A review of human dog-bite injuries in Kitui South subcounty, Kenya (2017-2021).

IF 1.3 Q2 VETERINARY SCIENCES
Veterinary Record Open Pub Date : 2023-10-09 eCollection Date: 2023-12-01 DOI:10.1002/vro2.72
Peris Kung U, David Brodbelt
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引用次数: 0

Abstract

Introduction: Dog bites continue to be a serious public health issue due to their association with the transmission of rabies virus. In Kenya, there are no studies estimating dog-bite incidence. Annual mortalities resulting from dog-mediated rabies are estimated at 523 (95% confidence interval 134-1100). The main objective of this study was to assess major risk factors associated with dog bites in Kitui South subcounty, Kenya, between 2017 and 2021.

Methods: We recruited 387 dog-bite patients (cases) and 387 non-bite patients (controls) for the case-control study from the Mutomo Mission Hospital and the Ikutha Level 4 Hospital records. Multivariable logistic regression analysis evaluated the association between risk factors and dog-bite cases. In the final model, pairwise interactions among variables were evaluated. The model fit was evaluated using receiver operating characteristics and area under the curve.

Results: The study found that the dog-bite incidence was highest in Kanziko ward in Kitui South subcounty. Fifty-one percent (108 bites) of dog-bite victims were children under 15 years of age, with 53% (N = 68) being men and 36% (N = 77) being bitten on the limbs. Dog bites mostly (44%, N = 93) occurred between October and December (short rainy season). Age group and season were identified as the most significant variables for high dog-bite incidence in Kitui South subcounty.

Conclusions: Promotion of responsible dog ownership and reinforcement of dog control policies may prove more effective in reducing dog-bite injuries in Kitui South subcounty.

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肯尼亚基图伊南亚县人狗咬伤事件综述(2017-2021)。
引言:狗咬伤仍然是一个严重的公共卫生问题,因为它们与狂犬病病毒的传播有关。在肯尼亚,没有研究估计狗咬伤的发生率。狗介导的狂犬病导致的年死亡率估计为523人(95%置信区间134-1100)。本研究的主要目的是评估2017年至2021年间肯尼亚基图伊南亚县狗咬伤的主要风险因素。方法:我们从穆托莫使命医院和伊库塔四级医院记录中招募了387名狗咬伤患者(病例)和387名非咬伤患者(对照)进行病例对照研究。多变量逻辑回归分析评估了危险因素与狗咬伤病例之间的相关性。在最后的模型中,评估了变量之间的成对相互作用。使用接收器操作特性和曲线下面积来评估模型拟合。结果:研究发现,犬咬伤发生率最高的是基图伊南区的Kanziko病房。51%(108次咬伤)的狗咬伤受害者是15岁以下的儿童,其中53%(N=68)是男性,36%(N=77)是四肢被咬伤。狗咬伤大多发生在10月至12月(短雨季)之间(44%,N=93)。年龄组和季节被确定为基图伊-南县狗咬伤高发率的最显著变量。结论:在基图伊南县,促进负责任的养狗和加强犬只控制政策可能会更有效地减少犬只咬伤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Veterinary Record Open
Veterinary Record Open VETERINARY SCIENCES-
CiteScore
3.00
自引率
0.00%
发文量
25
审稿时长
19 weeks
期刊介绍: Veterinary Record Open is a journal dedicated to publishing specialist veterinary research across a range of topic areas including those of a more niche and specialist nature to that considered in the weekly Vet Record. Research from all disciplines of veterinary interest will be considered. It is an Open Access journal of the British Veterinary Association.
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