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[日本多杀性巴氏杆菌感染的现状]

[Current status of Pasteurella multocida infection in Japan].

作者信息

Arashima Y, Kumasaka K, Tsuchiya T, Kawano K, Yamazaki E

机构信息

Department of Clinical Pathology, Nihon University School of Medicine.

出版信息

Kansenshogaku Zasshi. 1993 Sep;67(9):791-4. doi: 10.11150/kansenshogakuzasshi1970.67.791.

Abstract

Recently, the case reports of Pasteurella multocida infection has been increasing in Japan. In 1989, the Japanese Government, Veterinary Sanitation Division, Ministry of Health and Welfare officially communicated this infection as a zoonosis to related institutions. The current status of Pasteurella multocida infection is not well known in Japan. Because of this, a nation wide questionnaire survey on Pasteurella multocida was conducted to clarify the status. A questionnaire was sent to 380 laboratories of the hospitals, and 258 (67.9%) replied. An infectious disease caused by Pasteurella multocida was found in Japan in 369 cases in 115 (44.6%) of 258 hospitals, or an average of 3.2 cases per hospital. The 369 cases were broken down into 123 males (from 1 month old to 87 years old), 118 females (from 7 months old to 88 years old), and 128 patients whose sex was unknown. The incidence of the infections tends to increase year by year. This incidence is higher than our expectation. It is considered that the contact with pets will in increase the infection with this agents. The organism was isolated in as many as nineteen different body specimens, including the appendix and urine, which in Japan has not been reported as organs harboring this organism. Some of the nineteen cases were severely infected. This organism was isolated most often from the sputum (48.5%). Pus was the next most common site (27.1%). This order was reversed in the U.K. and the U.S.. Possible explanations for the reversal are given below.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

最近,日本多杀巴斯德菌感染的病例报告一直在增加。1989年,日本政府厚生省兽医卫生司正式将这种感染作为人畜共患病通报给相关机构。在日本,多杀巴斯德菌感染的现状尚不为人所知。因此,为了弄清情况,针对多杀巴斯德菌开展了一项全国性问卷调查。问卷被发送至380家医院的实验室,258家(67.9%)进行了回复。在258家医院中的115家(44.6%)发现了369例由多杀巴斯德菌引起的传染病,平均每家医院有3.2例。这369例病例中,男性123例(年龄从1个月至87岁),女性118例(年龄从7个月至88岁),128例患者性别不明。感染发生率呈逐年上升趋势。这一发生率高于我们的预期。据认为,与宠物接触会增加感染这种病原体的几率。该病原体在多达19种不同的身体标本中被分离出来,包括阑尾和尿液,在日本,这些器官此前未被报道为携带这种病原体的部位。19例中有一些感染严重。该病原体最常从痰液中分离出来(48.5%)。其次最常见的部位是脓液(27.1%)。在英国和美国,这种顺序是相反的。下文给出了这种相反情况的可能解释。(摘要截取自250词)

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