Teichmann-Knorrn Svenja, Dorsch Roswitha
Tierarztl Prax Ausg K Kleintiere Heimtiere. 2018 Aug;46(4):247-259. doi: 10.15654/TPK-180521. Epub 2018 Aug 27.
Urinary tract infection (UTI) refers to the adherence and multiplication of an infectious agent within the urinary system. In 8-19 % of cats with clinical signs of lower urinary tract disease, bacterial UTI is identified as a cause. Subclinical bacteriuria is defined as the isolation of a significant number of bacteria in a urine specimen obtained from a patient without symptoms related to UTI. Subclinical bacteriuria has been reported in 1-29 % of cats. The most commonly isolated pathogen in feline urine is . Other frequently isolated microorganisms are species (spp.), spp. and spp. Antimicrobials are frequently used to treat UTIs. To prevent the development of antibiotic resistance, results of urine culture and susceptibility testing should be first obtained and antimicrobials with a narrow spectrum of activity should be used. Currently, there is insufficient evidence as to whether subclinical bacteriuria in cats should be treated or not. However, treatment of subclinical bacteriuria is only recommended in patients with an increased risk of ascending infections.
尿路感染（UTI）是指感染病原体在泌尿系统内黏附和繁殖。在出现下泌尿系统疾病临床症状的猫中，8% - 19%被确诊为细菌性尿路感染。亚临床菌尿症的定义是，从无尿路感染相关症状的患者尿液样本中分离出大量细菌。据报道，1% - 29%的猫存在亚临床菌尿症。猫尿液中最常分离出的病原体是 。其他经常分离出的微生物是 种、 种和 种。抗菌药物常用于治疗尿路感染。为防止产生抗生素耐药性，应首先进行尿培养和药敏试验，并使用窄谱抗菌药物。目前，关于猫的亚临床菌尿症是否应接受治疗，证据尚不充分。然而，仅建议对上行感染风险增加的患者进行亚临床菌尿症的治疗。
