2022 article

Detection of Escherichia coli and Enterococcus spp. in dogs with polymicrobial urinary tract infections: A 5-year retrospective study

Walker, G. K., Yustyniuk, V., Shamoun, J., Jacob, M. E., Correa, M., Vaden, S. L., & Borst, L. B. (2022, May 27). JOURNAL OF VETERINARY INTERNAL MEDICINE.

By: G. Walker n, V. Yustyniuk*, J. Shamoun n, M. Jacob n, M. Correa n, S. Vaden n, L. Borst n‚ÄČ

author keywords: antibiotics; bacteriuria; cystitis; urine culture
MeSH headings : Animals; Anti-Bacterial Agents / therapeutic use; Bacteriuria / drug therapy; Bacteriuria / epidemiology; Bacteriuria / veterinary; Dog Diseases / drug therapy; Dogs; Doxycycline; Enterococcus; Escherichia coli; Escherichia coli Infections / drug therapy; Escherichia coli Infections / veterinary; Gentamicins; Humans; Retrospective Studies; Urinary Tract Infections / drug therapy; Urinary Tract Infections / epidemiology; Urinary Tract Infections / veterinary
Source: Web Of Science
Added: June 6, 2022

Urinary tract infections (UTI) caused by Escherichia coli and Enterococcus spp., which are frequently coisolated in polymicrobial UTI, cause morbidity among dogs and warrant antimicrobial therapy.To evaluate clinical features of dogs with polymicrobial E. coli and Enterococcal UTI.Forty-four client-owned dogs with polymicrobial bacteriuria and groups of 100 client-owned dogs with E. coli and Enterococcal monomicrobial bacteriuria.Retrospective cohort study of medical records of dogs at a university teaching hospital from 2014 to 2019. Prevalence of recurrent UTI and isolate antimicrobial resistance were determined. Clinical outcomes of dogs with recurrent UTI from groups including cost and hospital visits were compared.Recurrent UTI was more prevalent (P = .05) in dogs with polymicrobial bacteriuria (57%, 95% confidence interval [95% CI]: 42%-70%) compared to the Enterococcal monomicrobial group (40%, 95% CI: 31%-50%). Escherichia coli from polymicrobial bacteriuria were more frequently resistant to doxycycline (P < .01, 43%, 95% CI: 29%-58%) and gentamicin (P = .03, 17%, 95% CI: 9%-31%) compared to E. coli from monomicrobial bacteriuria (17% and 5%, 95% CI: 11%-26% and 2%-11% for doxycycline and gentamicin, respectively). Dogs with recurrent UTI from the polymicrobial UTI group had significantly (P = .05) more hospital visits (mean = 6 visits, 95% CI: 1.7-9.8) compared to recurrent monomicrobial UTI dogs (mean = 4 and 3 visits, 95% CI: 1.0 to 4.4 and -0.7 to 7.7 for E. coli and Enterococcal monomicrobial UTI, respectively).Escherichia coli and Enterococcus spp. polymicrobial UTI had more frequent adverse clinical outcomes for dogs.