Ludwig C, de Jong A, Moyaert H, El Garch F, Janes R, Klein U, Morrissey I, Thiry J, Youala M
CEESA ComPath Study Group, Brussels, Belgium.
LGC, Fordham, UK.
J Appl Microbiol. 2016 Nov;121(5):1254-1267. doi: 10.1111/jam.13287.
The ComPath project is a pan-European programme dedicated to the monitoring of antimicrobial susceptibility of pathogens from diseased dogs and cats using standardized methods and centralized minimum inhibitory concentration (MIC) determination. Here, the susceptibility of major pathogens is reported from antimicrobial nontreated animals with acute clinical signs of skin, wound or ear infections in 2008-2010.
MICs were determined by agar dilution for commonly used antibiotics and interpreted using CLSI breakpoints, if available. Of the 1408 strains recovered, the main canine species was Staphylococcus pseudintermedius, followed by Pseudomonas and Streptococcus. In cats, Pasteurella multocida and Staph. pseudintermedius were most prevalent. For Staph. pseudintermedius, resistance was 18·4-25·2% for penicillin, clindamycin and chloramphenicol, but below 11% for ampicillin, amoxi/clav and fluoroquinolones. For Staphylococcus aureus, beta-lactam resistance was high (26·7-62·1%) but low (0·0-4·4%) for other antibiotics. 6·3% of Staph. pseudintermedius and 5·4% of Staph. aureus were confirmed mecA-positive. Gentamicin and fluoroquinolones exhibited moderate activity against Pseudomonas aeruginosa. For streptococci, resistance was absent/very low for penicillin, ampicillin, chloramphenicol and fluoroquinolones. For Escherichia coli, resistance was low to fluoroquinolones, chloramphenicol and gentamicin. No resistance was observed in Past. multocida.
Overall, antimicrobial resistance was low in skin and soft tissue infections in dogs and cats. The results show the need for ongoing monitoring.
The results are a reference baseline for future surveillance. The paucity of clinical breakpoints underlines the need to set breakpoints for relevant antibiotics.
ComPath项目是一项泛欧洲计划,致力于使用标准化方法和集中式最低抑菌浓度(MIC)测定来监测患病犬猫病原体的抗菌药物敏感性。在此,报告了2008 - 2010年患有皮肤、伤口或耳部感染急性临床症状且未接受抗菌治疗的动物中主要病原体的敏感性。
通过琼脂稀释法测定常用抗生素的MIC,并在可行的情况下使用美国临床和实验室标准协会(CLSI)的断点进行解释。在回收的1408株菌株中,主要的犬类菌种是中间型假单胞菌,其次是假单胞菌属和链球菌属。在猫中,多杀巴斯德菌和中间型假单胞菌最为常见。对于中间型假单胞菌,对青霉素、克林霉素和氯霉素的耐药率为18.4% - 25.2%,但对氨苄西林、阿莫西林/克拉维酸和氟喹诺酮类的耐药率低于11%。对于金黄色葡萄球菌,β - 内酰胺类耐药率较高(26.7% - 62.1%),但对其他抗生素的耐药率较低(0.0% - 4.4%)。6.3%的中间型假单胞菌和5.4%的金黄色葡萄球菌被确认为mecA阳性。庆大霉素和氟喹诺酮类对铜绿假单胞菌表现出中等活性。对于链球菌,对青霉素、氨苄西林、氯霉素和氟喹诺酮类不存在/耐药率极低。对于大肠杆菌,对氟喹诺酮类、氯霉素和庆大霉素的耐药率较低。在多杀巴斯德菌中未观察到耐药性。
总体而言,犬猫皮肤和软组织感染中的抗菌药物耐药性较低。结果表明需要持续监测。
这些结果是未来监测的参考基线。临床断点的缺乏突出了为相关抗生素设定断点的必要性。