Cytological and microbiotic aspects of the diagnosis of otitis externa in dogs

Egor A. Pustovit, Nikolai V. Pimenov
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Abstract

The purpose of the study was to compare cytological samples from two consecutive swabs obtained from ear canals of dogs with otitis externa and to determine the minimum number of samples required to obtain up-to-date information on the degree of microbiological contamination of the affected ear canals. Samples were obtained using sterile applicators with a cotton tip, which were sequentially inserted into ear canal until slight resistance (the junction between vertical and horizontal parts of ear canal), after making a circular motion, the applicator was removed and the material from the tip was applied to the glass slide with rolling movements so that on each slide there were four single parallel smears - two from each ear of the dog. The slides were air dried for one hour and stained using the standard Diff-Quick method. The actual counting was carried out at 1000 magnification (at a high magnification field). Bacteria were differentiated according to their shape into cocci and bacilli. The numbers of bacteria and fungi in the two samples were compared using the Wilcoxon matched pair test. Qualitative agreement between two consecutive swabs was determined using the k-test. Among the studied animals, a breed predisposition to otitis externa was revealed in Cocker Spaniels and French Bulldogs, and an anatomical predisposition in animals with drooping auricles. There was no significant difference in the number of microorganisms present in two ear cytology samples taken consecutively from the same ear at the same site in the external auditory canal, and there was significant agreement between the results of two consecutive smears for the presence of cocci and rods. For yeast, the agreement was only moderate. The data obtained indicate that in cases of otitis externa in dogs, reproducibility of cytological pattern with a single sample of material, as a rule, reflects current stage of pathogenesis of the disease and provides the best opportunity to detect local proliferative activity of opportunistic microbiota and corresponding inflammatory response of the macroorganism.
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犬外耳炎诊断的细胞学和微生物学方面
该研究的目的是比较从外耳炎犬耳道连续获得的两个拭子的细胞学样本,并确定获得受影响耳道微生物污染程度的最新信息所需的最小样本数量。使用带棉签的无菌涂布器获得样本,将棉签依次插入耳道,直到有轻微阻力(耳道垂直部分和水平部分之间的交界处),在做圆周运动后,取下涂布器,将涂布器的尖端的物质滚动涂抹到玻片上,这样在每张玻片上有四个平行的涂布——两个来自狗的每只耳朵。载玻片风干1小时,用标准的Diff-Quick法染色。实际计数是在1000倍放大率下进行的(在高放大倍率场)。细菌按其形状分为球菌和杆菌。使用Wilcoxon配对对检验比较两种样品中细菌和真菌的数量。使用k检验确定两个连续拭子之间的定性一致性。在研究的动物中,可卡犬和法国斗牛犬有外耳炎的品种易感性,耳廓下垂的动物有解剖易感性。在外耳道同一部位连续采集的两份耳部细胞学样本中,存在的微生物数量没有显著差异,并且在两次连续涂片的结果中,球菌和杆状体的存在具有显著的一致性。对于酵母,协议只是温和的。所获得的数据表明,在犬外耳炎病例中,单个材料样品的细胞学模式的可重复性通常反映了疾病发病的当前阶段,并为检测机会微生物群的局部增殖活性和相应的宏观生物的炎症反应提供了最佳机会。
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