Evidence map›Paper›PMID 39501680›Full record

ArticleThe Journal of small animal practice2025

Fungal dysbiosis following antibacterial monotherapy in canine otitis externa.

J Juhola, E Brennan, E A Ferguson, A Loeffler, A Hendricks, S M Frosini, Y M Chang, R Bond

Abstract read
In one paragraph

Article in The Journal of small animal practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Medical mycology case reports · 2026
    Article
  2. Animals : an open access journal from MDPI · 2025
    Review
  3. Prevalence ofOpen veterinary journal · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

J JuholaDepartment of Clinical Sciences and Services, University of London, Hatfield, UK.
E BrennanDepartment of Clinical Sciences and Services, University of London, Hatfield, UK.
E A FergusonDepartment of Clinical Sciences and Services, University of London, Hatfield, UK.
A LoefflerDepartment of Clinical Sciences and Services, University of London, Hatfield, UK.
A HendricksDepartment of Clinical Sciences and Services, University of London, Hatfield, UK.
S M FrosiniDepartment of Pathobiology and Population Sciences, University of London, Hatfield, UK.
Y M ChangDepartment of Comparative Biomedical Sciences, Royal Veterinary College, University of London, Hatfield, UK.
R BondDepartment of Clinical Sciences and Services, University of London, Hatfield, UK.ORCID 0000-0003-2222-9589

Funding

BSAVA Petsavers CRP 03.21
6 · The paper itself

Abstract

objectivesTo evaluate evidence of Malassezia overgrowth following successful topical antibacterial monotherapy of refractory canine bacterial otitis using semi-quantitative cultures. MATERIALS AND

methodsTwenty-nine dogs with bacterial otitis were treated topically with either fluoro-quinolone [0.5% enrofloxacin (18 dogs, 19 treatment events, 25 ears) or 0.1% marbofloxacin (1 ear), with 0.1% dexamethasone] ("FQ") SID, or 143 mg/mL piperacillin/18 mg/mL tazobactam ("PT") BID (11 dogs, 14 treatment events, 19 ears) for 8 to 36 days (mean 20 days). At visits 1 (V1) and 2 (V2), ear swab tips were washed in PBS + Triton X-100 and serial dilutions spread-plated onto blood, MacConkey (37°C, 48 hours) and modified Dixon's agar (32°C, 14 days) to generate semiquantitative counts. Microbes were identified by phenotype and MALDI-TOF.

resultsPrior to treatment, Pseudomonas aeruginosa was isolated alone or in combination with other bacteria in 14 FQ-treated ears and 18 PT-treated ears; the next most frequent bacteria were Streptococcus canis (8 FQ, 2 PT) and Staphylococcus pseudintermedius (8 FQ, 1 PT). The proportions of dogs' ears (excluding cross-over treatments and contra-lateral affected ears) from which bacteria were isolated were significantly reduced by treatment with both FQ (V1, 13/15; V2, 5/15) and PT (V1, 14/14; V2, 2/14). The proportions of dogs' ears from which yeasts (Malassezia pachydermatis, Candida spp.) were isolated were significantly increased by treatment in dogs treated with PT (V1, 1/14; V2, 14/14) but not FQ (V1, 3/15; V2, 6/15). CLINICAL SIGNIFICANCE: Otitis cases that receive potent antibacterial monotherapy must be monitored for yeast overgrowth.

Indexed as

Anti-Bacterial AgentsDog DiseasesDysbiosisOtitis ExternaAnimalsDogsFemaleFluoroquinolonesMalasseziaMaleAnti-Bacterial AgentsFluoroquinolonesmarbofloxacin

Identifiers

PMID39501680
PMCPMC11915478

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.