Levy Julie, Crawford Cynda, Hartmann Katrin, Hofmann-Lehmann Regina, Little Susan, Sundahl Eliza, Thayer Vicki
Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL 32610, USA.
J Feline Med Surg. 2008 Jul;10(3):300-16. doi: 10.1016/j.jfms.2008.03.002. Epub 2008 May 2.
Feline leukemia virus (FeLV) and feline immunodeficiency virus (FIV) are among the most common infectious diseases of cats. Although vaccines are available for both viruses, identification and segregation of infected cats form the cornerstone for preventing new infections. Guidelines in this report have been developed for diagnosis, prevention, treatment, and management of FeLV and FIV infections. All cats should be tested for FeLV and FIV infections at appropriate intervals based on individual risk assessments. This includes testing at the time of acquisition, following exposure to an infected cat or a cat of unknown infection status, prior to vaccination against FeLV or FIV, prior to entering group housing, and when cats become sick. No test is 100% accurate at all times under all conditions; results should be interpreted along with the patient's health and risk factors. Retroviral tests can diagnose only infection, not clinical disease, and cats infected with FeLV or FIV may live for many years. A decision for euthanasia should never be based solely on whether or not the cat is infected. Vaccination against FeLV is highly recommended in kittens. In adult cats, antiretroviral vaccines are considered non-core and should be administered only if a risk assessment indicates they are appropriate. Few large controlled studies have been performed using antiviral or immunomodulating drugs for the treatment of naturally infected cats. More research is needed to identify best practices to improve long-term outcomes following retroviral infections in cats.
猫白血病病毒(FeLV)和猫免疫缺陷病毒(FIV)是猫最常见的传染病之一。尽管两种病毒都有疫苗可用,但识别和隔离感染猫是预防新感染的基石。本报告中的指南是针对FeLV和FIV感染的诊断、预防、治疗及管理而制定的。应根据个体风险评估,在适当的间隔时间对所有猫进行FeLV和FIV感染检测。这包括在获取猫时、接触感染猫或感染状况不明的猫后、接种FeLV或FIV疫苗前、进入群居环境前以及猫生病时进行检测。在所有情况下,没有一种检测能始终保持100%准确;结果应结合患猫的健康状况和风险因素进行解读。逆转录病毒检测只能诊断感染,而不能诊断临床疾病,感染FeLV或FIV的猫可能存活多年。绝不应仅基于猫是否感染而决定实施安乐死。强烈建议对小猫接种FeLV疫苗。对于成年猫,抗逆转录病毒疫苗被视为非核心疫苗,只有在风险评估表明适用时才应接种。很少有大型对照研究使用抗病毒或免疫调节药物治疗自然感染的猫。需要更多研究来确定最佳做法,以改善猫逆转录病毒感染后的长期预后。