{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T03:08:00Z","timestamp":1792292880235,"version":"4.4.0"},"reference-count":34,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2019,4,1]]},"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Animal injury is a significant cause of morbidity and mortality worldwide. Dog bites account for tens of millions of injuries annually and the highest risk is among children. However, children may not receive postexposure prophylaxis (PEP) treatment timely and appropriately after rabies exposure. This study aimed to investigate the characteristics and factors associated with PEP treatment of dog and cat bites among left-behind children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross-sectional study using questionnaire was conducted in primary and high schools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Shenzhen and Shantou cities, Guangdong Province, China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 9380 participants were included and 2236 of them were with a history of dog and cat bites.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>1188 (53.1%) boys and 1048 (46.9%) girls suffered from animal bites. Bitten in holidays was less likely to receive PEP treatment (OR 0.512, 95%\u2009CI 0.377 to 0.695) than those bitten in school days. Bitten while being with family (OR 1.418, 95%\u2009CI 1.040 to 1.934) and bitten at roadside (OR 1.842, 95%\u2009CI 1.297 to 2.171), bitten by unvaccinated animals (OR 1.745, 95%\u2009CI 1.246 to 2.443) tended to receive PEP treatment. Compared with unbroken skin, bleeding (OR 1.789, 95%\u2009CI 1.165 to 2.745) and laceration (OR 3.834, 95%\u2009CI 2.310 to 6.366) were showed as treatment prompting factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Bitten in holidays was found as a risk factor of receiving PEP treatment of animal bites. Certain measures should be taken to raise left-behind children\u2019s awareness of receiving PEP treatment timely and appropriately after dog and cat bites.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2018-024764","type":"journal-article","created":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T09:55:53Z","timestamp":1557136553000},"page":"e024764","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Characteristics and factors associated with post-exposure prophylaxis (PEP) treatment of dog and cat bites among left-behind children: a cross-sectional study in two cities of China"],"prefix":"10.1136","volume":"9","author":[{"given":"Shuzhen","family":"Yan","sequence":"first","affiliation":[{"name":"Injury Prevention Research Center, Shantou University Medical College, Shantou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Chen","sequence":"additional","affiliation":[{"name":"Injury Prevention Research Center, Shantou University Medical College, Shantou, China"},{"name":"School of Public Heath, Sun Yat-sen University, Guangzhou, Guangdong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wanbao","family":"Ye","sequence":"additional","affiliation":[{"name":"Injury Prevention Research Center, Shantou University Medical College, Shantou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fuxiang","family":"Chen","sequence":"additional","affiliation":[{"name":"Injury Prevention Research Center, Shantou University Medical College, Shantou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liping","family":"Li","sequence":"additional","affiliation":[{"name":"Injury Prevention Research Center, Shantou University Medical College, Shantou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,5,5]]},"reference":[{"key":"2025121512254998000_9.5.e024764.1","doi-asserted-by":"crossref","first-page":"26","DOI":"10.7748\/en2008.10.16.6.26.c6781","article-title":"Animal and human bites","volume":"16","author":"Norton","year":"2008","journal-title":"Emerg Nurse"},{"key":"2025121512254998000_9.5.e024764.2","first-page":"433","article-title":"Animal and Human Bite Wounds","volume":"11243","author":"Rothe","year":"2015","journal-title":"Dtsch Arztebl Int"},{"key":"2025121512254998000_9.5.e024764.3","doi-asserted-by":"crossref","first-page":"e0003786","DOI":"10.1371\/journal.pntd.0003786","article-title":"Correction: Estimating the global burden of endemic canine rabies","volume":"9","author":"Hampson","year":"2015","journal-title":"PLoS Negl Trop Dis"},{"key":"2025121512254998000_9.5.e024764.4","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0003709"},{"key":"2025121512254998000_9.5.e024764.5","first-page":"605","article-title":"Nonfatal dog bite-related injuries treated in hospital emergency departments-United States, 2001","volume":"52","author":"Centers for Disease Control and Prevention (CDC)","year":"2003","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2025121512254998000_9.5.e024764.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2005.12.011"},{"key":"2025121512254998000_9.5.e024764.7","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-013-1840-x"},{"key":"2025121512254998000_9.5.e024764.8","unstructured":"Animal bites. http:\/\/www.who.int\/en\/news-room\/fact-sheets\/detail\/animal-bites2018."},{"key":"2025121512254998000_9.5.e024764.9","unstructured":"http:\/\/news.china.com.cn\/txt\/2017-10\/10\/content_41710367.htm [accessed 26 Feb 2018]."},{"key":"2025121512254998000_9.5.e024764.10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2214.2010.01110.x"},{"key":"2025121512254998000_9.5.e024764.11","doi-asserted-by":"publisher","DOI":"10.1111\/apa.12602"},{"key":"2025121512254998000_9.5.e024764.12","doi-asserted-by":"publisher","DOI":"10.1177\/0898264308315875"},{"key":"2025121512254998000_9.5.e024764.13","doi-asserted-by":"publisher","DOI":"10.1037\/a0024506"},{"key":"2025121512254998000_9.5.e024764.14","unstructured":"Statistic Bureau of Guangdong Province. 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