DOI QR코드

DOI QR Code

Risk factors for canine magnesium ammonium phosphate urolithiasis associated with bacterial infection

  • Uttamamul, Nahathai (Centre for Research and Development of Medical Diagnostic Laboratories, Faculty of Associated Medical Sciences, Khon Kaen University) ;
  • Jitpean, Supranee (Division of Surgery, Faculty of Veterinary Medicine, Khon Kaen University) ;
  • Lulitanond, Aroonlug (Centre for Research and Development of Medical Diagnostic Laboratories, Faculty of Associated Medical Sciences, Khon Kaen University) ;
  • Wonglakorn, Lumyai (Clinical Microbiology Unit, Srinagarind Hospital, Khon Kaen University) ;
  • Sae-ung, Nattaya (Centre for Research and Development of Medical Diagnostic Laboratories, Faculty of Associated Medical Sciences, Khon Kaen University) ;
  • Boonsiri, Patcharee (Department of Biochemistry, Faculty of Medicine, Khon Kaen University) ;
  • Daduang, Jureerut (Centre for Research and Development of Medical Diagnostic Laboratories, Faculty of Associated Medical Sciences, Khon Kaen University) ;
  • Tavichakorntrakool, Ratree (Centre for Research and Development of Medical Diagnostic Laboratories, Faculty of Associated Medical Sciences, Khon Kaen University)
  • Received : 2021.02.10
  • Accepted : 2021.11.04
  • Published : 2022.01.31

Abstract

Background: With limited information available, the association among urinary tract infections, urease-producing bacteria and the presence of magnesium ammonium phosphate (MAP) urolithiasis in canines in Thailand requires more study. Objectives: This study aimed to investigate the association between demographic characteristics of canines and the presence of MAP urolithiasis in canines, and to evaluate antimicrobial susceptibility patterns of bacteria isolated from canine uroliths. Methods: A total of 56 canines admitted for treatment with surgical removal of uroliths were recruited. Demographic characteristics and clinical chemistry data were recorded. Bacteria isolated from the removed uroliths were identified. Chemical compositions of the uroliths were analyzed by Fourier transform infrared spectrometer. Potential risk factors were determined with univariable and multivariable logistic regression analyses. Results: Of 56 canine urolithiasis, bacteria were isolated from uroliths of 38 canines (27 MAP and 11 non-MAP) but not from uroliths of 18 canines (5 MAP and 13 non-MAP). The most common bacteria found in nidus of MAP uroliths was Staphylococcus pseudintermedius (approximately 51%). An antimicrobial resistance was frequently found in Staphylococci isolates (42.86%). Multivariate logistic regression analysis showed that the predictors of MAP urolith in canine urolithiasis were being female (p = 0.044; adjusted odds ratio [OR], 10.22; 95% confidence interval [CI], 1.06-98.24) and the positive urolith culture (p = 0.012; adjusted OR, 8.60; 95% CI, 1.60-46.30). Conclusions: Our results indicate that S. pseudintermedius (a urease-producing bacterium) is the major causative bacteria of MAP uroliths. A positive urolith culture and being female are risk factors of MAP urolithiasis in canines.

Keywords

Acknowledgement

We would like to thank Phitsamai Saisud for technical assistance, Udomlack Peansukwech for suggestion on statistical analysis and the KKU Veterinary Teaching Hospital, Faculty of Veterinary Medicine, Khon Kaen University for providing the clinical samples.

References

  1. Detkalaya O, Detkalaya SN, Lekcharoensuk C. Epidemiology of canine urolithiasis in Thailand during 2006-2013. J Kasetsart Vet. 2017;(27):39-53.
  2. Tion M, Dvorska J, Saganuwan S. A review on urolithiasis in dogs and cats. Bulg J Vet Med. 2015;18(1):1-18. https://doi.org/10.15547/bjvm.806
  3. Hunprasit V, Osborne CA, Schreiner PJ, Bender JB, Lulich JP. Epidemiologic evaluation of canine urolithiasis in Thailand from 2009 to 2015. Res Vet Sci. 2017;115:366-370. https://doi.org/10.1016/j.rvsc.2017.07.008
  4. Wallerstrom BI, Wagberg TI. Canine urolithiasis in Sweden and Norway: Retrospective survey of prevalence and epidemiology. J Small Anim Pract. 1992;33(11):534-539. https://doi.org/10.1111/j.1748-5827.1992.tb01047.x
  5. Tavichakorntrakool R, Prasongwattana V, Sungkeeree S, Saisud P, Sribenjalux P, Pimratana C, et al. Extensive characterizations of bacteria isolated from catheterized urine and stone matrices in patients with nephrolithiasis. Nephrol Dial Transplant. 2012;27(11):4125-4130. https://doi.org/10.1093/ndt/gfs057
  6. Borghi L, Nouvenne A, Meschi T. Nephrolithiasis and urinary tract infections: 'the chicken or the egg' dilemma? Nephrol Dial Transplant. 2012;27(11):3982-3984. https://doi.org/10.1093/ndt/gfs395
  7. Osborne CA, Lulich JP, Polzin DJ, Allen TA, Kruger JM, Bartges JW, et al. Medical dissolution and prevention of canine struvite urolithiasis. Twenty years of experience. Vet Clin North Am Small Anim Pract. 1999;29(1):73-111. https://doi.org/10.1016/S0195-5616(99)50006-5
  8. Broomfield RJ, Morgan SD, Khan A, Stickler DJ. Crystalline bacterial biofilm formation on urinary catheters by urease-producing urinary tract pathogens: a simple method of control. J Med Microbiol. 2009;58(Pt 10):1367-1375. https://doi.org/10.1099/jmm.0.012419-0
  9. Wong C, Epstein SE, Westropp JL. Antimicrobial susceptibility patterns in urinary tract infections in dogs (2010-2013). J Vet Intern Med. 2015;29(4):1045-1052. https://doi.org/10.1111/jvim.13571
  10. Perry LA, Kass PH, Johnson DL, Ruby AL, Shiraki R, Westropp JL. Evaluation of culture techniques and bacterial cultures from uroliths. J Vet Diagn Invest. 2013;25(2):199-202. https://doi.org/10.1177/1040638713476866
  11. Lulich JP, Berent AC, Adams LG, Westropp JL, Bartges JW, Osborne CA. ACVIM Small animal consensus recommendations on the treatment and prevention of uroliths in dogs and cats. J Vet Intern Med. 2016;30(5):1564-1574. https://doi.org/10.1111/jvim.14559
  12. Palma D, Langston C, Gisselman K, McCue J. Canine struvite urolithiasis. Compend Contin Educ Vet. 2013;35(8):E1.
  13. Seaman R, Bartges JW. Canine struvite urolithiasis. Compend Contin Educ Vet. 2001;13(5):407-420.
  14. Bergey DH, Holt JG. Bergey's Manual of Determinative Bacteriology. 9th ed. Philadelphia: Lippincott Williams & Wilkins; 2000.
  15. CLSI. Performance Standards for Antimicrobial Susceptibility Testing. CLSI Supplement M100. 27th ed. Wayne: Clinical and Laboratory Standards Institute; 2017.
  16. Detkalaya O, Vichukit K, Kornkasem S, Thanaperm P, Lekcharoensuk C. Association between urinary tract infection, gender, age and the occurrence of magnesium ammonium phosphate compared with calcium oxalate uroliths in dogs. J Mahanakorn Vet Med. 2020;15(1):13-23.
  17. Seguin MA, Vaden SL, Altier C, Stone E, Levine JF. Persistent urinary tract infections and reinfections in 100 dogs (1989-1999). J Vet Intern Med. 2003;17(5):622-631. https://doi.org/10.1892/0891-6640(2003)017<0622:PUTIAR>2.3.CO;2
  18. Vaara M. Agents that increase the permeability of the outer membrane. Microbiol Rev. 1992;56(3):395-411. https://doi.org/10.1128/mr.56.3.395-411.1992
  19. Poole K. Multidrug resistance in Gram-negative bacteria. Curr Opin Microbiol. 2001;4(5):500-508. https://doi.org/10.1016/S1369-5274(00)00242-3
  20. Smanthong N, Tavichakorntrakool R, Saisud P, Prasongwatana V, Sribenjalux P, Lulitanond A, et al. Biofilm formation in trimethoprim/sulfamethoxazole-susceptible and trimethoprim/sulfamethoxazoleresistant uropathogenic Escherichia coli. Asian Pac J Trop Biomed. 2015;5(6):485-487. https://doi.org/10.1016/j.apjtb.2015.03.006
  21. von Wintersdorff CJ, Penders J, van Niekerk JM, Mills ND, Majumder S, van Alphen LB, et al. Dissemination of antimicrobial resistance in microbial ecosystems through horizontal gene transfer. Front Microbiol. 2016;7:173. https://doi.org/10.3389/fmicb.2016.00173
  22. Zechner V, Sofka D, Paulsen P, Hilbert F. Antimicrobial resistance in Escherichia coli and resistance genes in coliphages from a small animal clinic and in a patient dog with chronic urinary tract infection. Antibiotics (Basel). 2020;9(10):652. https://doi.org/10.3390/antibiotics9100652
  23. Sosnar M, Bulkova T, Ruzicka M. Epidemiology of canine urolithiasis in the Czech Republic from 1997 to 2002. J Small Anim Pract. 2005;46(4):177-184. https://doi.org/10.1111/j.1748-5827.2005.tb00308.x
  24. Calabro S, Tudisco R, Bianchi S, Grossi M, De Bonis A, Isabella Cutrignelli M. Management of struvite uroliths in dogs. Br J Nutr. 2011;106 Suppl 1:S191-S193. https://doi.org/10.1017/S0007114511000882