Topic:Antimicrobial

Trimethoprim-sulfonamide: a valid antimicrobial treatment in foals?
Journal of the American Veterinary Medical Association    March 13, 2024   1-9 doi: 10.2460/javma.23.09.0536
Gustafsson K, Sykes BW, Verwilghen D, Palmers K, Sullivan S, van Galen G.Trimethoprim-sulfonamide (TMPS) combinations are widely used to treat a range of infectious diseases in horses, but some equine practitioners are reluctant to use them for treatment of both neonatal and older foals. Considering the emergence of increased antimicrobial resistance, the use of protected antimicrobials commonly prescribed to foals should be avoided and alternative first-line therapy considered, where appropriate. This review examines the characteristics and pharmacokinetics of TMPS and its suitability for treatment of foals. Data regarding dosage and route of administration are re...
Endometrial expression of antimicrobial peptides as markers of subclinical endometritis in mares.
Equine veterinary journal    March 2, 2024   doi: 10.1111/evj.14080
Moroni R, Fanelli D, Camillo F, Rota A, Cantile C, Marmorini P, Salamone G, Ori M, Panzani D.Endometritis is a major cause of subfertility in mares. Multiparous old mares are more susceptible to developing endometritis given that ageing is associated with an altered immune response and with inadequate physiological uterine clearance after breeding, which can lead to degenerative changes in the endometrium. Molecules such as antimicrobial peptides (AMPs) have been proposed as endometritis markers in the equine species. Methods: Cross-sectional. Objective: To investigate the endometrial expression of defensin-beta 4B (DEFB4B), lysozyme (LYZ) and secretory leukocyte peptidase inhibitor (...
Pharmacokinetics/pharmacodynamics cut-off determination for fosfomycin using Monte Carlo simulation in healthy horses.
The Journal of veterinary medical science    February 12, 2024   doi: 10.1292/jvms.23-0476
Kuroda T, Minamijima Y, Niwa H, Mita H, Tamura N, Fukuda K, Toutain PL, Ohta M.Fosfomycin (FOM) is an approved veterinary medicinal product for large animals in Japan, but Clinical breakpoint (CBP) for antimicrobial susceptibility test (AST) is not defined for animals. This study aimed at conducting a pharmacokinetics/pharmacodynamics (PK/PD) analysis to determine the PK/PD cutoff for the CBP in horses. Drug concentrations following single intravenous administration (IV) of 20 mg/kg body weight (BW) FOM in nine horses were measured using liquid chromatography/mass spectrometry. The data were modelled using a nonlinear mixed-effects model, followed by Monte Carlo simulati...
Effectiveness of photo-ozone therapy against equine Pythium insidiosum.
Journal of equine veterinary science    February 9, 2024   105030 doi: 10.1016/j.jevs.2024.105030
Rodrigues VS, Trevisan LAC, Cintra BS, Pires RH, Ribeiro AB, Tavares DC, Oberhaus E, Ferreira JC.Cutaneous pythiosis is a life-threatening infectious disease. Low-level laser therapy (LLLT) and ozone (O) have been used individually in the treatment of infected wounds. The goals of the study were a) to characterize the antimicrobial action of the photo-ozone therapy (LLLT-O) against equine Pythium insidiosum, and b) to assess the cytotoxic potential of the LLLT-O in keratinocytes. Specimens of pathogen were isolated from 10 horses. After culturing, 120 hyphae plugs were distributed among four groups (n=30 hyphae plugs/group): LLLT (laser irradiation for 160 sec;), O (exposition to O for 15...
Methicillin-resistant Staphylococcus spp. investigation in hospitalized horses and contacting personnel in a teaching veterinary hospital.
Journal of equine veterinary science    February 7, 2024   105031 doi: 10.1016/j.jevs.2024.105031
Olivo G, Zakia LS, Ribeiro MG, da Cunha MLRS, Riboli DFM, Mello PL, Teixeira NB, de Arau00fajo CET, de Oliveira-Filho JP, Borges AS.Staphylococci are well-known opportunistic pathogens associated with suppurative diseases in humans and animals. Antimicrobial resistance is an emergent threat to humans and animals worldwide. This study investigated the prevalence of methicillin-resistant Staphylococcus spp. (MRS) in hospitalized horses and contacting personnel (veterinarians and staff) and assessed possible interspecies transmission in a teaching veterinary hospital. Nasal swabs from horses (n = 131) and humans (n = 35) were collected. The microorganisms were identified by traditional biochemical tests and genotypic ...
Antimicrobial Prescription Behavior in Equine Asthma Cases: An International Survey.
Animals : an open access journal from MDPI    January 30, 2024   Volume 14, Issue 3 457 doi: 10.3390/ani14030457
van den Brom-Spierenburg AJ, Mureu0219an AN, Westermann CM.Equine asthma is considered a non-infectious respiratory disease characterized by inflammation and hypersensitivity. Given the importance of antimicrobial stewardship, an international survey was designed to investigate the use of antimicrobials in asthmatic horses and the factors influencing prescription behavior. An online survey was distributed in six languages by international mailing lists and social media from December 2020 to January 2022. Of the 434 responses recorded, 249 veterinarians working in 25 countries finished the survey. These included 79 ECEIM/ACVIM diplomats. A total of 204...
Isolation of lactic acid bacteria from the reproductive tract of mares as potentially beneficial strains to prevent equine endometritis.
Veterinary research communications    January 18, 2024   doi: 10.1007/s11259-024-10295-2
Silva JA, Castau00f1ares M, Mouguelar H, Valenciano JA, Pellegrino MS.Endometritis, the inflammation of the endometrium, is the leading cause of subfertility in mares, and therefore responsible for major economic losses in the horse industry worldwide. It is generally treated with uterine lavages combined with ecbolic agents and local or systemic antibiotics. However, since antibiotic overuse has been associated with antimicrobial resistance in mares with persistent endometritis, new prevention and treatment alternatives are needed. One such alternative could be the use of probiotic lactic acid bacteria (LAB) isolated from the host. Thanks to their species speci...
Frequency of potentially pathogenic bacterial and fungal isolates among 28,887 endometrial samples from mares, with an emphasis on multi-drug resistant bacteria in Germany (2018-2022).
Journal of equine veterinary science    January 17, 2024   Volume 133 105008 doi: 10.1016/j.jevs.2024.105008
Ku00f6hne M, Hegger A, Tu00f6nissen A, Heusinger A, Hader C, Gu00f6rgens A, Sieme H.Antimicrobial-resistant bacteria pose a serious threat to the wellbeing of animals and humans. In equine reproduction, endometritis caused by facultative microbial pathogens is a condition, which is usually treated with antibiotics. Data from Germany on prevalence of facultative pathogenic microorganisms cultured in samples from the equine uterus and the frequency of multi-drug resistant (MDR) bacteria is lacking. The aim of the study was to provide representative numbers for both. Microbiological culture results (n = 28,887) of endometrial samples submitted to a large veterinary diagnostic ...
Retrospective study of perioperative antimicrobial use in horses undergoing elective laparoscopy at a single institution. Recchi L, Cribb N, Cu00f4tu00e9 N, Dubois MS, Koenig J, Valverde A, Monteith G.Antimicrobial stewardship has shown significant development in recent years. Perioperative prophylaxis accounts for a substantial volume of antimicrobial use and is a field in which improvements can likely be made. The objective of this study was to evaluate practices associated with perioperative antimicrobial use in equine elective laparoscopy at a single institution over a 21-year period and to determine whether antimicrobial therapy influenced the occurrence of postoperative complications. Medical records of horses that underwent elective laparoscopy at a teaching hospital from January 200...
Equine ulcerative keratitis in the Netherlands (2012-2021): Bacterial and fungal isolates and antibiotic susceptibility.
Equine veterinary journal    January 14, 2024   doi: 10.1111/evj.14059
Verdenius CY, Slenter IJM, Hermans H, Broens EM, Djajadiningrat-Laanen SC.Ulcerative keratitis is a common ophthalmic disease in horses which can be complicated by microbial infection and requires immediate, accurate treatment to prevent loss of visual function or the eye. Objective: To report the results of microbial cultures, antibiotic susceptibility tests and corneal cytology in horses with ulcerative keratitis presented to a referral clinic, to assess agreement between cytology and culture results, to investigate whether previous topical treatment affected microbial culture results and whether the incidence of antimicrobial resistance changed during the study p...
Antimicrobial resistance and genetic diversity of Klebsiella pneumoniae strains from different clinical sources in horses.
Frontiers in microbiology    January 11, 2024   Volume 14 1334555 doi: 10.3389/fmicb.2023.1334555
Gravey F, Su00e9vin C, Castagnet S, Foucher N, Maillard K, Tapprest J, Lu00e9on A, Langlois B, Le Hello S, Petry S. is a major cause of infections and reproductive disorders among horses, ranked in recent French studies as the sixth most frequently isolated bacterial pathogen in equine clinical samples. The proportion of multidrug-resistant (MDR) is therefore significant in a context where MDR strains are considered a major global concern by the World Health Organization. Unassigned: In this study, we used a genomic approach to characterize a population of 119 equine strains collected by two laboratories specialized in animal health in Normandy (France). We describe the main antibiotic resistance profil...
Pulmonary aspergillosis in a horse: a case report.
Brazilian journal of veterinary medicine    January 9, 2024   Volume 46 e004723 doi: 10.29374/2527-2179.bjvm004723
Melo UP, Ferreira C, Barreto SWM.Respiratory diseases considerably affect equine athletes, being the second most common cause of poor performance. Among these diseases, fungal pneumonia in horses, caused specifically by spp., is relatively rare but potentially fatal. Fungal pneumonia typically affects horses exposed to fungal elements due to environmental factors, immunosuppression, or previous debilitating illnesses. Treatment is complex, with minimal success due to late diagnosis and serious concomitant underlying diseases. The choice of medication depends on the site of infection, the fungal species involved, and financia...
Pattern of prescriptions and prudent use of antimicrobial in horse practice at a Veterinary Teaching Hospital.
Research in veterinary science    January 4, 2024   Volume 168 105140 doi: 10.1016/j.rvsc.2024.105140
Bacci S, Meucci V, Sgorbini M, De Marchi L, Pirone A, Pretti C, Tognetti R, Intorre L.Antimicrobial prescriptions of the University of Pisa and their compliance with prudent use recommendations were investigated over 11 years (2011-2021). At least one antimicrobial was always prescribed in surgical prophylaxis for the suture of wounds and in 33% of horses with signs of disease of a body system. Antimicrobials were administered in monotherapy (48%) in fixed dose combinations (21%) and empirical combinations (31%). Antimicrobials were mostly (63%) administered by parenteral route, while oral and topical antimicrobials accounted for 14% and 23% of prescriptions, respectively. Gen...
Reduced bacterial load in stallion semen by modified single layer centrifugation or sperm washing.
Theriogenology    December 29, 2023   Volume 216 111-117 doi: 10.1016/j.theriogenology.2023.12.034
Malaluang P, Wagner LH, Cojkic A, Spergser J, Aurich C, Morrell JM.The presence of bacteria poses a significant challenge to the quality of stallion semen used in artificial insemination. The bacterial content of insemination doses arises from various sources, such as the healthy stallion, environment, and collection equipment, and is implicated in fertility problems as well as reduced sperm quality during storage. The conventional approach of adding antibiotics to semen extenders raises concerns about antimicrobial resistance and potential negative effects on sperm characteristics, and may not be effective in inhibiting all bacteria. The objective of this st...
In Vitro Effect of Eucalyptus Essential Oils and Antiseptics (Chlorhexidine Gluconate and Povidone-Iodine) against Bacterial Isolates from Equine Wounds.
Veterinary sciences    December 26, 2023   Volume 11, Issue 1 12 doi: 10.3390/vetsci11010012
Pimenta J, Dias C, Cotovio M, Saavedra MJ.Considering the increasing antibiotics resistance, there has been a propensity to replace them with antiseptics when it comes to wound management and treatment. Nevertheless, in recent years, there have been reports regarding resistance to antiseptics by some bacterial strains. There is also concern about the environmental impact of these substances. The aim of this study was to compare the antimicrobial efficacy of antiseptics and eucalyptus essential oils on bacterial strains from horse's wounds. We used twelve , eight , two , one and one strains from equine wounds. The effect of essentia...
Age and treatment on the day of embryo transfer in recipient mares affect likelihood of pregnancy.
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    December 6, 2023   Volume 51, Issue 6 358-366 doi: 10.1055/a-2186-2693
Blanco M, Foss R, Tu00f6niu00dfen A, Rohn K, Burger D, Sieme H.This retrospective evaluation of data from a large commercial embryo transfer facility aimed to determine the extent to which age and treatment on the day of embryo transfer in recipient mares influence the likelihood of pregnancy. Methods: Embryo recovery was carried out on days 8-10 post-ovulation using transcervical uterine flushing. Recipient mares grouped according to their age were treated once on the day of embryo transfer (Day 3-8 post ovulation) and were assigned randomly to 1 of 3 groups: Mares in Group A (n=101) received antispasmodic, antimicrobial, and anti-inflammatory drugs. Mar...
The Effects of Antimicrobial Protocols and Other Perioperative Factors on Postoperative Complications in Horses Undergoing Celiotomy: A Retrospective Analysis, 2008-2021.
Animals : an open access journal from MDPI    November 19, 2023   Volume 13, Issue 22 3573 doi: 10.3390/ani13223573
Rockow M, Griffenhagen G, Landolt G, Hendrickson D, Pezzanite L.Recognition of antimicrobial resistance in equine practice has increased over the past decade. The objective of this study was to provide an updated retrospective review of antimicrobial regimens in one tertiary referral hospital and to evaluate the association with postoperative complications. A secondary objective was to evaluate other perioperative factors including surgical procedure, anesthetic and recovery parameters, and the effect of perioperative medications on complications and outcomes. A computerized search of medical records was performed to identify horses undergoing exploratory ...
Pastern dermatitis outbreak associated with toxigenic and non-toxigenic Corynebacterium diphtheriae and non-toxigenic Corynebacterium ulcerans at a horse stable in Finland, 2021.
Zoonoses and public health    November 5, 2023   doi: 10.1111/zph.13090
Gru00f6nthal TSC, Lehto AK, Aarnio SS, Eskola EK, Aimo-Koivisto EM, Karlsson T, Koskinen HI, Barkoff AM, He Q, Lienemann T, Rimhanen-Finne R....Corynebacterium diphtheriae and Corynebacterium ulcerans, when producing toxin, are the cause of diphtheria, a potentially life-threatening illness in humans. Horses (Equus ferus caballus) are known to be susceptible to infection that may manifest clinically on rare occasions. In late 2021 and early 2022, specimens from five horses suffering from pastern dermatitis were cultured at the Laboratory of Clinical Microbiology at the Faculty of Veterinary Medicine, University of Helsinki, Finland. C. diphtheriae and/or C. ulcerans were recovered from all of these. This study aimed to (1) analyse the...
Complete genome sequencing and comparative genomic analysis of three donkey Streptococcus equi subsp. equi isolates.
Frontiers in microbiology    November 1, 2023   Volume 14 1285027 doi: 10.3389/fmicb.2023.1285027
Zhang Y, Lv F, Su Y, Zhang H, Zhang B. subspecies () is the causative agent of strangles, which is one of the most common and highly contagious respiratory infectious illnesses in horses. () is a horse-specific pathogen that originated from the closely related zoonotic pathogen subspecies (). Despite decades of research, the movement of genetic material across host-restricted diseases remains a mystery. Unassigned: Three donkey isolates (HTP133, HTP232, and HT1112) were recently isolated from a strangles epidemic on donkey farms in China's Xinjiang Province. In this study, we performed a comprehensive comparative analysis of ...
Pharmacokinetic-pharmacodynamic cutoff values for benzylpenicillin in horses to support the establishment of clinical breakpoints for benzylpenicillin antimicrobial susceptibility testing in horses.
Frontiers in microbiology    October 25, 2023   Volume 14 1282949 doi: 10.3389/fmicb.2023.1282949
Lallemand EA, Bousquet-Mu00e9lou A, Chapuis L, Davis J, Ferran AA, Kukanich B, Kuroda T, Lacroix MZ, Minamijima Y, Olsu00e9n L, Pelligand L....The aim of this international project was to establish a species-specific Clinical Breakpoint for interpretation of Antimicrobial Susceptibility Testing of benzylpenicillin (BP) in horses. Unassigned: A population pharmacokinetic model of BP disposition was developed to compute PK/PD cutoff values of BP for different formulations that are commonly used in equine medicine around the world (France, Sweden, USA and Japan). Investigated substances were potassium BP, sodium BP, procaine BP, a combination of procaine BP and benzathine BP and penethamate, a prodrug of BP. Data were collected from 40 ...
Detection and genomic characterization of a multidrug-resistant Salmonella Newport co-harbouring blaCMY-2, qnrB19 and mcr-9 from the diarrheic faeces of a foal.
Journal of global antimicrobial resistance    October 5, 2023   Volume 35 198-201 doi: 10.1016/j.jgar.2023.09.019
Braga PRC, Dos Santos CA, Bertani AMJ, Vieira T, Amarante AF, Reis AD, Sacchi CT, Camargo CH, Ribeiro MG, Borges AS, Tiba-Casas MR.This study reports the genomic characterization of the multidrug resistant Salmonella Newport strain 195_20 recovered from the diarrheic faeces of a foal in Brazil and co-harbouring the mcr-9, bla and qnrB19 antibiotic resistance genes. Methods: Bacterial isolate positive for mobile colistin resistance gene (mcr-9) was submitted to antimicrobial susceptibility testing by disk diffusion and broth microdilution for colistin and polymyxin B. The isolate was submitted to whole genome sequencing by Illumina technology and Nanopore Sequencing. Conjugation assays, plasmid sizes determined by S1-PFGE ...
Discrepancies between phenotypic and genotypic identification methods of antibiotic resistant genes harboring Staphylococcusaureus.
Microbial pathogenesis    September 11, 2023   Volume 184 106342 doi: 10.1016/j.micpath.2023.106342
Rasheed H, Ijaz M, Ahmed A, Javed MU, Shah SFA, Anwaar F.Antimicrobial resistance is a global issue that limits therapeutic options for infections. S. aureus being a member of the ESKAPE group is capable of "escaping" the biocidal action of antimicrobial agents. There are phenotypic and genotypic methods used for the identification of antibiotic resistant genes harboring S. aureus but these methods do not always show concordant results. To address these discrepancies, a total of 335 equine nasal swab samples from four districts of Punjab were collected using a convenient sampling technique. These samples were first subjected to common microbial tech...
Antimicrobial Activity of Milk Whey in Different Mammals.
Bulletin of experimental biology and medicine    August 10, 2023   Volume 175, Issue 3 358-361 doi: 10.1007/s10517-023-05867-2
Kolyganova TI, Arzumanyan VG, Matvienko MA, Rodionova AA, Korshunova DS, Shatunova PO, Yastrebova NE.Antimicrobial activity of milk whey in different mammals against Candida albicans yeast cells was studied by a spectrophotometric method. The activity increased in the order goat→horse→camel→cow→human→mouse. The level of whey activity in mice was higher by 3 and 10 times than in humans and goats, respectively. Similar changes were noted for activity of the whey fraction <100 kDa containing a complex of antimicrobial polypeptides, and there was a direct correlation between these two parameters (r=0.881; p<0.05). The total activity of whey had a high degree of correlation with th...
Preliminary Investigation of Side Effects of Polymyxin B Administration in Hospitalized Horses.
Antibiotics (Basel, Switzerland)    May 5, 2023   Volume 12, Issue 5 854 doi: 10.3390/antibiotics12050854
van Spijk JN, Beckmann K, Wehrli Eser M, Stirn M, Steuer AE, Saleh L, Schoster A.Neuro- and nephrotoxicity of polymyxins are known but clinical studies in horses are lacking. The aim of this study was to describe neurogenic and nephrogenic side effects of hospitalized horses receiving Polymyxin B (PolyB) as part of their treatment plan. Twenty horses diagnosed with surgical colic ( = 11), peritonitis ( = 5), typhlocolitis ( = 2), pneumonia, and pyometra (each = 1) were included. Antimicrobial treatment was randomized to GENTA (gentamicin 10 mg/kg bwt q24 h IV, penicillin 30.000 IU/kg q6 h IV) or NO GENTA (marbofloxacin 2 mg/kg bwt q24 h IV, penicillin 30.000 IU/kg q6 h IV...
Basic Postoperative Care of the Equine Colic Patient.
The Veterinary clinics of North America. Equine practice    April 27, 2023   Volume 39, Issue 2 263-286 doi: 10.1016/j.cveq.2023.03.010
Bauck AG.The 3 time periods around colic surgery (preoperative, operative, and postoperative) are all critical to successful outcomes. Although much focus is often paid to the first 2 time periods, the importance of sound clinical judgment and rational decision-making in the postoperative period cannot be overstated. This article will outline the basic principles of monitoring, fluid therapy, antimicrobial therapy, analgesia, nutrition, and other therapeutics routinely used in patients following colic surgery. Discussions of the economics of colic surgery and expectations for normal return to function ...
Administration safety of medical-grade honey (MGH) in septic synovial structures in horses: 3 cases. Terschuur JA, Coomer RPC, McKane SA.The objective of this study was to investigate the postoperative use of intrasynovial honey as an antimicrobial after treatment for synovial sepsis in horses. One colt and 2 mares were presented with acute lameness, with or without an associated wound. All 3 cases were initially managed with surgical endoscopic or tenoscopic debridement and lavage for treatment of different synovial structures. Collection of synovial fluid was consistent with synovial sepsis and this was diagnosed in each case. All horses subsequently underwent arthroscopic lavage under general anesthetic and intraarticular or...
Corynebacteria of the diphtheriae Species Complex in Companion Animals: Clinical and Microbiological Characterization of 64 Cases from France.
Microbiology spectrum    April 6, 2023   Volume 11, Issue 3 e0000623 doi: 10.1128/spectrum.00006-23
Museux K, Arcari G, Rodrigo G, Hennart M, Badell E, Toubiana J, Brisse S.Corynebacteria of the species complex (CdSC) can cause diphtheria in humans and have been reported from companion animals. We aimed to describe animal infection cases caused by CdSC isolates. A total of 18,308 animals (dogs, cats, horses, and small mammals) with rhinitis, dermatitis, nonhealing wounds, and otitis were sampled in metropolitan France (August 2019 to August 2021). Data on symptoms, age, breed, and the administrative region of origin were collected. Cultured bacteria were analyzed for gene presence, production of the diphtheria toxin, and antimicrobial susceptibility and were ge...
Identification of putative orthologs of clinically relevant antimicrobial peptides in the equine ocular surface and amniotic membrane.
Veterinary ophthalmology    December 7, 2022   Volume 26 Suppl 1, Issue Suppl 1 125-133 doi: 10.1111/vop.13042
Hisey EA, Martins BC, Donnelly CG, Cassano JM, Katzman SA, Murphy CJ, Thomasy SM, Leonard BC.This study aimed to define the antimicrobial peptide (AMP) expression pattern of the equine ocular surface and amniotic membrane using a targeted qPCR approach and 3'Tag-sequencing. It will serve as a reference for future studies of ocular surface innate immunity and amniotic membrane therapies. Methods: A targeted qPCR approach was used to investigate the presence of orthologs for three of the most highly expressed beta-defensins (DEFB1, DEFB4B, and DEFB103A) of the human ocular surface and amniotic membrane in equine corneal epithelium, conjunctiva, and amniotic membrane. 3'Tag-sequencing wa...
The concentration of lidocaine and mepivacaine measured in synovial fluid of different joints of horses after single intra-articular injection.
Frontiers in veterinary science    November 10, 2022   Volume 9 1007399 doi: 10.3389/fvets.2022.1007399
Adler DMT, Ju00f8rgensen E, Cornett C.To determine the synovial fluid (SF) concentrations of lidocaine and mepivacaine after intra-articular injection with clinically relevant doses to the distal interphalangeal (DIP), metacarpophalangeal (MCP), middle carpal (MC), and tarsocrural (TC) joint at two different time points after injection in order to be able to compare concentrations with previously established concentrations associated with cytotoxicity and antimicrobial activity. Unassigned: In the first of two experiments, 20 joints (5 MC, 5 MCP, 10 DIP joints) of five horses under general anesthesia were injected with clinically ...
A Systematic Review of the Bioactive Components, Nutritional Qualities and Potential Therapeutic Applications of Donkey Milk.
Journal of equine veterinary science    May 6, 2022   Volume 115 104006 doi: 10.1016/j.jevs.2022.104006
Garhwal R, Sangwan K, Mehra R, Kumar N, Bhardwaj A, Pal Y, Buttar HS, Kumar H.In addition to providing individualized, specific, and ample nutritional compounds, donkey milk (DM) offers immunological modulation during health and disease. Recently, DM has attracted major interest in preparing infant formulas due to its similarity to human milk in terms of high protein and lactose content and low-fat concentration. The antimicrobial, anti-inflammation, antioxidant, and hypo-allergenicity properties of DM in human infants are well-documented. The purpose of this review is to summarize the knowledge of studies done in characterizing the composition of DM, including bioactiv...
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