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주제: Pasteurella multocida: 위험한 동물 병원균의 특징과 예방법

by stopiaa 2024. 2. 11.

Pasteurella multocida

Pasteurella multocida is a gram-negative, non-motile coccobacillus bacterium that commonly inhabits the oral cavity of various domestic and wild animals. It is also known as a zoonotic pathogen, meaning it can be transmitted from animals to humans.

Transmission and Infection

The bacterium is primarily spread through direct contact with the respiratory secretions or saliva of infected animals. It can enter the human body through open wounds, scratches, bites, or inhalation of respiratory droplets. People who work closely with animals, such as veterinarians, farmers, or animal handlers, are at a higher risk of contracting the infection.

Clinical Presentation

Pasteurella multocida infections in humans can manifest in various ways, depending on the site of infection. The most common clinical presentations include:

  1. Skin and Soft Tissue Infections: Typically occur following animal bites or scratches, resulting in cellulitis, abscess formation, or wound infections.
  2. Respiratory Tract Infections: Inhalation of contaminated respiratory droplets or direct exposure to infected animals can lead to pneumonia, sinusitis, or bronchitis.
  3. Systemic Infections: In rare cases, Pasteurella multocida can cause invasive infections, such as septicemia, meningitis, or endocarditis, particularly in individuals with weakened immune systems.

Diagnosis and Treatment

Diagnosis of Pasteurella multocida infection is typically made by isolating the bacterium from clinical samples, such as wound swabs, respiratory secretions, or blood cultures. The bacterium can be identified using culture-based techniques or molecular methods like polymerase chain reaction (PCR).

Treatment usually involves antibiotic therapy, with the choice of antibiotics depending on the severity and location of the infection. Commonly prescribed antibiotics include penicillin, ampicillin, cephalosporins, or fluoroquinolones. In severe cases or if complications arise, hospitalization and surgical intervention may be necessary.

Prevention

Preventing Pasteurella multocida infections mainly involves practicing good hygiene and taking necessary precautions when interacting with animals. Some preventive measures include:

  1. Proper animal handling techniques, especially when dealing with potentially aggressive animals.
  2. Cleaning and disinfecting wounds promptly if bitten or scratched by an animal.
  3. Regular hand washing with soap and water, especially after handling animals or their belongings.
  4. Timely vaccination of domestic animals against Pasteurella multocida, especially those prone to infections.

It is important to seek medical attention if any symptoms of infection develop after animal contact, to ensure prompt diagnosis and treatment.

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