Evidence map›Paper›PMID 40940138›Full record

ArticleBMJ paediatrics open2025

Adherence to infection mitigation strategies for facial dog bite wounds: a retrospective analysis of a level 1 paediatric trauma centre.

Elizabeth M Waltman, David M Mills, Isabella G Steidley, Michael C Monuteaux, Eric W Fleegler, Amir A Kimia

Abstract readLetter
In one paragraph

Article in BMJ paediatrics open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Elizabeth M WaltmanUniversity of Massachusetts Chan Medical School, Worcester, Massachusetts, USA elizabeth.waltman@umassmed.edu.ORCID http://orcid.org/0009-0005-0131-5252
David M MillsRady Children's Hospital-San Diego, San Diego, California, USA.
Isabella G SteidleyBrown University, Providence, Rhode Island, USA.
Michael C MonuteauxEmergency Medicine, Children's Hospital Boston, Boston, Massachusetts, USA.
Eric W FleeglerMassachusetts General Hospital, Boston, Massachusetts, USA.
Amir A KimiaConnecticut Children's Medical Center, Hartford, Connecticut, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dog bites are a frequent cause of paediatric facial injuries and present a significant risk of infection. This retrospective study evaluated adherence to antibiotic and repair guidelines in facial dog bite cases at a level 1 paediatric trauma centre. Among 356 cases, 99.2% received antibiotics; however, only 90.4% received the recommended first-line agent and 12.6% missed the initial dose in the emergency department. Many prescriptions had an incorrect dose or prolonged duration. Paediatric emergency medicine clinicians used fewer layered repairs compared to plastic surgeons. These results highlight variation in both antibiotic prescribing and laceration repairs, suggesting the need for quality improvement in both areas.

Indexed as

Anti-Bacterial AgentsBites and StingsFacial InjuriesGuideline AdherenceWound InfectionAdolescentAnimalsChildChild, PreschoolDogsEmergency Service, HospitalFemaleHumansInfantMalePractice Patterns, Physicians'Anti-Bacterial AgentsData CollectionDermatology

Identifiers

PMID40940138
PMCPMC12519322

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.