Chitosan, the deacetylated derivative of chitin, is a natural D-glucosamine polymer that can be extracted from the shells of seafood such as prawns crabs and lobsters. It can be used as a flocculent, plant disease resistant promoter, anti-cancer agent, wound healing promotion agent and antimicrobial agent. The aim of this paper is the study of the interaction between chitosan powder and various kinds of pathogen microorganisms potentially present in water. First of all, physico-chemical characterisations of chitin and chitosan powder were performed. The deacetylation yields were 35%, 60% and 80 +/- 10%. The experimental studies focused on the measurements of the mortality constant rate for various bacterial strains, Escherichia coli, Pseudomonas aeruginosa, Enterococcus faecalis and Staphylococcus saprophyticus. An explanation of the antibacterial mechanisms is proposed involving the cell wall disruption due to free amino groups present in chitosan.
Background
Comparison of clinical findings, chest radiographs (CXR), lung ultrasound (LUS) findings, and C‐reactive protein (CRP) concentrations at admission and serial follow‐up in dogs with aspiration pneumonia (AP) is lacking.
Hypothesis
Lung ultrasound lesions in dogs with AP are similar to those described in humans with community‐acquired pneumonia (comAP); the severity of CXR and LUS lesions are similar; normalization of CRP concentration precedes resolution of imaging abnormalities and more closely reflects the clinical improvement of dogs.
Animals
Seventeen dogs with AP.
Methods
Prospective observational study. Clinical examination, CXR, LUS, and CRP measurements performed at admission (n = 17), 2 weeks (n = 13), and 1 month after diagnosis (n = 6). All dogs received antimicrobial therapy. Lung ultrasound and CXR canine aspiration scoring systems used to compare abnormalities.
Results
B‐lines and shred signs with or without bronchograms were identified on LUS in 14 of 17 and 16 of 17, at admission. Chest radiographs and LUS scores differed significantly using both canine AP scoring systems at each time point (18 regions per dog, P < .001). Clinical and CRP normalization occurred in all dogs during follow up. Shred signs disappeared on LUS in all but 1 of 6 dogs at 1 month follow‐up, while B‐lines and CXR abnormalities persisted in 4 of 6 and all dogs, respectively.
Conclusion and Clinical Importance
Lung ultrasound findings resemble those of humans with comAP and differ from CXR findings. Shred signs and high CRP concentrations better reflect clinical findings during serial evaluation of dogs.
Background: Evidence regarding optimal treatment duration in dogs with aspiration pneumonia (AP) and the role of thoracic radiographs (TXR) and lung ultrasonography (LUS) in the long-term follow-up of affected dogs is lacking. C-reactive protein (CRP) is a reliable acute phase protein to monitor bacterial pneumonia in dogs. Hypothesis: Investigate the safety of antimicrobial discontinuation based on clinical improvement and serum CRP normalization, as well as the usefulness of TXR and LUS for follow-up. Animals: Dogs diagnosed with AP and treated with antimicrobials. Methods: Prospective observational study. Antimicrobials were discontinued based on clinical improvement and serum CRP normalization after 1, 3, or 5 weeks. At each consultation, a quality-of-life questionnaire, physical examination, serum CRP, TXR, and LUS were assessed. Short-(2 weeks) and long-term (>1 month) follow-ups after treatment discontinuation were performed to monitor for possible relapses.Results: Seventeen dogs were included. Antimicrobials were discontinued after 1 week in 12 dogs (70.6%) and 3 weeks in the remaining 5 dogs (29.4%). Short-term relapse was not observed in any dog and long-term relapse was diagnosed in 3 dogs.Thoracic radiographs and LUS were useful for diagnosis, but did not add additional information during follow-up, because image normalization lagged behind clinical improvement and serum CRP normalization.
Conclusion and ClinicalImportance: Dogs with AP can be safely and effectively treated using a short-term antimicrobial regimen discontinued after clinical improvement and serum CRP normalization. Imaging might still be useful for complicated cases with a less favorable response to treatment.
We thank Dr Lisciandro for taking the time to read and write to the editor. However, we believe that Dr Lisciandro has not carefully read the cited references for the lung ultrasound (LUS) protocol used and has therefore incorrectly interpreted the materials and methods of the article. As stated in the materials and methods, the LUS protocol used in the current study was based on modifications to protocols
Abnormal reticulocyte dot plots and atypical reticulocyte fluorescence ratios may occur in dogs with babesiosis and alert clinical pathologists to consider this diagnosis.
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