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Topic:Antimicrobial Resistance
Antimicrobial resistance in horses refers to the ability of microorganisms to withstand the effects of antimicrobial agents that are intended to inhibit or kill them. This phenomenon occurs when bacteria, viruses, fungi, or parasites evolve mechanisms to resist the actions of drugs, leading to reduced efficacy of treatments. In equine medicine, antimicrobial resistance can complicate the management of infections, impacting both animal health and treatment strategies. The development and spread of resistant strains are influenced by factors such as the overuse or misuse of antimicrobial agents in veterinary practice. This page compiles peer-reviewed research studies and scholarly articles that explore the mechanisms, prevalence, and implications of antimicrobial resistance in equine populations.
Screening Equine Skin and Mucous Membranes for Carriage of Coagulase-Positive Staphylococci. Commensal populations of coagulase-positive Staphylococcus spp. (CoPS) in healthy horses are not well-defined. Objective: To determine the point prevalence, anatomical distribution, antimicrobial susceptibility and genomic characteristics of CoPS in healthy horses. Methods: One-hundred and fifty privately owned, systemically healthy horses from seven facilities were enrolled in this study. Methods: Horses were sampled from the nares, buccal mucosa and three skin sites. Isolates were identified using matrix-assisted laser desorption/ionisation time-of-flight mass spectrometry, and antimicrobial...
Antibiotics in Veterinary Ophthalmology: Resistance, Stewardship, and Emerging Antibiotic-Sparing Strategies. Antimicrobial resistance (AMR) is a growing challenge in veterinary ophthalmology, particularly in cases of bacterial keratitis, where progressive stromal infection can threaten vision and globe integrity within hours to days. This review synthesizes current evidence on pathogen distribution, antimicrobial susceptibility profiles, multidrug resistance (MDR) prevalence, and determinants of nonsusceptibility in veterinary patients, highlighting the emerging role of antibiotic-sparing alternatives. Across contemporary studies, Staphylococcus pseudintermedius, β-hemolytic streptococci, and Pseud...
Retrospective study of blood culture isolates, antimicrobial sensitivity, and survival factors from 243 neonatal foals in Normandy (France). Identifying causative bacterial species in neonatal foal bacteremia and their antimicrobial susceptibility profiles is essential for guiding appropriate antibiotic therapy. Objective: To describe bacterial isolates from blood culture and their antimicrobial susceptibility patterns in neonatal foals from two French institutes, and to assess associations between pretreatment and blood culture positivity, and between in-hospital death (euthanasia or natural death) and the presence of multidrug-resistant (MDR) bacteria. Methods: Two hundred forty-three foals (<7 days old) admitted to two equin...
Prevalence, genomic diversity and emerging antimicrobial resistance of Taylorella asinigenitalis in Grand Noir du Berry breeding donkeys. Taylorella asinigenitalis is a fastidious Gram-negative bacterium of the equine genital tract, found more commonly in donkeys than horses. Although considered non-pathogenic, it is closely related to Taylorella equigenitalis, the agent of contagious equine metritis, and has been linked to experimental and natural cases of endometritis. The SAFRAN project (French acronym for "Sauvegarde de la fertilité de l'âne", meaning "Preservation of donkey fertility"), launched in 2024 by the French National Research Institute for Agriculture, Food and Environment (INRAE) with support from the Centre-Val...
Prevalence, risk factors, and antimicrobial resistance of Staphylococcus aureus in equines in Egypt. Staphylococcus aureus is a common commensal organism in both humans and animals, frequently colonizing the skin and nasal cavities of healthy individuals, although it can also cause a wide range of severe infections. The present study investigated the prevalence and risk factors of S. aureus in equines, along with antimicrobial resistance patterns of methicillin-resistant S. aureus (MRSA) isolates. The results revealed a prevalence of 38.6% in nasal samples collected from equines, highlighting the organism's significant presence and potential to cause infections in these animals. A genotypic p...
Clinical audit on antimicrobial stewardship effectiveness in reducing antimicrobial-resistant bacterial colonisation in hospitalised horses. International guidelines support the One Health approach and recommend antimicrobial stewardship programmes (ASPs) in veterinary medicine. National data on antimicrobial-resistant bacterial colonisation rates (AMRb CR) in horses remain limited. Objective: To evaluate the effectiveness of an ASP in reducing AMRb CR in a Veterinary Teaching Hospital using a clinical audit. Methods: Clinical audit. Methods: In Autumn 2021 active AMR surveillance in Perinatology/Reproduction and Internal Medicine Units planned; January-July 2022-first audit cycle (A1); Autumn 2022-review and implementation of anti...
Toll-like receptor 3-activated allogeneic umbilical cord blood-derived mesenchymal stromal cells as an adjunct for the treatment of synovial sepsis in 3 horses. To describe the case presentation, treatment, and outcome of horses treated with Toll-like receptor 3 (TLR-3)-activated allogeneic umbilical cord blood-derived mesenchymal stromal cells (CB-MSCs). Unassigned: 3 horses presenting with chronic or antimicrobial-resistant (AMR) septic synovitis. Unassigned: All horses presented with clinical signs associated with septic synovitis including marked grade 4/5 lameness, joint effusion, heat/swelling of the limb, and synovial fluid parameters consistent with sepsis. Case 1 presented 3 weeks following the onset of clinical signs. Cases 2 and 3 developed...
Antibiofilm and resistance-modulating properties of tt-farnesol against Streptococcus equi subsp. equi and zooepidemicus. The aim of this study was to investigate the antibacterial, antibiofilm and modulating activities of trans-trans-farnesol (tt-farnesol) on two strains of Streptococcus equi subsp. equi and two strains of S. equi subsp. zooepidemicus, pathogenic or commensal bacteria of horses. Tt-farnesol showed bactericidal activity against all tested strains, with a minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) between 8 and 4 μg/mL. The sesquiterpene caused significant damage to the bacterial membrane, and its antibacterial activity did not appear to depend on oxidat...
More conservative use of antimicrobials does not adversely affect treatment outcomes in foal bronchopneumonia. The emergence of antimicrobial resistance raises concerns about using antibiotics in veterinary medicine, particularly in cases of bronchopneumonia in foals diagnosed early based on a screening programme. Many subclinical foals recover spontaneously, thus, interest in more restrictive antibiotic usage is increasing. Objective: To determine whether initiating antimicrobial therapy at a later stage of bronchopneumonia decreases antimicrobial usage without compromising successful resolution of pathology in affected foals. Methods: A total of 1200 warmblood foals born in 2020, 2022, 2023 and 2024 ...
Characterisation of Salmonella Typhimurium from a fatal equine nosocomial outbreak and retrospective analysis of equine clinic salmonellosis cases (2010-2025). In 2024, a highly fatal outbreak of equine salmonellosis occurred in a Hungarian equine referral hospital, resulting in the death or euthanasia of four out of five affected horses. () subsp. serovar Typhimurium was identified as the primary causative agent from equine faecal, reflux, and post-mortem intestinal content samples, while one case involved Coeln. Extensive environmental sampling during the outbreak also yielded multiple serovars. Whole-genome sequencing revealed a high degree of genetic relatedness among the Typhimurium isolates, confirming nosocomial transmission. The source ...
Chlorhexidine is Superior to Ozonized Water in the Reduction of the Oral Cavity Microbiota of Horses. In equine husbandry, oral cavity procedures are commonly performed and may be associated with complications, including extraoral diseases, potentially resulting from bacterial contamination and inadequate antisepsis. Bacterial resistance to antimicrobials is a major issue for healthcare professionals, including veterinarians that may misuse these pharmaceuticals. Therefore, developing novel methods for antisepsis is desirable. This study aims to test the effectiveness of a 100 µg/ml ozonized injectable water solution versus 0.12% chlorhexidine mouthwash. Fifty adult equines had swab samples...
Genomic characterization of Salmonella enterica serotype Saintpaul isolates from horses. Salmonellosis is a highly contagious, zoonotic disease affecting both animal and human health. Early characterization of emerging Salmonella serotypes and associated antimicrobial resistance patterns are essential for outbreak controls in animals and humans. Between 2018 and 2025, 245 Salmonella enterica subsp. enterica were isolated from both ante-mortem and post-mortem equine cases. The predominant Salmonella serotypes were Typhimurium (83), Newport (28), 1,4,[5],12:i:- (26), Saintpaul (25), Hartford (15), and Mbandaka (12). S. Saintpaul, previously rare in horses, was detected in 21 cases i...
Metagenomics insights into the effects of lactic acid bacteria inoculation on the microbial communities and antibiotic resistance genes in mare milk. Antibiotic resistance genes (ARGs) are emerging contaminants threatening public health, yet their transmission risk via mare milk products remains understudied. Using metagenomics, we analyzed lactic acid bacteria (LAB)-inoculated fermented, naturally fermented, raw, and pasteurized mare milk to investigate the effect of LAB inoculation on the distribution and transmission pathways of ARGs in mare milk. The results showed that naturally fermented, raw, and pasteurized mare milk had the highest number of pathogens, relative abundance of ARGs, and relative abundance of mobile genetic elements (M...
Unveiling Equine Abortion Pathogens: A One Health Perspective on Prevalence and Resistance in Northwest China. Equine bacterial abortion presents substantial economic and One Health challenges; however, comprehensive epidemiological data from China are limited. This study sought to ascertain the overall prevalence of key pathogens-namely, spp., , , and spp.-in equine populations in northwestern China. In this study, we aimed to further elucidate the characteristics of co-infections, profile antimicrobial resistance genes, and identify associated risk factors. Conducted as a cross-sectional analysis across four provinces, we collected 508 blood samples and 24 abortion tissue samples from 15 farms. Pat...
Effect of surgical antimicrobial prophylaxis duration for colic surgery on complications and resistome. Based on human studies, surgical antimicrobial (AMD) prophylaxis (SAP) beyond 24 h is unnecessary and potentially detrimental. Objective: To compare clinical and microbiological outcomes in patients receiving 24- or 72-h of SAP for colic surgery. Methods: Prospective randomised clinical trial. Methods: Horses that recovered from colic surgery were considered. Exclusion criteria were (1) age <2 years; (2) Miniature Horses, pony, and draught breeds; (3) azotaemia; (4) recent hospitalisation, colic surgery, or AMDs; (5) local AMD administration. Eligible horses were randomly assigned to re...
Geographic diversity of the Streptococcus equi subsp. equi accessory genome: implications for vaccines and global surveillance. Strangles, caused by the host-adapted subsp. (. ), imposes significant welfare and economic losses on the equine industry worldwide. Understanding its genomic features, virulence-associated genes (VAGs), antimicrobial resistance (AMR) and mobile genetic elements (MGEs) is essential for disease control and vaccine development. This study aimed to characterize the accessory genome composition, geographic distribution of VAGs and MGEs, and AMR profiles of . by a large-scale genomic analysis of global publicly available . sequences. All publicly available . sequences in the Sequence Read Arch...
Tackling equine antimicrobial resistance: introducing REIN In AMR. Charlotte Barber, Abigail McGlennon, Fleur Whitlock, John Grewar, Sophie Spalding, Richard Newton and Tamsin Dewé introduce a new government-funded initiative to strengthen the surveillance of antimicrobial resistance in the equine sector.
Prevalence and Antimicrobial Resistance Patterns of Salmonella in Asymptomatic Horses in Eastern Spain: A One Health Perspective. are zoonotic pathogens, and rising antimicrobial resistance (AMR) amplifies their public health impact. Asymptomatic horses can act as reservoirs, contributing to environmental contamination and interspecies transmission. This study aimed to estimate the prevalence of and characterize AMR patterns in healthy horses from eastern Spain. Faecal samples from 95 asymptomatic horses were collected once daily over five consecutive days (475 samples in total) and processed under for detection. Epidemiological information was obtained through owner questionnaires, and associations with shedding we...
Antimicrobial-Resistant Enteric Gram-Negative Bacteria Isolated from a Fatal Diarrhea in a Horse: Genomic Characterization of CTX-M-2-Producing Escherichia coli. Infections caused by antimicrobial-resistant bacteria are difficult to treat and increase the risk of death in animals. This report describes a fatal case of diarrhea in a horse that, despite intensive treatment including surgery and broad-spectrum antimicrobials (ceftiofur and amikacin), experienced a worsening of its condition and subsequent death. A fecal swab sample was subjected to microbiological culture for the identification of bacteria and assessment of their phenotypical antimicrobial susceptibility profiles using the disk-diffusion and broth microdilution methods. The double-disk ...
Characterization of Staphylococcus aureus CC1 and CC1660 of Human and Equine Origin. : isolates from humans and horses of the equine-associated clonal complexes (CCs) CC1 and CC1660 were comparatively investigated for their genomic relationships. : A total of 91 isolates (64 human, 27 equine) were subjected to whole-genome sequencing (WGS), sequence analysis, and antimicrobial susceptibility testing. : WGS confirmed 75 CC1 and 16 CC1660 isolates, comprising nine sequence types (STs) in CC1 and four STs in CC1660. Ten types were present in CC1 and five in CC1660. In the gene of three CC1 isolates, a 285 bp deletion was detected, and a nucleotide deletion causing a premature...
Analysis of Staphylococcal Diversity in the Skin Microbiota of Healthy Riding Horses. In animals, staphylococci constitute a significant part of the normal skin microbiota and mucous membranes. There is limited information available on staphylococci isolated from healthy horses. These skin-associated bacteria can be easily transferred between animals and horse riders via direct contact. Patients undergoing hippotherapy (i.e., medical or therapeutic sessions with horses) are especially at risk of being colonized by horse skin-associated bacteria. However, it remains unclear whether equine skin is colonized by antimicrobial-resistant (AMR) opportunistic pathogens, which may be o...
Controlling drug-resistant bacteria in Arabian horses: bacteriophage cocktails for treating wound infections. Antimicrobial resistance is a major global health issue requiring a coordinated response. This study investigated for the first time the prevalence, antimicrobial resistance phenotypes of bacteria causing infections in Arabian horses, and the potential of bacteriophage therapy for wound treatment. One hundred clinical samples from infected Arabian horses, presenting respiratory disorders, diarrhea, abortion, wound, and ocular infection, were examined using direct sample multiplex PCR and phenotypic methods. Antimicrobial susceptibility testing of the recovered isolates was performed using pane...
Antimicrobial use in equine patients at a veterinary teaching hospital in the northeastern United States reveals opportunities for enhanced stewardship. To assess the use of systemic antimicrobial agents in equine patients and identify areas where their use could be reduced. Unassigned: A retrospective study evaluating the electronic medical records for all equine visits in which systemic antimicrobials were given at a veterinary teaching hospital for 1 year (2021). Negative binomial regression analysis was used to evaluate factors associated with antimicrobial prescription rate. Unassigned: Systemic antimicrobials were prescribed for 33.5% (543 of 1,622) of equine visits. For most visits (89.1%), ≤ 3 antimicrobials were given. The antimicro...
Streptococcus equi subsp. equi isolated from horses in Southern Brazil: molecular and phenotypic analyses. Streptococcus equi subsp. equi (S. equi) is the etiological agent of strangles, a contagious equine disease characterized by lymph node abscess and respiratory complications. To clarify the epidemiology and virulence factors of isolates, this study demonstrated phenotypic and genotypic differences between S. equi obtained from nasal secretions and lymph node aspirates of clinical strangles cases. Additionally, circulating alleles were differentiated through sequencing of the 5' end of the seM gene. A total of 23 clinical isolates collected from horses with strangles over the past decade were a...
A high proportion of bacterial isolates from septic neonatal foals in Ontario express multidrug resistance and low susceptibility to first-line antimicrobials. To describe common bacterial isolates cultured from sick neonatal foals and their antimicrobial susceptibility and resistance patterns. Unassigned: Medical records of foals ≤ 30 days of age, admitted to the Ontario Veterinary College from 2020 to 2023, and with a positive aerobic bacterial culture and susceptibility testing performed (Kirby-Bauer method) were included. A descriptive analysis of species isolated and antimicrobial and multidrug resistance profiles was performed. Unassigned: 62 samples from 60 predominantly Thoroughbred (42% [25 of 60]) neonatal foals (median age, 8 days) yield...
One health approach on zoonotic multidrug-resistant Klebsiella pneumoniae isolated from Egyptian cattle, horses, and humans. Worldwide, zoonotic diseases represent serious risks to public health, underscoring the need for efficient surveillance techniques. The One Health concept has gained popularity as a comprehensive paradigm for tackling zoonotic disease surveillance because it acknowledges the correlation of pathogens, animals, humans, and the surrounding environment. Public health is now concerned about antibiotic-resistant (), which causes severe impurities in animals and humans, leading to morbidity and mortality. Unassigned: This study examined the collaborative efforts between human and animal (cattle and ...
Antimicrobial Resistance and Genetic Characterization of Streptococcus equi subsp. zooepidemicus in Equines from Central Italy: Insights from a One Health Perspective. subsp. (SEZ) is a bacterium that primarily affects horses but can also infect other animals and humans. In 2021-2022, two SEZ outbreaks occurred in Abruzzo, Italy: one in humans linked to unpasteurized cheese (37 cases) and another in donkeys (4 deaths). These events led researchers to investigate SEZ in horses, donkeys, and a mule in the regions of Abruzzo and Molise, focusing on antibiotic resistance and genetic traits. A total of 490 nasal and genital swabs were collected from equids and analyzed for SEZ presence, with 61 positive samples. Isolated strains underwent antimicrobial suscepti...
Antimicrobial prescribing guidelines for horses in Australia. The growing problem of antimicrobial resistance also affects equine veterinarians with increasing frequency. Antimicrobial stewardship and responsible prescribing are essential for a future in which effective antimicrobials are available, as it is unlikely that new antimicrobials will become available for use in horses. While antimicrobials are commonly used to treat equine infections, complications with therapy are also relatively common. Antimicrobial-associated diarrhoea, immune-mediated diseases, and nephrotoxicity have been reported as sequelae of antimicrobial therapy in equine practice....
Microbial profile of post-breeding endometritis in Arabian mares from the Al-Hira District, Iraq. in Arabian mares poses a significant reproductive challenge, necessitating proper pathogen identification and antimicrobial susceptibility determination. Unassigned: To investigate the prevalence of intrauterine pathogens and their antimicrobial susceptibility patterns in Arabian mares with postbreeding endometritis. Unassigned: Seventeen Arabian mares were examined clinically and ultrasonographically. Uterine swabs were collected for bacterial isolation and antimicrobial susceptibility testing. Unassigned: Clinical endometritis was detected in 29.4% of the mares. Ultrasonographic examination...
Antibiograms of Bacterial Cultures From Equine Neonates at a United Kingdom Hospital: 381 Samples (2018-2023). Geographical specific data is required to guide empirical antimicrobial selection in equine neonates. Objective: Evaluate antibiograms and survival in foals from a United Kingdom (UK)-based hospital to guide antimicrobial selection. Methods: Blood and synovial fluid samples from 208 foals ≤ 30 days old admitted to Rossdales Equine Hospital from 2018 to 2023. Methods: Retrospective cohort study. Antimicrobial susceptibility was assessed by disc diffusion method. Bacterial culture and susceptibility and foal survival were recorded. The effects of the presence of positive culture or multi...
