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与宠物相关的感染

Pet-related infections.

作者信息

Rabinowitz Peter M, Gordon Zimra, Odofin Lynda

机构信息

Yale University School of Medicine, New Haven, Connecticut 06510, USA.

出版信息

Am Fam Physician. 2007 Nov 1;76(9):1314-22.

Abstract

Human contact with cats, dogs, and other pets results in several million infections each year in the United States, ranging from self-limited skin conditions to life-threatening systemic illnesses. Toxoplasmosis is one of the most common pet-related parasitic infections. Although toxoplasmosis is usually asymptomatic or mild, it may cause serious congenital infection if a woman is exposed during pregnancy, particularly in the first trimester. Common pet-borne fungal infections include tinea corporis/capitis (ringworm); campylobacteriosis and salmonellosis are among the most common bacterial infections associated with pet ownership. Less commonly, pets can transmit arthropod-borne and viral illnesses (e.g., scabies, rabies). Infection in a pet can provide sentinel warning of local vectors and endemic conditions, such as Lyme disease risk. Treatment is infection-specific, although many infections are self-limited. Prevention involves common sense measures such as adequate hand washing, proper disposal of animal waste, and ensuring that infected animals are diagnosed and treated. Special precautions are indicated for immunocompromised persons. Increased communication between primary care physicians and veterinarians could improve treatment and prevention of these conditions.

摘要

在美国,人类与猫、狗及其他宠物接触每年会导致数百万次感染,感染范围从自限性皮肤病到危及生命的全身性疾病。弓形虫病是最常见的与宠物相关的寄生虫感染之一。虽然弓形虫病通常无症状或症状轻微,但如果女性在孕期尤其是孕早期接触到弓形虫,可能会导致严重的先天性感染。常见的由宠物传播的真菌感染包括体癣/头癣(癣);弯曲杆菌病和沙门氏菌病是与养宠物相关的最常见细菌感染。较不常见的是,宠物可传播节肢动物传播的疾病和病毒性疾病(如疥疮、狂犬病)。宠物感染可对当地病媒和地方病状况提供预警,如莱姆病风险。治疗针对具体感染,不过许多感染是自限性的。预防措施包括一些常识性做法,如充分洗手、妥善处理动物粪便,以及确保对感染动物进行诊断和治疗。免疫功能低下者需采取特殊预防措施。初级保健医生和兽医之间加强沟通可改善这些疾病的治疗和预防。

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