Recommendations for antibiotic use in cases of chronic diarrhea
Chronic diarrhea is a common complaint presented to veterinary practices. Routine care typically involves numerous diagnostic tests and empirical treatments, including dietary interventions, parasiticides, and in some cases antibiotics.
Indiscriminate use of antibacterial drugs can have detrimental consequences for both the patient and for the general public. This article advocates use of antibacterials only after histopathologic evaluation of gastrointestinal biopsies or, for those cases in which endoscopy is not possible, after other therapeutic trials, such as diet/pre‐probiotics or anti‐inflammatory drugs have proven unsuccessful.
Researchers suggest that antibiotic use should be reserved for those canine patients with signs of true primary infection (i.e. signs of systemic inflammatory response syndrome or evidence of adherent‐invasive bacteria) that justify antibacterial use.
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