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Prognostic indicators in cats with septic peritonitis (2002–2015): 83 cases
Author(s) -
Scotti Katherine Maria,
Koenigshof Amy,
SriJayantha Loren S.H.,
Kato Michael,
Bishop Micah,
Barr James W.,
Pashmakova Medora B.
Publication year - 2019
Publication title -
journal of veterinary emergency and critical care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.886
H-Index - 47
eISSN - 1476-4431
pISSN - 1479-3261
DOI - 10.1111/vec.12896
Subject(s) - medicine , cats , etiology , peritonitis , retrospective cohort study , perforation , population , antimicrobial , antibiotics , surgery , chemistry , materials science , environmental health , organic chemistry , biology , microbiology and biotechnology , punching , metallurgy
Objective To identify physical exam findings, clinicopathological parameters, time to surgery, empirical antimicrobial use, and culture results that could be associated with outcome in cats with septic peritonitis (SP). Design Retrospective cohort study of cats from 2002 to 2015. Setting Four university teaching hospitals. Animals Eighty‐three cats diagnosed with SP by cytology or culture. Interventions None Measurements and Main Results Fifty‐eight cats survived to discharge (69.9%); 1 cat was euthanized in surgery; 20 were euthanized postoperatively; 4 cats suffered cardiac arrest after surgery. The most common etiology of SP was secondary SP due to gastrointestinal perforation (49.4%), followed by primary SP (22.3%). Mean blood glucose concentration was significantly different between survivors and nonsurvivors ( P = 0.006). Cats that received appropriate empirical antibiotic therapy were 4.4 times more likely to survive than cats that did not receive appropriate antibiotics ( P = 0.018). Conclusions As previously documented, SP secondary to gastrointestinal leakage was the most common etiology. In this population, cats with a higher blood glucose concentration on presentation had a worse prognosis. Cats that received appropriate empirical antimicrobial therapy were more likely to survive.