A retrospective six-year national survey of P. multocida infections in Israel

被引：9

作者：

Nseir, William ^{[1
]}

Giladi, M. ^{[2
]}

Moroz, I. ^{[2
]}

Moses, A. E. ^{[3
]}

Benenson, S. ^{[3
]}

Finkelstein, R. ^{[4
]}

Dan, M. ^{[5
]}

Chazan, B. ^{[6
]}

Bishara, J. ^{[7
]}

Ben-Dror, G. ^{[8
]}

Hassin, D. ^{[9
]}

Peled, N. ^{[10
]}

Rahav, G. ^{[11
]}

Grupper, M. ^{[12
]}

Potasman, I. ^{[12
]}

机构：

[1] Holy Family Hosp, IL-16100 Nazareth, Israel

[2] Tel Aviv Univ, Tel Aviv Sourasky Med Ctr, IL-69978 Tel Aviv, Israel

[3] Hadassah Med Ctr, IL-91120 Jerusalem, Israel

[4] Rambam Med Ctr, Haifa, Israel

[5] Wolfson Med Ctr, Holon, Israel

[6] Haemek Med Ctr, Afula, Israel

[7] Rabin Med Ctr, Petah Tiqwa, Israel

[8] Ziv Med Ctr, Safed, Israel

[9] Hillel Yaffe Med Ctr, Hadera, Israel

[10] Soroka Med Ctr, IL-84101 Beer Sheva, Israel

[11] Chaim Sheba Med Ctr, Ramat Gan, Israel

[12] Bnai Zion Med Ctr, Haifa, Israel

来源：

SCANDINAVIAN JOURNAL OF INFECTIOUS DISEASES | 2009年 / 41卷 / 6-7期

关键词：

PASTEURELLA-MULTOCIDA;

D O I：

10.1080/00365540902968035

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Pasteurella multocida is the commonest organism infecting pet bites. Anecdotal reports tend to overemphasize dramatic outcomes. We aimed to study a large database of P. multocida infections. This retrospective survey of P. multocida infections in Israeli hospitals refers to the y 2000-2005. Clinical microbiologists were contacted by email and asked to perform a back-search of their hospital's records for isolates of P. multocida. The charts of patients growing P. multocida were abstracted into a structured questionnaire. 7 7 cases were identified in 12 hospitals, yielding an annual incidence of 0.19/100,000. The mean age was 49.2 +/- 26.5 y and the mortality rate was 2.6%. Those who died were > 65 y of age, had diabetes mellitus or cirrhosis and were bacteraemic. One-third of the cases occurred in people aged >= 65 y. Cats caused most of these infections (54%). Surgery for debridement was common (53.7%), but no-one required amputation; a second- and third-look operation was necessary for these patients. Bacteraemia was found in 32.5% of patients and was significantly more common among those aged > 60 y (p = 0.044). Hospitalized patients with P. multocida have a favourable prognosis, apart from elderly and bacteraemic patients with comorbidities. Surgery and reoperations may be required in about half of the patients.

引用

页码：445 / 449

页数：5

共 14 条

[1] MAMMALIAN BITE WOUNDS [J].