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经支气管镜诊断为气管塌陷的犬的临床和微生物学发现:37例(1990 - 1995年)

Clinical and microbiologic findings in dogs with bronchoscopically diagnosed tracheal collapse: 37 cases (1990-1995).

作者信息

Johnson L R, Fales W H

机构信息

Department of Veterinary Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, USA.

出版信息

J Am Vet Med Assoc. 2001 Nov 1;219(9):1247-50. doi: 10.2460/javma.2001.219.1247.

DOI:10.2460/javma.2001.219.1247
PMID:11697368
Abstract

OBJECTIVE

To investigate the role of bacteria in bronchoscopically diagnosed tracheal collapse in dogs by evaluating qualitative results of bacteriologic cultures.

DESIGN

Retrospective study.

ANIMALS

37 dogs with tracheal collapse.

PROCEDURE

Clinical records for dogs with tracheal collapse confirmed with bronchoscopy were reviewed. A protected catheter brush was used to obtain samples for bacteriologic culture from the large airways.

RESULTS

Results of bacterial culture were negative for 5 of 29 dogs. For 24 dogs, 1 (n = 10), 2 (6), or > or = 3 (8) species of bacteria were isolated. Pseudomonas spp were isolated most frequently (17/29), and a single Pseudomonas sp grew in 7 samples. Other bacteria included Enterobacter spp (4/29), Citrobacter spp (3/29), and Moraxella spp, Klebsiella spp, Bordetella spp, or Acinetobacter spp (2/29 dogs each). Anaerobic and aerobic cultures yielded positive results in samples from 2 dogs. Cytologic results were available for 13 dogs with positive results of bacteriologic culture; epithelial cells were reported most commonly. Five samples had a small number of neutrophils; bacteria were identified cytologically in 2 of 5 samples that contained neutrophils. Bacteria were also seen in 2 samples that lacked inflammatory cells.

CONCLUSIONS AND CLINICAL RELEVANCE

Bacteria are commonly isolated from samples obtained via airway brushing in dogs with tracheal collapse; however, in the absence of cytologic confirmation of inflammation or infection, an association between bacteria and clinical signs of tracheal collapse cannot be established.

摘要

目的

通过评估细菌培养的定性结果,研究细菌在犬支气管镜诊断气管塌陷中的作用。

设计

回顾性研究。

动物

37只患有气管塌陷的犬。

步骤

回顾经支气管镜确诊为气管塌陷的犬的临床记录。使用保护性导管刷从大气道获取样本进行细菌培养。

结果

29只犬中有5只细菌培养结果为阴性。24只犬分离出1种(n = 10)、2种(6只)或≥3种(8只)细菌。铜绿假单胞菌属分离最为频繁(17/29),7个样本中仅生长单一铜绿假单胞菌。其他细菌包括肠杆菌属(4/29)、柠檬酸杆菌属(3/29)以及莫拉菌属、克雷伯菌属、博德特菌属或不动杆菌属(各2/29只犬)。2只犬的样本厌氧和需氧培养均呈阳性。13只细菌培养结果为阳性的犬有细胞学检查结果;最常报告的是上皮细胞。5个样本有少量中性粒细胞;5个含中性粒细胞的样本中有2个经细胞学鉴定出细菌。在2个无炎症细胞的样本中也发现了细菌。

结论及临床意义

气管塌陷犬经气道刷检获取的样本中常分离出细菌;然而,在缺乏炎症或感染的细胞学确认时,无法确定细菌与气管塌陷临床症状之间的关联。

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