New perspectives on the bacteriology and antimicrobial susceptibility of dog bite wounds
Abstract number: 1733_735
Meyers B., Schoeman J., Goddard A., Seakemela E., Picard J.
Objectives: In spite of dog bite wounds being a common reason for dogs requiring veterinary care, there is surprisingly little data on the bacteriology of bite wounds. Thus, a prospective study was performed on dogs presenting at the Onderstepoort Veterinary Academic Hospital, University of Pretoria, and a nearby animal shelter with various grades of bite wound.
Methods: Fifty dogs with bite wounds inflicted within the previous 72 hours were selected. This represented 104 wounds. Wounds were clinically graded according to severity and evaluated cytologically. Swabs were collected from all wounds for bacterial culture. Wounds were classified as infected or non-infected. Infection was diagnosed if 2 of the following 3 criteria were met: macroscopic purulence, phagocytosed bacteria present or if the wounded dog had pyrexia. Non-infected wounds were either sterile (established by culture) or contaminated (culture positive but bacteria not phagocytosed on cytology). All wounds were cultured aerobically and anaerobically and all aerobic cultures were evaluated for antibiotic susceptibility.
Results: Of the 104 wounds, 21 were judged to be infected and 83 non-infected. Seventeen (16%) of all wounds were sterile were also classified as non-infected. This was statistically significant (P = 0.02). Of the 84% that were culture positive, 16% grew aerobes, 1% anaerobes and 67% a mixture of aerobes and anaerobes. A total of 211 isolates were cultured representing a mean of 2.1 isolates per wound. Of the aerobes cultured, 22%, 20% and 17% belonged to Pasteurella, Streptococcus and Staphylococcus species, respectively. Within these groups, Pasteurella multocida (65%) and Staphylococcus intermedius (70%) were predominant. Pasteurella canis and pyogenic streptococci were common in infected wounds, whereas Bacillus spp., Actinomyces spp. and the oral streptococci were usually found in contaminated wounds. Three anaerobic genera were cultured, namely, Prevotella, Clostridium and Peptostreptococcus, and were usually associated with wounds with dead space. This is also the first recorded case of Capnocytophaga canimorsus in an infected dog bite wound. Significantly, clinical examination and cytological assessment were capable of establishing whether antibiotics were required or not. Although no single antibiotic was considered to be effective against all the bacteria, in vitro, potentiated sulphonamides, ampicillin and amoxycillin plus clavulanic acid gave the best results.
|Session name:||European Society of Clinical Microbiology and Infectious Diseases|
|Location:||ICC, Munich, Germany|
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