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     Antimicrobial susceptibility patterns of bacteria isolated
                                                         from dogs and cats submitted at the Veterinary Teaching
                                                                                  Hospital, Khon Kaen University during 2017-2019
                  Jeerasak Khlongkhlaeo, Pattara-anong Buppata, Manassanan Borisutpeth, and Pithai Kanbutra
                                                                                                                                                                                                                                                                                                                                                                                                                                                     *
                                                                      Faculty of Veterinary Medicine, Khon Kaen University, Thailand;  Corresponding Author
                                                                                                                                                                                                                                                                                                                                        *
             INTRODUCTION                                                                                                                                                                     RESULTS
        Infectious diseases remain a significant health 1. Bacterial isolation:
        problem in pets and become a major reason for                                                                                                                                         1.1) 1,070 bacterial strains of 16 genera from 806 samples were isolated.
        massive antimicrobial therapy. Moreover, prudent                                                                                                                                               : gram positive bacteria = 40.1% and gram negative bacteria = 59.9%
        antimicrobial usage, especially in the small veterinary                                                                                                                               1.2) The predominant bacteria were Staphylococcus spp (26.4%)
        clinic, has often been neglected and remains out of                                                                                                                                            followed by Escherichia coli (14.6%), Streptococcus spp (13.7%),
        control resulting from a lack of regulated guideline or                                                                                                                                        Proteus spp (8.7%), Pseudomonas spp (8.2%) (Table 1 and figure 1).
        legal restriction [1, 2]. Bacterial culture combined 2. Antimicrobial susceptibility patterns:
        with sensitivity testing (C/S) for individual animals is                                                                                                                              2.1) Most of isolated bacteria were strongly susceptible to aminoglycosides (70-
        recommended as a best practice for antimicrobial                                                                                                                                            99%), except Streptococci (26.9%) (Table 2 and figure 2).
        treatment. In this regard, a successful antibiotic                                                                                                                                    2.2) Staphylococci and Streptococci were moderately to highly susceptible (61-
        therapy will reduce the emergence of antimicrobial                                                                                                                                          97%) to almost all of antibiotics tested, except sulfamethoxazole/trimethoprim
        resistance [2]. Nevertheless, the antibiotic sensitivity                                                                                                                                    and enrofloxacin (45-60%) (Table 2 and figure 3).
        profile of pathogens during such a period may be                                                                                                                                      2.3) The frequent Enterobacteriaceae bacteria was susceptible to amoxicillin-
        used as an appropriate alternative to choosing an                                                                                                                                            clavulanate by 62-83%, while slightly lower sensitive (<60%) to enrofloxacin,
        appropriate antibiotic if C/S is not practical. This                                                                                                                                         doxycycline, sulfamethoxazole/trimethoprim, and ampicillin (Figure 3).
        study was aimed to demonstrate the occurrence of                                                                                                                                      2.4) Pseudomonas spp (89-95%) was susceptible to aminoglycosides but
        bacteria isolated from clinical specimens collected                                                                                                                                         exhibited markedly low susceptible (<10%) to other agents, whereas, >80%
        from dogs and cats and antimicrobial susceptibility                                                                                                                                         of Alcaligenes spp were susceptible to all tested antimicrobials (Figure 3).
        patterns to propose as a guide for selecting an                                                                                                                                       2.5) Oxacillin-resistant Staphylococci was counted to be 35% (Table 2).
        appropriate antimicrobial for primary treatment.                                                                                                                                                                                                                                                           Table 2 Antimicrobial susceptibility patterns of the is isolated bacteria
                                                                                                                                                                                                                                                                                                                   from clinical specimens of dogs and cats during 2017-2019.
            MATERIALS AND METHODS
       Retrospective data analysis: Reviewed bacterial
       culture and antimicrobial susceptibility test (AST)
       records of 806 clinical specimens (384 pus/wound,
       210 urine, 71 oral swab, 63 ear swab, and 78 others)
       from 656 dogs and 150 cats examined at the
       Veterinary Clinical Diagnostic Laboratory, Veterinary
       Teaching Hospital, Faculty of Veterinary Medicine,
       Khon Kaen University (KKU-VTH) during 2017-2019.
       Bacterial Culture and Sensitivity Test: The isolated
       bacteria were identified using RapID                                                                                    TM       kits & ERIC                           ®
       software and AST by disk diffusion was carried out
       using antimicrobial categories/agents as below:
       1) Tetracyclines/doxycycline (DO)
       2) Fluoroquinolones/enrofloxacin (ENR)
       3) Cephalosporins/cephalexin (CL) & cefazolin (KZ)                                                                                                                                Figure 1 The isolated bacteria from clinical specimens of dogs
       4) Aminoglycosides/amikacin (AK) & gentamycin (CN)                                                                                                                                and cats during 2017-2019
       5) beta-lactamase/ampicillin (AMP) & amoxicillin-clavulanic acid (AMC)
       6) Sulfonamide-Dihydrofolate reductase/
               trimethoprim-sulphamethoxazole (SXT)
       7) Oxacillin (OX) to identify the OX-resistant Staphylococci.
            DISCUSSION and CONCLUSION
                                                                                                                                                                                 ,
       The frequently isolated bacteria were Staphylococci
       Escherichia coli and Streptococci which trended to be
                                                       ,
       low susceptible to sulfamethoxazole/trimethoprim
       and enrofloxacin (broad spectrum drugs widely used
       in veterinary practice), consistently with a report for
       UTI bacteria during 2011-2017 [3]. According to the
       apparent low susceptible to many antimicrobials,
       Pseudomonas spp and Escherichia coli should be
       concerned as bacteria at risk to be antimicrobial                                                                                                                                Figure 2 Susceptibility to antimicrobials of the common isolated                                                                             Figure 3 Antimicrobial susceptibility of the common isolated
                                                                                                                                                                                                                                                                                                                                     bacteria from clinical specimens of dogs and cats during 2017-2019
                                                                                                                                                                                        bacteria from clinical specimens of dogs and cats during 2017-2019
       resistance.                                 Aminoglycosides                                                appeared                                to               be                Reference
       efficacious and may be preferable. The antimicrobial                                                                                                                              1. Pedersen et al. 2007. Occurrence of antimicrobial resistance in bacteria from diagnostic samples from dogs. J Antimicrob
       susceptibility profiles presented may provide guidance                                                                                                                            2. Windahl et al. 2014. Characterisation of bacterial growth and antimicrobial susceptibility patterns in canine urinary tract
                                                                                                                                                                                             Chemther,  60: 775–781. https://doi:10.1093/jac/dkm269
       for primary treatment of infectious diseases in                                                                                                                                       infections. BMC Vet Res, 10:217.
       veterinary practices, when the AST is not available.                                                                                                                              3. Pithai Kanbutra et al. 2018. In Proceeding: The 19th Khon Kaen Veterinary Annual International Conference, Khon Kaen,
                                                                                                                                                                                             THAILAND, April 4-5, 2018.





