is available concerning serious mammalian bite wounds that require hospitalization and intensive wound management. Therefore, the purpose of this study was to perform a general review of serious mammalian bite wounds. Methods We performed a retrospective review of the medical charts of 68 patients who were referred to our plastic surgery department for the treatment of bite wounds between January 2003 and October 2012. The cases were analyzed according to the species, patient demographics, environmental factors, injury characteristics, and clinical course. Results Among the 68 cases of mammalian bite injury, 58 (85%) were caused by dogs, 8 by humans, and 2 by cats. Most of those bitten by a human and both of those bitten by cats were male. Only one-third of all the patients were children or adolescents. The most frequent site of injury was the face, with 40 cases, followed by the hand, with 16 cases. Of the 68 patients, 7 were treated with secondary intention healing. Sixty-one patients underwent delayed procedures, including delayed direct closure, skin graft, composite graft, and local flap. Conclusions Based on overall findings from our review of the 68 cases of mammalian bites, we suggest practical guidelines for the management of mammalian bite injuries, which could be useful in the treatment of serious mammalian bite wounds.
AB - Background Mammalian bite injuries create a public health problem because of their frequency, potential severity, and increasing number. Some researchers have performed fragmentary analyses of bite wounds caused by certain mammalian species. However, little practical information is available concerning serious mammalian bite wounds that require hospitalization and intensive wound management. Therefore, the purpose of this study was to perform a general review of serious mammalian bite wounds. Methods We performed a retrospective review of the medical charts of 68 patients who were referred to our plastic surgery department for the treatment of bite wounds between January 2003 and October 2012. The cases were analyzed according to the species, patient demographics, environmental factors, injury characteristics, and clinical course. Results Among the 68 cases of mammalian bite injury, 58 (85%) were caused by dogs, 8 by humans, and 2 by cats. Most of those bitten by a human and both of those bitten by cats were male. Only one-third of all the patients were children or adolescents. The most frequent site of injury was the face, with 40 cases, followed by the hand, with 16 cases. Of the 68 patients, 7 were treated with secondary intention healing. Sixty-one patients underwent delayed procedures, including delayed direct closure, skin graft, composite graft, and local flap. Conclusions Based on overall findings from our review of the 68 cases of mammalian bites, we suggest practical guidelines for the management of mammalian bite injuries, which could be useful in the treatment of serious mammalian bite wounds.
KW - Antibiotic prophylaxis
KW - Bites and stings
KW - Plastics
KW - Wounds and injuries
UR - http://www.scopus.com/inward/record.url?scp=84887973702&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84887973702&partnerID=8YFLogxK
U2 - 10.5999/aps.2013.40.6.705
DO - 10.5999/aps.2013.40.6.705
M3 - Article
AN - SCOPUS:84887973702
VL - 40
SP - 705
EP - 710
JO - Archives of Plastic Surgery
JF - Archives of Plastic Surgery
SN - 2234-6163
IS - 6
ER -