Environmental factors associated with the prevalence of animal bites or stings in patients admitted to an emergency department

作者: Ming-Hau Hsiao , Mei-Chueh Yang , Shu-Hua Yan , Chia-Hui Yang , Chu-Chung Chou

DOI: 10.1016/J.JACME.2012.09.002

关键词: StingPatient demographicsIn patientEmergency departmentProspective cohort studyAnimal BitesInsect stingsVeterinary medicineInternal medicineMedicinePatient characteristics

摘要: Abstract Background Environmental factors may affect the prevalence of different animal bites; however, this area has not been well studied. The aim study was to report in detail on categories animals involved causing bites or stings, patient characteristics, outcomes, and associated environmental factors. Methods This prospective patients visiting an emergency department for stings from January 2007 December 2008. Patient demographics, type severity injuries, types offensive were recorded a predefined database. factors, including season, temperature, precipitation, relative humidity, collected. Analyses undertaken check relationship between bite/sting injuries Results Mammalian (65.2%) most common, followed by insect (24.9%) reptile (7.2%). Dogs (54.3%), bees (12.9%), snakes (7.0%) three common attack. Most mild, superficial, located limbs. Only 5.3% had moderate effects 1.5% major outcomes. Poor outcome-related included large size wound (maximum length >3 cm; p  = 0.000), (skin defect; (reptile bite;  = 0.000). season which occurred summer insects autumn reptiles. No significant trend found mammals other animals. We highest precipitation bites/stings June (r = 0.93,  = 0.001). also increased May September October, be with change (r = 0.78,  = 0.005). Conclusions seen our are mammals, especially dogs. Although superficial minor, there risks outcome cases wounds bites. related stings/bites.

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