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Pattern and outcome of dog bite injuries among children in Ado-Ekiti, Southwest Nigeria.

ABSTRACT: Dog bites in humans are a major public health problem. Globally, millions of people are bitten by dogs but most of the fatal cases occur in children. There is paucity of data on dog bite related diseases among Nigerian children. Objectives: to determine the pattern of dog bite injuries and associated health problems among children seen at Ekiti State University Teaching Hospital.This is a retrospective study on the clinical data of patients managed for dog bite related injuries between January 2010 and June 2014.In all, 84 cases of dog bite injuries were managed constituting 0.89% of the total consultations; six (7.1%) had rabies. Most of the victims were aged 6-12 years (60.7%) and majority (71.4%) was boys. Eighty two percent of the victims presented within 24hrs of the injury. Thirty-six (43%) had WHO grade 3 dog bite injury at presentation and the lower limb was the commonest (57.1%) bite site. Use of herbal preparation was the most common pre-hospital treatment 60%. Although 92.9% received anti-rabies vaccine, only 64.3% of them completed the vaccination schedule. The case fatality rate for dog bite was 7.14%. The six that died all presented late, had no post exposure prophylaxis and died within 24 hours of admission.There is need for public enlightenment on dangers associated with dog bites and also for the government to defray the high cost of post exposure prophylaxis treatment for children.

SUBMITTER: Ogundare EO

PROVIDER: S-EPMC5554624 | biostudies-other | 2017

REPOSITORIES: biostudies-other

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Project description:In children up to 6?years, interactions such as interfering with the dog's resources and also benign behaviors (e.g., petting) commonly precede a bite incident with the family dog. Therefore, the aim of the present study was to explore the development of everyday interactions between children up to 6?years and their family dogs and whether parents' attitudes to supervision are related to those interactions. Additionally, we investigated whether behavior of dogs that had lived in the family for longer than the child differed from those that grew up with children. A self-selected sample of caregivers living with a child up to 6?years and a family dog was surveyed via an online questionnaire (N?=?402). Frequency of observed child behaviors directed toward the dog and dog behaviors directed toward the child were scored on a six-point scale (1-never and 6-very often). Data on characteristics of the caregiver, the child, and the dog were collected, and a section surveying attitudes to supervision of child-dog interactions was included. Additionally, we asked whether the dog already injured the child. Benign child behaviors toward dogs were most frequently reported (mean?±?SD: 4.1?±?1.2), increased with child age (rs?=?0.38, p?<?0.001), and reached high levels from 6?months on. Overall, resource-related interactions were relatively infrequent (2.1?±?1.1). Most common was the dog allowing the child to take objects from its mouth (4.1?±?1.7). This behavior was more common with older children (rs?=?0.37, p?<?0.001). Reported injuries during resource-related interactions occurred while feeding treats or taking objects from the dog during fetch play. Dogs that had lived in the family for longer than the child showed less affiliative behaviors toward the child (e.g., energetic affiliative: U?=?-7.171, p?<?0.001) and more fear-related behaviors (U?=?-3.581, p?<?0.001). Finally, the caregivers' attitudes to supervision were related to all child behaviors (e.g., allow unsafe behaviors-benign child behavior: rs?=?0.47, p?<?0.001). The results of this study underline the need for a dog bite prevention approach directed toward the caregivers very early in the child-dog relationship, taking into account the child's age and individual needs of the dog.

Project description:BACKGROUND: In the human species, twin is a type of multiple birth in which the mother gives birth to two offspring from the same pregnancy. The occurrence and frequency of twinning, however, varies across human populations. The maternal age, socio-environmental factors, increase in the use of contraceptives, the race of human population, increase in the spontaneous abortion rate, and seasonal variations are among the factors that could influence twinning rate. Information on twinning rates in southwest Nigeria is limited. AIMS: This study presents information on the frequency of twinning, as well as its analysis by maternal age, in four urban settings in southwest Nigeria. This is with the aim of extending current knowledge on the frequency of twinning in southwest Nigeria and contributing to the demographic studies in the country. MATERIALS AND METHODS: Data on single births and twin births from January 1995 to December 2004 were collected from the Oyo State General Hospital (OSGH), Wesley Guild Hospital (WGH), Obafemi Awolowo University Teaching Hospital (OAUTH), and Ekiti State Specialist Hospital (ESSH) in Ogbomoso, Ilesa, Ile-Ife, and Ado-Ekiti respectively. These were analyzed by year and maternal age groups of 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, and 45-49 years according to the standard method. RESULTS: A frequency of twin births of 46.5 per 1000 deliveries and 46.2 per 1000 deliveries was recorded for Ilesa and Ile-Ife respectively. The frequency recorded for Ogbomoso and Ado-Ekiti was 38.5 and 22.1 per 1000 deliveries respectively. The overall average frequency of 40.2 per 1000 deliveries for the four hospitals ranks among the highest recorded rates of twin births in the world. The maternal age group of 25-29 years had the highest occurrence of twin births, while the lowest was recorded in the 45-49 years age group. CONCLUSION: This analysis reveals high incidence of twinning in the studied areas and supports previous assertion that the southwestern part of Nigeria has the highest twinning rate in the country and in the whole world. It is our opinion that diet, maternal history of twinning, and some socio-environmental factors may have influenced the results.

Project description:BackgroundDespite the high incidence of infectious diseases in developing countries, injuries still contribute significantly to the health burden. There are few reports of rural, community-based injury surveys in Nigeria. This study describes the incidence and pattern of injuries among the residents of a rural area in South-Western Nigeria.MethodsIt was a community based cross-sectional study. Two of six census areas were randomly selected and all households in the two areas visited. Information on the sociodemographic characteristics, individual injury events and outcomes was obtained with a questionnaire. Data were analyzed using SPSS version 11.ResultsInformation was obtained on the 1,766 persons in 395 households. Fifty-nine injuries were recorded by 54 people, giving an injury incidence of 100 per 1,000 per year (95% CI = 91.4-106.9). Injury incidence among <30 years was 81.6 per 1,000 per year (95% CI = 62.3-83.1); and 126 per 1,000 per year (95% CI = 98.2-137.4) for those > or = 30 years (p = 0.013). Injury incidence for females was 46 per 1,000 per year; and 159 per 1,000 per year (p = 0.000) for males. A significantly higher proportion of males (5%) sustained injury compared to females (2%) (p = 0.043). Falls and traffic injures, 15 (25%) each, were the leading causes of injury; followed by cuts/stabs 12 (21%), and blunt injuries, 9 (15%). Traffic injuries were the leading cause of injuries in all age groups except among the 5-14 years where falls were the leading cause of injury. In thirty-four (58%) of those injuries, treatment was at a hospital/health centre; while in two (3%), treatment was by untrained traditional practitioners. Thirty-nine (66%) of the injuries were fully recovered from, and 19 (32%) resulted in disability. There were 2 fatalities in the 5-year period, one (2%) within the study period.ConclusionInjuries were common in Igbo-Ora, though resultant disability and fatality were low. Males and those aged > or = 30 years had significantly higher proportions of the injured. Falls and traffic injuries were the most commonly reported injuries. Appropriate interventions to reduce the occurrences of injuries should be instituted by the local authorities. There is also need to educate the community members on how to prevent injuries.

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Pattern and outcome of dog bite injuries among children in Ado-Ekiti, Southwest Nigeria.

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