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兽医微生物学诊断实验室面临的挑战:一种新物种被推测为猫单侧结膜炎的病因。

Challenges in the veterinary microbiology diagnostic laboratory: a novel species as presumptive cause for feline unilateral conjunctivitis.

作者信息

Vale Ana P, Leggett Bernadette, Smyth David, Leonard Finola

机构信息

School of Veterinary Medicine, University College Dublin, Dublin, Ireland.

Present address: Institute of Technology Sligo, Sligo, Ireland.

出版信息

Access Microbiol. 2020 Mar 20;2(6):acmi000118. doi: 10.1099/acmi.0.000118. eCollection 2020.

Abstract

The present study highlights challenges in the veterinary microbiology diagnostic laboratory in the identification of bacteria responsible for infections in veterinary settings, particularly when evidence-based data is lacking. A 1.8-year-old neutered male domestic cat (FIV/FeLV negative) was presented to a veterinary practice in April 2016 with a history of left unilateral mild conjunctivitis that was empirically treated with fusidic acid and chloramphenicol. In January 2017, the same animal was presented with chronic left unilateral conjunctivitis and an eye swab was submitted for microbiological culture and susceptibility testing. Significant growth was not detected in two samples tested. Finally, in February 2017 another eye swab produced a slow growing pure culture identified by VITEK 2 as (94 % confidence). Given the morphology and multidrug resistance profile of the isolate a 16S rRNA PCR was performed for definitive identification. The nucleotide sequence of the PCR amplicon was 99 % homologous to sp. nov. strain 114. Veterinary microbiology diagnostic laboratories play an important role worldwide, not only in preserving animal health and welfare but also in controlling the spread of zoonotic pathogens. The lack of evidence-based information on the ocular microbiome of healthy cats and the complexity of bacterial ecosystems renders the interpretation of results difficult. A further problem for both the laboratory and the clinician is the lack of interpretive criteria for antibiotic susceptibility test results for some types of infections in animals (including those caused by ) and the complete unavailability of criteria for topical antibiotic preparations.

摘要

本研究强调了兽医微生物诊断实验室在鉴定兽医环境中引起感染的细菌时所面临的挑战,特别是在缺乏循证数据的情况下。2016年4月,一只1.8岁已绝育的雄性家猫(FIV/FeLV阴性)因左侧单侧轻度结膜炎病史被送至一家兽医诊所,经验性地使用了夫西地酸和氯霉素进行治疗。2017年1月,同一只动物再次出现慢性左侧单侧结膜炎,并提交了眼拭子进行微生物培养和药敏试验。在检测的两个样本中未检测到显著生长。最后,2017年2月,另一个眼拭子培养出一种生长缓慢的纯培养物,经VITEK 2鉴定为(置信度94%)。鉴于分离株的形态和多重耐药谱,进行了16S rRNA PCR以进行最终鉴定。PCR扩增子的核苷酸序列与新种菌株114的同源性为99%。兽医微生物诊断实验室在全球范围内发挥着重要作用,不仅在维护动物健康和福利方面,而且在控制人畜共患病原体的传播方面。缺乏关于健康猫眼部微生物群的循证信息以及细菌生态系统的复杂性使得结果的解释变得困难。对于实验室和临床医生来说,另一个问题是缺乏针对动物某些类型感染(包括由引起的感染)的抗生素药敏试验结果的解释标准,以及局部用抗生素制剂标准完全缺失。

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