Risk factors for Candida urinary tract infections in dogs and cats.

Abstract

Background Candida urinary tract infections occur in both dogs in cats but there is limited data about risk factors.ObjectiveTo identify risk factors for candiduria in dogs in cats.AnimalsEighteen dogs and 8 cats with candiduria.MethodsA retrospective case‐control study, using univariate exact logistic regression. Medical records were searched for a diagnosis of Candida and animals with culture‐confirmed candiduria were enrolled. Controls had bacterial cystitis (dogs and cats) or cutaneous Malassezia infection (dogs only).ResultsAdministration of antibacterial drugs in the 30 days before diagnosis was associated with candiduria in dogs compared to controls with bacterial cystitis (OR 14.5; 95% CI 3.1‐66.9) or with Malassezia infection (OR 26.4; 95% CI 3.4‐206.7). Antecedent antibacterial drug administration was associated with candiduria in cats (OR 15.7; 95% CI 1.9‐132.3). Immunosuppression was associated with candiduria in dogs when compared to controls with Malassezia infection (OR 4.2, 95% CI 1.4‐12.8), but not significantly when compared to dogs with bacterial cystitis (OR 2.7, 95% CI 0.9‐8.0). Lower urinary tract diseases other than infection were associated with candiduria in cats (OR 6.7, 95% CI 1.6‐27.9), but not significantly in dogs (OR 2.5, 95% CI 0.7‐8.7). Neither diabetes mellitus nor history of hospitalization was significantly associated with candiduria in either species.Conclusions and clinical importanceThe recent administration of antibacterial drug therapy is a potential risk factor for development of candiduria in dogs and cats. Judicious use of antibacterial drugs might help to prevent candiduria.