Investigation of Isolates, Drug Susceptibility and Prognosis of Cattle with Refractory Pneumonia in the Towada area, Aomori Prefecture, Japan

Y. Sasaki, Y. Maeda, Shogo Sato, C. Kanno, F. Takahashi, T. Tanabe, S. Mori, M. Kikuchi
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Abstract

We isolated the causative organisms from bronchoalveolar lavage fluid (BALF) in the cattles with refractory pneumonia that had not been cured by primary care, and investigated the drug susceptibility and the prognosis of the cases. The major isolates were Mycoplasma bovis (41.7%), Trueperella pyogenes (29.2%), Pasteurella multocida (26.4%), and Mannheimia haemolytica (8.3%). 62.5% of the cattle were cured by antimicrobial therapy based on the drug susceptibility of BALF-derived bacteria. On the other hand, a high proportion of multidrug-resistant and highly drug-resistant M. bovis was isolated from the BALF of cattle with a poor prognosis, and the choice of susceptible antimicrobial agents was very limited. Other isolates were also susceptible in the good prognosis group but were resistant to most antimicrobial agents in the poor prognosis group, making treatment very difficult. This study revealed that the increase in the number of resistant bacteria is decreasing the cure rate of pneumonia.
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日本青森县东田地区牛难治性肺炎分离株、药敏及预后调查
我们从初级保健未治愈的难治性肺炎牛的支气管肺泡灌洗液(BALF)中分离病原菌,并对病例的药物敏感性和预后进行了调查。主要分离株为牛支原体(41.7%)、化脓性真杆菌(29.2%)、多杀性巴氏杆菌(26.4%)和溶血性曼海姆氏菌(8.3%)。根据对半胱氨酸衍生菌的药物敏感性,62.5%的牛接受了抗菌治疗。另一方面,多药耐药和高药耐药的牛分枝杆菌从预后较差的牛的半口角中分离出来的比例很高,而且敏感抗菌药物的选择非常有限。其他分离株在预后良好组中也敏感,但在预后差组中对大多数抗菌药物耐药,使治疗非常困难。这项研究表明,耐药细菌数量的增加正在降低肺炎的治愈率。
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