[Pasteurella multocida infections--10 years' experience].
[Pasteurella multocida infections--10 years' experience].
复制标题
多杀性巴氏杆菌感染--10年经验[J].
DOI：
--
复制
发表时间：
2004
期刊：
影响因子：
--
通讯作者：
I. Potasman
中科院分区：
文献类型：
--
作者：
A. Paz;I. Potasman
狗和猫咬伤是常见的在急诊室，但一直没有充分表征。本研究试图描述10例多杀性假单胞菌培养患者的临床特征。在过去10年中，108名患者因宠物咬伤住院，住院率为3.4/10 000。5名患者有接触猫的记录，3名接触狗，2名接触未知。平均年龄50.8岁（±20.5岁），80%为男性。从接触到住院平均延迟了5.7天，另外还有4.4天，直到出现多杀性假杆菌。6例患者伤口培养多杀假单胞菌，3例患者出现菌血症；另一名患者患有感染性关节炎。6例患者需要清创，平均住院时间11.7天，是我院平均住院时间的3倍。动物咬伤的过程可能很复杂。我们的研究结果呼吁重新评估动物咬伤预防的必要性。
Dog and cat bites are commonly seen at emergency rooms, but have been inadequately characterized. This study attempted to characterize the clinical features of 10 patients from whom P. multocida was cultured. During the past 10 years, 108 patients have been hospitalized for pet bites, at a rate of 3.4/10,000 hospitalizations. Five patients had a documented exposure to cats, 3 to dogs, and two had an unknown exposure. The mean age was 50.8 years (+/- 20.5) and 80% were men. An average delay of 5.7 days was noted from exposure to hospitalization, and additional 4.4 days until P. multocida was characterized. P. multocida was cultured from wounds in six patients, and three patients had bacteremia; another patient had septic arthritis. Six patients needed debridement and the average hospital stay was 11.7 days (3 times our hospital's average). Animal bites may take a complicated course. Our findings call for reassessment of the need for prophylaxis in animal bites.