Skip to main content

Table 5 Swiss prudent use guidelines for cats with aURTDa, FLUTDb and abscesses

From: Antimicrobial prescriptions in cats in Switzerland before and after the introduction of an online antimicrobial stewardship tool

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

  1. 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