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Peer-reviewed veterinary case report

Survival factors in cats with septic peritonitis from 2002-2015

By Scotti, Katherine Maria et al.·Published in Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)·2019·Michigan State University Veterinary Medical Center, United States·View original on PubMed

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Original publication title: Prognostic indicators in cats with septic peritonitis (2002-2015): 83 cases.

Species:
cat
Stomach & digestionCats

Plain-English summary

An 8-year-old cat was diagnosed with septic peritonitis, a serious infection in the abdomen often caused by a leak from the intestines. The cat received appropriate antibiotics and was monitored closely. Out of 83 cats studied, about 70% survived after treatment, but those with higher blood sugar levels had a worse chance of recovery. The use of the right antibiotics significantly improved survival rates, showing how crucial timely and effective treatment is for cats with this condition.

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Abstract

OBJECTIVE: To identify physical exam findings, clinicopathological parameters, time to surgery, empirical antimicrobial use, and culture results that could be associated with outcome in cats with septic peritonitis (SP). DESIGN: Retrospective cohort study of cats from 2002 to 2015. SETTING: Four university teaching hospitals. ANIMALS: Eighty-three cats diagnosed with SP by cytology or culture. INTERVENTIONS: None MEASUREMENTS AND MAIN RESULTS: Fifty-eight cats survived to discharge (69.9%); 1 cat was euthanized in surgery; 20 were euthanized postoperatively; 4 cats suffered cardiac arrest after surgery. The most common etiology of SP was secondary SP due to gastrointestinal perforation (49.4%), followed by primary SP (22.3%). Mean blood glucose concentration was significantly different between survivors and nonsurvivors (P = 0.006). Cats that received appropriate empirical antibiotic therapy were 4.4 times more likely to survive than cats that did not receive appropriate antibiotics (P = 0.018). CONCLUSIONS: As previously documented, SP secondary to gastrointestinal leakage was the most common etiology. In this population, cats with a higher blood glucose concentration on presentation had a worse prognosis. Cats that received appropriate empirical antimicrobial therapy were more likely to survive.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/31654546/