Steinfeld A, Prenger-Berninghoff E, Bauer N, Weiß R, Moritz A
Klinik für Kleintiere, Innere Medizin, Klinikum Veterinärmedizin, der Justus-Liebig-Universität Gießen, Frankfurter Straße 126, 35392 Gießen.
Tierarztl Prax Ausg K Kleintiere Heimtiere. 2012 Oct 17;40(5):309-17.
In this retrospective study over 5 years the bacterial flora of the deep airways of diseased dogs was sampled using bronchioalveolar lavage and its in-vitro susceptibility to numerous antimicrobial agents was analysed.
Susceptibility testing of bacterial isolates from 84 dogs performed from 2004 to 2009 were evaluated and compared to data collected in 1999/2000.
The 99 bacterial isolates comprised Pasteurella spp. (27.3%), Bordetella bronchiseptica (20.2%), Staphylococcus spp. (18.2%), Escherichia coli (15.2%), Klebsiella spp. (8.1%), Pseudomonas spp. (7.0%), and Streptococcus spp. (4.0%). Lavage samples of eight dogs revealed simultaneous occurrence of more than one species. The majority of the tested Bordetella bronchiseptica-isolates were susceptible to fluoroquinolones as well as tetracycline, doxycycline and polymyxin B. The number of amoxicillin/clavulanic acid- and chloramphenicol-resistant isolates decreased compared to 1999/2000. The increase of chloramphenicol-susceptible isolates was statistically significant. The tested Staphylococcus-isolates revealed a susceptibility to fluoroquinolones, amoxicillin, cephalexin, doxycycline, and polymyxin B. Compared to the earlier study, a major portion exhibited susceptibility to chloramphenicol and tetracycline. None of the Klebsiella spp. tested in 1999/2000 was resistant to enrofloxacin, whereas only 62.5% of the isolates examined during 2004-2009 were susceptible. A susceptibility of all tested Klebsiella -isolates was detectable with respect to polymyxin B. Regarding E.coli , none of the tested antibiotics revealed an in-vitro activity against all of the tested isolates. The increase of amoxicillin/clavulanic acid-resistant isolates was statistically significant.
The study demonstrates the benefits of bronchioalveolar lavage as a diagnostic tool to ensure a responsible utilisation of antibiotics. Most of the tested bacterial isolates were susceptible to fluoroquinolones.
在这项为期5年的回顾性研究中,通过支气管肺泡灌洗对患病犬的深部气道细菌菌群进行采样,并分析其对多种抗菌药物的体外敏感性。
对2004年至2009年从84只犬分离出的细菌进行药敏试验评估,并与1999/2000年收集的数据进行比较。
99株细菌分离株包括巴斯德氏菌属(27.3%)、支气管败血博德特氏菌(20.2%)、葡萄球菌属(18.2%)、大肠杆菌(15.2%)、克雷伯氏菌属(8.1%)、假单胞菌属(7.0%)和链球菌属(4.0%)。8只犬的灌洗样本显示同时存在不止一种细菌。大多数检测的支气管败血博德特氏菌分离株对氟喹诺酮类以及四环素、强力霉素和多粘菌素B敏感。与1999/2000年相比,阿莫西林/克拉维酸和氯霉素耐药分离株的数量有所减少。氯霉素敏感分离株的增加具有统计学意义。检测的葡萄球菌分离株对氟喹诺酮类、阿莫西林、头孢氨苄、强力霉素和多粘菌素B敏感。与早期研究相比,大部分对氯霉素和四环素敏感。1999/2000年检测的克雷伯氏菌属中没有一株对恩诺沙星耐药,而2004 - 2009年检测的分离株中只有62.5%敏感。所有检测的克雷伯氏菌分离株对多粘菌素B敏感。关于大肠杆菌,所检测的抗生素中没有一种对所有检测分离株显示出体外活性。阿莫西林/克拉维酸耐药分离株的增加具有统计学意义。
该研究证明了支气管肺泡灌洗作为一种诊断工具对于确保合理使用抗生素的益处。大多数检测的细菌分离株对氟喹诺酮类敏感。