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分析皮下尿路绕道系统的猫的下泌尿道症状和细菌尿症
Luba Djoneva1, Jack Lawson1, Lynda Rutherford1
1Royal Veterinary College North Mymms Hatfield Hertfordshire UK.
Veterinary record open
|August 3, 2023
概括
患有皮下尿路旁路系统 (SUB) 的猫经常会在没有感染的情况下表现出尿路症状. 这项研究发现,这些猫的阳性尿培养和下泌尿道症状之间没有联系,这突显了治疗的挑战.
科学领域:
- 兽医医学 兽医医学 兽医医学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
背景情况:
- 区分细菌性囊炎和亚临床细菌性尿症对于猫治疗和抗菌药物管理至关重要.
- 患有皮下尿路旁路系统 (SUB) 的猫可能会出现下泌尿道症状 (LUTS),而不会同时出现细菌性尿,从而使诊断复杂化.
- 准确的诊断对于适当的治疗方案和在患有SUB的猫中负责任地使用抗生素至关重要.
研究的目的:
- 为了研究阳性尿液培养和SUB系统的猫的LUTS之间的关系.
- 为了确定与SUBs.猫的阳性尿液培养相关的因素.
- 为了确定与 SUBs 的猫的 LUTS 相关的因素.
主要方法:
- 对尿管阻塞和SUB放置的猫的临床记录的回顾性审查.
- 基平方分析以确定阳性尿液培养和LUTS之间的关系.
- 单变量和多变量后勤回归以确定相关的风险因素.
主要成果:
- 16%的访客 (36/230) 的尿液培养结果呈阳性;34%的猫 (21/61) 的尿液培养结果至少呈阳性.
- 42%的访问 (97/230) 显示了LUTS;61%的猫 (37/61) 在某个时候展示了LUTS.
- 尿液培养结果和LUTS之间没有发现显著的关系. 阳性培养的危险因素包括尿液pH和白细胞的升高. 年龄较小和纯种身份与LUTS有关.
结论:
- 患有 SUB 的猫中很大一部分患有无菌 LUTS,因此很难区分细菌性囊炎和亚临床细菌性尿症.
- 目前的研究结果强调,需要对使用SUB系统治疗猫的细菌性尿症制定更精细的指导方针.
- 需要进一步的研究,以建立清晰的诊断和治疗途径,以解决 SUBs 的猫的尿路问题.
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