Evidence map›Paper›PMID 23374146›Full record

ArticleWorld journal of emergency surgery : WJES2013

Animal-related injuries in a resource-limited setting: experiences from a Tertiary health institution in northwestern Tanzania.

Japhet M Gilyoma, Joseph B Mabula, Phillipo L Chalya

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Article in World journal of emergency surgery : WJES, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

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15citing papers in PubMed
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3 · Its place in the literature

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15 citing papers in PubMed.

  1. The bigger picture: unconventional open fractures in Colombia.OTA international : the open access journal of orthopaedic trauma · 2025
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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Japhet M Gilyoma *Department of Surgery, Catholic University of Health and Allied Sciences-Bugando, Mwanza, Tanzania.
Joseph B Mabula *Department of Surgery, Catholic University of Health and Allied Sciences-Bugando, Mwanza, Tanzania.
Phillipo L ChalyaDepartment of Surgery, Catholic University of Health and Allied Sciences-Bugando, Mwanza, Tanzania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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backgroundAnimal related injuries are a major but neglected emerging public health problem and contribute significantly to high morbidity and mortality worldwide. No prospective studies have been done on animal related injuries in our setting. This study was conducted to determine the management patterns and outcome of animal related injuries and their social impact on public health policy in the region.

methodsThis was a descriptive prospective study of animal related injury patients that presented to Bugando Medical Centre between September 2007 and August 2011. Statistical data analysis was done using SPSS computer software version 17.0.

resultsA total of 452 (8.3%) animal-related injury patients were studied. The modal age group was 21-30 years. The male to female ratio was 2.1:1. Dog-bites (61.1%) were the most common injuries. Musculoskeletal (71.7%) region was the most frequent body region injured. Soft tissue injuries (92.5%) and fractures (49.1%) were the most common type of injuries sustained. Only 140 (31.0%) patients were hospitalized and most of them (97.1%) were treated surgically. Wound debridement was the most common procedure performed in 91.2% of patients. Postoperative complication rate was 15.9%, the commonest being surgical site infections (SSI) in 55.1% of patients. SSI was significantly associated with late presentation and open fractures (P < 0.001). The overall median duration of hospitalization was 16 days. Patients who had severe injuries, long bone fractures and those with hemiplegia stayed longer in the hospital (P < 0.001). Mortality rate was 10.2% and was significantly high in patients with severe injuries, severe head injury, tetanus and admission SBP < 90 mmHg (P < 0.001). The follow up of patients was poor.

conclusionAnimal related injuries constitute a major public health problem in our setting and commonly affect the young adult male in their economically productive age-group. Measures towards prevention and proper treatment and follow up are important in order to reduce morbidity and mortality resulting from this form of trauma.

Identifiers

PMID23374146
PMCPMC3565936

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.