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A RATIONAL APPROACH TO DIAGNOSING TREATING BACTERIAL-ASSOCIATED DIARRHEA IN DOGS

机译:诊断和治疗犬细菌相关腹泻的理性方法

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The clinical documentation of enteropathogenic bacteria causing diarrhea in dogs is clouded by the presence of many of these organisms existing as normal constituents of the indigenous intestinal flora. The bacteria most commonly incriminated in canine diarrhea include Clostridium perfringens, Clostridium difficile, Campylobacter spp., and Salmonella spp. Veterinarians are faced with a quandary when attempting to diagnose small animals with suspected bacterial-associated diarrhea because the isolation rates for putative bacterial enteropathogens are often similar in diarrheic and nondiarrheic animals, and because the incidence of bacterial-associated diarrhea is extremely variable. The indications for performing fecal enteric panels are poorly defined, resulting in indiscriminate testing, and misinterpretation of results. Fecal cultures and toxin analysis should be reserved for dogs developing diarrhea after kenneling or show attendance, in animals with an acute onset of bloody diarrhea in association with evidence of sepsis, and in diarrhea outbreaks occurring in more than one pet in a household. Screening for C. difficile, Campylobacter spp., or Salmonella spp. is also indicated when zoonotic concerns are present because of an immunocompromisedowner.
机译:导致狗血管发生细菌的临床文献通过作为土着肠道菌群的正常成分存在的许多这些生物体存在着浑浊。在犬腹泻中常见的细菌包括患有梭菌菌,腹股沟梭菌,锥形锥形曲线杆菌。和沙门氏菌SPP。当试图诊断有疑似细菌相关的腹泻的小动物时,兽医面临着窘境,因为推定的细菌肠道肠道的分离率通常在腹泻和非肾小序动物中具有相似,并且由于细菌相关腹泻的发生率极为可变。进行粪便肠面板的适应症定义差,导致滥皂白损伤,结果误解。粪便培养和毒素分析应保留用于在哺乳或展会后开发腹泻的狗,与脓毒症的证据有关的血腥腹泻的动物,以及在一个以上的家庭中的多种宠物发生的腹泻疫情。筛选C.艰难梭菌,弯曲杆菌SPP。或沙门氏菌SPP。也表明由于免疫动脉造卧而存在的oOonotic问题。

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