International Society for Companion Animal Infectious Diseases (ISCAID) guidelines for the diagnosis and management of bacterial urinary tract infections in dogs and cats
Weese, J.S. et al. (2019) International Society for Companion Animal Infectious Diseases (ISCAID) guidelines for the diagnosis and management of bacterial urinary tract infections in dogs and cats. The Veterinary Journal, 247, pp. 8-25
Bacterial urinary tract infection is a common clinical presentation in general practice and one of the more common reasons for antimicrobial prescription. These guidelines from the International Society for Companion Animal Infectious Diseases (ISCAID) are a revision of the ISCAID guideline on the topic published in 2011. The recommendations are based on available data, which the author’s acknowledge is limited in many of the areas discussed, and expert opinion. Recommendations were reached via an iterative process of draft and review within the working group; a panel of six experts then commented on the draft guidelines and following discussion and revision approved the final version.
The guidelines fall under eight main headings. Information under the following five headings all follow a broadly similar format of classification, diagnosis, treatment and follow-up with recommendations given in each section.
- Sporadic bacterial cystitis
- Recurrent bacterial cystitis
- Upper urinary tract infections (pyelonephritis)
- Bacterial prostatitis
- Subclinical bacteriuria
To support these sections additional information is given in supporting tables, which cover:
- the comorbidities to be considered in dogs or cats with bacterial cystitis
- studies that evaluate treatment duration for sporadic bacterial cystitis in dogs
- drug recommendations for the management of bacterial urinary tract infection in dogs and cats
- use of urine culture in animals without clinical signs of lower urinary tract infection
The final three main headings are
- Urinary catheters
- Urological surgery, minimally urological procedures and urologic implants
- Medical dissolution of uroliths
For these there is discussion and recommendations on usage, patient management and treatment options.
These guidelines provide a good overview and recommendations for the diagnosis and treatment of a range of urinary tract infections in dogs and cats. The recommendations on antimicrobial usage will be of particular relevance to veterinary surgeons in general practice.
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