A retrospective six-year national survey of P. multocida infections in Israel

William Nseir, M. Giladi, I. Moroz, A. E. Moses, S. Benenson, R. Finkelstein, M. Dan, B. Chazan, J. Bishara, G. Ben-Dror, D. Hassin, N. Peled, G. Rahav, M. Grupper, I. Potasman

Research output: Contribution to journalArticlepeer-review

Abstract

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 20002005. 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 ≥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.

Original languageEnglish
Pages (from-to)445-449
Number of pages5
JournalScandinavian Journal of Infectious Diseases
Volume41
Issue number6-7
DOIs
StatePublished - 2009
Externally publishedYes

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