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美国西北部一家动物收容所中被诊断患有皮肤癣菌病的猫的描述性流行病学及检测特征

Descriptive epidemiology and test characteristics of cats diagnosed with dermatophytosis in a Northwestern US animal shelter.

作者信息

DeTar Lena G, Dubrovsky Vladimir, Scarlett Jan M

机构信息

Animal Medical Learning Center, Oregon Humane Society, Portland, OR, USA.

Maddie's Shelter Medicine Program, Cornell University College of Veterinary Medicine, Ithaca, NY, USA.

出版信息

J Feline Med Surg. 2019 Dec;21(12):1198-1205. doi: 10.1177/1098612X19825519. Epub 2019 Feb 19.

Abstract

OBJECTIVES

The aims of this descriptive study were to identify risk factors for feline infection at shelter intake, to describe screening test accuracy, and to refine confirmatory testing time frames.

METHODS

Database records for the general feline population and intake data, medical records and fungal culture logs for cats diagnosed with at a limited admissions shelter were accessed retrospectively for a period of 2 years.

RESULTS

The feline population at the study shelter had a prevalence of of 1.8% (95% confidence interval [CI] 1.6-2.0%). Kittens were eight (95% CI 4.8-13.5) times more likely to present with dermatophytosis than adults. Although more cats presented with during summer and autumn, season was not significant when the model was controlled for age. Owner-surrendered cats were half as likely (95% CI 0.41-0.77) as transported cats to be diagnosed with . Wood's lamp examinations had a sensitivity of 66.8% (95% CI 60.2-73.4) and a specificity of 74.8% (95% CI 64.2-85.1) compared with dermatophyte test medium (DTM) culture. In 78.8% (95% CI 61-91) of littermate or household groups with mixed Wood's lamp results, all cats were DTM culture positive. Under consistent incubation conditions, 202/202 diagnostic DTM plates for -infected cats showed recognizable colony growth before 7 days (median 4 days), and 19/19 fomite carrier cat cultures showed growth before 12 days (median 5 days).

CONCLUSIONS AND RELEVANCE

Applying the results of this study to shelter protocols could optimize diagnostic approaches and shorten the length of stay for shelter cats and kittens, resulting in streamlined shelter operations and improved feline welfare.

摘要

目的

本描述性研究的目的是确定收容所收留时猫感染的风险因素,描述筛查测试的准确性,并完善确诊测试的时间框架。

方法

回顾性查阅了一个有限接纳量收容所2年期间普通猫群的数据库记录以及被诊断患有[疾病名称未给出]的猫的收留数据、病历和真菌培养记录。

结果

研究收容所的猫群中[疾病名称未给出]的患病率为1.8%(95%置信区间[CI] 1.6 - 2.0%)。小猫患皮肤癣菌病的可能性是成年猫的8倍(95% CI 4.8 - 13.5)。尽管夏季和秋季出现[疾病名称未给出]的猫更多,但在对年龄进行模型控制时,季节因素并不显著。被主人送来的猫被诊断患有[疾病名称未给出]的可能性是被送来的猫的一半(95% CI 0.41 - 0.77)。与皮肤癣菌测试培养基(DTM)培养相比,伍德灯检查的敏感性为66.8%(95% CI 60.2 - 73.4),特异性为74.8%(95% CI 64.2 - 85.1)。在伍德灯结果混合的同窝或同家庭组中,78.8%(95% CI 61 - 91)的猫所有成员的DTM培养均为阳性。在一致的培养条件下,202份用于感染[疾病名称未给出]猫的诊断性DTM平板中有202份在7天前显示出可识别的菌落生长(中位数为4天),19份 fomite 携带猫培养物在12天前显示出生长(中位数为5天)。

结论及意义

将本研究结果应用于收容所方案可优化诊断方法,缩短收容所猫和小猫的停留时间,从而简化收容所运作并改善猫的福利。

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