KuKanich Kate S, Lubbers Brian V
From the Department of Clinical Sciences (K.K.) and Kansas State Veterinary Diagnostic Laboratory (B.L.), College of Veterinary Medicine, Kansas State University, Manhattan, KS.
J Am Anim Hosp Assoc. 2015 May-Jun;51(3):148-54. doi: 10.5326/JAAHA-MS-6070.
Canine and feline urine culture reports and medical records were reviewed at a veterinary teaching hospital from 2006 to 2011 for enterococcal growth, coinfections, antimicrobial resistance, urine sediment findings, clinical signs, and concurrent conditions. Of all of the urine specimens with significantly defined colony-forming units/mL, Enterococcus (E.) faecalis was the only enterococci isolated from cats and predominated (77.4%) in dogs followed by E. faecium (12.9%), E. durans (3.2%), and other Enterococcus spp. (6.5%). The majority of specimens with significant enterococcal growth resulted in complicated urinary tract infections in 83.9% of dogs and 81.8% of cats. Specimens with only enterococcal growth were more common than those mixed with other bacterial species. Cocci were observed in urine sediments of 8 out of 8 cats and 21 out of 25 dogs with available concurrent urinalyses. Pyuria was noted in 5 out of 8 feline and 15 out of 25 canine urine sediments, and pyuria in dogs was associated with growth of only enterococci on aerobic urine culture. Multidrug resistance was identified in 6 out of 11 cats and 7 out of 31 dogs, and E. faecium isolates from dogs were 4.5× more likely to be multidrug resistant than E. faecalis.
2006年至2011年期间,在一家兽医教学医院对犬猫尿液培养报告和病历进行了回顾,以了解肠球菌生长情况、混合感染情况、抗菌药物耐药性、尿沉渣检查结果、临床症状及并发疾病。在所有每毫升有显著确定菌落形成单位的尿液标本中,粪肠球菌是从猫中分离出的唯一肠球菌,在犬中占主导地位(77.4%),其次是屎肠球菌(12.9%)、耐久肠球菌(3.2%)和其他肠球菌属(6.5%)。大多数有显著肠球菌生长的标本导致83.9%的犬和81.8%的猫发生复杂性尿路感染。仅有肠球菌生长的标本比与其他细菌混合生长的标本更常见。在8只可进行同步尿液分析的猫中,有8只以及25只犬中有21只的尿沉渣中观察到球菌。8只猫中有5只以及25只犬中有15只的尿沉渣中发现脓尿,犬的脓尿与需氧尿液培养中仅肠球菌生长有关。在11只猫中有6只以及31只犬中有7只发现多重耐药,犬分离出的屎肠球菌多重耐药的可能性是粪肠球菌的4.5倍。