平成24年度 千臨技精度管理報告（微生物部門）

1 24 64 SBT/ABPC Pasteurella multocida ( 16 SrRNA Pasteurella multocida EZ 4 C A Pasteurella multocida Pasteurella sp.)

2 C 36 Pasteurella multocida :35 A Pasteurella sp. 1 A 31 11 BTB 5 BTB 3 2 1 DHL BTB BTB Major pathogens isolated from dog and cat bites 50 57 Aerobes

3 Anaerobes . Cat bites Pasteurella spp, Streptococcus spp, Fusobacterium spp,Bacteroides spp, Staphylococcus spp,Moraxella spp Porphyromonas spp, Prevotella spp. Neisseria spp. Corynebacterium spp. Propionibacterium spp. Dog bites Pasteurella spp, Streptococcus spp, Fusobacterium spp,Bacteroides spp, Staphylococcus spp, Moraxella spp Porphyromonas spp, Prevotella spp, Neisseria spp, Corynebacterium spp. Propionibacterium spp. Peptostreptococcus spp.

4 David A. Talan et al. Bacteriologic analysis of infected dog and cat bites. NEJM 1999; 340(2):85-92 ( 31 35 C 24 37 C 7 CO2 15 5% 11/15 7% 2/15 2/15 30 18 48 27/30 1 GAM 10 2 72 3 ( )96 35 15 16 4 64 SBT/ABPC Pasteurella 100 75 50 15 20 P.)

5 multocida (multus; cidus; ) P. canis P. dagmatis P. stomatis P. multocida P. canis 5 16 LPS Pasteurella multocida 1 2 m Haemophilus influenzae BTB 4 Manual of Clinical Microbiology 8th Edition ReactionP.

6 MultocidaP. canisP. dagmatisP. stomatisCatalase++++Oxidase++++Urease + Ornithine decarboxylase++ Acid from: Lactose Sucrose++++ Xylose Maltose + Mannitol+ 90 90 variable Walkaway Vitek2 BD ID HN-20 BD N/H (E/NF) RapID NH API 20 NE 35 C 7 CO2 18 P. multocida P. canis P. multocida P. canis P. multocida P. canis P. multocida P. canis BTB 37 C 18 P. multocida P. canis 36 36 100 A BTB 11/31 5/31 16/35 15/35 4/35 P.

7 multocida P. canis P. multocida