Marshall Kalie, Marsella Rosanna
Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, 2015 SW 16th Avenue, Gainesville, FL 32610, USA.
Vet Sci. 2023 Jan 18;10(2):71. doi: 10.3390/vetsci10020071.
Previous studies documented antibiotic resistance in horses but did not focus on skin specifically. We investigated antibiotic resistance and correlations between resistance patterns in skin infections. Records from 2009 to 2019 were searched for infection and susceptibility results. Seventy-seven cases were included. Organisms identified were (48/77), (7/77), non-hemolytic (8/77), beta-hemolytic (6/77), and other species (8/77). Samples included pyoderma (36/77), wounds (10/77), abscesses (15/77), incision sites (5/77), nose (8/77), and foot (3/77). A trend analysis using non-parametric Spearman's test showed significant upward trend of resistance < 0.05) for 3/15 antibiotics (ampicillin, cefazolin, penicillin). Susceptibility was significantly different by species for 8/15 antibiotics. Gentamicin showed significant susceptibility differences based on source (all abscesses were susceptible to gentamicin). Steel-Dwass test showed statistically significant ( = 0.003) difference between incision sites and abscesses. A non-parametric Kendall's T-test found significantly negative correlation between cefazolin and amikacin sensitivity ( = 0.0108) and multiple positive correlations of resistance ( < 0.05). This study confirms increasing resistance in dermatologic samples. It is unlikely that the sample source affects resistance, but species may affect it. Study limitations include lack of information about previous antibiotic use and small sample size.
以往的研究记录了马匹的抗生素耐药性,但未特别关注皮肤方面。我们调查了皮肤感染中的抗生素耐药性以及耐药模式之间的相关性。检索了2009年至2019年的感染和药敏结果记录。共纳入77例病例。鉴定出的微生物有(48/77)、(7/77)、非溶血性(8/77)、β溶血性(6/77)以及其他种类(8/77)。样本包括脓皮病(36/77)、伤口(10/77)、脓肿(15/77)、切口部位(5/77)、鼻部(8/77)和足部(3/77)。使用非参数Spearman检验进行的趋势分析显示,15种抗生素中的3种(氨苄西林、头孢唑林、青霉素)的耐药性呈显著上升趋势(<0.05)。15种抗生素中有8种的药敏情况因种类不同而有显著差异。庆大霉素根据来源显示出显著的药敏差异(所有脓肿对庆大霉素敏感)。Steel-Dwass检验显示切口部位和脓肿之间存在统计学显著差异(=0.003)。非参数Kendall's T检验发现头孢唑林和阿米卡星敏感性之间存在显著负相关(=0.0108)以及多种耐药性正相关(<0.05)。本研究证实了皮肤样本中耐药性的增加。样本来源不太可能影响耐药性,但种类可能会有影响。研究的局限性包括缺乏关于既往抗生素使用情况的信息以及样本量较小。