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Dr. Joey
Dr. Joey, Board Certified
Category: Dog Veterinary
Satisfied Customers: 4723
Experience:  15 yrs in practice, specialist canine/feline medicine
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My dog has just been diagnosed with acinetobacter. He

Customer Question

My dog has just been diagnosed with acinetobacter. He originally had ecoli and another bacteria and was on antibiotics for them. He was just retested and now has acinetobacter. I took him to intensive care yesterday. The vet said acinetobacter is a super bug and there is no antibiotic for it. He is planning on sedating him and cleaning his nose which has been oozing gray fluid. He plans on keeping him for a week or 2 and flushing out nasal passage 2X a day. He is also a diabetic. I forgot what he called the flushing out. He has been eating and drinking regularly and going to the bathroom. He said he will be on an IV to give him fluids. Will this treatment plan get rid of acinetobacter?
JA: I'm sorry to hear that. I'm sorry the has that. The Veterinarian will know what to do. How old is the?
Customer: 11 years
JA: Is there anything else the Veterinarian should be aware of about the?
Customer: I don't think so.
Submitted: 11 months ago.
Category: Dog Veterinary
Customer: replied 11 months ago.
Posted by JustAnswer at customer's request) Hello. I would like to request the following Expert Service(s) from you: Live Phone Call. Let me know if you need more information, or send me the service offer(s) so we can proceed.
Customer: replied 11 months ago.
The vet will be administering antibiotics for other 2 bacteria through a nebulizer (mask) 2 x a day.
Expert:  Dr. Joey replied 11 months ago.

Hello I am Dr. Joey. Thanks for trusting me to help you and your pet today. I am a licensed veterinarian with over 16 years of experience. I look forward to working with you. I am sorry I cannot provide a phone call as many other veterinarian on this cannot. It would violate our licensing to do so without actually examining the patient. But I wanted to get an answer to you.

I would be wary of ascribing disease to this organism. Nasal cultures are notoriously unreliable because of the dozens to hundreds of different bacteria that are normally present, some of which are highly drug resistant. Being antimicrobial resistant does not typically mean of greater virulence, it just makes it harder to kill if/when it causes an infection. For chronic nasal disease, we have to look for the underlying problem such as allergic rhinitis, immune mediated rhinitis, foreign body, poly/tumor, etc. I assume you have already had a CT or MRI scan performed and rhinoscopy with biopsies and cultures. Perhaps, this was where the culture came from? Usually with the biopsy we can know the underlying disease and then treat this. Controlling infection is also important but based on years of experience, if we are actually successful to kill this bug because we are not treating the actual cause, another infection will set in with a different organism within a month or so. It's frustrating. Chronic rhinitis is one of the most frustrating conditions to be treated because it does not respond well to any particular treatment. The nebulizer is excellent and I am a huge fan of using gentamicin in the nebulizer. You could try imipenim subcutaneously but it is pricey. However, and again I must reiterate treating this will not resolve the issue. While attempting to treat this organism I'd be looking for other causes and treatment options.
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