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

Autor:	William Nseir, M. Giladi, I. Moroz, A. E. Moses, S. Benenson, R. Finkelstein, M. Dan, B. Chazan, J. Bishara, G. Ben-Dror, D. Hassin, N. Peled, G. Rahav, M. Grupper, I. Potasman, null For the Israeli Group for the Study
Rok vydání:	2009
Předmět:	Adult Male Microbiology (medical) medicine.medical_specialty Pasteurella multocida Adolescent medicine.medical_treatment Pasteurella Infections Prevalence Bacteremia P. multocida Annual incidence Retrospective survey Surveys and Questionnaires Internal medicine otorhinolaryngologic diseases medicine Humans Israel Child Aged Retrospective Studies Chi-Square Distribution General Immunology and Microbiology biology business.industry Incidence (epidemiology) Mortality rate Infant General Medicine Middle Aged biology.organism_classification Anti-Bacterial Agents Surgery Infectious Diseases Amputation Child Preschool Female business
Zdroj:	Scandinavian Journal of Infectious Diseases. 41:445-449
ISSN:	1651-1980 0036-5548
Popis:	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. 77 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 were65 y of age, had diabetes mellitus or cirrhosis and were bacteraemic. One-third of the cases occurred in people agedor =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 aged60 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.
Databáze:	OpenAIRE
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