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感染性心内膜炎犬的细菌分离株及其药敏模式调查

Survey of Bacterial Isolates and Their Antimicrobial Susceptibility Patterns from Dogs with Infective Endocarditis.

作者信息

Schreiber Alexander, Epstein Steven E, Byrne Barbara A, Reagan Krystle L

机构信息

VCA Animal Specialty Emergency Center, 1535 S Sepulveda Blvd, Los Angeles, CA 90025, USA.

Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, CA 95616, USA.

出版信息

Pathogens. 2023 Aug 3;12(8):1011. doi: 10.3390/pathogens12081011.

Abstract

Infective endocarditis (IE) is a potentially fatal disease in dogs. Limited information exists regarding the characterization of bacterial isolates from dogs with IE. The objective of this study was to describe bacterial isolates associated with IE and their antimicrobial susceptibility patterns. A retrospective analysis of dogs with IE and bacterial isolates was performed, and antimicrobial susceptibility was interpreted using current veterinary cut points where available. The susceptibility rate was assessed for association with survival and previous antimicrobial administration. Fifty-one bacterial isolates were identified from 45 dogs, and 33 had antimicrobial susceptibility performed. spp. (14/51; 27.5%) was the most common organism. Antimicrobials with the lowest susceptibility rate were ampicillin (19/26; 73%), doxycycline (16/22; 73%), and enrofloxacin (22/29; 76%) with 12/33 (36%) of isolates exhibiting multidrug resistance (MDR). Individual antimicrobial resistances and the MDR rate were not associated with a difference in survival rate. Bacterial isolates from dogs that had received fluoroquinolone antimicrobials in the month before diagnosis had a higher rate of non-intrinsic fluoroquinolones resistance (5/8;62.5%) compared to those that did not receive fluoroquinolones (2/21; 9.5%) ( = 0.03). Antimicrobial resistance and MDR phenotype were common in this study. Culture and antimicrobial susceptibility testing should be pursued in dogs with IE to help guide antimicrobial therapy.

摘要

感染性心内膜炎(IE)是犬类的一种潜在致命疾病。关于从患有IE的犬类中分离出的细菌特征的信息有限。本研究的目的是描述与IE相关的细菌分离株及其抗菌药敏模式。对患有IE的犬类和细菌分离株进行了回顾性分析,并在可行的情况下使用当前的兽医切点来解释抗菌药敏情况。评估药敏率与生存率和先前抗菌药物使用之间的关联。从45只犬中鉴定出51株细菌分离株,其中33株进行了抗菌药敏试验。链球菌属(14/51;27.5%)是最常见的病原体。药敏率最低的抗菌药物是氨苄西林(19/26;73%)、强力霉素(16/22;73%)和恩诺沙星(22/29;76%),12/33(36%)的分离株表现出多重耐药(MDR)。个体抗菌耐药性和MDR率与生存率差异无关。在诊断前一个月接受过氟喹诺酮类抗菌药物治疗的犬类的细菌分离株,其非固有氟喹诺酮类耐药率(5/8;62.5%)高于未接受氟喹诺酮类治疗的犬类(2/21;9.5%)(P = 0.03)。在本研究中,抗菌耐药性和MDR表型很常见。对于患有IE的犬类,应进行培养和抗菌药敏试验,以帮助指导抗菌治疗。

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