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COVID-19 pandemic and lockdown increase the frequency and severity of periorbital dog bite injuries in children.
Pitak-Arnnop, Poramate; Auychai, Prim; Subbalekha, Keskanya; Sirintawat, Nattapong; Tangmanee, Chatpong; Meningaud, Jean-Paul; Messer-Peti, Robert; Neff, Andreas.
  • Pitak-Arnnop P; Department of Oral and Craniomaxillofacial Plastic Surgery, UKGM GmbH, University Hospital Marburg, Faculty of Medicine, Philipps-University of Marburg, Marburg, Germany.
  • Auychai P; Department of Pediatric Dentistry, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
  • Subbalekha K; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
  • Sirintawat N; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.
  • Tangmanee C; Department of Statistics, Chulalongkorn University Business School, Bangkok, Thailand.
  • Meningaud JP; Department of Plastic, Reconstructive, Esthetic and Maxillofacial Surgery, Henri Mondor University Hospital, AP-HP, Faculty of Medicine, University Paris-Est Créteil Val de Marne (Paris XII), Créteil, France.
  • Messer-Peti R; Department of Urology and Pediatric Urology, Caritas Hospital Bad Mergentheim - Academic Teaching Hospital of Julius Maximilians University of Würzburg, Bad Mergentheim, Germany.
  • Neff A; Department of Oral and Craniomaxillofacial Plastic Surgery, UKGM GmbH, University Hospital Marburg, Faculty of Medicine, Philipps-University of Marburg, Marburg, Germany.
J Oral Biol Craniofac Res ; 12(5): 666-672, 2022.
Article in English | MEDLINE | ID: covidwho-1983516
ABSTRACT

Objective:

To determine whether the COVID-19 pandemic and lockdown increase the risk of head, neck, and face (HNF) dog bite injuries in children.

Methods:

Using a retrospective cohort study design, the investigators enrolled a sample of children presenting with HNF dog bite injuries during 22 weeks before and 22 weeks during the COVID-19 pandemic in a German level 1 trauma center. The predictor variables were COVID-19 pandemic and lockdown. The outcome variables were grouped into demographic, anatomic, injury-related, and therapeutic. Appropriate statistics were computed, and statistical significance was set at P ≤ .05.

Results:

The sample included 36 subjects (19.4% girls; 97.2% Caucasians; 50% isolated periorbital injuries; 61.1% during the lockdown; 16.7% after the lockdown) with an average age of 8 ± 3.3 years. Compared to the pre-COVID-19 period, pediatric HNF dog bite injuries increased ca. 5.5- and 1.5-fold during and after the lockdown, respectively. The COVID-19 pandemic was significantly associated with severe household injury from a pet dog, number of inpatients and treatments in the operating room, and prolonged hospitalization. Isolated periorbital injury was common during the COVID-19 pandemic (P = 0.04; relative risk [RR], 4.86; 95% confidence interval [95% CI], 0.76 to 31.12), especially during the lockdown (P = 0.02; RR, 4.36; 95% CI, 0.72 to 26.6).

Conclusion:

During the COVID-19 pandemic, especially during the lockdown, there is an increasing tendency of frequency and severity of domestic HNF dog injuries in children, and periorbital region is the most injury-prone.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Observational study / Prognostic study Language: English Journal: J Oral Biol Craniofac Res Year: 2022 Document Type: Article Affiliation country: J.jobcr.2022.08.005

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Observational study / Prognostic study Language: English Journal: J Oral Biol Craniofac Res Year: 2022 Document Type: Article Affiliation country: J.jobcr.2022.08.005