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欧洲犬猫尿路感染分离出的细菌病原体的抗菌药物敏感性监测:ComPath研究结果

Antimicrobial Susceptibility Monitoring of Bacterial Pathogens Isolated from Urinary Tract Infections in Dogs and Cats Across Europe: ComPath Results.

作者信息

Moyaert Hilde, Morrissey Ian, de Jong Anno, El Garch Farid, Klein Ulrich, Ludwig Carolin, Thiry Julien, Youala Myriam

机构信息

1 CEESA ComPath Study Group , Brussels, Belgium .

2 IHMA Europe Sàrl , Monthey, Switzerland .

出版信息

Microb Drug Resist. 2017 Apr;23(3):391-403. doi: 10.1089/mdr.2016.0110. Epub 2016 Oct 19.

DOI:10.1089/mdr.2016.0110
PMID:28384093
Abstract

ComPath is a pan-European antimicrobial surveillance program collecting bacterial pathogens from dogs and cats not recently exposed to antimicrobials. We present minimum inhibitory concentration data obtained using Clinical and Laboratory Standards Institute methodology for 616 urinary tract infection (UTI) isolates collected between 2008 and 2010. In both dogs and cats, the most common pathogen was Escherichia coli (59.8% and 46.7%, respectively). Antimicrobial activity against E. coli in dogs and cats was similar with fluoroquinolone and trimethoprim/sulfamethoxazole susceptibility >90%. Ampicillin susceptibility was ∼80%. Staphylococcus intermedius Group isolates from dogs (67/437, 15.3%) had high antimicrobial susceptibility (>90%) toward beta-lactams, fluoroquinolones, and trimethoprim/sulfamethoxazole. Four canine isolates (6%) were oxacillin resistant, and harbored mecA. Proteus mirabilis from dogs (48/437, 11.0%) had high antimicrobial susceptibility (∼90%) to amoxicillin/clavulanic acid, enrofloxacin, and marbofloxacin and slightly lower susceptibility (∼80-85%) to ampicillin and orbifloxacin. Streptococcus canis isolates (35/437, 8.0%) from dogs were all susceptible to ampicillin and amoxicillin/clavulanic acid and >90% susceptible to marbofloxacin. Although resistance was not observed, high intermediate susceptibility was seen for both enrofloxacin (28.6%) and orbifloxacin (85.7%). Overall, antimicrobial in vitro activity appears to be high in UTI pathogens from dogs and cats with low multidrug resistance, although a lack of specific dog and cat breakpoints for important antimicrobials such as cefovecin, cephalexin, and ibafloxacin prevents analysis of susceptibility for these agents.

摘要

ComPath是一项泛欧洲抗菌药物监测计划,收集近期未接触过抗菌药物的犬猫的细菌病原体。我们展示了使用临床和实验室标准协会方法获得的2008年至2010年间收集的616株尿路感染(UTI)分离株的最低抑菌浓度数据。在犬和猫中,最常见的病原体都是大肠杆菌(分别为59.8%和46.7%)。犬和猫对大肠杆菌的抗菌活性相似,氟喹诺酮和甲氧苄啶/磺胺甲恶唑的敏感性>90%。氨苄西林敏感性约为80%。犬的中间葡萄球菌属分离株(67/437,15.3%)对β-内酰胺类、氟喹诺酮类和甲氧苄啶/磺胺甲恶唑具有高抗菌敏感性(>90%)。4株犬分离株(6%)对苯唑西林耐药,并携带mecA。犬的奇异变形杆菌(48/437,11.0%)对阿莫西林/克拉维酸、恩诺沙星和马波沙星具有高抗菌敏感性(约90%),对氨苄西林和奥比沙星的敏感性略低(约80-85%)。犬的犬链球菌分离株(35/437,8.0%)对氨苄西林和阿莫西林/克拉维酸均敏感,对马波沙星的敏感性>90%。虽然未观察到耐药性,但恩诺沙星(28.6%)和奥比沙星(85.7%)的中度敏感性较高。总体而言,犬猫UTI病原体的体外抗菌活性似乎较高,多重耐药性较低,尽管缺乏针对头孢维星、头孢氨苄和伊巴沙星等重要抗菌药物的特定犬猫折点,无法分析这些药物的敏感性。

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