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Peer-reviewed veterinary case report

Later fluoroquinolones work best for dog and cat E. coli bladder

By Liu, Xiaoqiang et al.·Published in World journal of microbiology & biotechnology·2013·College of Veterinary Medicine, China·View original on PubMed

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Original publication title: In vitro potency and efficacy favor later generation fluoroquinolones for treatment of canine and feline Escherichia coli uropathogens in the United States.

Plain-English summary

A study found that newer antibiotics called fluoroquinolones (FQs) may be more effective for treating urinary tract infections (UTIs) caused by E. coli in dogs and cats. The research showed that pradofloxacin, one of the latest FQs, had the best results in lab tests, meaning it could be a good choice for pets with UTIs caused by E. coli that are sensitive to this type of medication. This is important because some older antibiotics are becoming less effective due to resistance. If your pet has a UTI, ask your veterinarian if pradofloxacin might be a suitable treatment option.

People also search for: dog UTI treatment · cat E. coli infection · pradofloxacin for pets · antibiotic resistance in dogs · urinary tract infection in cats

Abstract

Information regarding in vitro activity of newer fluoroquinolones (FQs) is limited despite increasing resistance in canine or feline pathogenic Escherichia coli (E. coli). This study describes in vitro potency and efficacy toward E. coli of seven FQs grouped according to similarities in chemical structure: enrofloxacin, ciprofloxacin, orbifloxacin (first-group), levofloxacin, marbofloxacin (second-group) and pradofloxacin, moxifloxacin (third-group; latest S, S-pyrrolidino-piperidine at C-7). Potency measures included minimum inhibitory concentration (MIC) (geometric mean MIC, MIC(50), MIC(90)); and mutant prevention concentration (MPC) for FQ susceptible isolates only. In vitro efficacy measures included relative susceptibility (MIC(BP-S):MIC) or resistance (MIC:MIC(BP-R)) and mutant selection window (MSW) (MPC:MIC). For enrofloxacin susceptible isolates, mean MIC (μg/ml) was least for each third-group drug and ciprofloxacin and greatest for enrofloxacin and orbifloxacin (P = 0.006). For enrofloxacin susceptible isolates, MPC were below MIC:MIC(BP-R) and least for pradofloxacin (0.29 ± 0.16 μg/ml) and greatest for enrofloxacin (1.55 ± 0.55 μg/ml) (P = 0.006). MSW was least for pradofloxacin (55 ± 30) and greatest for ciprofloxacin (152 ± 76) (P = 0.0024). MIC(BP-S):MIC was greatest (P = 0.025) for pradofloxacin (190.1 ± 0.61) and least for enrofloxacin (23.53 ± 0.83). For FQ susceptible isolates, FQs MIC:MIC(BP-R) may serve as a surrogate for MPC. Because in vitro efficacy was greatest for pradofloxacin; it might be preferred for treatment of urinary tract infections (UTIs) associated with FQ susceptible E. coli uropathogens.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/23136054/