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CC BY-NC-ND 4.0 · Avicenna J Med 2020; 10(01): 1-5
DOI: 10.4103/ajm.ajm_158_19
Original Article

Childhood horse and donkey bites; a single tertiary health center experience in a rural area

Ibrahim Hakan Bucak
Departments of Pediatrics, Adıyaman University School of Medicine, Adıyaman, Turkey
,
Kasım Turgut
Departments of Emergency Medicine, Adıyaman University School of Medicine, Adıyaman, Turkey
,
Habip Almis
Departments of Pediatrics, Adıyaman University School of Medicine, Adıyaman, Turkey
,
Mehmet Turgut
Departments of Pediatric Infectious Disease, Adıyaman University School of Medicine, Adıyaman, Turkey
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Abstract

Background: The aim of this study was to examine the characteristics of patients presenting to a pediatric emergency department in a rural province of Turkey due to horse and donkey bites and to analyze whether these features differ from those of more common animal bites in rural areas. Materials and Methods: The records of patients presenting to the pediatric emergency department of a tertiary hospital due to horse and donkey bites over a 3-year period were examined retrospectively. Demographic data, month of presentation, animal species involved (horse or donkey), the body area bitten, treatment applied to the wound site, whether tetanus and rabies vaccinations were administered, and whether or not antibiotics were prescribed on discharge from the emergency department were recorded from these files. Results: The annual incidence of horse and donkey bites was determined as 7.8/100,000. Thirty-six patients, 24 (66.7%) boys and 12 (33.3%) girls, with a mean age of 95.6 ± 33.9 (48–190) months, were included in the study. Twenty-six patients (72.2%) were bitten by donkeys, and 10 (27.8%) by horses. Bites were most common in September (30.6%). The most commonly bitten areas were the back and/or upper extremities. Rabies vaccination was administered in all cases. Amoxicillin–clavulanic acid was prescribed in 28 (77.8%) cases. Conclusion: Horse and donkey bites are frequently observed in rural areas. The inhabitants of such areas should therefore be educated concerning horse and donkey bites. Health workers encountering such bites should behave in the same way as in more common animal bites in terms of patient management. Our results will be instructive for other developing countries similar to Turkey.

Keywords

Animal bite - childhood - donkey - horse


Publication History

Article published online:
04 August 2021

© 2020. Syrian American Medical Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Maniscalco K, Edens MA. Bites, Animal. StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing; 2018
    Google Scholar
  • 2 Evgeniou E, Markeson D, Iyer S, Armstrong A. The management of animal bites in the United Kingdom. Eplasty 2013; 13: e27
    PubMedGoogle Scholar
  • 3 Agrawal A, Kumar P, Singhal R, Singh V, Bhagol A. Animal bite injuries in children: Review of literature and case series. Int J Clin Pediatr Dent 2017; 10: 67-72
    CrossrefPubMedGoogle Scholar
  • 4 Bucak IH, Almis H, Tekin M, Turgut M. Donkey bite: A rare case report. Turkiye Klinikleri J Pediatr 2015; 24: 120-2
    CrossrefGoogle Scholar
  • 5 Radhakrishnan GS, Sugumar M, Valantine LA. Reconstructive challenges in mammalian bite injuries. Stanley Med J 2017; 4: 59-61
    Google Scholar
  • 6 Köse R, Söğüt Ö, Mordeniz C. Management of horse and donkey bite wounds: A series of 24 cases. Plastic Reconstruct Surg 2010; 125: 251e-2e
    CrossrefPubMedGoogle Scholar
  • 7 Fogel L, Varga G, Hubay M, Felszeghy E, Varga P, Byard RW. Autopsy features of fatal donkey attack. Am J Forensic Med Pathol 2018; 39: 354-6
    CrossrefPubMedGoogle Scholar
  • 8 De Luca F, Garaffa G, Maurizi A, Manzi E, De Dominicis C, Ralph D. Total phallic reconstruction after penile amputation for donkey bite: Case report and review of the literature. Arch Ital Urol Androl 2017; 89: 166-8
    CrossrefPubMedGoogle Scholar
  • 9 Bula-Rudas FJ, Olcott JL. Human and animal bites. Pediatr Rev 2018; 39: 490-500
    CrossrefPubMedGoogle Scholar
  • 10 Bregman B, Slavinski S. Using emergency department data to conduct dog and animal bite surveillance in New York City, 2003-2006. Public Health Rep 2012; 127: 195-201
    CrossrefPubMedGoogle Scholar
  • 11 Ellis R, Ellis C. Dog and cat bites. Am Fam Physician 2014; 90: 239-43
    PubMedGoogle Scholar
  • 12 Derinöz O, Akar T. Animal bites cases presented to a University Hospital Pediatric Emergency Room. J Pediatr Emerg Intensive Care Med 2017; 4: 22-6
    CrossrefGoogle Scholar
  • 13 Kara SS, Delice O. Evaluation of pediatric patients with animal bites and rabies suspected exposures. Kafkas J Med Sci 2018; 8: 13-9
    CrossrefGoogle Scholar
  • 14 Aziz H, Rhee P, Pandit V, Tang A, Gries L, Joseph B. The current concepts in management of animal (dog, cat, snake, scorpion) and human bite wounds. J Trauma Acute Care Surg 2015; 78: 641-8
    CrossrefPubMedGoogle Scholar
  • 15 Kwo S, Agarwal JP, Meletiou S. Current treatment of cat bites to the hand and wrist. J Hand Surg Am 2011; 36: 152-3
    CrossrefPubMedGoogle Scholar
  • 16 Ngugi JN, Maza AK, Omolo OJ, Obonyo M. Epidemiology and surveillance of human animal-bite injuries and rabies post-exposure prophylaxis, in selected counties in Kenya, 2011-2016. BMC Public Health 2018; 18: 996
    CrossrefPubMedGoogle Scholar
  • 17 Nygaard M, Dahlin LB. Dog bite injuries to the hand. J Plast Surg Hand Surg 2011; 45: 96-101
    CrossrefPubMedGoogle Scholar
  • 18 Mannion CJ, Mills DS. Injuries sustained by dog bites. Br J Oral Maxillofac Surg 2013; 51: 368-9
    CrossrefPubMedGoogle Scholar
  • 19 Elizabeth Murray G. Examining evidence on dog bite injuries and their management in children. Nurs Child Young People 2017; 29: 35-9
    CrossrefPubMedGoogle Scholar
  • 20 Georges K, Adesiyun A. An investigation into the prevalence of dog bites to primary school children in Trinidad. BMC Public Health 2008; 8: 85
    CrossrefPubMedGoogle Scholar
  • 21 Sacks JJ, Lockwood R, Hornreich J, Sattin RW. Fatal dog attacks, 1989-1994. Pediatrics 1996; 97: 891-5
    CrossrefPubMedGoogle Scholar
  • 22 Malinowski K. Recent advances in reproduction in horses. Fact sheet. FS717; Available from: http://www.ansci.wisc.edu/jjp1/ansci_repro/lab/lab7/lab7_2003/horse.pdf. [Last accessed on 2019 Mar 10]
    Google Scholar
  • 23 Benson LS, Edwards SL, Schiff AP, Williams CS, Visotsky JL. Dog and cat bites to the hand: Treatment and cost assessment. J Hand Surg Am 2006; 31: 468-73
    CrossrefPubMedGoogle Scholar
  • 24 Kumar V, Pandey V, Tiwari P, Gangopadhyay AN, Sharma SP, Bedi RS. Animal bites in children: A developing country’s perspective. Asian J Oral Health Allied Sci 2013; 3: 56-9
    Google Scholar
  • 25 Quinn JV, McDermott D, Rossi J, Stein J, Kramer N. Randomized controlled trial of prophylactic antibiotics for dog bites with refined cost model. West J Emerg Med 2010; 11: 435-41
    PubMedGoogle Scholar
  • 26 Karakas A, Ilhan H, Turhan V. Animal and human bites: Prophylaxis and approach to the treatment. Türk Hijyen ve Deneysel Biyoloji Dergisi 2010; 67: 153-60
    Google Scholar
  • 27 WHO. Rabies. Available from: http://www.who.int/en/news-room/factsheets/detail/rabies. [Last accessed on 2019 Mar 11]
    Google Scholar
  • 28 Velasco-Villa A, Escobar LE, Sanchez A, Shi M, Streicker DG, Gallardo-Romero NF. et al. Successful strategies implemented towards the elimination of canine rabies in the western hemisphere. Antiviral Res 2017; 143: 1-12
    CrossrefPubMedGoogle Scholar
  • 29 Bannazadeh Baghi H, Alinezhad F, Kuzmin I, Rupprecht CE. A perspective on rabies in the Middle East—Beyond neglect. Vet Sci 2018; 5 pii E67
    CrossrefPubMedGoogle Scholar
  • 30 WHOs. WHO Guide for Rabies Pre and Post Exposure Prophylaxis in Humans. Available from: https://www.who.int/rabies/PEP_Prophylaxis_guideline_15_12_2014.pdf. [Last accessed on 2019 Mar 11]
    Google Scholar