自从上次关于狗钩端螺旋体病的共识声明发表以来,钩端螺旋体分类法的修订和分型方法的进步,广泛使用新的诊断测试和疫苗,并提高了对该疾病的流行病学和病理生理学的认识。钩端螺旋体病继续在狗中流行,包括城市地区的小型犬,幼犬只有11周大,老年犬,农村地区的狗,和未充分接种钩端螺旋体病疫苗的狗(包括在某些地区接种2-serovar钩端螺旋体疫苗的狗)。2021年,美国兽医内科学院(ACVIM)董事会投票批准了修订后的共识声明。在确定核心小组成员后,由来自兽医学领域的6名专家组成的多学科小组,人类医学,并召集公共卫生组织,使用德尔菲法对建议进行投票。在2023年ACVIM论坛上提交了一份草案,以及在ACVIM网站上发布的书面草案,供会员评论,然后提交给《兽医内科学杂志》的编辑。本修订文件为兽医从业人员提供了有关狗和猫疾病的指导。12名投票成员(包括核心小组成员)之间的协议水平与每项建议相关联。低于12的分母反映了≥1名小组成员的弃权,要么是因为他们认为该建议超出了他们的专业知识范围,要么是因为存在利益冲突。
Since publication of the last
consensus statement on leptospirosis in dogs, there has been revision of leptospiral taxonomy and advancements in typing methods, widespread use of new diagnostic tests and vaccines, and improved understanding of the epidemiology and pathophysiology of the disease. Leptospirosis continues to be prevalent in dogs, including in small breed dogs from urban areas, puppies as young as 11 weeks of age, geriatric dogs, dogs in rural areas, and dogs that have been inadequately vaccinated for leptospirosis (including dogs vaccinated with 2-serovar
Leptospira vaccines in some regions). In 2021, the American College of Veterinary Internal Medicine (ACVIM) Board of Regents voted to approve the topic for a revised
Consensus Statement. After identification of core panelists, a multidisciplinary group of 6 experts from the fields of veterinary medicine, human medicine, and public health was assembled to vote on the recommendations using the Delphi method. A draft was presented at the 2023 ACVIM Forum, and a written draft posted on the ACVIM website for comment by the membership before submission to the editors of the Journal of Veterinary Internal Medicine. This revised document provides guidance for veterinary practitioners on disease in dogs as well as cats. The level of agreement among the 12 voting members (including core panelists) is provided in association with each recommendation. A denominator lower than 12 reflects abstention of ≥1 panelists either because they considered the recommendation to be outside their scope of expertise or because there was a perceived conflict of interest.