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从犬猫分离出的细菌性尿道病原体的患病率及抗菌药物耐药性

Prevalence and Antimicrobial Resistance of Bacterial Uropathogens Isolated from Dogs and Cats.

作者信息

Aurich Sophie, Prenger-Berninghoff Ellen, Ewers Christa

机构信息

Institute of Hygiene and Infectious Diseases of Animals, Faculty of Veterinary Medicine, Justus Liebig University Giessen, D-35392 Giessen, Germany.

出版信息

Antibiotics (Basel). 2022 Dec 1;11(12):1730. doi: 10.3390/antibiotics11121730.

Abstract

Bacterial urinary tract infection (UTI) is a common diagnosis in companion animal practice and is one of the leading reasons for antimicrobial prescriptions. We analysed 1862 samples from the urinary tract of dogs and cats, submitted to a veterinary microbiological diagnostic laboratory in 2019 and 2020 in Germany. Susceptibility of 962 uropathogenic isolates to 15 antimicrobials, suggested as first- and second-line treatment options for UTI, was determined according to CLSI recommendations. Bacterial growth of uropathogens was detected in 43.9% of dog and in 38.5% of cat samples. ) was the most frequently isolated pathogen (48.4%), followed by spp. (11.9%) and coagulase-positive staphylococci (CoPS; 11.5%). Females were more likely to exhibit a positive microbiological culture. Regarding first-line antibiotics, 93.4% of the most commonly isolated uropathogenic species were susceptible to the first-line antibiotics amoxicillin/clavulanic acid (AMC) and 87.6% to trimethoprim-sulfamethoxazole (SXT), while 76.1% showed decreased susceptibility to ampicillin (AMP). Multidrug resistance (MDR) was detected in 11.9% of , 50.4% of enterococci, and 42.7% of CoPS; 90.6% of these isolates were susceptible to nitrofurantoin (NIT). Our data indicate that empiric treatment of UTI with AMC or SXT could be recommended and is preferable to treatment with AMX. NIT should be considered for the treatment of MDR uropathogens.

摘要

细菌性尿路感染(UTI)是伴侣动物临床常见的诊断疾病,也是抗菌药物处方的主要原因之一。我们分析了2019年和2020年提交至德国一家兽医微生物诊断实验室的1862份犬猫尿道样本。根据美国临床和实验室标准协会(CLSI)的建议,测定了962株尿路致病性分离株对15种抗菌药物的敏感性,这些抗菌药物被推荐为UTI的一线和二线治疗选择。在43.9%的犬样本和38.5%的猫样本中检测到尿路致病菌的细菌生长。大肠埃希菌是最常分离出的病原体(48.4%),其次是葡萄球菌属(11.9%)和凝固酶阳性葡萄球菌(CoPS;11.5%)。雌性更易出现微生物培养阳性。关于一线抗生素,最常分离出的尿路致病性菌种中,93.4%对一线抗生素阿莫西林/克拉维酸(AMC)敏感,87.6%对甲氧苄啶-磺胺甲恶唑(SXT)敏感,而76.1%对氨苄西林(AMP)敏感性降低。在11.9%的大肠埃希菌、50.4%的肠球菌和42.7%的CoPS中检测到多重耐药(MDR);这些分离株中有90.6%对呋喃妥因(NIT)敏感。我们的数据表明,推荐使用AMC或SXT对UTI进行经验性治疗,这比使用AMX治疗更可取。治疗MDR尿路致病菌时应考虑使用NIT。

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