A retrospective six-year national survey of P. multocida infections in Israel.
Pasteurella multocida is the commonest organism infecting pet bites. Anecdotal reports tend to overemphasize dramatic outcomes. We aimed to study a large database of P. multocida infections. This retrospective survey of P. multocida infections in Israeli hospitals refers to the y 2000-2005. Clinical microbiologists were contacted by email and asked to perform a back-search of their hospital's records for isolates of P. multocida. The charts of patients growing P. multocida were abstracted into a structured questionnaire. 77 cases were identified in 12 hospitals, yielding an annual incidence of 0.19/100,000. The mean age was 49.2+/-26.5 y and the mortality rate was 2.6%. Those who died were >65 y of age, had diabetes mellitus or cirrhosis and were bacteraemic. One-third of the cases occurred in people aged > or =65 y. Cats caused most of these infections (54%). Surgery for debridement was common (53.7%), but no-one required amputation; a second- and third-look operation was necessary for these patients. Bacteraemia was found in 32.5% of patients and was significantly more common among those aged >60 y (p =0.044). Hospitalized patients with P. multocida have a favourable prognosis, apart from elderly and bacteraemic patients with comorbidities. Surgery and reoperations may be required in about half of the patients.
Nseir
William
W
Holy Family Hospital, Nazareth, Israel. w.nseir@yahoo.com
Giladi
M
M
Moroz
I
I
Moses
A E
AE
Benenson
S
S
Finkelstein
R
R
Dan
M
M
Chazan
B
B
Bishara
J
J
Ben-Dror
G
G
Hassin
D
D
Peled
N
N
Rahav
G
G
Grupper
M
M
Potasman
I
I
D000293:Adolescent; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000188:drug therapy / Q000453:epidemiology; D016009:Chi-Square Distribution; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007557:Israel / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D010326:Pasteurella Infections / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology*; D016979:Pasteurella multocida / Q000302:isolation & purification*; D012189:Retrospective Studies; D011795:Surveys and Questionnaires
D000900:Anti-Bacterial Agents