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[Human pasteurellosis: diagnosis, treatment and precautions]
A-L Gautier-Lerestif1, L Desbordes, O Gaillot
1Laboratoire de bactériologie-virologie, CHRU Pontchaillou, rue Henri Le Guilloux, 35033 Rennes cedex 9.
Annales De Biologie Clinique
|February 27, 2003
Summary
Human pasteurellosis diagnosis often relies on animal bites, but bacteriology is key for other infections. Molecular typing confirms pet-to-human transmission, highlighting risks for immunocompromised individuals.
Area of Science:
- Microbiology
- Infectious Diseases
- Zoonoses
Context:
- Human pasteurellosis is typically associated with animal bites or scratches.
- Accurate diagnosis can be challenging due to common misidentification of Pasteurellaceae.
- Bacteriological data is crucial for definitive diagnosis in non-bite related infections.
Purpose:
- To review the diagnostic circumstances of human pasteurellosis.
- To present identification criteria for six pathogenic Pasteurella species.
- To highlight the role of molecular typing in understanding transmission routes.
Summary:
- Diagnosis is often presumptive based on exposure history (e.g., animal bites).
- Bacteriological culture and identification are essential, with specific criteria provided for key Pasteurella species.
- Antibiotic treatment typically involves amino-penicillins or cephalosporins, with fluoroquinolones as alternatives.
- Molecular typing confirms zoonotic transmission from pets.
Impact:
- Improved diagnostic accuracy for Pasteurella infections.
- Enhanced understanding of Pasteurella transmission dynamics, particularly from pets.
- Awareness of risks for immunocompromised populations, promoting preventative measures.