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Peer-reviewed veterinary case report

Bacteremia and bacteriuria in dogs and cats with chronic kidney

By Uva, Annamaria et al.·Published in Research in veterinary science·2024·Department of Veterinary Medicine, Italy·View original on PubMed

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Original publication title: Occurrence of bacteremia, bacteriuria and bacteriuria-related bacteremia in dogs and cats with chronic kidney disease. A pilot study.

Plain-English summary

A group of dogs and cats with chronic kidney disease (CKD) underwent tests to check for infections in their blood and urine. Out of 47 dogs, 2 had bacteria in their blood, and 8 had bacteria in their urine. Among the 41 cats, only 1 had bacteria in the blood, while 6 had bacteria in the urine. One dog was diagnosed with urosepsis, meaning the infection spread from the urinary tract to the bloodstream. Overall, while many pets had bacteria in their urine, only a few had serious infections in their blood.

People also search for: dog chronic kidney disease infection · cat kidney disease symptoms · urosepsis in dogs treatment

Abstract

In human medicine, major infections are the most significant and critical non-cardiovascular complications in patients affected by chronic kidney disease (CKD), with bacteriuria being the primary source of bloodstream infections and its evolution toward sepsis. The availability of data on prevalence of bacteremia and its association with bacteriuria in dogs and cats with CKD is limited. The aim of this observational cross-sectional study was to determine the occurrence of bacteremia, bacteriuria, and bacteriuria-related bacteremia in dogs and cats affected by CKD. Client-owned dogs and cats with a documented history of CKD undergoing disease follow-up were enrolled. Each included animal underwent a comprehensive physical examination, clinico-pathological and microbiological analyses of blood and urine, along with molecular detection of the 16S rRNA bacterial gene in blood. Aseptically collected blood and urine were obtained through jugular venipuncture and cystocentesis, respectively. After collection, blood and urine samples underwent bacteriological culture within one hour. In the population enrolled, 2/47 dogs and 1/41 cats presented bacteriemia. Moreover, 8/47 dogs and 6/41 cats presented a positive urine culture. Additionally, in one out of the 47 dogs, the same pathogen was identified from blood and urine samples, with a final diagnosis of urosepsis. No instances of bacteriuria-related bacteriemia were observed in the cat population. In conclusion, this study shows a low prevalence of bacteremia and confirms a high prevalence of bacteriuria in companion animals affected by CKD. Moreover, a low prevalence of bacteriuria-related bacteremia was also found.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/39191142/