Stavroulaki E M, Ortega C, Lawlor A, Lulich J, Cuq B
Section of Small Animal Clinical Studies, University College Dublin School of Veterinary Medicine, Belfield, Dublin, Ireland.
Minnesota Urolith Center, Department of Veterinary Clinical Sciences, College of Veterinary Medicine, University Minnesota, St Paul, MN, USA.
J Small Anim Pract. 2024 Jan;65(1):30-38. doi: 10.1111/jsap.13676. Epub 2023 Oct 6.
The purpose of this study was to determine changes in urolith trends and factors associated with different urolith types in dogs from the Republic of Ireland and Northern Ireland between 2010 and 2020.
A laboratory database was searched for canine urolith submissions between 2010 and 2020. Trends in urolith composition between 2014 and 2020, and associations between patient characteristics with each urolith type were evaluated.
A total of 1162 submissions were included. Struvite (39.0%), calcium oxalate (27.8%) and compound (10.2%) were the most prevalent uroliths. Calcium oxalate urolith (CaOx) incidence significantly increased from 27.8% to 31.2% and that of struvite significantly decreased from 41.7% to 33.0% between 2014 and 2020. Struvite uroliths were overrepresented among females compared to males (odds ratio 8.7, 95% confidence interval 6.6 to 11.5). Males (odds ratio 9.6, 95% confidence interval 6.9 to 13.3) and dogs >7 years of age (odds ratio 4.1, 95%, confidence interval 3.0 to 5.4) were more likely to have CaOx while males (odds ratio 9.6, 95% confidence interval 5.3 to 17.8) and dogs ≤7 year of age, purine uroliths (odds ratio 3.0, 95% confidence interval 1.8 to 5.0). Incidence was higher in bichon frise (odds ratio 1.7, 95% confidence interval 1.3 to 2.4) and Yorkshire terrier (odds ratio 2.8, 95% confidence interval 1.9 to 4.1) for CaOx and higher in shih-tzu for compound uroliths (odds ratio 1.7, 95% confidence interval 1.1 to 2.7) compared to the remaining reported breeds.
Factors associated with different uroliths were similar to the ones previously reported. Proportion of CaOx submissions increased and that of struvite decreased over the study period which was in agreement with the changes identified in other European countries.
本研究旨在确定2010年至2020年间爱尔兰共和国和北爱尔兰犬类尿石症趋势的变化以及与不同类型尿石症相关的因素。
在实验室数据库中搜索2010年至2020年间提交的犬类尿石样本。评估2014年至2020年间尿石成分的趋势,以及每种尿石类型与患犬特征之间的关联。
共纳入1162份样本。最常见的尿石类型为鸟粪石(39.0%)、草酸钙(27.8%)和混合型(10.2%)。2014年至2020年间,草酸钙尿石(CaOx)的发病率从27.8%显著增加至31.2%,鸟粪石的发病率从41.7%显著降至33.0%。与雄性相比,鸟粪石在雌性中更为常见(优势比8.7,95%置信区间6.6至11.5)。雄性(优势比9.6,95%置信区间6.9至13.3)和7岁以上的犬(优势比4.1,95%置信区间3.0至5.4)更容易患草酸钙尿石,而雄性(优势比9.6,95%置信区间5.3至17.8)和7岁及以下的犬、嘌呤尿石(优势比3.0,95%置信区间1.8至5.0)。与其他报告品种相比,比熊犬(优势比1.7,95%置信区间1.3至2.4)和约克夏梗(优势比2.8,95%置信区间1.9至4.1)患草酸钙尿石的发病率较高,而西施犬患混合型尿石的发病率较高(优势比1.7,95%置信区间1.1至2.7)。
与不同尿石症相关的因素与先前报道的相似。在研究期间,草酸钙样本的比例增加,鸟粪石的比例下降,这与其他欧洲国家发现的变化一致。