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Treatment is not recommended for dogs in breeding kennels, or where infected dogs cannot
be isolated and accurately monitored following antibiotic therapy. Treatment is expensive and cures are difficult
to achieve, especially in chronically infected males. Repeated blood cultures and serologic monitoring are required
for at least 3 post-treatment months before a dog can be declared negative. Recrudescence of the infection is
common after the cessation of antibiotic treatment. Successfully treated males frequently remain sterile because of
irreversible damage to the testes and epididymides. Spaying or castration may reduce the risk of transmission from
infected dogs.
The most successful and practical treatment is administered during the first 3 months of infection, and uses a
combination of a tetracycline (25 mg/kg orally TID) given for 4 weeks, along with gentamycin (2.2 mg/kg IM TID) given
on the first and last weeks of the 4-week treatment. More than 80% cure rates have been achieved in kennels where early
cases are promptly treated. A cure is more difficult to achieve in chronic infections.
Despite use of combined antibiotic therapy, elimination of infected dogs is the only proven method of eradication of
B. canis from an infected kennel.
Management of infected kennels/dogs is time consuming and expensive. Prevention is essential to minimize the risk of
infection in a breeding kennel. Infected kennels should be quarantined, as failure to do so can lead to widespread
transmission of B. canis infection.
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