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用含蜂蜜和抗菌剂的敷料治疗多杀巴斯德氏菌感染:一例报告。

Treatment of Pasteurella multocida infection with dressings containing honey and antibacterials: a case report.

机构信息

Department of Burns and Plastic Surgery, Beijing Jishuitan Hospital, Beijing 100035, China.

出版信息

J Wound Care. 2022 Mar 2;31(3):230-234. doi: 10.12968/jowc.2022.31.3.230.

Abstract

Infections secondary to frequently occur in patients who have been exposed to domestic pets. Human infections caused by Pasteurella multocida vary in severity, and clinical features include localised cellulitis, osteomyelitis, systemic bacteraemia, meningitis and pneumonia. No vaccine has been developed against ; it is treated with antibacterial agents and, in most cases, surgical intervention. This article discusses the authors' experience in treating a woman with severe cellulitis and osteomyelitis on her hand caused by . She refused surgical intervention and was successfully treated with honey-containing dressings and antibiotics after failure to heal following conservative treatment using conventional wound dressings combined with antibiotics.

摘要

常继发于接触家养宠物的患者。由多杀巴斯德菌引起的人类感染严重程度不一,临床特征包括局部蜂窝织炎、骨髓炎、全身菌血症、脑膜炎和肺炎。目前尚未开发针对多杀巴斯德菌的疫苗;其治疗方法是使用抗菌药物,大多数情况下还需要手术干预。本文讨论了作者治疗一名手部严重蜂窝织炎和骨髓炎女性患者的经验,该患者因多杀巴斯德菌感染所致。她拒绝手术干预,在使用常规伤口敷料联合抗生素进行保守治疗后未能愈合,随后使用含蜂蜜的敷料和抗生素治疗取得了成功。

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