Prevalence and antimicrobial resistance of bacteria isolated from urine samples of cats with urinary tract infections in Illinois, United States of America

Information on antimicrobial resistance patterns of urinary pathogens of cats can aid veterinarians in their
antimicrobial prescription choices. We assessed the prevalence and antimicrobial resistance of bacteria isolated
from urine samples of cats with urinary tract infections (UTIs) submitted to a veterinary diagnostic laboratory in
Illinois between 2020 and 2022. The laboratory received 2026 urine samples during the study period, of which 606 (29.97%) showed bacterial growth, and from these samples, 883 bacterial strains were recovered. The most common gram-positive bacterial species included Enterococcus faecalis (n = 123), Staphylococcus felis (n = 50), and Staphylococcus pseudintermedius (n = 28), while the most common gram-negative bacteria included Escherichia coli (n = 322) and Proteus mirabilis (n = 18). Among the gram-positive isolates, none of the Enterococcus faecalis isolates showed resistance to amoxicillin-clavulanic acid and ampicillin. In addition, Staphylococcus felis isolates showed low resistance to ampicillin (7.32%), enrofloxacin (4.88%), and amoxicillin-clavulanic acid (4.88%). Among gram-negative bacteria, E. coli isolates showed a high resistance to ampicillin (30.64%), and a moderate resistance to amoxicillin-clavulanic acid (11.78%) and cefovecin (11.11%), antibiotics considered as first-line choices to treat UTIs in cats. Compared to 2020, the rate of E. coli isolates resistant to amoxicillinclavulanic acid was lower in 2022 (IRR: 0.42; 95%; CI: 0.18-0.99). This study provides antibiograms of common feline urinary pathogens in Illinois that could aid veterinarians in their empirical UTI therapy choices. Requesting an antimicrobial susceptibility test when starting an empirical treatment could be beneficial to guide altered therapy to secure treatment success if the causative pathogens are resistant to the empirical antimicrobial choices.