Incidence of Bacteremia Consequent to Different Endoscopic Procedures in Dogs: A Preliminary Study

SIMPLE SUMMARY: Antimicrobial resistance is a threat that poses a great risk to public health. It has been predicted that, by 2050, there will have been 10 million deaths worldwide due to drug-resistant infections. There is a crucial need in Veterinary Medicine to reduce the use of antimicrobials to slow down the process and incidence of antimicrobial resistance as a One Health concern. The aim of this study was to evaluate the appearance of bacteremia following endoscopic procedures in dogs brought to the Veterinary Teaching Hospital (VTH) of the Department of Veterinary Medical Science of the University of Bologna. The results obtained from hemocultures before and after the endoscopic procedures demonstrated a low incidence of bacteremia after endoscopy. This could be seen as an attempt to reduce the use of antimicrobials to avoid the spread of antimicrobial resistance. ABSTRACT: Endoscopic procedures are widely used in veterinary medicine, and their role in producing transient bacteremia is debatable. The growing issue of antibiotic resistance requires the correct use of antibiotics, avoiding their administration when not strictly necessary. Studies highlighting post-endoscopy bacteremia in veterinary medicine are extremely rare and often involve very few animals. This study describes the results from 74 owned dogs, brought to the Veterinary Teaching Hospital of the Department of Veterinary Medical Science of the University of Bologna, for the purpose of undergoing an endoscopic procedure. Two blood samples were taken from each dog, one before and one after the procedure, in order to assess the incidence of bacteremia linked to endoscopic procedures. Eight dogs were tested positive at the second blood culture with an Incidence Risk (IR) of 10.8%. No statistical differences were found by comparing positive and negative blood cultures with respect to sex, age, weight and anesthesia duration. In addition, no difference was found between airway and digestive tract procedures. The present findings showed that the probability of developing bacteremia after an endoscopic procedure was quite low, and additional studies confirming this are certainly recommended as well as the evaluation of categories of patients potentially considered at risk.