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Severe dog bites in children

T V Brogan1, S L Bratton, M D Dowd

  • 1University of Washington School of Medicine, Seattle, USA.

Pediatrics
|November 1, 1995
PubMed
Summary
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Severe dog bites disproportionately affect young children, often involving familiar large breeds and resulting in head and neck injuries. Close supervision of young children around dogs is crucial to prevent severe outcomes.

Area of Science:

  • Pediatric Trauma
  • Veterinary Medicine
  • Public Health

Background:

  • Dog bites are a significant cause of injury in children.
  • Hospitalization and death from dog bites necessitate understanding risk factors.

Purpose of the Study:

  • To characterize children, dogs, and injuries associated with severe dog bites requiring hospitalization or resulting in death.
  • To identify typical demographics and injury patterns in pediatric dog bite cases.

Main Methods:

  • Retrospective chart review of pediatric dog bite cases across three major hospitals.
  • Data collected included patient demographics, canine information, hospitalization details, injury severity, procedures, and outcomes.

Main Results:

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  • Forty cases were reviewed, with most children being boys (60%) and white (87%), median age 50 months.
  • Injuries predominantly affected the face, head, and neck (82%), with 30% requiring intensive care.
  • Familiar, medium-to-large breed dogs were commonly involved; three deaths occurred.
  • Conclusions:

    • Severe dog bites in children under 5 frequently target the head and neck, often involving familiar large dogs.
    • Enhanced supervision of young children around dogs is recommended to mitigate risks of severe injury.