Identify and correct basic problems to avoid recurrent adverse reactions


Solving metabolic problems, including severe problems that can lead to diabetes mellitus, hyperadrenocortism, and hypothyroidism, are good places to start when dealing with recurrent UTI infections.

When dealing with companion animals with recurrent urinary tract infections (UTIs), it is important to identify and address basic issues in order to avoid repeated antibiotic treatment, according to a speaker at New York Vet 2018 Conference.

At a session supported by PRN Pharmcal, Gary Oswald, DVM, MS, DACVIM, he told the audience that there was "a significant percentage of the use of antibiotics in veterinary medicine for the treatment of the urinary tract", and added the appropriate use, there is "abuse". The aim is to "prevent the ineffective and excessive use of antibiotics".

Typical clinical signs of lower UTI, particularly in cats, may include periuria, polkaiauria, dysuria and stranguria and hematuria.

Bacteria that are typically associated with UTI in animals include Escherichia coli, Enterococcus, in Stafilokoki. Oswald warned that antibiotics should not be given to subliminal bacteriuria patients without virulence factors, such as those typical of prior antibiotic treatment. He cited a study in 2014 Journal of American Veterinary Medicine there was no increase in the rise in pyelonephritis compared to untreated patients in subclinical bacteriuria patients who were not treated with antibiotics in patients with pancreas.

"Control and consider non-antibiotics treatment [for patients with sublinical bacteriuria] but consider antibiotic treatment if the patient is compromised. If the urine culture becomes symptomatic, treat it appropriately, "he said.

Discussing the prevention of recurrent UTI infections, Oswald stressed that the keys are to overcome the basic problems, improve the general immunocompetence of the patient, improve the defense mechanisms of the lower urinary tract, and make an unfriendly environment for colonizing bacteria.

He said that solving metabolic problems, including weight problems that can lead to diabetes mellitus, hyperadrenocortism and hypothyroidism, is a good place to deal with recurrent UTI infections.

Oswald also encouraged a thorough examination of dermatology that could lead to infections, including checking areas that can be damp hair, chronic wet and consequently infected.

He also described some "defective causes of UTI infection, including subclinical uterine incontinence, incomplete consumption and chronic use of antibiotics", which potentially contributed to chronic disease. Owners of advice on these issues can prevent repeated trips in the veterinary office, which leads to happier owners and happier pets, he said.

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