Bubenik Loretta J, Hosgood Giselle L, Waldron Don R, Snow Lynne A
Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA 70803, USA.
J Am Vet Med Assoc. 2007 Sep 15;231(6):893-9. doi: 10.2460/javma.231.6.893.
To determine frequency of urinary tract infections (UTIs) in catheterized dogs that had intervertebral disk disease (IVDD) or disease other than IVDD and compare bacterial culture and susceptibility testing results for catheterized and noncatheterized dogs with UTIs.
Retrospective cohort study.
147 catheterized dogs (105 with IVDD and 42 with other diseases) and 99 noncatheterized dogs with UTIs.
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.
Forty-two percent (44/105) of dogs with IVDD and 55% (23/42) of dogs with other diseases had UTIs; 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.
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.
确定患有椎间盘疾病(IVDD)或非IVDD疾病的导尿犬尿路感染(UTI)的发生率,并比较导尿和非导尿UTI犬的细菌培养及药敏试验结果。
回顾性队列研究。
147只导尿犬(105只患有IVDD,42只患有其他疾病)和99只非导尿UTI犬。
查阅病历,了解动物的特征、病史、临床问题、尿路插管持续时间、药物使用情况以及尿液细菌培养和药敏试验结果。
患有IVDD的犬中有42%(44/105)发生UTI,患有其他疾病的犬中有55%(23/42)发生UTI;差异不显著。对于导尿犬,年龄每增加1岁,UTI的发生几率增加20%,插管持续时间每增加1天,UTI的发生几率增加27%,使用抗菌药物后UTI的发生几率增加454%。大肠杆菌和变形杆菌属在非导尿犬中更常见分离到,而肠杆菌属和葡萄球菌属在导尿犬中更常见分离到。两组之间分离出1、2或3种细菌的频率无显著差异。两组中最常分离细菌对抗菌药物耐药的比例无显著差异。
结果表明,尿路插管是膀胱功能障碍犬管理的一种合理替代方法,但应尽量缩短插管持续时间,避免对留置导尿管的犬随意使用抗菌药物。