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犬浅表细菌性脓皮病:皮肤表面采样方法及致病性葡萄球菌分离株抗菌药敏性评估

Canine superficial bacterial pyoderma: evaluation of skin surface sampling methods and antimicrobial susceptibility of causal Staphylococcus isolates.

作者信息

Ravens P A, Vogelnest L J, Ewen E, Bosward K I, Norris J M

机构信息

Faculty of Veterinary Science, The University of Sydney, Sydney, New South Wales, Australia.

出版信息

Aust Vet J. 2014 May;92(5):149-55. doi: 10.1111/avj.12176.

Abstract

OBJECTIVE

To evaluate three easily performed methods of skin surface sampling for bacterial culture of Staphylococcus isolates obtained from dogs with superficial bacterial pyoderma (SBP) presenting to two veterinary teaching hospitals in Sydney, Australia, and to determine the antimicrobial susceptibility of isolates.

DESIGN

Prospective study of 27 dogs with SBP. Cytologically confirmed SBP lesions were sampled for bacterial culture using a dry cotton swab, a saline-moistened cotton swab and a skin surface scraping. Isolates were identified by standard discriminatory phenotypic and biochemical analyses, and confirmed using matrix-assisted laser desorption ionisation time of flight mass spectrometry (MALDI-TOF MS). Susceptibilities to 14 antimicrobials were determined by disk diffusion and by detection of the mecA gene using PCR. Sampling methods were compared according to bacterial yield, antibiograms and bacterial phenotypic analysis. Location of causative bacteria was evaluated via 8-mm punch skin biopsies using haematoxylin and eosin, Gram-Twort and Giemsa staining, and fluorescence in situ hybridisation (FISH).

RESULTS

Staphylococcus sp. were isolated from lesions in all dogs, either S. pseudintermedius (24 dogs) or S. schleiferi (3 dogs). Susceptibility was highest to cephalexin (96%) and amoxycillin clavulanate (96%). Methicillin resistance assessed by mecA real-time PCR and phenotypic oxacillin resistance was found in one dog (4.3%). Routine histology and FISH revealed bacteria within superficial stratum corneum.

CONCLUSION

Staphylococcal isolates from canine SBP demonstrated high susceptibility to common empirical antimicrobials. Histological techniques confirmed presence of bacteria at superficial sites, likely to be accessed by the sampling techniques. The three techniques afforded similar results and may be equally suitable for obtaining samples for culture.

摘要

目的

评估三种易于操作的皮肤表面采样方法,用于从澳大利亚悉尼的两家兽医教学医院就诊的患有浅表细菌性脓皮病(SBP)的犬只中培养葡萄球菌分离株,并确定分离株的抗菌药敏性。

设计

对27只患有SBP的犬只进行前瞻性研究。对经细胞学确诊的SBP病变,使用干棉签、生理盐水湿润的棉签和皮肤表面刮片进行细菌培养采样。通过标准的鉴别表型和生化分析鉴定分离株,并使用基质辅助激光解吸电离飞行时间质谱(MALDI-TOF MS)进行确认。通过纸片扩散法和使用PCR检测mecA基因来确定对14种抗菌药物的药敏性。根据细菌产量、抗菌谱和细菌表型分析比较采样方法。通过苏木精和伊红染色、革兰-特沃氏染色和吉姆萨染色以及荧光原位杂交(FISH),使用8毫米打孔皮肤活检评估致病细菌的位置。

结果

在所有犬只的病变中均分离出葡萄球菌属,其中中间型葡萄球菌(24只犬)或施氏葡萄球菌(3只犬)。对头孢氨苄(96%)和阿莫西林克拉维酸(96%)的药敏性最高。通过mecA实时PCR评估的耐甲氧西林情况和表型苯唑西林耐药性在一只犬中发现(4.3%)。常规组织学和FISH显示浅表角质层内有细菌。

结论

犬SBP的葡萄球菌分离株对常见的经验性抗菌药物表现出高药敏性。组织学技术证实浅表部位存在细菌,这些部位可能通过采样技术获取。这三种技术提供了相似的结果,可能同样适用于获取培养样本。

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