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Clinical Differences in Dogs with Enterococcal Bacteriuria Compared with Other Bacteriuria: A Retrospective,
Megan McClosky1, Stephen Cole2, Emily J Seidel1
1From 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.
Dogs with enterococcal bacteriuria show distinct clinical signs and comorbidities compared to other bacterial urinary tract infections. Enterococcus infections are linked to specific breeds and polymicrobial growth, with varied treatment responses.
Area of Science:
- Veterinary Medicine
- Infectious Diseases
- Canine Health
Background:
- Urinary tract infections (UTIs) are common in dogs.
- Enterococcus species are a frequent cause of UTIs, but clinical distinctions are not well-defined.
- Understanding differences in UTIs caused by Enterococcus versus other bacteria is crucial for effective treatment.
Purpose of the Study:
- To compare the clinical characteristics, comorbidities, and treatment outcomes of dogs with enterococcal bacteriuria versus dogs with other bacteriuria.
- To identify risk factors and breed predispositions for enterococcal UTIs in dogs.
Main Methods:
- Retrospective case-control study.
- Inclusion of 96 dogs with enterococcal bacteriuria and 288 control dogs with other bacteriuria.
- Analysis of signalment, clinical signs, comorbidities, diagnostic findings, and treatment response.
Main Results:
- Dogs with non-enterococcal bacteriuria more frequently exhibited lower urinary tract signs (hematuria, pollakiuria, stranguria).
- Enterococcal bacteriuria was associated with recessed vulva, hyperadrenocorticism, chronic kidney disease, myelopathy, and polymicrobial growth.
- Certain breeds (Pugs, Bearded Collies, Saint Bernards) had higher odds of enterococcal bacteriuria.
- Antimicrobial administration correlated with clinical sign resolution in controls, but not in enterococcal cases.
Conclusions:
- Enterococcal bacteriuria in dogs presents differently from other bacterial UTIs.
- Specific comorbidities and breed predispositions are associated with Enterococcus infections.
- Treatment strategies may need to be tailored based on the causative bacterial species.
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