Search

Introduction: Rabies is still one of the important public health problems both in the world and in our country. The highest risk of rabies comes from contact with pets, especially dogs. The aim of this study was to evaluate the treatment steps that are used in the management of cases presenting to the pediatric emergency department in a university hospital with a risk of rabies contact. Methods: Data including age, gender, site of bites, kind of animals, tetanus/rabies prophylaxis, antibiotic treatments and forensic case reports were recorded for the animal bite cases between 2009 and 2016. Results: A total of 94 patients [58 males (61.7%)] with a mean age of 11.06±4.77 years (range: 2-18) were included in the study. 43.6% of the cases presented to the pediatric emergency department within eight hours after the contact. 73.4% of patients presented due to dog bites, 25.5% for cat bite and one patient was with mice bite. In 34% of cases, the bite was on the hand. 50% of the bites were on torso in the 0-5 age group, 41.7% on upper extremities in the 6-10 age group, 50% on feet in the 11-15 age group, and 53.8% on lower extremities in the 16-18 age group (p

Copyright of Journal of Pediatric Emergency & Intensive Care Medicine / Çocuk Acil ve Voğun Bakım Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aim: Rabies is a fatal viral disease. Timely and appropriate vaccination is of vital importance in preventing this disease. The present study explored characteristics of patients that presented to our vaccination center for rabies prophylaxis, reasons for prophylaxis, prophylaxis approach employed, and the rate of compliance to prophylaxis. Materials and Methods: The study included patients who presented to our vaccination center between 2010 and 2012 due to contact with mammals suspected of rabies. Age, gender, site of the bite, previous vaccination status, adherence to vaccination schedule, vaccination schedule employed, type and vaccination status of the attacking animal were recorded on the forms. Results: A total of 591 patients (444 males, 75.1%), who were admitted for vaccination between 2010 and 2012, and who had accessible data, were included in the study. The mean age was 23.82±14.86 years (minimum-maximum: 1-83 years). Of these patients, 97.5% presented after exposure, while 2.5% presented for prophylaxis before exposure. The animals involved in these injuries were dogs in 50.9% and cats in 42.1%. Three cases were medical personnel at the department of forensic medicine that presented for prophylaxis after performing an autopsy to a pati ent who died from rabies. When the patients were evaluated according to age groups, 48.2% were in the 16-30 years age group. The affected body site was upper extremity in 63.8% of the injuries, lower extremity in 26.1%, head-neck region in 3.2%, and trunk in 1.9%. When the time between the injury and presentation to the hospital was evaluated, 73.6% of the cases presented in the same day, 25% presented between days 1 and 6, and 1.3% presented between days 7 and 15. After exposure, 54% of the patients received 5 doses, 46% received 3 doses, and 4.2% of the patients additionally received rabies hyperimmunoglobulin. Conclusion: The patients presented to our center due to suspected exposure to rabies mostly consisted of young individuals. Dogs were the most frequent animals involved in these injuries. Vaccination of the petted cats and dogs using a particular vaccination schedule, and breeding of stray animals are particularly important in combat with rabies. One fourth of the cases presented to our center days after the exposure. Public awareness campaigns must be conducted by the health authorities due to the fact that administration of prophylaxis as soon as possible after exposure. [ABSTRACT FROM AUTHOR]

Çocuklarda dış genital organların travmaları içinde köpek ısırma vakası çok sık karşılaştığımız bir durum değildir. Penoskrotal bölgede sirküler tarzda cilt, cilt altı dokusunu içine alan yaralanma olgusunda yara debridmanı ve kuduz yönünden immünizasyonu takiben primer cerrahi onarım ile tedavisi yapılmıştır. Eksternal genital organ yaralanmalarının tedavisi, erken müdahale sayesinde kozmetik ve fonksiyonel açıdan başarılı olabilmektedir.