Table 5.
Swiss prudent use guidelines for cats with aURTDa, FLUTDb and abscesses
Indication | Comment | Antibiotic | Dosage (mg/kg) | Application frequency | Treatment duration (days) |
---|---|---|---|---|---|
aURTDa | AMUc is only indicated if poor general condition, fever (≥ 39.5°C), lethargy and/ or anorexia are present. | Doxycycline | 10 / 5 | SIDd/BIDe | 5–14 |
Amoxicillin | 15–20 | BIDe/TIDf | 5–14 | ||
FLUTDb |
AMUc is only indicated in case of UTIg (defined as presence of bacteriuriahin patients with clinical signs of cystitisi); AMUc is not indicated in patients with indwelling urinary catheters; Complicated UTIg is defined as infection caused by anatomical or functional changes or disorders of the immune system |
Uncomplicated UTIg: Amoxicillin | 11–15 | BIDe/TIDf | 5–7 |
Complicated UTIg: Amoxicillin/ Clavulanic acid | 12.5–20 | BIDe/TIDf | 5–28 | ||
Abscess | AMUc is only indicated if signs of generalization (i.e. fever ≥ 39.5°C), poor general condition, severely contaminated wounds, and/or proximity to delicate tissues (e.g. joints, thorax, abdomen, abscesses extending into deep tissue) are present | Amoxicillin | 15–20 | BIDe | 5–7 |
Amoxicillin/ Clavulanic acid | 12.5–20 | BIDe | 5–7 | ||
Cefalexin | 20–30 | BIDe/TIDf | 5–7 | ||
Clindamycin | 10–15 | BIDe | 5–7 | ||
Cefazolin | 20 | BIDe | 5–7 |
Consistent with the Swiss prudent use guidelines presented in December 2016 as previously published [45], additional details used to faciliate judgement are given in italics; in April 2019 the Swiss prudent use guidelines have been revised; aaURTD, acute upper respiratory tract disease; bFLUTD, feline lower urinary tract diseases; cAMU, antimicrobial use; dSID, once daily; eBID, twice daily; fTID, three times daily; gUTI, urinary tract infection; hPresence of bacteria in the urine sediment analysis or positive bacterial culture results from an aseptically collected urine sample (by cystocentesis or catheterization); iPresence of stranguria, pollakiuria, periuria, pigmenturia or dysuria