Demographics and management of dog bite victims at a level two hospital in KwaZulu-Natal
Objectives. To analyse the demographics of dog bites in Northern KZN.
Methods. Records of all dog bites presenting to the main referral hospital in Northern KZN between August 2007 and September 2011 were analysed.
Results. We collected data for 821 instances of dog bite. Male children aged 6 - 10 years are most likely to present with dog bites, while women >40 years are more likely to present than men in the same age bracket. Whilst initial vaccine administration is high (98%) with all grades of bite, only 82% of grade 3 bites receive immunoglobulin.
Conclusion. Our results correlate well with two large studies of the demographics of dog bites, but are the first to show a reverse in male preponderance of presentations above the age of 40 years. Reasons for low rates of immunoglobulin administration in grade 3 bites are discussed. Finally, methods are suggested to improve data collection and the care of patients presenting with dog bites.
Samuel J W Kent, Ngwelezane Hospital, KwaZulu-Natal
Bavani Naicker, Ngwelezane Hospital, KwaZulu-Natal
Darryl R Wood, Ngwelezane Hospital, KwaZulu-Natal
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Date published: 2012-10-08
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