Community-acquired infectious pneumonia in puppies: 65 cases (1993-2002)
To identify causative organisms, treatment, outcome, and prognosis for dogs < 1 year old with community-acquired infectious pneumonia. Retrospective case series. 65 dogs. Dogs were considered to have community-acquired infectious pneumonia if they had clinical signs of primary respiratory tract d...
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Published in: | Journal of the American Veterinary Medical Association Vol. 230; no. 10; pp. 1493 - 1497 |
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Abstract | To identify causative organisms, treatment, outcome, and prognosis for dogs < 1 year old with community-acquired infectious pneumonia.
Retrospective case series.
65 dogs.
Dogs were considered to have community-acquired infectious pneumonia if they had clinical signs of primary respiratory tract disease in conjunction with radiographic evidence of alveolar disease and positive results following bacterial culture of tracheal wash fluid.
Most dogs were hypoxemic at the time of initial examination, with pulmonary function becoming worse during the first few days of hospitalization before improving; 57 (88%) dogs survived to discharge. Bordetella bronchiseptica was isolated from tracheal wash fluid from 32 (49%) dogs, and other organisms, predominantly gram-negative enteric bacteria, were isolated from the other 33 (51%). Dogs with Bordetella pneumonia were significantly younger (median, 14 vs 21 weeks), were significantly more likely to have been obtained from a pet store (19/31 vs 7/32), had been owned for a significantly shorter time prior to the onset of illness (median, 18 vs 90 days), had significantly higher PvCO2 values at initial examination (median, 48.7 vs 41.3 mm Hg), were significantly more likely to receive supplemental oxygen (25/32 vs 16/33), and had significantly longer hospitalization times (mean, 7.2 vs 4.9 days) than did dogs with pneumonia caused by any other organism.
Results suggested that a type of community-acquired infectious pneumonia could be identified in dogs < 1 year old, with disease being more severe in dogs with Bordetella pneumonia than in dogs with pneumonia caused by other bacterial organisms. |
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AbstractList | Abstract
Objective
—To identify causative organisms, treatment, outcome, and prognosis for dogs < 1 year old with community-acquired infectious pneumonia.
Design
—Retrospective case series.
Animals
—65 dogs.
Procedures
—Dogs were considered to have community-acquired infectious pneumonia if they had clinical signs of primary respiratory tract disease in conjunction with radiographic evidence of alveolar disease and positive results following bacterial culture of tracheal wash fluid.
Results
—Most dogs were hypoxemic at the time of initial examination, with pulmonary function becoming worse during the first few days of hospitalization before improving; 57 (88%) dogs survived to discharge.
Bordetella bronchiseptica
was isolated from tracheal wash fluid from 32 (49%) dogs, and other organisms, predominantly gram-negative enteric bacteria, were isolated from the other 33 (51%). Dogs with
Bordetella
pneumonia were significantly younger (median, 14 vs 21 weeks), were significantly more likely to have been obtained from a pet store (19/31 vs 7/32), had been owned for a significantly shorter time prior to the onset of illness (median, 18 vs 90 days), had significantly higher PvCO2 values at initial examination (median, 48.7 vs 41.3 mm Hg), were significantly more likely to receive supplemental oxygen (25/32 vs 16/33), and had significantly longer hospitalization times (mean, 7.2 vs 4.9 days) than did dogs with pneumonia caused by any other organism.
Conclusions and Clinical Relevance
—Results suggested that a type of community-acquired infectious pneumonia could be identified in dogs < 1 year old, with disease being more severe in dogs with
Bordetella
pneumonia than in dogs with pneumonia caused by other bacterial organisms. OBJECTIVETo identify causative organisms, treatment, outcome, and prognosis for dogs < 1 year old with community-acquired infectious pneumonia.DESIGNRetrospective case series.ANIMALS65 dogs.PROCEDURESDogs were considered to have community-acquired infectious pneumonia if they had clinical signs of primary respiratory tract disease in conjunction with radiographic evidence of alveolar disease and positive results following bacterial culture of tracheal wash fluid.RESULTSMost dogs were hypoxemic at the time of initial examination, with pulmonary function becoming worse during the first few days of hospitalization before improving; 57 (88%) dogs survived to discharge. Bordetella bronchiseptica was isolated from tracheal wash fluid from 32 (49%) dogs, and other organisms, predominantly gram-negative enteric bacteria, were isolated from the other 33 (51%). Dogs with Bordetella pneumonia were significantly younger (median, 14 vs 21 weeks), were significantly more likely to have been obtained from a pet store (19/31 vs 7/32), had been owned for a significantly shorter time prior to the onset of illness (median, 18 vs 90 days), had significantly higher PvCO2 values at initial examination (median, 48.7 vs 41.3 mm Hg), were significantly more likely to receive supplemental oxygen (25/32 vs 16/33), and had significantly longer hospitalization times (mean, 7.2 vs 4.9 days) than did dogs with pneumonia caused by any other organism.CONCLUSIONS AND CLINICAL RELEVANCEResults suggested that a type of community-acquired infectious pneumonia could be identified in dogs < 1 year old, with disease being more severe in dogs with Bordetella pneumonia than in dogs with pneumonia caused by other bacterial organisms. To identify causative organisms, treatment, outcome, and prognosis for dogs < 1 year old with community-acquired infectious pneumonia. Retrospective case series. 65 dogs. Dogs were considered to have community-acquired infectious pneumonia if they had clinical signs of primary respiratory tract disease in conjunction with radiographic evidence of alveolar disease and positive results following bacterial culture of tracheal wash fluid. Most dogs were hypoxemic at the time of initial examination, with pulmonary function becoming worse during the first few days of hospitalization before improving; 57 (88%) dogs survived to discharge. Bordetella bronchiseptica was isolated from tracheal wash fluid from 32 (49%) dogs, and other organisms, predominantly gram-negative enteric bacteria, were isolated from the other 33 (51%). Dogs with Bordetella pneumonia were significantly younger (median, 14 vs 21 weeks), were significantly more likely to have been obtained from a pet store (19/31 vs 7/32), had been owned for a significantly shorter time prior to the onset of illness (median, 18 vs 90 days), had significantly higher PvCO2 values at initial examination (median, 48.7 vs 41.3 mm Hg), were significantly more likely to receive supplemental oxygen (25/32 vs 16/33), and had significantly longer hospitalization times (mean, 7.2 vs 4.9 days) than did dogs with pneumonia caused by any other organism. Results suggested that a type of community-acquired infectious pneumonia could be identified in dogs < 1 year old, with disease being more severe in dogs with Bordetella pneumonia than in dogs with pneumonia caused by other bacterial organisms. |
Author | Radhakrishnan, A Culp, W.T.N Drobatz, K.J King, L.G |
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Cites_doi | 10.1007/BF02425150 10.1128/iai.50.1.35-42.1985 10.1093/clinids/3.1.67 10.1111/j.1748-5827.1991.tb00987.x 10.1016/S0034-5288(18)33473-8 10.1093/infdis/135.5.753 10.1111/j.1751-0813.1976.tb09469.x 10.1016/j.prevetmed.2003.10.001 10.1001/archinte.162.9.1021 10.7326/0003-4819-137-10-200211190-00007 |
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References | Bemis (ref21) 1985; 50 McCandlish (ref23) 1979; 104 Ford (ref1) 2000 Leroy (ref9) 1995; 21 Wagener (ref17) 1984; 45 McCandlish (ref14) 1978; 102 Jameson (ref6) 1995; 206 Boothe (ref25) 2003 Thayer (ref2) 1984; 20 Tsay (ref10) 2002; 162 Keil (ref16) 1998; 212 Batey (ref4) 1976; 52 Wilkins (ref11) 1973; 162 Ford (ref18) 1998 Edinboro (ref19) 2004; 62 Thrusfield (ref20) 1991; 32 Datz (ref24) 2003; 25 Friedman (ref8) 2002; 137 Thompson (ref5) 1976; 20 Datz (ref22) 2003; 25 Roudebush (ref12) 1981; 17 Angus (ref3) 1997; 210 Pennington (ref26) 1981; 3 McKiernan (ref13) 1980 Bemis (ref15) 1977; 135 (ref7) 2001; 56 |
References_xml | – volume: 21 start-page: 24 year: 1995 ident: ref9 article-title: A five-year study of severe community-acquired pneumonia with emphasis on prognosis in patients admitted to an intensive care unit doi: 10.1007/BF02425150 contributor: fullname: Leroy – volume: 212 start-page: 200 year: 1998 ident: ref16 article-title: Role of Bordetella bronchiseptica in infectious tracheobronchitis in dogs (Erratum published in J Am Vet Med Assoc 1998;212:657) contributor: fullname: Keil – start-page: 812 year: 2000 ident: ref1 article-title: Bacterial pneumonia contributor: fullname: Ford – volume: 50 start-page: 35 year: 1985 ident: ref21 article-title: Influence of potential virulence determinants on Bordetella bronchiseptica-induced ciliostasis doi: 10.1128/iai.50.1.35-42.1985 contributor: fullname: Bemis – volume: 3 start-page: 67 year: 1981 ident: ref26 article-title: Penetration of antibiotics into respiratory secretions doi: 10.1093/clinids/3.1.67 contributor: fullname: 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a review of 42 cases contributor: fullname: Thayer – volume: 56 start-page: iv1 issue: (suppl 4) year: 2001 ident: ref7 article-title: BTS guidelines for the management of community acquired pneumonia in adults – volume: 135 start-page: 753 year: 1977 ident: ref15 article-title: Pathogenesis of canine bordetellosis doi: 10.1093/infdis/135.5.753 contributor: fullname: Bemis – volume: 52 start-page: 184 year: 1976 ident: ref4 article-title: The isolation of Bordetella bronchiseptica from an outbreak of canine pneumonia doi: 10.1111/j.1751-0813.1976.tb09469.x contributor: fullname: Batey – volume: 62 start-page: 89 year: 2004 ident: ref19 article-title: A placebo-controlled trial of two intranasal vaccines to prevent tracheobronchitis (kennel cough) in dogs entering a humane shelter doi: 10.1016/j.prevetmed.2003.10.001 contributor: fullname: Edinboro – volume: 162 start-page: 1021 year: 2002 ident: ref10 article-title: Characteristics of bacteremia between community-acquired and 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Bordetella infections in dogs and cats: pathogenesis, clinical signs, and diagnosis contributor: fullname: Datz |
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Snippet | To identify causative organisms, treatment, outcome, and prognosis for dogs < 1 year old with community-acquired infectious pneumonia.
Retrospective case... Abstract Objective —To identify causative organisms, treatment, outcome, and prognosis for dogs < 1 year old with community-acquired infectious pneumonia.... OBJECTIVETo identify causative organisms, treatment, outcome, and prognosis for dogs < 1 year old with community-acquired infectious... |
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SubjectTerms | Age Factors Animals Animals, Newborn Anti-Bacterial Agents - therapeutic use bacterial pneumonia Bordetella bronchiseptica Bordetella Infections - epidemiology Bordetella Infections - mortality Bordetella Infections - veterinary Community-Acquired Infections - drug therapy Community-Acquired Infections - epidemiology Community-Acquired Infections - mortality Community-Acquired Infections - veterinary disease course disease diagnosis disease severity dog diseases Dog Diseases - drug therapy Dog Diseases - epidemiology Dog Diseases - mortality Dogs etiology Female Male medical treatment Oxygen Consumption pathogen identification Pneumonia - drug therapy Pneumonia - epidemiology Pneumonia - mortality Pneumonia - veterinary Prognosis pulmonary alveoli puppies Respiratory Function Tests - veterinary Risk Factors signs and symptoms (animals and humans) Survival Analysis Treatment Outcome |
Title | Community-acquired infectious pneumonia in puppies: 65 cases (1993-2002) |
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