Urinary tract infections in small animals: therapeutic options and management of problem cases

Abstract

AN article in the last issue (September 2002, pp 418-432) discussed the aetiology and pathophysiology of urinary tract infections (UTIs) in dogs and cats and outlined an approach to the diagnostic work-up. This article describes the treatment options for UTIs and the strategies for long-term control as well as control in recurrent cases. It is important that underlying causes are determined (see previous article) and resolved, where possible, prior to the initiation of therapy. UTIs occurring secondarily to underlying conditions may not be appropriately managed by antibiotic therapy alone.

Clinico-Haemato-Biochemical Profile of Dogs with Urinary Tract Infection: A Retrospective Study of 32 Cases (2010-2012)

“…Clinical signs observed in the present study were pyuria, stranguria, haematuria, anorexia, pollakiuria, foul smelling urine, dark yellow urine and emesis. This is in agreement with Dunning and Stonehewer (2002) and Papini et al, (2006). Major clinical signs observed in this present study might be due to lower UTIs and which were in accordance with the studies of Bartges (2004).…”

Efficacy and safety of cefovecin for the treatment of urinary tract infections in cats

“…Disruption of one or more of the urinary tract innate defence mechanisms may predispose an animal to a UTI, and once a bacterial UTI is established, antimicrobial therapy forms a key component of the treatment strategy. For uncomplicated UTIs (temporary breech of the body’s defence mechanisms), antimicrobial therapy is usually indicated for 10 to 14 days (Lees 1996, Dunning 2002). Many of the antimicrobials traditionally chosen for the treatment of UTIs have relatively short half‐lives, and therefore, repeated dosing and client compliance during treatment are imperative.…”

Efficacy and safety of cefovecin (Convenia™) for the treatment of urinary tract infections in dogs

“…Disruption of one or more of the innate defence mechanisms of the urinary tract may predispose an animal to a UTI, and once a bacterial UTI is established, antimicrobial therapy is an essential component of the treatment regimen. For uncomplicated UTIs, the antimicrobial therapy is usually indicated for 10 to 14 days (Lees 1992, Dunning and Stonehewer 2002, Bartges 2005). Most antimicrobials chosen for the treatment of UTIs have relatively short half‐lives; therefore, repeated dosing and client compliance during treatment is imperative in order for treatment outcome to be successful.…”