Oliveira Ana, Devesa Joana S P, Hill Peter B, Silva Vanessa, Poeta Patrícia
Faculty of Veterinary Medicine, University Lusófona de Humanidades e Tecnologias, 1749-024 Lisboa, Portugal.
School of Animal and Veterinary Sciences, University of Adelaide, Adelaide, South Australia, 5371 Australia.
J Vet Res. 2018 Dec 31;62(4):563-570. doi: 10.2478/jvetres-2018-0058. eCollection 2018 Dec.
and often cause skin diseases in dogs.
An online survey was e-mailed to veterinary practices nationwide covering demographics, diagnosis methods, and oral and topical treatment options. Of the 740 surveys sent, 100 complete replies were obtained.
The majority of clinicians were unaware of the existence of the International Society for Companion Animal Infectious Diseases guidelines or did not follow them (53%). Oral antibiotics were used universally for superficial bacterial folliculitis treatment, particularly amoxicillin-clavulanic acid (100%), cephalexin (94%), enrofloxacin (67%), or marbofloxacin (60%). For fold dermatitis (FD) and otitis externa (OE), oral antibiotics were also given as treatment in 88% and 82% of cases, respectively. Oral antifungals were often prescribed for generalised dermatitis (85%), FD (70%), and OE (59%). and were frequently treated topically, particularly with antibacterials or antifungals only, or a combination of antibacterials, antifungals, and glucocorticoids. Alternative options such as honey-based products were not frequently used.
Our survey suggests that oral antibiotics are overused by Portuguese clinicians despite the spread of antibiotic resistant . Oral antibiotics and antifungals are commonly prescribed for skin conditions manageable with topical treatments.
……常常导致犬类皮肤病。
通过电子邮件向全国的兽医诊所发送了一项在线调查问卷，内容涵盖人口统计学、诊断方法以及口服和局部治疗方案。在发送的740份调查问卷中，获得了100份完整回复。
大多数临床医生不知道伴侣动物传染病国际协会指南的存在，或者未遵循该指南（53%）。口服抗生素普遍用于浅表细菌性毛囊炎的治疗，尤其是阿莫西林 - 克拉维酸（100%）、头孢氨苄（94%）、恩诺沙星（67%）或马波沙星（60%）。对于褶性皮炎（FD）和外耳道炎（OE），分别有88%和82%的病例也给予口服抗生素治疗。口服抗真菌药常用于全身性皮炎（8T%）、FD（70%）和OE（59%）。……常常采用局部治疗，尤其是仅使用抗菌药或抗真菌药，或者抗菌药、抗真菌药和糖皮质激素联合使用。蜂蜜基产品等替代方案使用不频繁。
我们的调查表明，尽管存在抗生素耐药性的传播，但葡萄牙临床医生仍过度使用口服抗生素。口服抗生素和抗真菌药常用于可通过局部治疗控制的皮肤疾病。
