Columbia University College of Dental Medicine, New York, NY, USA.
University of Miami Miller School of Medicine, Miami, FL, USA.
Oral Maxillofac Surg. 2023 Jun;27(2):305-311. doi: 10.1007/s10006-022-01066-x. Epub 2022 Apr 30.
The purpose of this study is to identify which patient-level factors, if any, influence the risk of infection following dog bite wounds to the face.
This retrospective cohort study was conducted using the Kids' Inpatient Database (KID). The primary predictor variable was the type of facial injury. The primary outcome variable was the presence of facial infection. SPSS was used to perform statistical analyses and statistical significance was set at a P-value of < 0.05.
Our final sample comprised a total of 4,420 patients who suffered dog bites to the face, of which 1,237 (28.0%) resulted in infection. Open wound (n = 4,176, 94.5%) was the most common facial injury, followed by bone fractures (n = 105, 2.4%). Relative to children 16-20 years old, children who were 0-5 years old were three times more likely to develop an infection (P < 0.01). Finally, open wounds (P < 0.01) were over seven times more likely to get infected relative to fractures.
Young children, particularly those below the age of five, are vulnerable to dog bite wounds to the face. Open wounds posed the greatest risk of getting infected.
本研究旨在确定哪些患者因素（如果有的话）会影响面部狗咬伤后的感染风险。
这是一项回顾性队列研究，使用了 Kids' Inpatient Database（KID）。主要预测变量是面部损伤类型。主要结局变量是面部感染的存在。使用 SPSS 进行统计分析，统计学意义设定为 P 值<0.05。
我们的最终样本共包括 4420 名因狗咬伤面部的患者，其中 1237 名（28.0%）发生感染。开放性伤口（n=4176，94.5%）是最常见的面部损伤，其次是骨折（n=105，2.4%）。与 16-20 岁的儿童相比，0-5 岁的儿童发生感染的可能性高 3 倍（P<0.01）。最后，开放性伤口（P<0.01）感染的可能性是骨折的 7 倍多。
幼儿，尤其是 5 岁以下的儿童，容易受到面部狗咬伤。开放性伤口感染的风险最大。
