Diagnóstico de cistite em cães: contribuição dos métodos de avaliação
Carregando...
Data
2012-02-29
Autores
Vasconcellos, Amanda Leal de [UNESP]
Título da Revista
ISSN da Revista
Título de Volume
Editor
Universidade Estadual Paulista (Unesp)
Resumo
Os cães podem ser acometidos por diversos tipos de doenças vesicais incluindo cistites, neoplasias e urolitíases, dentre outras. A variedade da etiopatogenia e das formas de apresentação clínica das cistites constitui um fator complicante para o diagnóstico. O presente estudo teve por objetivo evidenciar a importância da inclusão de alguns exames complementares com vistas ao diagnóstico correto das afecções vesicais. Foi realizado um estudo prospectivo para o diagnóstico da condição vesical de 46 animais, machos e fêmeas, selecionados ao acaso dentre os encaminhados para check-up de rotina e os pacientes com algum tipo de sinal ou achado sugestivo de doença vesical. A avaliação consistiu de exame clínico completo e exame específico do trato urinário incluindo urinálise, exame microbiológico da urina por meio de cultura em lâmina e cultura tradicional, e avaliação vesical por meio do exame ultrassonográfico. Os dados foram submetidos à analise estatística descritiva e ao Teste Exato de Fisher para associações. Os resultados evidenciaram que os sinais clínicos e os achados de sedimentoscopia da urina não são específicos, dada a semelhança das manifestações das diversas doenças vesicais. A urocultura e a ultrassonografia vesical foram exames complementares decisivos que possibilitaram o diagnóstico dos casos de cistite bacteriana (n=32) bem como das doenças vesicais coexistentes (n=3) e das doenças vesicais não infecciosas (n=2). Concluiu-se que o exame clínico de rotina, mesmo que a urinálise seja incluída, não é apropriado para diagnosticar doenças vesicais e que a urocultura e o exame ultrassonográfico contribuem de modo decisivo para o diagnóstico correto dos cães com ou sem sinais clínicos de cistite
Dogs can be affected by several types of bladder diseases including cystitis, neoplasia, and urolithiasis, among others. The variety of etiopathology and clinical presentation forms of cystitis is a complicating factor for the diagnosis. The aim of this study was to show the importance of some additional exams inclusion in order to achieve the correct diagnosis for bladder diseases. A prospective study was conducted for bladder condition diagnosis in 46 animals, males and females, taken for random among dogs referred for routine checkup and the patients with some type of signs or finding suggestive of bladder disease. The evaluation included complete clinical exam and specific examination of the urinary tract including urinalysis, urine microbiologic examination by commercially manufactured screening urine culture kit and traditional culture, and ultrasound bladder evaluation. The data were analyzed by descriptive statistic and Fisher’s Exact Text. The results showed that clinical signs and urine sediment findings are nonspecific, given the similarity of the bladder diseases manifestations. The urine culture and bladder ultrasound were decisive additional exams that enable the diagnosis of bacterial cystitis (n=32), as well as of the coexisting bladders diseases (n=3) and non infectious bladder diseases (n=2). It was concluded that the routine clinical examination, even when the urinalysis is included, isn`t appropriated for bladder diseases diagnosis, moreover the urine culture and the ultrasonographyc exam contribute in a decisive way for the correct diagnosis of dogs showing or not clinical signs of cystitis
Dogs can be affected by several types of bladder diseases including cystitis, neoplasia, and urolithiasis, among others. The variety of etiopathology and clinical presentation forms of cystitis is a complicating factor for the diagnosis. The aim of this study was to show the importance of some additional exams inclusion in order to achieve the correct diagnosis for bladder diseases. A prospective study was conducted for bladder condition diagnosis in 46 animals, males and females, taken for random among dogs referred for routine checkup and the patients with some type of signs or finding suggestive of bladder disease. The evaluation included complete clinical exam and specific examination of the urinary tract including urinalysis, urine microbiologic examination by commercially manufactured screening urine culture kit and traditional culture, and ultrasound bladder evaluation. The data were analyzed by descriptive statistic and Fisher’s Exact Text. The results showed that clinical signs and urine sediment findings are nonspecific, given the similarity of the bladder diseases manifestations. The urine culture and bladder ultrasound were decisive additional exams that enable the diagnosis of bacterial cystitis (n=32), as well as of the coexisting bladders diseases (n=3) and non infectious bladder diseases (n=2). It was concluded that the routine clinical examination, even when the urinalysis is included, isn`t appropriated for bladder diseases diagnosis, moreover the urine culture and the ultrasonographyc exam contribute in a decisive way for the correct diagnosis of dogs showing or not clinical signs of cystitis
Descrição
Palavras-chave
Cães - Cistite, Urinary bladder disease
Como citar
VASCONCELLOS, Amanda Leal de. Diagnóstico de cistite em cães: contribuição dos métodos de avaliação. 2012. ix, 61 f. Dissertação (mestrado) - Universidade Estadual Paulista, Faculdade de Ciências Agrárias e Veterinárias, 2012.