Department of Large Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan, 52 Campus Drive, Saskatoon, SK, S7N 5B4, Canada.
Animal Health Science Directorate, Canadian Food Inspection Agency, 1400 Merivale Rd, Ottawa, ON, K1A 0Y9, Canada.
Can J Public Health. 2019 Jun;110(3):364-375. doi: 10.17269/s41997-018-0145-3. Epub 2018 Oct 30.
There has been considerable literature published focusing on various sequelae to dog bites over the last three decades. Much of the literature has focused on rabies, particularly canine rabies variant, which accounts for the majority of rabies deaths worldwide. This paper describes the complications, the pathogens, and other sequelae resulting from dog bites documented in the literature.
This paper used evidence found through a scoping review which charted the published peer-reviewed and non-peer-reviewed gray literature and online information relating to dog bite incidents. Each complication or sequela was additionally assessed from the viewpoint of Canadian Indigenous, rural, and geographically remote communities, which experience a high number of dog bite incidents annually.
Peer-reviewed literature (N = 693; case report, original research, and review articles) provided detailed information on specific pathogens, infections, and diseases of interest, especially rabies. However, in addition to these, the sequelae from dog bites may include moderate to severe injuries that further result in anxiety around dogs or post-traumatic stress disorder (PTSD).
While a lot of focus in the literature is on rabies as a sequela to dog bites, the impacts of anxiety and PTSD are not as well articulated. Treatment of dog bite injuries may be standardized; however, improved collaborations between diverse health professionals (physicians, veterinarians, counseling services, animal behaviourists, and others) could be of considerable benefit in decreasing the effects of dog bites.
在过去三十年中,已经有相当多的文献专注于狗咬伤的各种后遗症。其中大部分文献都集中在狂犬病上,特别是犬狂犬病变异,这占了全球狂犬病死亡人数的大部分。本文描述了文献中记录的狗咬伤的并发症、病原体和其他后遗症。
本文使用了通过范围综述发现的证据,该综述绘制了与狗咬伤事件相关的已发表的同行评议和非同行评议灰色文献以及在线信息。从加拿大土著、农村和地理偏远社区的角度,对每一种并发症或后遗症进行了额外评估,这些社区每年都有大量的狗咬伤事件发生。
同行评议文献(N=693;病例报告、原始研究和综述文章)提供了关于特定病原体、感染和疾病的详细信息,特别是狂犬病。然而,除了这些,狗咬伤的后遗症可能包括中度到重度的伤害,这进一步导致对狗的焦虑或创伤后应激障碍(PTSD)。
尽管文献中很多注意力都集中在狂犬病作为狗咬伤的后遗症上,但焦虑和 PTSD 的影响并没有得到很好的阐明。狗咬伤的治疗可能是标准化的;然而,不同医疗保健专业人员(医生、兽医、咨询服务、动物行为学家等)之间的更好合作,将有助于减少狗咬伤的影响。