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一次注射抗生素协议与常规的5天抗生素协议的比较,用于马诊断腹腔切除术,涉及与多药耐药指标病原体进行手术前和术后殖民
Sabita Diana Stöckle1, Dania Annika Kannapin1, Roswitha Merle2
1Equine Clinic: Surgery and Radiology, Freie Universität Berlin, 14163 Berlin, Germany.
Antibiotics (Basel, Switzerland)
|January 28, 2026
概括
住院治疗显著增加马匹多抗药性 (MDR) 细菌的殖民化,无论抗生素的协议. 严格的卫生和环境监测在马科诊所中至关重要,以防止耐药病原体在医院传播.
科学领域:
- 兽医医学 兽医医学 兽医医学
- 传染性疾病 传染性疾病
- 抗微生物耐药性 抗微生物耐药性
背景情况:
- 多药耐药 (MDR) 细菌在马医院中构成重大威胁.
- 调查殖民和感染动态对于有效的控制策略至关重要.
研究的目的:
- 为了比较马匹的殖民化和感染动态,在紧急腹腔切除术后使用两种抗生素方案 (单次 vs 5 天).
- 确定鼻腔运输在手术部位感染中的作用.
主要方法:
- 收集了67匹马的鼻腔和便样本,分别在入院时,第三天和手术后的第10天.
- 选样本检测甲素耐药黄金葡萄球菌 (MRSA),扩展光谱β-乳糖酶 (ESBL) 生产的肠杆菌 (ESBL-E) 和阿辛托巴克特宝曼尼菌.
- 对手术部位感染 (SSI) 进行监测.
主要成果:
- 在手术前的殖民化:6.2%MRSA,13%ESBL-E.
- 术后殖民性在第3天显著增加 (62.1%的鼻腔,86.4%的便MDR生物).
- 住院治疗,而不是抗生素协议,与增加MDR殖民化相关;ESBL-E在所有马匹中检测到.
结论:
- 住院治疗是马匹中MDR细菌殖民增加的主要因素.
- 在马科诊所中,日常环境监测和严格的卫生协议是必不可少的.
- 加强监测和感染控制对于缓解MDR病原体传播至关重要.
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