Abordagem diagnóstica à doença do tracto urinário inferior felino: um estudo retrospectivo entre 2013 e 2014
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2016
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A Doença do Tracto Urinário Inferior Felino (FLUTD) é considerada um dos diagnósticos mais comuns em Medicina Felina, mas em Portugal, existem poucos estudos aprofundados sobre este tema. O nosso objectivo foi a elaboração de um estudo retrospectivo sobre o diagnóstico de FLUTD, que nos permitisse ao mesmo tempo obter um melhor conhecimento das características dos gatos com esta doença em Lisboa, das características da mesma nestes animais, e do tratamento realizado.
Foram avaliados 51 gatos, que se apresentaram no Hospital Veterinário do Restelo entre 2013 e 2014, com a presença de sinais clínicos de FLUTD, e que realizaram meios complementares de diagnóstico para realizar o diagnóstico de exclusão Cistite Idiopática Felina (FIC).
Surpreendentemente, encontrou-se uma distribuição semelhante dos animais entre as três principais etiologias de FLUTD: Urolitíase, Infecção do Tracto Urinário e FIC. Observou-se ainda uma associação estatisticamente significativa entre a presença de FIC e a faixa etária entre os 2 e os 6 anos, assim como associações entre a ausência de periúria, e de sinais de stress, e a presença de outras etiologias que não a FIC. Finalmente, observou-se uma associação entre a administração de antibióticos nestes gatos e a presença de recidivas.
Concluindo, os achados obtidos têm um importante valor para o conhecimento da FLUTD, permitindo-nos perceber a importância de um diagnóstico completo e melhorar o tratamento dos animais acometidos.
Feline Lower Urinary Tract Disease (FLUTD) is considered one of the most common diagnoses in Feline Medicine, but in Portugal, there are few thorough studies on this topic. Our aim was to perform a retrospective study on the diagnosis of FLUTD, which also allows us to get a better understanding of the cats’ characteristics, the disease itself and the treatment of this disease in Lisbon. We evaluated 51 cats that were admitted to the Veterinary Hospital of Restelo between 2013 and 2014, with the presence of clinical signs of FLUTD and performed complementary diagnosis exams for the diagnosis of exclusion of Feline Idiopathic cystitis (FIC). Of note, there was a similar distribution of the animals regarding the top three causes of FLUTD: urolithiases, urinary tract infection and FIC. We found a statistically significant association between the presence of FIC and the age-group between 2 and 6 years, as well as associations between the lack of periuria, signs of stress, and the presence of other etiologies than the FIC. Finally, we observed an association between the administration of antibiotics in these cats and the presence of relapses. In conclusion, the results obtained have an utmost important value for the knowledge of this disease, allowing us to improve the diagnosis and treatment of affected animals.
Feline Lower Urinary Tract Disease (FLUTD) is considered one of the most common diagnoses in Feline Medicine, but in Portugal, there are few thorough studies on this topic. Our aim was to perform a retrospective study on the diagnosis of FLUTD, which also allows us to get a better understanding of the cats’ characteristics, the disease itself and the treatment of this disease in Lisbon. We evaluated 51 cats that were admitted to the Veterinary Hospital of Restelo between 2013 and 2014, with the presence of clinical signs of FLUTD and performed complementary diagnosis exams for the diagnosis of exclusion of Feline Idiopathic cystitis (FIC). Of note, there was a similar distribution of the animals regarding the top three causes of FLUTD: urolithiases, urinary tract infection and FIC. We found a statistically significant association between the presence of FIC and the age-group between 2 and 6 years, as well as associations between the lack of periuria, signs of stress, and the presence of other etiologies than the FIC. Finally, we observed an association between the administration of antibiotics in these cats and the presence of relapses. In conclusion, the results obtained have an utmost important value for the knowledge of this disease, allowing us to improve the diagnosis and treatment of affected animals.
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Orientação : Joana Tavares de Oliveira
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MESTRADO INTEGRADO EM MEDICINA VETERINÁRIA, VETERINÁRIA, FELÍDEOS, DOENÇAS DO SISTEMA URINÁRIO, DIAGNÓSTICOS, FELIDS, UROLOGIC DISEASES, DIAGNOSES, TERAPÊUTICAS, THERAPEUTICS, MEDICINA VETERINÁRIA, VETERINARY MEDICINE