Incidence of bacteriuria at presentation and resulting from urinary catheterization in feline urethral obstruction.


Journal

Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)
ISSN: 1476-4431
Titre abrégé: J Vet Emerg Crit Care (San Antonio)
Pays: United States
ID NLM: 101152804

Informations de publication

Date de publication:
Sep 2019
Historique:
received: 25 09 2017
revised: 05 01 2018
accepted: 11 01 2018
pubmed: 30 6 2019
medline: 18 12 2019
entrez: 29 6 2019
Statut: ppublish

Résumé

To determine the incidence of bacteriuria at the time of presentation and as a result of indwelling urethral catheterization in naturally occurring feline urethral obstruction (UO). Prospective observational study. University teaching hospital. A population of 34 male cats with UO admitted for standard medical care. A presenting urine sample was obtained by cystocentesis (precatheterization). After catheterization (performed under strict aseptic technique), a urine sample was obtained through the urinary catheter every 24 hours, as well as just prior to catheter removal. Urine was applied to culture media within 30 minutes of collection or refrigerated immediately at 4°C for subsequent culture the following morning. Samples positive for growth (defined as > 10 All 34 cats enrolled had initial culture performed. Of these, 1 patient died and 2 were euthanized within 24 hours and therefore subsequent cultures were obtained. The remaining 31 cats had median catheterization time of 42 hours (range 20-110 hours). No urine cultures yielded growth at presentation (0/34). A total of 4 of 31 patients (13%) subsequently had bacterial cultures that yielded growth. In these cases, all yielded growth by the 24-hour time point, and all had the same organism identified on subsequent cultures. Identified bacteria included Streptococcus spp. (3) and Pasteurella spp. (1). The male cats with UO in this study did not have bacteriuria at the time of presentation. The overall incidence of acquired bacteriuria was found to be 13% and could represent a transient bacterial population or true bacterial urinary tract infection. Based on these findings, empirical administration of antibiotics is not warranted in male cats with UO.

Identifiants

pubmed: 31250535
doi: 10.1111/vec.12870
doi:

Types de publication

Journal Article Observational Study, Veterinary

Langues

eng

Sous-ensembles de citation

IM

Pagination

472-477

Informations de copyright

© Veterinary Emergency and Critical Care Society 2019.

Références

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Auteurs

Edward S Cooper (ES)

Department of Veterinary Clinical Sciences, Ohio State University, Columbus, OH.

Emma Lasley (E)

Department of Veterinary Clinical Sciences, Ohio State University, Columbus, OH.

Joshua B Daniels (JB)

Department of Veterinary Clinical Sciences, Ohio State University, Columbus, OH.

Dennis J Chew (DJ)

Department of Veterinary Clinical Sciences, Ohio State University, Columbus, OH.

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