Carbapenemase-producing Enterobacterales (CPE) is a group of bacteria with resistance to powerful carbapenem antibiotics such as meropenem. They’re also usually resistant to various other antibiotics, which makes them a big concern because treatment options are very limited, and unfortunately the rate of CPE infections in people is increasing rapidly. To treat them, physicians typically need

“Doing nothing often leads to the very best of something.” ~Winne the Pooh

I don’t think the beloved wise sage of a bear was thinking about urine when he said that, but we can nonetheless heed the guidance of Winnie the Pooh when it comes to the management of subclinical bacteriuria. Here’s why:

Subclinical bacteriuria

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I’m on the way home from ESCMID Global, a clinical microbiology and infectious disease conference. Although the conference didn’t include much veterinary-specific content, it did include a good collection of abstracts about zoonotic diseases, including a couple about diseases in veterinarians, one of which described an infection with Brucella canis.

I’ve written about

Words matter. Inconsistency and inaccuracy with terminology can result in misinterpretation, poor communication and creates challenges when discussing cases, interpreting research and developing guidelines.

This has been particularly evident when it comes to urinary tract disease in dogs and cats. For example, “urinary tract infection (UTI)” is a very generic term that has been commonly