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J Small Anim Pract. 2021 Dec;62(12):1085-1091. doi: 10.1111/jsap.13406. Epub 2021 Aug 31.

Results of urinary bacterial cultures and antibiotic susceptibility testing of dogs and cats in the UK.

The Journal of small animal practice

J D Fonseca, D E Mavrides, P A Graham, T D McHugh

Affiliations

  1. Centre for Clinical Microbiology, University College London, Royal Free Campus, London, NW3 2QG, UK.
  2. Department of Veterinary Medicine, University of Cambridge, Madingley Road, Cambridge, CB3 0ES, UK.
  3. School of Veterinary Medicine and Science, University of Nottingham, Sutton Bonington, LE12 5RD, UK.

PMID: 34463359 DOI: 10.1111/jsap.13406

Abstract

OBJECTIVES: Bacterial urinary tract infections are a common diagnosis in small animal practice and antibiotics are often administered empirically. The aim of this study was to investigate the aetiology and antibiotic resistance of uropathogens in dogs and cats in the UK.

MATERIALS AND METHODS: Retrospective study of uroculture and antibiotic susceptibility testing results (n=808) by disk diffusion processed at a veterinary pathology laboratory between 2011 and 2012.

RESULTS: Significant bacteriuria was detected in 18.4% of samples from dogs and 10.0% from cats, most of which (>90%) yielded a single organism. Escherichia coli was the most prevalent bacterial species (54.7% and 55.6% of feline and canine isolates, respectively) followed by Proteus mirabilis in dog samples (22.7%) and Enterococcus spp. in cat samples (23.2%). Approximately a third of E. coli isolates were resistant to ampicillin but resistance was much lower among Enterococcus spp. and P. mirabilis. Resistance to amoxicillin-clavulanic acid also seemed to be emerging, particularly in E. coli (almost 20% resistant). In contrast, resistance to trimethoprim-sulfamethoxazole for uropathogens remained <13% except for P. mirabilis (19.4%). Overall, fluoroquinolones showed the best in vitro activity (resistance mostly below 10% for enrofloxacin and marbofloxacin).

CLINICAL SIGNIFICANCE: Our results provide evidence of the emergence of resistance to antibiotics commonly used to treat bacterial urinary tract infections. Continued monitoring of the patterns of antibiotic resistance in uropathogens is needed to assess the adequacy of recommendations on the empiric therapy of these infections.

© 2021 The Authors. Journal of Small Animal Practice published by John Wiley & Sons Ltd on behalf of British Small Animal Veterinary Association.

References

  1. Ball, K. R., Rubin, J. E., Chirino-Trejo, M., et al. (2008) Antimicrobial resistance and prevalence of canine uropathogens at the Western College of Veterinary Medicine Veterinary Teaching Hospital, 2002-2007. Canadian Veterinary Journal 49, 985-990 - PubMed
  2. Barsanti, J. A. & Finco, D. R. (1979) Laboratory findings in urinary tract infections. Veterinary Clinics of North America: Small Animal Practice 9, 729-748 - PubMed
  3. BSAVA (2018) Protect me. https://www.bsavalibrary.com/content/chapter/10.22233/9781910443644.chap6_1#supplementary_data. Accessed November 4, 2020 - PubMed
  4. Buffington, C. A., Chew, D. J., Kendall, M. S., et al. (1997) Clinical evaluation of cats with nonobstructive urinary tract diseases. Journal of the American Veterinary Medical Association 210, 46-50 - PubMed
  5. Bush, B. M. (1976) A review of the aetiology and consequences of urinary tract infections in the dog. The British Veterinary Journal 132, 632-641 - PubMed
  6. CLSI (2008) Performance Standards for Antimicrobial Disk and Dilution Susceptibility Tests for Bacteria Isolated from Animals. M31-A3, Wayne, PA: Clinical & Laboratory Standards Institute. - PubMed
  7. Ed CLSI (2020) Performance Standards for Antimicrobial Disk and Dilution Susceptibility Tests for Bacteria Isolates from Animals 5th ed CLSI supplement VET01S, Wayne, PA: Clinical & Laboratory Standards Institute. - PubMed
  8. Cohn, L. A., Gary, A. T., Fales, W. H., et al. (2003) Trends in fluoroquinolone resistance of bacteria isolated from canine urinary tracts. Journal of Veterinary Diagnostic Investigation: Official Publication of the American Association of Veterinary Laboratory Diagnosticians 15, 338-343 - PubMed
  9. Cooke, C. L., Singer, R. S., Jang, S. S., et al. (2002) Enrofloxacin resistance in Escherichia coli isolated from dogs with urinary tract infections. Journal of the American Veterinary Medical Association 220, 190-192 - PubMed
  10. De Briyne, N., Atkinson, J., Borriello, S. P., et al. (2014) Antibiotics used most commonly to treat animals in Europe. Veterinary Record 175, 325 - PubMed
  11. Dorsch, R., von Vopelius-Feldt, C., Wolf, G., et al. (2015) Feline urinary tract pathogens: prevalence of bacterial species and antimicrobial resistance over a 10-year period. Veterinary Record 176, 201 - PubMed
  12. Fontana, R., Ligozzi, M., Pittaluga, F., et al. (1996) Intrinsic penicillin resistance in enterococci. Microbial Drug Resistance 2, 209-213 - PubMed
  13. Ganière, J. P., Medaille, C. & Mangion, C. (2005) Antimicrobial drug susceptibility of Staphylococcus intermedius clinical isolates from canine pyoderma. Journal of Veterinary Medicine B, Infectious diseases and Veterinary Public Health 52, 25-31 - PubMed
  14. Guardabassi, L., Schwarz, S. & Lloyd, D. H. (2004) Pet animals as reservoirs of antimicrobial-resistant bacteria. Journal of Antimicrobial Chemotherapy 54, 321-332 - PubMed
  15. Guardabassi, L., Hedberd, S., Jessen, L. R., et al. (2015) Optimization and evaluation of Flexicult® Vet for detection, identification and antimicrobial susceptibility testing of bacterial uropathogens in small animal veterinary practice. Acta Veterinaria Scandinavica 57, 72 - PubMed
  16. Hall, J. L., Holmes, M. A. & Baines, S. J. (2013) Prevalence and antimicrobial resistance of canine urinary tract pathogens. Veterinary Record 173, 547-548 - PubMed
  17. Jackson, C. R., Fedorka-Cray, P. J., Davis, J. A., et al. (2009) Prevalence, species distribution and antimicrobial resistancef enterococci isolated from dogs and cats in the United States. Journal of Applied Microbiology 107, 1269-1278 - PubMed
  18. Kivisto, A. K., Vasenius, H. & Sandholm, M. (1977) Canine bacteruria. The Journal of Small Animal Practice 18, 707-712 - PubMed
  19. Kramer, S., Kietzmann, M. & Pankow, W. R. (2012) The use of fluoroquinolones in bacterial urinary tract infections in cats. Tierarztl Prax Ausg K Kleintiere Heimtiere 40, 113-121 - PubMed
  20. KuKanich, K. S. & Lubbers, B. V. (2015) Review of enterococci isolated from canine and feline urine specimens from 2006 to 2011. Journal of the American Animal Hospital Association 51, 148-154 - PubMed
  21. Lekcharoensuk, C., Osborne, C. A. & Lulich, J. P. (2001) Epidemiologic study of risk factors for lower urinary tract diseases in cats. Journal of the American Veterinary Medical Association 218, 1429-1435 - PubMed
  22. Lilenbaum, W., Veras, M., Blum, E., et al. (2000) Antimicrobial susceptibility of staphylococci isolated from otitis externa in dogs. Letters in Applied Microbiology 31, 42-45 - PubMed
  23. Ling, G. V. (1984) Therapeutic strategies involving antimicrobial treatment of the canine urinary tract. Journal of the American Veterinary Medical Association 185, 1162-1164 - PubMed
  24. Ling, G. V., Norris, C. R., Franti, C. E., et al. (2001) Interrelations of organism prevalence, specimen collection method, and host age, sex, and breed among 8,354 canine urinary tract infections (1969-1995). Journal of Veterinary Internal Medicine 15, 341-347 - PubMed
  25. Litster, A., Moss, S. M., Honnery, M., et al. (2007) Prevalence of bacterial species in cats with clinical signs of lower urinary tract disease: recognition of Staphylococcus felis as a possible feline urinary tract pathogen. Veterinary Microbiology 121, 182-188 - PubMed
  26. Lulich, J., Osborne, C., O'Brien, T., et al. (1992) Feline renal failure: questions, answers, questions. The Compendium on Continuing Education for the Practicing Veterinarian (USA) 14, 127-153 - PubMed
  27. Lund, H. S., Skogtun, G. & Sørum, H. (2015) Antimicrobial susceptibility in bacterial isolates from Norwegian cats with lower urinary tract disease. Journal of Feline Medicine and Surgery 17, 507-515 - PubMed
  28. Maluping, R. P., Paul, N. C. & Moodley, A. (2014) Antimicrobial susceptibility of methicillin-resistant Staphylococcus pseudintermedius isolated from veterinary clinical cases in the UK. British Journal of Biomedical Science 71, 55-57 - PubMed
  29. Marques, C., Gama, L. T., Belas, A., et al. (2016) European multicenter study on antimicrobial resistance in bacteria isolated from companion animal urinary tract infections. BMC Veterinary Research 12, 213 - PubMed
  30. Moyaert, H., Morrissey, I., de Jong, A., et al. (2017) Antimicrobial susceptibility monitoring of bacterial pathogens isolated from urinary tract infections in dogs and cats across Europe: ComPath results. Microbial Drug Resistance 23, 391-403 - PubMed
  31. Murray, J. K., Browne, W. J., Roberts, M. A., et al. (2010) Number and ownership profiles of cats and dogs in the UK. Veterinary Record 166, 163-168 - PubMed
  32. Norris, C. R., Williams, B. J., Ling, G. V., et al. (2000) Recurrent and persistent urinary tract infections in dogs: 383 cases (1969-1995). Journal of the American Animal Hospital Association 36, 484-492 - PubMed
  33. Olin, S. J. & Bartges, J. W. (2015) Urinary tract infections: treatment/comparative therapeutics. Veterinary Clinics of North America: Small Animal Practice 45, 721-746 - PubMed
  34. Penna, B., Varges, R., Martins, R., et al. (2010) In vitro antimicrobial resistance of staphylococci isolated from canine urinary tract infection. The Canadian Veterinary Journal La Revue Veterinaire Canadienne 51, 738-742 - PubMed
  35. Rampacci, E., Bottinelli, M., Stefanetti, V., et al. (2018) Antimicrobial susceptibility survey on bacterial agents of canine and feline urinary tract infections: weight of the empirical treatment. Journal of Global Antimicrobial Resistance 13, 192-196 - PubMed
  36. Sørensen, T. M., Jensen, A. B., Damborg, P., et al. (2016) Evaluation of different sampling methods and criteria for diagnosing canine urinary tract infection by quantitative bacterial culture. The Veterinary Journal 216, 168-173 - PubMed
  37. Starcic, M., Johnson, J. R., Stell, A. L., et al. (2002) Haemolytic Escherichia coli isolated from dogs with diarrhea have characteristics of both uropathogenic and necrotoxigenic strains. Veterinary Microbiology 85, 361-377 - PubMed
  38. Steen, S. (2011) Methicillin-resistant strains of Staphylococcus pseudintermedius in companion animals. The Veterinary Record 169, 53-54 - PubMed
  39. Thomsen, M. K., Svane, L. C. & Poulsen, P. H. (1986) Canine urinary tract infection. Detection, prevalence and therapeutic consequences of bacteriuria. Nordisk Veterinaermedicin 38, 394-402 - PubMed
  40. Weese, S. J. (2008) Antimicrobial resistance in companion animals. Animal Health Research Reviews/Conference of Research Workers in Animal Diseases 9, 169-176 - PubMed
  41. Weese, J. S., Blondeau, J. M., Boothe, D., et al. (2011) Antimicrobial use guidelines for treatment of urinary tract disease in dogs and cats: antimicrobial guidelines working group of the international society for companion animal infectious diseases. Veterinary Medicine International 2011, 263768 - PubMed
  42. Weese, J. S., Blondeau, J., Boothe, D., et al. (2019) International Society for Companion Animal Infectious Diseases (ISCAID) guidelines for the diagnosis and management of bacterial urinary tract infections in dogs and cats. Veterinary Journal 247, 8-25 - PubMed
  43. Westropp, J. L., Sykes, J. E., Irom, S., et al. (2012) Evaluation of the efficacy and safety of high dose short duration enrofloxacin treatment regimen for uncomplicated urinary tract infections in dogs. Journal of Veterinary Internal Medicine/American College of Veterinary Internal Medicine 26, 506-512 - PubMed

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