对接受泪囊鼻腔造口术的狗进行结膜和鼻腔微生物群评估

Joelson Arruda Jardim, Marcela Fernanda Moretti, Alexandre Lima de Andrade
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摘要

本研究旨在评估接受双侧泪囊鼻腔造口术的狗结膜和鼻腔微生物群的长期变化。本研究共选取了 12 只年龄在 1 到 10 岁之间的雌雄犬(23 只眼),它们都有至少 6 个月的眼睑外翻和色素性泪溢症状。研究人员对从所有狗的眼结膜和鼻腔鼻窦中提取的培养物进行了评估,以确定术前和术后(60 天、120 天和 240 天)的结膜和鼻腔微生物群。术前,66.5%(8 只)的狗结膜微生物群中发现了革兰氏阴性菌,33.3%(4 只)的狗结膜微生物群中发现了革兰氏阳性菌。在整个临床演变过程中,发现结膜微生物群中的革兰氏阳性菌和革兰氏阴性菌达到了平衡。最常见的是铜绿假单胞菌(25%)和中间葡萄球菌(25%)。关于结膜微生物群,我们可以得出结论,在阻塞性疾病中,泪道系统中的革兰氏阴性菌占多数,尤其是铜绿假单胞菌。这项研究没有观察到通过新的手术路径进入结膜囊的鼻腔细菌数量有所增加。
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Conjunctival and nasal microbiota evaluation of dogs submitted to dacryocystorhinostomy
The purpose of this study was to evaluate changes in the conjunctival and nasal microbiota, in the long term, of dogs undergoing bilateral dacryocystorhinostomy. Twelve male and female dogs (23 eyes), aged between 1 and 10 years, were enrolled in the study, selected on the basis of presentation with epiphora and chromodacryorrhea for at least six months. Cultures of material obtained from the ocular conjunctiva and nasal sinus of all dogs were evaluated to determine the conjunctival and nasal microbiota pre-and postoperatively (at 60, 120, and 240 d). Preoperatively, gram-negative bacteria were identified in the conjunctival microbiota of 66.5% (n=8), while gram-positive bacteria were found in 33.3% (n=4). Throughout the clinical evolution, a balance was found between the presence of gram-positive and gram-negative bacteria in the conjunctival microbiota. Pure cultures of Pseudomonas aeruginosa (25%) and Staphylococcus intermedius (25%) were found most frequently. Regarding the conjunctival microbiota, we can conclude that in obstructive diseases, there is a predominance of gram-negative bacteria in the lacrimal system, notably Pseudomonas aeruginosa. This study did not observe an increase in bacterial counts in the nasal cavity through the new surgical pathway to the conjunctival sac.
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