Scharf V F, Lewis S T, Wellehan J F, Wamsley H L, Richardson R, Sundstrom D A, Lewis D D
Department of Small Animal Clinical Sciences College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.
Department of Physiologic Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.
Aust Vet J. 2015 Jun;93(6):200-3. doi: 10.1111/avj.12328.
To evaluate the efficacy of synovial fluid culture in obtaining the causative organism from dogs with suspected septic arthritis.
In this retrospective evaluation, synovial fluid cytology and microbiology submissions from dogs with suspected septic arthritis from March 2007 to August 2011 were reviewed. Synovial fluid cytology consistent with joint sepsis was identified. Cultures of synovial fluid from dogs with clinical histories and abnormalities consistent with septic arthritis were used to evaluate the efficacy of bacterial isolation.
In total, 36 dogs met the inclusion criteria. Initial aerobic cultures of joint fluid yielded bacterial growth in 44% of these dogs. All anaerobic cultures were negative. In 19% of the dogs with positive cultures, antibiotics had been administered prior to arthrocentesis compared with 10% of dogs with negative cultures. There was no association between culture efficacy and the administration of antimicrobial treatment prior to synovial fluid culture or recent surgery involving the affected joint (P=0.637 and P=0.106, respectively).
Culture of synovial fluid from dogs with suspected septic arthritis has a low yield, necessitating a more effective means of identifying bacteria from suspected septic joints in dogs.
评估滑膜液培养从疑似脓毒性关节炎犬中获取致病微生物的效果。
在这项回顾性评估中,对2007年3月至2011年8月疑似脓毒性关节炎犬的滑膜液细胞学和微生物学送检样本进行了回顾。确定了与关节脓毒症相符的滑膜液细胞学结果。对具有与脓毒性关节炎相符的临床病史和异常情况的犬的滑膜液进行培养,以评估细菌分离的效果。
共有36只犬符合纳入标准。关节液的初始需氧培养在44%的这些犬中产生了细菌生长。所有厌氧培养均为阴性。在培养阳性的犬中,19%在关节穿刺术前使用了抗生素,而培养阴性的犬中这一比例为10%。在滑膜液培养前给予抗菌治疗或近期涉及患关节的手术与培养效果之间无关联(分别为P = 0.637和P = 0.106)。
疑似脓毒性关节炎犬的滑膜液培养阳性率较低,需要一种更有效的方法来从疑似脓毒性关节的犬中鉴定细菌。