Frequency of urinary tract infection in catheterized dogs and comparison of bacterial culture and susceptibility testing results for catheterized and noncatheterized dogs with urinary tract infections
Frequency of urinary tract infection in catheterized dogs and comparison of bacterial culture and susceptibility testing results for catheterized and noncatheterized dogs with urinary tract infections
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DOI：
10.2460/javma.231.6.893
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发表时间：
2007-09-15
影响因子：
1.9
通讯作者：
Snow, Lynne A.
中科院分区：
文献类型：
--
作者：
Bubenik, Loretta J.;Hosgood, Giselle L.;Snow, Lynne A.
目的-确定患有椎间盘疾病（IVDD）或除IVDD以外的疾病的插管犬的尿路感染（UTIs）频率，并比较插管和未插管的UTIs犬的细菌培养和药敏试验结果。设计-回顾性队列研究。动物-147只插管犬（105只患有IVDD，42只患有其他疾病）和99只患有UTIs的未插管犬。结果105只犬中44只（42%）有尿路感染，其他疾病犬中23只（55%）有尿路感染，两者差异无统计学意义。对于插管的狗，UTI的几率随着年龄的增加而增加20%，随着导管插入时间的增加而增加27%，并且随着抗菌剂的使用而增加454%。大肠埃希菌和变形杆菌属更常从未插管犬中分离，而肠杆菌属和葡萄球菌属更常从插管犬中分离。组间1、2或3株分离株的频率无显著差异。抗菌药物的比例，最常见的分离细菌耐药groups.Conclusions和临床相关性结果表明，尿路导管插入术是一种合理的替代管理膀胱功能障碍的狗，但导管插入术的持续时间应尽量减少和不分青红皂白的抗菌药物管理留置导尿管的狗应避免。
Objective-To determine frequency of urinary tract infections (UTIs) in catheterized dogs that had intervertebral disk disease (IVDD) or disease other than lVDD and compare bacterial culture and susceptibility testing results for catheterized and noncatheterized dogs with UTIs.Design-Retrospective cohort study.Animals-147 catheterized dogs (105 with lVDD and 42 with other diseases) and 99 noncatheterized dogs with UTIs.Procedures-Medical records were reviewed for signalment, history, clinical problem, duration of urinary tract catheterization, administration of drugs, and urine bacterial culture and susceptibility testing results.Results-Forty-two percent (44/105) of dogs with lVDD and 55% (23/42) of dogs with other diseases had UTls; this difference was not significant. For catheterized dogs, the odds of UTI were increased by 20% for each year increase in age, 27% for each day increase in duration of catheterization, and 454% with antimicrobial administration. Escherichia coli and Proteus spp were more frequently isolated from noncatheterized dogs, whereas Enterobacter spp and Staphylococcus spp were more frequently isolated from catheterized dogs. There was no significant difference in frequency of 1, 2, or 3 isolates between groups. Proportions of antimicrobials to which the most frequently isolated bacteria were resistant were not significantly different between groups.Conclusions and Clinical Relevance-Results suggested that urinary tract catheterization is a reasonable alternative for management of dogs with urinary bladder dysfunction, but that duration of catheterization should be minimized and indiscriminate antimicrobial administration to dogs with indwelling urinary catheters should be avoided.