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A Microbiological Indicator of Multidrug Resistance in Feline Urinary Tract Infections: Antimicrobial Resistance
Paula Segura Rodrigues1, Bárbara Durão Feitor2, Maria João Fonseca2
1Faculty of Veterinary Medicine, Lusófona University-Lisbon University Centre, 1749-024 Lisbon, Portugal.
Abstract:
Antimicrobial resistance (AMR) is an increasing concern in veterinary medicine and may compromise empirical treatment of feline urinary tract infections (UTIs). This retrospective observational study evaluated antimicrobial resistance patterns and their association with multidrug resistance (MDR) in bacterial isolates obtained from urine cultures of cats presented to a feline referral practice in Lisbon, Portugal, between January 2023 and December 2025. A total of 174 cats with positive urine cultures were included, yielding 178 bacterial isolates. Escherichia coli was the most frequent pathogen (57.30%), followed by Enterococcus spp. (16.98%) and Staphylococcus spp. (14.61%). Antimicrobial resistance was detected in 107/178 isolates (60.11%), and 76/178 (42.70%) were classified as multidrug-resistant. Extended-spectrum beta-lactamase-producing Escherichia coli and methicillin-resistant Staphylococcus strains were also identified. Resistance to penicillins and fluoroquinolones was significantly associated with MDR (p < 0.001). These findings highlight the high burden of antimicrobial resistance in feline urinary isolates in this clinical setting and support routine urine culture and susceptibility testing to guide therapeutic decision-making, particularly in recurrent, complicated, or high-risk cases.
Insights
Antimicrobial resistance is a significant issue in feline urinary tract infections (UTIs). Over 60% of bacterial isolates from cat urine cultures showed resistance, with nearly 43% being multidrug-resistant.
Area of Science:
- Veterinary Medicine
- Microbiology
- Infectious Diseases
Background:
- Antimicrobial resistance (AMR) poses a growing threat in veterinary medicine.
- AMR can complicate the empirical treatment of feline urinary tract infections (UTIs).
Purpose of the Study:
- To evaluate antimicrobial resistance patterns in bacterial isolates from feline urine cultures.
- To assess the association between antimicrobial resistance and multidrug resistance (MDR).
Main Methods:
- Retrospective observational study of feline urine cultures from a referral practice in Lisbon, Portugal (January 2023 - December 2025).
- Analysis of 178 bacterial isolates from 174 cats with positive urine cultures.
- Identification of bacterial pathogens and assessment of antimicrobial susceptibility and MDR.
Main Results:
- Antimicrobial resistance was detected in 60.11% of isolates.
- Multidrug resistance (MDR) was identified in 42.70% of isolates.
- Extended-spectrum beta-lactamase-producing *Escherichia coli* and methicillin-resistant *Staphylococcus* strains were found. Resistance to penicillins and fluoroquinolones was significantly associated with MDR (p < 0.001).
Conclusions:
- A high prevalence of antimicrobial resistance exists in feline urinary bacterial isolates in this region.
- Routine urine culture and susceptibility testing are crucial for guiding treatment decisions, especially in complex or recurrent feline UTIs.
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