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

William Nseir1, M Giladi, I Moroz

  • 1Holy Family Hospital, Nazareth, Israel. w.nseir@yahoo.com

Insights

Pasteurella multocida infections from pet bites are common. While most cases have a good prognosis, elderly patients with comorbidities and bacteremia face higher risks, often requiring surgery.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Public Health

Background:

  • Pasteurella multocida is frequently implicated in pet-associated bite infections.
  • Previous reports often highlight severe outcomes, potentially skewing the perception of infection severity.

Purpose of the Study:

  • To investigate the clinical characteristics and outcomes of Pasteurella multocida infections.
  • To determine the incidence and risk factors associated with P. multocida infections in a large population.

Main Methods:

  • A retrospective survey of P. multocida infections was conducted in Israeli hospitals between 2000 and 2005.
  • Data were collected from patient charts identified through clinical microbiology records.

Main Results:

  • 77 cases of P. multocida infection were identified, with an annual incidence of 0.19/100,000.
  • The mortality rate was 2.6%, primarily affecting elderly patients (>65 years) with comorbidities (diabetes, cirrhosis) and bacteremia.
  • Cats were the source of infection in 54% of cases; 53.7% required surgical debridement, with some needing reoperations.

Conclusions:

  • Hospitalized patients with P. multocida infections generally have a favorable prognosis.
  • Elderly patients, those with bacteremia, and individuals with comorbidities represent a higher-risk group.
  • Surgical intervention and potential reoperations are common management strategies for P. multocida infections.

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