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      Peritoneal Dialysis Zoonotic Bacterial Peritonitis with Staphylococcus pseudintermedius

      case-report

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          Abstract

          We present the first reported case of peritoneal dialysis-associated peritonitis caused by Staphylococcus pseudintermedius, an organism that had been misclassified as S. aureus in the past. S. pseudintermedius is well recognized in the veterinary literature and noted as flora in the mouth, nares, and anus of domesticated animals. It has been associated with soft tissue infections in pets and is now being reported in increased frequency as the causative agent in various human infections. It also has a different antibiotic sensitivity profile. The patient had close contact with her pet dog and was successfully treated with intravenous antibiotics in the hospital followed by oral doxycycline for 10 days after discharge. The patient has not had any recurrent infection after obtaining and applying appropriate hygienic education and precautions.

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          Most cited references13

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          Public health risk of antimicrobial resistance transfer from companion animals.

          Antimicrobials are important tools for the therapy of infectious bacterial diseases in companion animals. Loss of efficacy of antimicrobial substances can seriously compromise animal health and welfare. A need for the development of new antimicrobials for the therapy of multiresistant infections, particularly those caused by Gram-negative bacteria, has been acknowledged in human medicine and a future corresponding need in veterinary medicine is expected. A unique aspect related to antimicrobial resistance and risk of resistance transfer in companion animals is their close contact with humans. This creates opportunities for interspecies transmission of resistant bacteria. Yet, the current knowledge of this field is limited and no risk assessment is performed when approving new veterinary antimicrobials. The objective of this review is to summarize the current knowledge on the use and indications for antimicrobials in companion animals, drug-resistant bacteria of concern among companion animals, risk factors for colonization of companion animals with resistant bacteria and transmission of antimicrobial resistance (bacteria and/or resistance determinants) between animals and humans. The major antimicrobial resistance microbiological hazards originating from companion animals that directly or indirectly may cause adverse health effects in humans are MRSA, methicillin-resistant Staphylococcus pseudintermedius, VRE, ESBL- or carbapenemase-producing Enterobacteriaceae and Gram-negative bacteria. In the face of the previously recognized microbiological hazards, a risk assessment tool could be applied in applications for marketing authorization for medicinal products for companion animals. This would allow the approval of new veterinary medicinal antimicrobials for which risk levels are estimated as acceptable for public health.
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            Review on methicillin-resistant Staphylococcus pseudintermedius.

            Staphylococcus pseudintermedius is an important opportunistic pathogen of companion animals, especially dogs. Since 2006 there has been a significant emergence of methicillin-resistant S. pseudintermedius (MRSP) mainly due to clonal spread. This article reviews research on MRSP with a focus on occurrence, methods used for identification, risk factors for colonization and infection, zoonotic potential and control options. Potential areas for future research are also discussed.
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              ISPD position statement on reducing the risks of peritoneal dialysis-related infections.

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                Author and article information

                Journal
                Case Rep Nephrol Dial
                Case Rep Nephrol Dial
                CND
                Case Reports in Nephrology and Dialysis
                S. Karger AG (Allschwilerstrasse 10, P.O. Box · Postfach · Case postale, CH–4009, Basel, Switzerland · Schweiz · Suisse, Phone: +41 61 306 11 11, Fax: +41 61 306 12 34, karger@karger.com )
                2296-9705
                May-Aug 2020
                12 June 2020
                12 June 2020
                : 10
                : 2
                : 65-70
                Affiliations
                [1] aGeneral Internal Medicine, University of Toledo Medical Center, Toledo, Ohio, USA
                [2] bDepartment of Nursing, ProMedica Toledo Hospital, Toledo, Ohio, USA
                Author notes
                *Basil Akpunonu, Department of Internal Medicine, University of Toledo Medical Center, 3000 Arlington Avenue, Mail Stop 1186, Toledo, OH 43614 (USA), basil.akpunonu@ 123456utoledo.edu
                Article
                cnd-0010-0065
                10.1159/000508126
                7383182
                a65296b0-810e-4f66-b931-939494b879be
                Copyright © 2020 by S. Karger AG, Basel

                This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.

                History
                : 7 February 2020
                : 13 April 2020
                : 2020
                Page count
                References: 17, Pages: 6
                Categories
                Case Report

                dialysis,peritoneal dialysis,peritonitis,staphylococcus pseudintermedius,zoonotic bacteria

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