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奥司他韦在犬细小病毒性肠炎治疗中的应用。

Use of oseltamivir in the treatment of canine parvoviral enteritis.

作者信息

Savigny Michelle R, Macintire Douglass K

机构信息

Department of Clinical Sciences, College of Veterinary Medicine, Auburn University, Auburn, AL 36849, USA.

出版信息

J Vet Emerg Crit Care (San Antonio). 2010 Feb;20(1):132-42. doi: 10.1111/j.1476-4431.2009.00404.x.

DOI:10.1111/j.1476-4431.2009.00404.x
PMID:20230441
Abstract

OBJECTIVE

To determine if oseltamivir with standard therapy for canine parvoviral enteritis ameliorates disease morbidity, mortality, or both; to document significant adverse effects associated with its use.

DESIGN

Prospective, randomized, blinded, placebo-controlled clinical trial.

SETTING

University veterinary teaching hospital.

ANIMALS

Thirty-five dogs.

INTERVENTIONS

Standard therapy was administered to all dogs. Treatment dogs also received oseltamivir, while control dogs received an equivalent volume of placebo.

MEASUREMENTS AND MAIN RESULTS

Dogs were monitored daily according to a clinical scoring system, physical parameters, and diagnostic evaluations. Dogs in the treatment group gained a significant percentage of weight during hospitalization (mean, +2.6%; SD, 7.1%) versus the control dogs (mean, -4.5%; SD, 6.9%) (P=0.006). Treatment dogs did not have any significant changes in their white blood cell (WBC) count, while control dogs experienced a significant drop in their WBC counts during their initial stay. In addition, it did not appear that oseltamivir use was associated with any major adverse clinical effects.

CONCLUSIONS

While a clear advantage to the use of oseltamivir was not established, a significant weight loss during hospitalization, as well as a significant decrease in WBC count were documented in the control group. No major adverse effects were identified that could be associated with oseltamivir administration. Based on these results, the true role of oseltamivir in the treatment of parvoviral enteritis remains speculative, although it is believed that further investigation is warranted.

摘要

目的

确定在犬细小病毒性肠炎的标准治疗中使用奥司他韦是否能改善疾病的发病率、死亡率或两者;记录与使用奥司他韦相关的显著不良反应。

设计

前瞻性、随机、盲法、安慰剂对照临床试验。

地点

大学兽医教学医院。

动物

35只犬。

干预措施

所有犬均接受标准治疗。治疗组犬还接受奥司他韦治疗,而对照组犬接受等量安慰剂。

测量指标及主要结果

根据临床评分系统、身体参数和诊断评估对犬进行每日监测。与对照组犬(平均体重下降4.5%;标准差6.9%)相比,治疗组犬在住院期间体重显著增加(平均体重增加2.6%;标准差7.1%)(P = 0.006)。治疗组犬的白细胞(WBC)计数没有任何显著变化,而对照组犬在住院初期白细胞计数显著下降。此外,使用奥司他韦似乎未与任何严重的临床不良反应相关。

结论

虽然使用奥司他韦的明显优势尚未确立,但对照组记录到住院期间体重显著减轻以及白细胞计数显著下降。未发现与奥司他韦给药相关的严重不良反应。基于这些结果,奥司他韦在细小病毒性肠炎治疗中的真正作用仍具有推测性,不过据信有必要进行进一步研究。

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