Comparative Study of Primary Closure Versus Non-Closure in Dog Bite Wounds
Journal Title: Indian Journal of Emergency Medicine - Year 2018, Vol 4, Issue 2
Abstract
Introduction: Dog bites are common in India accounting to 1-2% of patients presenting to Emergency department. There is long drawn controversy regarding the treatment protocol for dog bites. Several studies have shown comparable amount of wound infection in both these techniques with better aesthetic appearance following Primary closure. We conducted a study to compare the rate of infection, aesthetic outcome & the wound healing time between Primary closure and Non-closure technique. Materials & Methods: After Ethical committee clearance,120 consecutive patients with Dog bite wounds were included in this Experimental control trial. The patients were divided into two groups based on computer-based randomization.All dog bite wounds received initial wound care. One group underwent Primary suturing of wound and in other group wounds were dressed without suturing.Prophylactic antibiotics were given to all patients. Human immunoglobulin was administered according to WHO guidelines. Infection rates, cosmetic appearance and healing time were compared. Results: The infection rate in primary closure was 8.3% as compared to 11.7% in Non-closure. However, it was not statistically significant (P=0.543). Primarily closed wounds had 86.7% good scars as compared to 11.7% in Non-closure which was statistically significant (p=0.001). We also found that the Mean healing time was 23.65 days in Primary closure and 49.05 in Non-closure. Conclusion: Primary suturing of dog bite wounds leads to faster healing rate with no significant change in the infection rate & yields a good cosmetic scar. Local infiltration of wound with immunoglobulin showed no change in the rate of infection
Authors and Affiliations
Anil Kumar V. R.
Keywords
Related Articles
- EP ID EP551905
- DOI 10.21088/ijem.2395.311X.4218.2
- Views 111
- Downloads 0
Spectrum of Acute Febrile Illness in Children Presenting in Emergency of a Tertiary Care Hospital and its Clinico - Laboratorial Correlation
In a clinical setting, Fever is the most common sign of illness in infants and children and accounts for as many as 20% of pediatric emergency department (ED) visits. Clinical evaluation of febrile illness is guided by h...
Complicated Femur Fracture with Acute Respiratory Distress Syndrome Secondary to Fat Embolism Syndrome
Fat embolism (FE) is defined as a blockage of vasculature by fat globules that originate either from bone marrow or adipose tissue. It mainly affects the lungs, but can also affect the skin, retina, and central nervous s...
An Unusual Presentation of Fat Embolism Syndrome as Cerebral Fat Embolism in Trauma: A Rare Clinical Entity
Fat embolism syndrome is a rare clinical complication of fat embolism which occurs in almost 90% of long bone fractures. Incidence of FES is around 0.2 to 2.5 % in overall cases of fat embolism. Its diagnosis is mainly c...
A Study on Clinical Profile of Premenopausal and Postmenopausal Women
Menopausal symptoms are climacteric symptoms, hot flushes due to sudden change in the hormones levels and is not seen in women who are chronically hypo estrogenic. The term “hot flush” is descriptive of sudden onset of r...
Case of Takaysu Arteritis in The Indian Population: Probable Association with Tuberculosis
Takaysu’s arteritis, or “pulseless” disease is a rare, idiopathic, chronic granulomatous vasculitis that affects aorta and its major branches. Indian origin aortoarteritis is a rare variant of this disease presenting as...