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比较粪肠球菌菌尿与其他菌尿症犬的临床差异:一项回顾性病例对照研究。

Clinical Differences in Dogs with Enterococcal Bacteriuria Compared with Other Bacteriuria: A Retrospective, Case-Control Study.

机构信息

From the Department of Clinical Sciences and Advanced Medicine (M.M., E.J.S., R.S.H.), School of Veterinary Medicine, University of Pennsylvania Philadelphia, Pennsylvania.

Department of Pathobiology (S.C.), School of Veterinary Medicine, University of Pennsylvania Philadelphia, Pennsylvania.

出版信息

J Am Anim Hosp Assoc. 2024 Mar 1;60(2):53-59. doi: 10.5326/JAAHA-MS-7355.

Abstract

A retrospective case-control study was performed to determine the clinical differences between dogs with enterococcal bacteriuria (n = 96 cases) and control dogs with any other bacteriuria (n = 288). More dogs with nonenterococcal bacteriuria demonstrated lower urinary tract clinical signs such as hematuria, pollakiuria, and stranguria (40% versus 27%, P = .02). Recessed vulva (odds ratio [OR] 2.5, 95% confidence interval [CI] 1.4-4.2, P < .001), hyperadrenocorticism (OR 0.149, 95% CI 0.004-0.066, P = .03), chronic kidney disease (OR 2.29, 95% CI 1.14-4.51, P = .01), and myelopathy (OR 5.77, 95% CI 3.07-10.82, P < .001) were more common in dogs with enterococcal bacteriuria. Enterococcus spp. cases were more likely to have polymicrobial growth than controls (OR 28.52; 95% CI 12.63-69.62, P ≤ .001). Pugs (OR 7.4, 95% CI 2.6-19.9, P < .001), bearded collies (OR 24.3, 95% CI 2.9-205.5, P = .003), and Saint Bernards (OR 17.3, CI 1.9-154.4, P = .01) had increased odds of enterococcal growth compared with mixed-breed dogs. In the control (but not the case) population, there was an association between resolution of clinical signs and administration of antimicrobials (P = .01). The signalment, clinical signs, comorbidities, and response to therapy in dogs with enterococcal bacteriuria are different from dogs with other bacteriuria.

摘要

一项回顾性病例对照研究旨在确定患有肠球菌性菌尿症的犬(n=96 例)与患有任何其他菌尿症的对照犬(n=288 例)之间的临床差异。患有非肠球菌性菌尿症的犬更多地表现出下尿路临床症状,如血尿、尿频和排尿困难(40%比 27%,P=0.02)。阴门内陷(优势比[OR]2.5,95%置信区间[CI]1.4-4.2,P<0.001)、库兴氏病(OR 0.149,95%CI 0.004-0.066,P=0.03)、慢性肾病(OR 2.29,95%CI 1.14-4.51,P=0.01)和骨髓炎(OR 5.77,95%CI 3.07-10.82,P<0.001)在患有肠球菌性菌尿症的犬中更为常见。肠球菌属病例比对照组更有可能出现混合微生物生长(OR 28.52;95%CI 12.63-69.62,P≤0.001)。哈巴狗(OR 7.4,95%CI 2.6-19.9,P<0.001)、伯瑞犬(OR 24.3,95%CI 2.9-205.5,P=0.003)和圣伯纳犬(OR 17.3,CI 1.9-154.4,P=0.01)与杂种犬相比,肠球菌生长的几率增加。在对照组(而非病例组)中,临床症状的缓解与抗生素的使用之间存在关联(P=0.01)。患有肠球菌性菌尿症的犬的特征、临床症状、合并症和治疗反应与患有其他菌尿症的犬不同。

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