ABSTRACT
ABSTRACT Objective. Description of antimicrobial resistance in E. coli and Salmonella spp. isolates from calves <30 days of age from southern Chile. Material and methods. Necropsy and microbiology reports of 107 calves <30 days of age received at the Animal Pathology Institute between 2002 and 2015 were considered. Additionally, an antimicrobial resistance score was generated to allow comparisons among isolates with different antimicrobial susceptibility profiles. Results. There was no clear trend in antimicrobial resistance during the study period, with similar levels of resistance for E. coli, β-hemolytic E. coli and Salmonella spp. Approximately 50% of isolates were sensitive to antimicrobials, and between 19 and 36% of samples showed possible extended- or pan- drug resistance. Multiple different antimicrobial resistance patterns were found, including 32 for E. coli, 17 for β-hemolytic E. coli and 10 for Salmonella spp. Conclusions. Overall, E. coli samples were most sensitive to ceftriaxone; β-hemolytic E. coli to florfenicol; and Salmonella spp. to gentamicin. In contrast, these agents were resistant to amoxicillin, ampicillin and oxytetracycline respectively. This study is unique in its approach and provides useful information for veterinarians and producers on the antibiotic resistance patterns of bacteria posing a serious threat to calves. These results can help field veterinarians to control and treat bacterial diarrhea in calves.
RESUMEN Objetivo. Describir los hallazgos de resistencia a antimicrobianos en aislados de Salmonella spp. y E. coli obtenidos de terneros de menos de 30 días de edad en el sur de Chile. Materiales y métodos. Se obtuvieron reportes de necropsia y microbiología de 107 terneros en el período comprendido entre 2002 y 2015. Adicionalmente se generó un Score de Resistencia a antimicrobianos para permitir la comparación entre aislados que fueron evaluados contra un set de distintos antimicrobianos. Resultados. No se observa una clara tendencia en la resistencia en el período en estudio, con similares niveles de resistencia observados para E. coli, E. coli β-hemolítica y Salmonella spp. Aproximadamente 50% de los aislados mostraron amplia sensibilidad a antimicrobianos, y entre 19 y 36% de los aislados demostraron potencial de resistencia extendida y pan resistencia respectivamente. Se encontraron múltiples patrones de resistencia, incluyendo 32 para E. coli, 17 para E. coli β-hemolítica y 10 para Salmonella spp. Conclusiones. En general, E. coli se mostró más sensible a ceftriaxona, E. coli β-hemolítica a Florfenicol y Salmonella spp. a gentamicina. En contraste, estos agentes fueron resistentes a amoxicilina, ampicilina y oxitetraciclina respectivamente. Este estudio es único en su aproximación y provee de información útil para médicos veterinarios y productores sobre los patrones de resistencia que amenazan la salud de los terneros. Estos resultados pueden ayudar a médicos veterinarios de campo a enfrentar y controlar efectivamente las diarreas en terneros.
ABSTRACT
OBJECTIVE: To identify, appraise and summarize the current evidence regarding the pathophysiology, staging, prediction and prevention of ovarian hyperstimulation syndrome (OHSS). METHODS: Two comprehensive systematic reviews were carried out: one examined methods of predicting either high ovarian response or OHSS and the other examined interventions aimed at reducing the occurrence of OHSS. Additionally, we describe the related pathophysiology and staging criteria. RESULTS: Seven studies examining methods of predicting OHSS and eight more examining methods of predicting high ovarian response to controlled ovarian stimulation were included. Current evidence shows that the best methods of predicting high response are antral follicle count and anti-Müllerian hormone levels, and that a high ovarian response (examined by the number of large follicles, estradiol concentration or the number of retrieved oocytes) is the best method of predicting the occurrence of OHSS. Ninety-seven randomized controlled trials examining the effect of several interventions for reducing the occurrence of OHSS were included. There was high-quality evidence that replacing human chorionic gonadotropin by gonadotropin-releasing hormone agonists or recombinant luteinizing hormone, and moderate-quality evidence that antagonist protocols, dopamine agonists and mild stimulation, reduce the occurrence of OHSS. The evidence for the effect of the other interventions was of low/very low quality. Additionally, we identified and described 12 different staging criteria. CONCLUSIONS: There are useful predictive tools and several preventive interventions aimed at reducing the occurrence of OHSS. Acknowledging and understanding them are of crucial importance for planning the treatment of, and, ultimately, eliminating, OHSS while maintaining high pregnancy rates.