The effect of preoperative antimicrobial administration on culture results in dogs undergoing cystotomy

Nicole J. Buote Animal Medical Center, 510 E 62nd St, New York, NY 10065.

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Janet R. Kovak-McClaran Animal Medical Center, 510 E 62nd St, New York, NY 10065.

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Andrew S. Loar ALX Laboratory, 510 E 62nd St, New York, NY 10065.

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Karen L. Cherrone American Society for the Prevention of Cruelty to Animals Bergh Memorial Animal Hospital, 424 East 92nd St, New York, NY 10128.

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Abstract

Objective—To evaluate the effect of preoperative antimicrobial administration on culture results in dogs undergoing cystotomy as a treatment for urolithiasis.

Design—Prospective controlled study.

Animals—41 dogs undergoing cystotomy for cystic calculi removal.

Procedures—Urine samples were collected at time of anesthetic induction and during surgery prior to cystotomy, and a mucosal biopsy and culturette swab was collected during surgery from a control group, which received antimicrobials only after surgical culture sample collection, and from an experimental group, which received antimicrobials at the time of anesthetic induction.

Results—17 of 41 patients had positive culture results at anesthetic induction. Twenty of 41 patients had positive results of cultures for the surgical sample. No dogs that had positive results before antimicrobial administration had negative results after antimicrobial administration. There were no significant changes to urinalysis results regardless of group. Calcium monohydrate uroliths were the most common stone removed (24/41), followed by magnesium ammonium phosphate uroliths (11/41).

Conclusions and Clinical Relevance—There was no difference in culture results (positivity and bacterial type) when antimicrobials were given at anesthetic induction versus after surgical culture sample collection for dogs undergoing cystotomy for cystic calculi removal.

Abstract

Objective—To evaluate the effect of preoperative antimicrobial administration on culture results in dogs undergoing cystotomy as a treatment for urolithiasis.

Design—Prospective controlled study.

Animals—41 dogs undergoing cystotomy for cystic calculi removal.

Procedures—Urine samples were collected at time of anesthetic induction and during surgery prior to cystotomy, and a mucosal biopsy and culturette swab was collected during surgery from a control group, which received antimicrobials only after surgical culture sample collection, and from an experimental group, which received antimicrobials at the time of anesthetic induction.

Results—17 of 41 patients had positive culture results at anesthetic induction. Twenty of 41 patients had positive results of cultures for the surgical sample. No dogs that had positive results before antimicrobial administration had negative results after antimicrobial administration. There were no significant changes to urinalysis results regardless of group. Calcium monohydrate uroliths were the most common stone removed (24/41), followed by magnesium ammonium phosphate uroliths (11/41).

Conclusions and Clinical Relevance—There was no difference in culture results (positivity and bacterial type) when antimicrobials were given at anesthetic induction versus after surgical culture sample collection for dogs undergoing cystotomy for cystic calculi removal.

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