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猪传染性胸膜肺炎放线杆菌混合感染的回顾性研究:144 例病例(2002 年至 2012 年)。

Trueperella pyogenes multispecies infections in domestic animals: a retrospective study of 144 cases (2002 to 2012).

机构信息

a Department of Veterinary Hygiene and Public Health , Sao Paulo State University, UNESP , Botucatu , Brazil.

出版信息

Vet Q. 2015 Jun;35(2):82-7. doi: 10.1080/01652176.2015.1022667. Epub 2015 Mar 20.

Abstract

BACKGROUND

Formerly, Arcanobacterium pyogenes was recently renamed Trueperella pyogenes. This opportunistic bacterium is related to miscellaneous pyogenic infections in animals. Most studies involving T. pyogenes are case reports, whereas few surveys have focused the major aspects of T. pyogenes infections involving a case series study design.

OBJECTIVE

The aim of this study was to retrospectively evaluate selected epidemiological and clinical aspects, as well as the in vitro antimicrobial susceptibility pattern of 144 cases of T. pyogenes infections among domestic animals from 2002 to 2012.

ANIMALS AND METHODS

T. pyogenes was isolated from different clinical specimens from cattle, goats, sheep, pigs, horses, dogs, and buffaloes. Correlations were assessed by the Chi-square or Fisher's exact tests.

RESULTS

Mastitis (45.1%), abscesses (18.0%), pneumonia (11.1%), and lymphadenitis (9.0%) were the most common clinical manifestations. In addition, the organism was also isolated from other miscellaneous clinical specimens from cases of septicemia, encephalitis, pyometra, prostatitis, orchitis, seminal vesiculitis, pericarditis, and omphalitis. No statistical association was observed between T. pyogenes infections and age, gender, or season across the study. The most effective drugs against the pathogen were florfenicol (99.1%), cefoperazone (96.0%), cephalexin (95.0%), and ceftiofur (94.8%). High resistance rates were observed against trimethoprim-sulfamethoxazole (49.3%), followed by norfloxacin (10.9%) and tetracycline (9.2%).

CONCLUSIONS

This study highlights the diversity of clinical manifestations and the opportunistic behavior of T. pyogenes infections in domestic animals, with predominance of mastitis, abscesses, pneumonia, and lymphadenitis. It also reinforces the importance of knowing the susceptibility profile before initiating therapy, to improve antimicrobial therapy approaches.

摘要

背景

以前,化脓隐秘杆菌最近被重新命名为解鸟氨酸密螺旋体。这种机会致病菌与动物的各种化脓性感染有关。大多数涉及 T. pyogenes 的研究都是病例报告,而很少有研究关注涉及病例系列研究设计的 T. pyogenes 感染的主要方面。

目的

本研究旨在回顾性评估 2002 年至 2012 年期间从牛、山羊、绵羊、猪、马、狗和水牛等家畜不同临床标本中分离的 144 例 T. pyogenes 感染的选定流行病学和临床方面,以及体外抗菌药物敏感性模式。

动物和方法

T. pyogenes 从牛、山羊、绵羊、猪、马、狗和水牛的不同临床标本中分离。采用卡方检验或 Fisher 精确检验评估相关性。

结果

乳腺炎(45.1%)、脓肿(18.0%)、肺炎(11.1%)和淋巴结炎(9.0%)是最常见的临床表现。此外,该菌还从败血症、脑炎、子宫积脓、前列腺炎、睾丸炎、精囊炎、心包炎和脐炎等其他各种临床标本中分离出来。在整个研究中,T. pyogenes 感染与年龄、性别或季节之间没有观察到统计学关联。对病原体最有效的药物是氟苯尼考(99.1%)、头孢哌酮(96.0%)、头孢氨苄(95.0%)和头孢噻呋(94.8%)。对 trimethoprim-sulfamethoxazole(49.3%)的耐药率较高,其次是 norfloxacin(10.9%)和 tetracycline(9.2%)。

结论

本研究强调了 T. pyogenes 感染在家畜中的临床表现多样性和机会性行为,以乳腺炎、脓肿、肺炎和淋巴结炎为主。它还强调了在开始治疗之前了解药敏谱的重要性,以改善抗菌治疗方法。

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