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对疑似患有下呼吸道疾病犬只的经气管吸出物进行的微生物学研究:264例病例(1989 - 1995年)

Microbiological study of transtracheal aspirates from dogs with suspected lower respiratory tract disease: 264 cases (1989-1995).

作者信息

Angus J C, Jang S S, Hirsh D C

机构信息

Microbiology Service, Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California, Davis 95616, USA.

出版信息

J Am Vet Med Assoc. 1997 Jan 1;210(1):55-8.

PMID:8977649
Abstract

OBJECTIVE

To determine the most commonly isolated bacterial species associated with lower respiratory tract disease of dogs and to determine susceptibility of these isolates to antimicrobial agents.

DESIGN

Retrospective case series.

SAMPLE POPULATION

Transtracheal aspirates from 264 dogs with clinical evidence of lower respiratory tract disease.

PROCEDURE

Records of microbiological analyses of transtracheal aspirates obtained from dogs with clinical evidence of lower respiratory tract disease were reviewed. Analyses performed included bacterial culture (anaerobic and aerobic organisms) and susceptibility testing (aerobic organisms). The medical record of each affected dog was evaluated to determine signalment and underlying condition.

RESULTS

Bacteria were isolated from 116 of 264 (44%) samples, and 203 bacterial species were identified. Most (57%) of the samples from which bacteria could be isolated contained a single species, whereas 43% yielded cultures of mixed species. Bacterial species belonging to the family Enterobacteriaceae (particularly Escherichia coli) were isolated most commonly (45.7% of samples contained members of this group), followed by members of the genus Pasteurella (22.4%), obligate anaerobes (21.6%), beta-hemolytic Streptococcus (12.1%), Bordetella bronchiseptica (12.1%), nonhemolytic Streptococcus/Enterococcus sp group (12.1%), coagulase-positive Staphylococcus (9.5%), and Pseudomonas sp (7.8%). The most active antimicrobial drugs (inhibiting > 90% of the isolates) for aerobic microorganisms encountered most often (E. coli and Pasteurella sp) included amikacin, ceftizoxime sodium, enrofloxacin, and gentamicin sulfate.

CLINICAL IMPLICATIONS

Amikacin, ceftizoxime, enrofloxacin, and gentamicin may be rational choices for treatment of suspected infectious lower respiratory tract disease of dogs, before identification of the causative agent(s) and before results of susceptibility tests become available.

摘要

目的

确定与犬下呼吸道疾病相关的最常分离出的细菌种类,并确定这些分离菌株对抗菌药物的敏感性。

设计

回顾性病例系列研究。

样本群体

来自264只具有下呼吸道疾病临床证据的犬的经气管抽吸物。

方法

回顾了从具有下呼吸道疾病临床证据的犬获得的经气管抽吸物的微生物学分析记录。所进行的分析包括细菌培养(厌氧菌和好氧菌)和药敏试验(好氧菌)。评估每只患病犬的病历以确定其特征和潜在病情。

结果

从264份样本中的116份(44%)分离出细菌,共鉴定出203种细菌。在可分离出细菌的样本中,大多数(57%)含有单一菌种,而43%的样本培养出混合菌种。最常分离出的细菌种类是肠杆菌科细菌(特别是大肠杆菌)(45.7%的样本含有该组细菌成员),其次是巴斯德氏菌属成员(22.4%)、专性厌氧菌(21.6%)、β溶血性链球菌(12.1%)、支气管败血波氏杆菌(12.1%)、非溶血性链球菌/肠球菌属菌群(12.1%)、凝固酶阳性葡萄球菌(9.5%)和假单胞菌属(7.8%)。对于最常遇到的需氧微生物(大肠杆菌和巴斯德氏菌属),最有效的抗菌药物(抑制>90%的分离菌株)包括阿米卡星、头孢唑肟钠、恩诺沙星和硫酸庆大霉素。

临床意义

在确定病原体之前以及药敏试验结果出来之前,阿米卡星、头孢唑肟、恩诺沙星和庆大霉素可能是治疗疑似犬感染性下呼吸道疾病的合理选择。

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