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法国巴斯德氏菌及相关菌群引起的人类感染的流行病学

Epidemiology of human infections by Pasteurella and related groups in France.

作者信息

Escande F, Lion C

机构信息

Centre National de Référence des Pasteurella, Institut Pasteur, Paris, France.

出版信息

Zentralbl Bakteriol. 1993 Jun;279(1):131-9. doi: 10.1016/s0934-8840(11)80499-8.

DOI:10.1016/s0934-8840(11)80499-8
PMID:8369583
Abstract

A retrospective study of infections due to Pasteurella (P.) and related groups was performed between the Pasteurella National Center and Nancy's hospital from 1985 to 1991. Among the 958 cases recorded, wound infections (bites, scratches and punctures) were the common forms of pasteurellosis (66%) caused by P. multocida (48%), P. canis (11%), P. dagmatis (5%), P. stomatis (4%), and in few cases by groups EF-4 and M-5 (14 and 13%, respectively). In human infections unrelated to animal wounds, respiratory tract diseases and bacteremia-septicemia were the predominant infections with respectively 19 and 11%, and caused by P. multocida. Next in importance were urogenital (2.5%), abdominal (1%) and central nervous system (< 1%) infections. The majority of animal bite wound infections was treated with penicillins or tetracyclines; with other forms, penicillins and cephalosporins were more likely.

摘要

1985年至1991年期间,巴斯德菌国家中心与南希医院开展了一项关于巴斯德菌(P.)及相关菌群感染的回顾性研究。在记录的958例病例中,伤口感染(咬伤、抓伤和刺伤)是多杀巴斯德菌(48%)、犬巴斯德菌(11%)、牙龈巴斯德菌(5%)、口腔巴斯德菌(4%)引起的巴斯德菌病的常见形式(66%),少数病例由EF-4和M-5菌群引起(分别为14%和13%)。在与动物伤口无关的人类感染中,呼吸道疾病和菌血症-败血症是主要感染类型,分别占19%和11%,由多杀巴斯德菌引起。其次是泌尿生殖系统感染(2.5%)、腹部感染(1%)和中枢神经系统感染(<1%)。大多数动物咬伤伤口感染用青霉素或四环素治疗;对于其他形式的感染,青霉素和头孢菌素的使用更为常见。

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