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Hostage to history – questioning the duration of systemic antimicrobial therapy for the treatment of canine superficial bacterial folliculitis

Candace A. Sousa DVM, DABVP (Canine & Feline), DACVD1, Jenifer Chatfield DVM, DACZM, DACVPM2, Thomas M. File Jr MD, MSc, MACP, FIDSA, FCCP3,4, Sandra N. Koch DVM, MS, DACVD5, Daryl B. Leu DVM6, Anette Loeffler Dr med vet, PhD, DVD, DECVD, FHEA, MRCVS7, Klaus Earl Loft DVM8, Clarissa Souza DVM, MS, PhD, DACVD9, and J. Scott Weese DVM, DVSc, DACVIM, FCAHS10
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  • 1 El Dorado Hills, CA
  • | 2 New Tampa Animal Hospital, Lutz, FL
  • | 3 Infectious Disease Division, Summa Health, Akron, OH
  • | 4 Infectious Disease Section, Northeast Ohio Medical University, Rootstown, OH
  • | 5 Veterinary Clinical Sciences Department, College of Veterinary Medicine, University of Minnesota, Saint Paul, MN
  • | 6 Animal Dermatology Clinic, Portland, OR
  • | 7 Department of Clinical Sciences and Services, Royal Veterinary College, University of London, UK
  • | 8 Angell Animal Medical Center, Boston, MA
  • | 9 Department of Veterinary Clinical Medicine, College of Veterinary Medicine Veterinary Teaching Hospital, University of Illinois, Urbana, IL
  • | 10 Ontario Veterinary College, University of Guelph, Guelph, ON, Canada

Abstract

Current guidelines for the use of systemic antimicrobials for the treatment of superficial bacterial folliculitis in dogs include the recommendation that the disease be treated for a minimum of 3 weeks and for at least 1 week beyond clinical resolution. With increasing antimicrobial resistance being noted for bacteria involved in this condition, as well as the increased use of evidence-based medicine, this dogma needs to be reevaluated.

Abstract

Current guidelines for the use of systemic antimicrobials for the treatment of superficial bacterial folliculitis in dogs include the recommendation that the disease be treated for a minimum of 3 weeks and for at least 1 week beyond clinical resolution. With increasing antimicrobial resistance being noted for bacteria involved in this condition, as well as the increased use of evidence-based medicine, this dogma needs to be reevaluated.

Contributor Notes

Corresponding author: Dr. Sousa (candace.a.sousa@gmail.com)

Viewpoint articles represent the opinions of the authors and do not represent AVMA endorsement of such statements.