Peer-reviewed veterinary case report
Managing multidrug-resistant respiratory infection outbreak
By Rodriguez, Lisa & Berliner, Elizabeth A·Published in Journal of feline medicine and surgery·2023·Palm Valley Animal Society, United States·View original on PubMed →
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Original publication title: Outbreak management of multidrug-resistantin 16 shelter-housed cats.
- Species:
- cat
Plain-English summary
Sixteen shelter cats developed serious breathing problems due to a drug-resistant infection. Four cats showed signs of distress on the same day, prompting quick testing that identified the infection and allowed for targeted treatment with antibiotics. The shelter implemented strict measures, including isolating affected cats and improving hygiene practices, which helped control the outbreak. Within 26 days, the situation was resolved, and the remaining cats were treated successfully.
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Abstract
CASE SERIES SUMMARY: This case series describes an outbreak of multidrug-resistant (MDR)in 16 shelter-housed cats with infectious respiratory disease. Four cats presented with acute dyspnea on the same day, each with a history of previous upper respiratory disease that had resolved with treatment. Early diagnostic testing and culture and sensitivity allowed for targeted antimicrobial therapy and environmental interventions. A case definition based on exposure and clinical signs identified 12 additional presumptive cases, including the likely index case. Comprehensive outbreak management included diagnostic testing, risk assessment, vaccination, use of isolation and quarantine, increased surveillance and review of biosecurity practices. The outbreak resolved in 26 days. RELEVANCE AND NOVEL INFORMATION: Management of an MDRoutbreak in shelter-housed cats has not been previously described. Along with standard population and environmental measures, early and appropriate use of necropsy, PCR and bacterial culture allowed rapid and appropriate use of effective, second-line antibiotics. Shelters are resource-challenged population centers. Veterinarians working in animal shelters can play an important role in helping to develop cost-efficient and effective antimicrobial stewardship practices for companion animal settings. Outbreak management expertise and funding for diagnostic testing, as well as application of the principles of antimicrobial stewardship, are essential components of shelter medicine practice.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/36763462/