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Bacteremia in dogs with gastric volvulus
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Gastric volvulus is a common and life-threatening emergency in small animal medicine. Much is known about the best surgical and parasurgical procedures. But what about antibacterial therapy? Nearly fifty percent of the patients have positive blood cultures, a fact that needs to be considered in therapy!
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This prospective study was performed to determine the prevalence of bacteremia in the naturally occurring gastric dilatation-volvulus (GDV) patient, the possible relationship between bacteremia and survival, and whether bacteremia was a result of translocation from the stomach.
Blood cultures were collected from each patient. Bacterial cultures were collected from the liver, mesenteric lymph node, and stomach.
Forty-three percent of the GDV cases and 40% of the controls developed positive blood cultures. Gram-negative rods were the most frequently isolated organisms.
Evidence of bacterial translocation from the stomach could not be demonstrated in GDV patients, and survival was not affected by the presence of bacteremia.
Source: Kevin P. Winkler, Cathy L. Greenfield, David J. Schaeffer (2003): Bacteremia and Bacterial Translocation in the Naturally Occurring Canine Gastric Dilatation-Volvulus Patient. In: Journal of the American Animal Hospital Association 39:361-368 (2003)
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