Wnuk Madison, Thielhelm Julia, Petroze Robin, Larson Shawn, Islam Saleem
University of Florida College of Medicine, 1600 SW Archer Rd, Gainesville, FL, 32610, USA.
Department of Surgery, Division of Pediatric Surgery, University of Florida College of Medicine, Gainesville, FL, USA.
Pediatr Surg Int. 2025 Jun 30;41(1):200. doi: 10.1007/s00383-025-06107-6.
Animal bites in children are the cause of many emergency room visits and can lead to significant physical and psychological morbidity. While the cause and pattern of trauma vary, we hypothesized that age and size of the child plays a role in the injuries. The purpose of this study was to describe the injuries, animals, modifiable events, and outcomes.
Following IRB approval, a retrospective, single-center cohort analysis of all patients presenting with animal-related injuries over 10 years was performed. Data regarding the clinical presentation, demographics, and outcomes were collected and analyzed. The cohort was stratified for age, gender, and type of injury and comparative statistics performed.
A total of 173 injuries were noted, with 96.5% canine. Most children were male (60.7%), less than 5 years (52.6%), white (79.2%), and with public insurance (74.6%). The bites frequently occurred at home (59.0%) and with dogs that were known (81.5%). Children less than 6 years of age had a significantly higher proportion of home attacks and head and neck wounds. Older children had a higher incidence of learning disabilities (29.3%) and extremity wounds.
Dog bites are the most common animal injuries. The dogs tended to be pets and known to the child, with younger patients sustaining wounds above the clavicle compared to older kids. Advocating for pet owners and parental education could play a large role in reducing injuries, and further research into long-term issues is needed.
IV.
儿童动物咬伤是导致许多急诊就诊的原因，可导致严重的身心疾病。虽然创伤的原因和模式各不相同，但我们推测儿童的年龄和体型在损伤中起作用。本研究的目的是描述损伤情况、动物种类、可改变的事件及结果。
经机构审查委员会（IRB）批准，对10年来所有出现与动物相关损伤的患者进行了一项回顾性单中心队列分析。收集并分析了有关临床表现、人口统计学和结果的数据。根据年龄、性别和损伤类型对队列进行分层，并进行比较统计。
共记录了173例损伤，其中96.5%为犬咬伤。大多数儿童为男性（60.7%），年龄小于5岁（52.6%），白人（79.2%），有公共保险（74.6%）。咬伤事件常发生在家中（59.0%），且涉及已知的狗（81.5%）。6岁以下儿童在家中被攻击以及头部和颈部受伤的比例显著更高。年龄较大的儿童学习障碍发生率较高（29.3%），且四肢受伤的发生率较高。
犬咬伤是最常见的动物致伤类型。这些狗多为宠物且儿童认识，与年龄较大的儿童相比，年龄较小的患者锁骨以上部位受伤。倡导宠物主人教育和家长教育在减少伤害方面可发挥重要作用，并且需要对长期问题进行进一步研究。
IV级
