{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T16:05:07Z","timestamp":1789574707651,"version":"build-2803163510"},"reference-count":22,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,1,17]],"date-time":"2025-01-17T00:00:00Z","timestamp":1737072000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>\n                      Fishhook injuries are a common occurrence among anglers. There are no guidelines for prophylactic antibiotic use after fishhook removal. This study analyzed the management of embedded fishhooks, prophylactic antibiotic use, and complication rate at a Michigan county emergency department to observe whether antibiotic use changes patient outcome. Commentary on a freshwater pathogen (\n                      <jats:italic>Aeromonas hydrophila<\/jats:italic>\n                      ) is also included.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Cases were obtained through a retrospective chart review of patients seen for fishhook injury between 2016 and 2022. We analyzed age, sex, relevant medical history, type of fishhook, site preparation, removal technique, antibiotic use, return visit within 30 days, and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifty-one patients with fishhooks injuries were identified. Mean age was 48\u00b117 y. Forty-three patients were male (84%), and 8 were female (16%). Hook site varied, with most occurring in the finger\/thumb (78.4%) and scalp (5.9%). One case involved the ear cartilage. The most common removal technique was the advance and cut method (52.9%). Four patients had an immunocompromising condition (eg, diabetes). Oral antibiotics were prescribed to 26 patients (51%) on discharge. Prophylactic antibiotic choice varied\u2014cephalexin predominated (61.5%). There were no wound infections or complications in cases where the fishhook was removed during the emergency department encounter (50 of 51). One case involved a delayed presentation, abscess formation, and outpatient hand surgery referral.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this small observational study, antibiotic prophylaxis for freshwater-associated fishhook injury did not change outcome regardless of fishhook location or presence of an immunocompromising condition. Further controlled studies are needed to determine the validity of these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10806032241308834","type":"journal-article","created":{"date-parts":[[2025,1,17]],"date-time":"2025-01-17T11:08:15Z","timestamp":1737112095000},"page":"166-170","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Fishhook Injuries and Antibiotic Prescribing Patterns: A Retrospective Analysis"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4456-0141","authenticated-orcid":false,"suffix":"Jr","given":"Alan A.","family":"Lazzara","sequence":"first","affiliation":[{"name":"Emergency Department, Henry Ford Jackson Hospital, Jackson, MI."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob S.","family":"Sinkoff","sequence":"additional","affiliation":[{"name":"Emergency Department, Henry Ford Jackson Hospital, Jackson, MI."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Thompson","sequence":"additional","affiliation":[{"name":"Emergency Department, Henry Ford Jackson Hospital, Jackson, MI."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khader","family":"Zahdan","sequence":"additional","affiliation":[{"name":"Emergency Department, Henry Ford Jackson Hospital, Jackson, MI."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Baptiste","sequence":"additional","affiliation":[{"name":"Emergency Department, Henry Ford Jackson Hospital, Jackson, MI."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,1,17]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"US Department of the Interior Fish and Wildlife Service and US Department of Commerce US Census Bureau. 2022 national survey of fishing hunting and wildlife-associated recreation. Accessed June 1 2024. https:\/\/digitalmedia.fws.gov\/digital\/collection\/document\/id\/2321\/rec\/1"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2012.11.058"},{"issue":"11","key":"e_1_3_3_4_2","first-page":"2231","article-title":"Fishhook removal","volume":"63","author":"Gammons M","year":"2001","unstructured":"Gammons M, Jackson E. Fishhook removal. Am Fam Physician. 2001;63(11):2231\u20132236.","journal-title":"Am Fam Physician"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2018.09.028"},{"issue":"3","key":"e_1_3_3_6_2","first-page":"195","article-title":"Don\u2019t get hung up on fishhooks: a guide to fishhook removal","volume":"97","author":"Julian E","year":"2016","unstructured":"Julian E, Mammino J. Don\u2019t get hung up on fishhooks: a guide to fishhook removal. Cutis. 2016;97(3):195\u2013198.","journal-title":"Cutis"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199003000-00011"},{"issue":"4","key":"e_1_3_3_8_2","first-page":"254","article-title":"The occasional removal of an embedded fish hook","volume":"10","author":"Thommasen HV","year":"2005","unstructured":"Thommasen HV, Thommasen A. The occasional removal of an embedded fish hook. Can J Rural Med. 2005;10(4):254\u2013259.","journal-title":"Can J Rural Med"},{"issue":"6","key":"e_1_3_3_9_2","first-page":"339","article-title":"Aquatically acquired Aeromonas hydrophila wound infections: a report of 3 cases","volume":"78","author":"Sacho H","year":"1990","unstructured":"Sacho H, Moore PJ, Hide GR. Aquatically acquired Aeromonas hydrophila wound infections: a report of 3 cases. S Afr Med J. 1990;78(6):339\u2013340.","journal-title":"S Afr Med J"},{"issue":"12","key":"e_1_3_3_10_2","first-page":"405","article-title":"Treatment of Aeromonas hydrophila infection in a deep tissue wound","volume":"48","author":"Archer BJ","year":"1995","unstructured":"Archer BJ, Holm RP. Treatment of Aeromonas hydrophila infection in a deep tissue wound. S D J Med. 1995;48(12):405\u2013407.","journal-title":"S D J Med"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(80)80193-4"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000069894.31220.a1"},{"issue":"1","key":"e_1_3_3_13_2","first-page":"79","article-title":"Upper extremity infections following common carp fish (Cyprinus carpio) handling","volume":"27","author":"Calif E","year":"2002","unstructured":"Calif E, Pick N, Dreyfuss U, Stahl S. Upper extremity infections following common carp fish (Cyprinus carpio) handling. J Hand Surg Am. 2002;27B(1):79\u201382.","journal-title":"J Hand Surg Am"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2006.04.134"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/0736-4679(90)90281-Y"},{"issue":"10","key":"e_1_3_3_16_2","first-page":"893","article-title":"Aeromonas hydrophila: an underappreciated danger to fishermen","volume":"13","author":"Haburchak DR","year":"1996","unstructured":"Haburchak DR. Aeromonas hydrophila: an underappreciated danger to fishermen. Infect Med. 1996;13(10):893\u2013896.","journal-title":"Infect Med."},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2009.06.330"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/0735-6757(91)90204-W"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.4103\/CJRM.CJRM_2_18"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/0735-6757(95)90122-1"},{"issue":"2","key":"e_1_3_3_21_2","article-title":"Fish hook injury: removal by \u201cpush through and cut off\u201d technique: a case report and brief literature review","volume":"19","author":"Khan HA","year":"2014","unstructured":"Khan HA, Kamal Y, Lone AH. Fish hook injury: removal by \u201cpush through and cut off\u201d technique: a case report and brief literature review. Trauma Mon. 2014;19(2):e17728.","journal-title":"Trauma Mon"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1086\/591126"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-018-4430-x"}],"container-title":["Wilderness &amp; Environmental Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10806032241308834","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10806032241308834","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10806032241308834","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T02:32:14Z","timestamp":1777689134000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10806032241308834"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,17]]},"references-count":22,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1177\/10806032241308834"],"URL":"https:\/\/doi.org\/10.1177\/10806032241308834","relation":{},"ISSN":["1080-6032","1545-1534"],"issn-type":[{"value":"1080-6032","type":"print"},{"value":"1545-1534","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,17]]}}}