Effects of Diagnostic Work-Up on Medical Decision-Making for Canine Urinary Tract Infection: An Observational Study in Danish Small Animal Practices

Journal of Veterinary Internal Medicine
T M SørensenL R Jessen

Abstract

Clinical signs of urinary tract disease in dogs often lead to prescription of antibiotics. Appropriate diagnostic work-up could optimize treatment and reduce the risk of inappropriate use of antibiotics. To describe and evaluate the impact of diagnostic work-up on decision to treat (DTT) and choice of antibiotic treatment (COT) for dogs presenting with clinical signs of urinary tract disease. One hundred and fifty-one dogs presenting to 52 Danish veterinary practices. Prospective, observational study. Clinical signs, diagnostic work-up, and prescriptions were recorded. Urine samples were submitted to a reference laboratory for quantitative bacterial culture (QBC) and susceptibility testing. The laboratory results were used as reference for assessing the appropriateness of DTT and COT. In the majority of dogs, veterinarians performed dipstick (99%), microscopic examination of urine (80%) and bacterial culture (56%). Fifty-one percent of dogs had urinary tract infection (UTI) based on reference QBC. Appropriate DTT was made for 62% of the dogs, while 36% were over-prescribed and 2% under-prescribed. Inappropriate use of second-line agents was found in 57% of the UTI cases. Performing microscopy-but not culture-significantly impac...Continue Reading

References

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Citations

Jun 13, 2019·Veterinary Clinical Pathology·Alisdair M BoagAdam G Gow
Feb 27, 2020·Journal of Veterinary Internal Medicine·Marie LlidoMarilyn Dunn
Aug 22, 2020·Tierärztliche Praxis. Ausgabe K, Kleintiere/Heimtiere·Julia Harrer, Roswitha Dorsch
Dec 11, 2019·Animals : an Open Access Journal From MDPI·Andreia R YamanakaLuciano Nakazato
Mar 16, 2019·BMC Veterinary Research·K SchmittB Willi
Aug 6, 2021·Veterinary Surgery : VS·Christopher S F K HoeyGuillaume P Chanoit
Aug 17, 2021·Journal of Veterinary Internal Medicine·Jeffrey Scott WeesePhilip J Bergman

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Methods Mentioned

BETA
urine collection

Software Mentioned

SAS Enterprise Guide
RStudio
lme4

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