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Topic:Clinical Study

Clinical studies in equine research involve the systematic investigation of health and disease in horses through structured scientific methods. These studies aim to evaluate the safety and efficacy of treatments, understand disease mechanisms, and improve veterinary care practices. Clinical studies can include randomized controlled trials, observational studies, and case-control studies. They may focus on various aspects such as pharmacokinetics, therapeutic interventions, and diagnostic techniques. This page compiles peer-reviewed research studies and scholarly articles that explore the design, implementation, and findings of clinical studies in equine medicine, providing insights into their impact on horse health and veterinary practices.
[New causes of animal poisoning in Switzerland].
Schweizer Archiv fur Tierheilkunde    January 13, 2016   Volume 157, Issue 3 147-152 doi: 10.17236/sat00011
Schediwy M, Mevissen M, Demuth D, Kupper J, Naegeli H.This retrospective study evaluated the frequency, etiology, therapy and prognosis of animal poisoning registered from 2003 to 2012. The relevant cases reported to the Swiss Toxicological Information Center (STIC) were compared with those from previously examined periods. Human medicines not approved for animals and pesticides represented the most common causes of poisoning in dogs. Novel cases occurred as a consequence of the exposure of dogs to ricinus fertilizers, grape residues from wineries, pepper lachrymatory spray and dry bouillon. Cats are still freequently poisoned by pyrethroid drugs...
Relationship between uterine biopsy score, endometrial infection and inflammation in the mare.
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    January 13, 2016   Volume 44, Issue 3 158-163 doi: 10.15653/TPG-150581
Buczkowska J, Kozdrowski R, Nowak M, Sikora M.Endometrial biopsy score is an accepted marker of uterine health and predicted fertility, and it has been suggested that endometrial alternations are correlated with susceptibility to persistent infectious endometritis. The objective of this study was to investigate associations of endometrial biopsy score with: 1) presence of polymorphonuclear cells (PMNs) in the epithelium and stratum compactum in histopathology; 2) presence of PMNs in cytology and 3) presence of infection in microbiology. Methods: The material for examination was collected from 69 mares suspected for subclinical endometriti...
Initial analytic quality assessment and method comparison of an immunoassay for adrenocorticotropic hormone measurement in equine samples.
Veterinary clinical pathology    January 12, 2016   Volume 45, Issue 1 154-163 doi: 10.1111/vcp.12326
Irvine KL, Burt K, Hill AJ, Shaw S, Papasouliotis K.Equine pituitary pars intermedia dysfunction (PPID) may be diagnosed by measuring baseline plasma adrenocorticotrophic hormone (ACTH). The Immulite 1000 analyzer uses an automated chemiluminescence enzyme assay, previously validated for measuring equine ACTH. Recently, an automated bench-top immunoassay analyzer (AIA-360), designed for analytes in people, became available for veterinary use. Objective: Objectives were to evaluate analytic performance of the AIA immunoassay for measuring equine ACTH, and compare the results with those obtained by the Immulite. Methods: Adrenocorticotrophic horm...
Combined albumin and bicarbonate induces head-to-head sperm agglutination which physically prevents equine sperm-oviduct binding.
Reproduction (Cambridge, England)    January 11, 2016   Volume 151, Issue 4 313-330 doi: 10.1530/REP-15-0471
Leemans B, Gadella BM, Stout TA, Sostaric E, De Schauwer C, Nelis H, Hoogewijs M, Van Soom A.In many species, sperm binding to oviduct epithelium is believed to be an essential step in generating a highly fertile capacitated sperm population primed for fertilization. In several mammalian species, this interaction is based on carbohydrate-lectin recognition. D-galactose has previously been characterized as a key molecule that facilitates sperm-oviduct binding in the horse. We used oviduct explant and oviduct apical plasma membrane (APM) assays to investigate the effects of various carbohydrates; glycosaminoglycans; lectins; S-S reductants; and the capacitating factors albumin, Ca(2+) a...
Effect of repeated through-and-through joint lavage on serum amyloid A in synovial fluid from healthy horses.
Veterinary journal (London, England : 1997)    January 11, 2016   Volume 210 30-33 doi: 10.1016/j.tvjl.2016.01.001
Sanchez-Teran AF, Bracamonte JL, Hendrick S, Riddell L, Musil K, Hoff B, Rubio-Martínez LM.The objective of this study was to evaluate the effect of through-and-through joint lavage on systemic and synovial serum amyloid A (SAA), total protein, nucleated cell count and percentage of neutrophils in the synovial fluid of six healthy horses. A prospective experimental study was performed where one healthy tarsocrural joint of each horse was randomly assigned to receive repeated through-and-through joint lavage at 0, 48 and 96 h. Synovial fluid and blood samples were collected at 0 (baseline), 24, 48, 72, 96 and 120 h. Systemic and synovial SAA, total protein, nucleated cell count a...
Longitudinal Cell Tracking and Simultaneous Monitoring of Tissue Regeneration after Cell Treatment of Natural Tendon Disease by Low-Field Magnetic Resonance Imaging.
Stem cells international    January 10, 2016   Volume 2016 1207190 doi: 10.1155/2016/1207190
Berner D, Brehm W, Gerlach K, Gittel C, Offhaus J, Paebst F, Scharner D, Burk J.Treatment of tendon disease with multipotent mesenchymal stromal cells (MSC) is a promising option to improve tissue regeneration. To elucidate the mechanisms by which MSC support regeneration, longitudinal tracking of MSC labelled with superparamagnetic iron oxide (SPIO) by magnetic resonance imaging (MRI) could provide important insight. Nine equine patients suffering from tendon disease were treated with SPIO-labelled or nonlabelled allogeneic umbilical cord-derived MSC by local injection. Labelling of MSC was confirmed by microscopy and MRI. All animals were subjected to clinical, ultrason...
Horseback Riding-Related Vertebral Compression Fracture from Walking in Women with Low Bone Mineral Density: Reports of Two Cases.
Current sports medicine reports    January 9, 2016   Volume 15, Issue 1 38-40 doi: 10.1249/JSR.0000000000000221
Oh J, Oh HM, Lee JI.No abstract available
Ultrasound-Guided Injections in Horses with Cranioventral Distension of the Coxofemoral Joint Capsule: Feasibility for a Cranioventral Approach. Whitcomb MB, Vaughan B, Katzman S, Hersman J.Intrasynovial access to the equine coxofemoral joint (CFJ) is inherently challenging. Blind injection techniques rely upon inconsistently palpable landmarks, and ultrasound guidance requires expertise for needle placement into the coxofemoral articulation. Aspiration is recommended to confirm intrasynovial placement and avoid sciatic nerve anesthesia. The aim of this observational, descriptive, retrospective study was to evaluate the feasibility for an alternative ultrasound-guided approach in horses with cranioventral distention of the CFJ identified during pelvic ultrasound. Thirteen horses ...
Addition of Mesenchymal Stem Cells to Autologous Platelet-Enhanced Fibrin Scaffolds in Chondral Defects: Does It Enhance Repair?
The Journal of bone and joint surgery. American volume    January 8, 2016   Volume 98, Issue 1 23-34 doi: 10.2106/JBJS.O.00407
Goodrich LR, Chen AC, Werpy NM, Williams AA, Kisiday JD, Su AW, Cory E, Morley PS, McIlwraith CW, Sah RL, Chu CR.The chondrogenic potential of culture-expanded bone-marrow-derived mesenchymal stem cells (BMDMSCs) is well described. Numerous studies have also shown enhanced repair when BMDMSCs, scaffolds, and growth factors are placed into chondral defects. Platelets provide a rich milieu of growth factors and, along with fibrin, are readily available for clinical use. The objective of this study was to determine if the addition of BMDMSCs to an autologous platelet-enriched fibrin (APEF) scaffold enhances chondral repair compared with APEF alone. Methods: A 15-mm-diameter full-thickness chondral defect wa...
P2Y(1) receptors mediate purinergic relaxation in the equine pelvic flexure.
Veterinary journal (London, England : 1997)    January 8, 2016   Volume 209 74-81 doi: 10.1016/j.tvjl.2016.01.002
Mas M, Mañé N, Fernández F, Gallego D, Pumarola M, Jiménez M.In the equine large intestine, the knowledge of the basic mechanisms underlying motility function is crucial to properly treat motility disorders. P2Y1 receptors are responsible for mediating purinergic colonic relaxation in several species. In vitro experimental studies of the circular muscle from the equine pelvic flexure (n = 6) were performed to characterize inhibitory and excitatory neuromuscular transmission. Electrophysiological studies showed that electrical field stimulation (EFS) evoked biphasic inhibitory junction potentials (IJPs) in smooth muscle cells: a fast IJP (IJPf) follo...
Orthodontic correction of overjet/overbite (‘parrot mouth’) in 73 foals (1999-2013).
Equine veterinary journal    January 8, 2016   Volume 48, Issue 5 565-572 doi: 10.1111/evj.12540
Easley J, Dixon PM, Reardon RJ.There are limited reports on the efficacy of functional orthodontic correction of overjet or overbite in foals. Objective: To report the outcome of using orthodontic tension bands in combination with an inclined plane biteplate in the treatment of overjet, with or without concurrent overbite, rates of correction of these 2 malocclusions and associated complications. And to examine factors associated with outcomes. Methods: Retrospective case series. Methods: Clinical records for 73 foals treated at a single clinic, by the same surgeon were analysed. Overall change and rates of change in overje...
The use of dexmedetomidine continuous rate infusion for horses undergoing transvenous electrical cardioversion–A case series.
The Canadian veterinary journal = La revue veterinaire canadienne    January 8, 2016   Volume 57, Issue 1 70-75 
Marly-Voquer C, Schwarzwald CC, Bettschart-Wolfensberger R.Five horses were presented for treatment of atrial fibrillation by transvenous electrical cardioversion (TVEC). A dexmedetomidine infusion was administered for sedation during positioning of the cardioversion catheters, and continued during general anesthesia. Shocks were applied until return to sinus rhythm. Dexmedetomidine infusion provided excellent conditions for TVEC catheter placement and procedure. Utilisation d’une perfusion continue de dexmedetomidine lors de cardioversion électrique transveineuse chez le cheval: une série de cas. Cinq chevaux présentant une fibrillation atriale ...
Cytokine, catabolic enzyme and structural matrix gene expression in synovial fluid following intra-articular administration of triamcinolone acetonide in exercised horses.
Equine veterinary journal    January 8, 2016   Volume 49, Issue 1 107-115 doi: 10.1111/evj.12531
Knych HK, Vidal MA, Chouicha N, Mitchell M, Kass PH.The frequent use of intra-articular triamcinolone acetonide (TA) in performance horses warrants further study of the duration of as well as the beneficial and detrimental effects on gene expression associated with administration. Objective: To assess the effects of intra-articular administration of TA on the expression of selected anti- and proinflammatory and structural matrix genes following its administration into joints of exercised Thoroughbred horses and to correlate these effects with plasma and synovial fluid drug concentrations. Methods: Block design experiment. Methods: Eight exercis...
High-throughput analysis of horse sperms’ 3D swimming patterns using computational on-chip imaging.
Animal reproduction science    January 7, 2016   Volume 169 45-55 doi: 10.1016/j.anireprosci.2015.12.012
Su TW, Choi I, Feng J, Huang K, Ozcan A.Using a high-throughput optical tracking technique that is based on partially-coherent digital in-line holography, here we report a detailed analysis of the statistical behavior of horse sperms' three-dimensional (3D) swimming dynamics. This dual-color and dual-angle lensfree imaging platform enables us to track individual 3D trajectories of ∼1000 horse sperms at sub-micron level within a sample volume of ∼9μL at a frame rate of 143 frames per second (FPS) and collect thousands of sperm trajectories within a few hours for statistical analysis of their 3D dynamics. Using this high-throughp...
Removing movement artifacts from equine ECG recordings acquired with textile electrodes. Lanata A, Guidi A, Baragli P, Paradiso R, Valenza G, Scilingo EP.This study reports on the implementation of a novel system to detect and reduce movement artifact (MA) contribution in electrocardiogram (ECG) recordings acquired from horses in free movement conditions. The system comprises both integrated textile electrodes for ECG acquisition and one triaxial accelerometer for movement monitoring. Here, ECG and physical activity are continuously acquired from seven horses through the wearable system and a model that integrates cardiovascular and movement information to estimate the MA contribution is implemented. Moreover, in this study we propose a new alg...
In vitro anticancer activity of Betulinic acid and derivatives thereof on equine melanoma cell lines from grey horses and in vivo safety assessment of the compound NVX-207 in two horses.
Chemico-biological interactions    January 7, 2016   Volume 246 20-29 doi: 10.1016/j.cbi.2016.01.002
Liebscher G, Vanchangiri K, Mueller T, Feige K, Cavalleri JM, Paschke R.Betulinic acid, a pentacyclic triterpene, and its derivatives are promising compounds for cancer treatment in humans. Melanoma is not only a problem for humans but also for grey horses as they have a high potential of developing melanoma lesions coupled to the mutation causing their phenotype. Current chemotherapeutic treatment carries the risk of adverse health effects for the horse owner or the treating veterinarian by exposure to antineoplastic compounds. Most treatments have low prospects for systemic tumor regression. Thus, a new therapy is needed. In this in vitro study, Betulinic acid a...
Intra-arterial versus intra venous contrast-enhanced computed tomography of the equine head.
BMC veterinary research    January 7, 2016   Volume 12 6 doi: 10.1186/s12917-016-0632-9
Crijns CP, Baeumlin Y, De Rycke L, Broeckx BJ, Vlaminck L, Bergman EH, van Bree H, Gielen I.The anatomical complexity of the horse's head limits the abilities of radiography. Computed tomography (CT) in combination with contrast enhanced CT is used more often for diagnosing various head pathology in horses. The objective of this study was to compare intravenous and intra-arterial contrast-enhancement techniques and describe normal and abnormal contrast enhancement in the horse's head. Results: All 24 horses included in the study recovered without complication from the procedures. Compared to the pre-contrast studies, post-contrast studies showed significant contrast enhancement in th...
The benefits and limitations of animal models for translational research in cartilage repair.
Journal of experimental orthopaedics    January 6, 2016   Volume 3, Issue 1 1 doi: 10.1186/s40634-015-0037-x
Moran CJ, Ramesh A, Brama PA, O'Byrne JM, O'Brien FJ, Levingstone TJ.Much research is currently ongoing into new therapies for cartilage defect repair with new biomaterials frequently appearing which purport to have significant regenerative capacity. These biomaterials may be classified as medical devices, and as such must undergo rigorous testing before they are implanted in humans. A large part of this testing involves in vitro trials and biomechanical testing. However, in order to bridge the gap between the lab and the clinic, in vivo preclinical trials are required, and usually demanded by regulatory approval bodies. This review examines the in vivo models ...
Alleviation of Epiphora by Canaliculosinostomy into the Caudal Maxillary Sinus in the Horse.
Veterinary surgery : VS    January 6, 2016   Volume 45, Issue 1 115-120 doi: 10.1111/vsu.12424
Robinson CS, Wylie CE, Compston PC, Payne RJ.To describe a technique of canaliculosinostomy into the caudal maxillary sinus to alleviate epiphora secondary to nasolacrimal duct obstruction and to report the long-term outcome in 5 horses. Methods: Case series. Methods: Five client-owned horses. Methods: Case records of all horses presented for chronic epiphora to a single equine hospital that underwent surgical treatment were reviewed. All included horses had a Jones test or dacryocystography to confirm nasolacrimal duct obstruction. All horses were anesthetized and canaliculosinostomy was created from the medial canthus of the eye into t...
The Effect of Intravenous Regional Perfusion of the Distal Limb With Amikacin Sulfate on Wounds Healing by Second Intention in Horses.
Veterinary surgery : VS    January 6, 2016   Volume 45, Issue 1 125-132 doi: 10.1111/vsu.12435
Edwards-Milewski ML, Morello SL, Zhao Q, Mattan-Bell C.To compare the gross and histological effects of intravenous regional limb perfusion (IVRLP) using amikacin sulfate on second intention healing of distal limb wounds in adult horses with healing in untreated wounds. Methods: In vivo experimental study. Methods: Adult horses (n = 7). Methods: Two full thickness wounds (2.5 × 2.5 cm) were created aseptically on the dorsal aspect of each metacarpus and maintained under sterile bandages. One forelimb was randomly selected from each horse for IVRLP on days 2, 3, and 4 post-wounding. Sequential biopsies were taken from 1 wound on each limb to evalu...
Equine endometrial vascular pattern changes during the estrous cycle examined by Narrow Band Imaging hysteroscopy.
Animal reproduction science    January 6, 2016   Volume 166 80-89 doi: 10.1016/j.anireprosci.2016.01.006
Otzen H, Sieme H, Oldenhof H, Kassens A, Ertmer F, Rode K, Müller K, Klose K, Rohn K, Schoon HA, Meinecke B.The aim of this study was to evaluate the uterine blood supply and endometrial vessel architecture, during the equine estrous cycle. Narrow Band Imaging (NBI) hysteroscopy was used for evaluating changes in the endometrial vasculature during the estrous cycle [six mares, d 0 (representing the day of ovulation), d 6 and 11 in four locations]. In addition, endometrial biopsy samples were used for immunodetection of markers for angiogenesis (Vascular Endothelial Growth Factor A, its receptor 2, as well as angiopoietin-2 and its receptor-tyrosine-kinase Tie2) during the estrous cycle (three mares,...
Horses naturally infected with EIAV harbor 2 distinct SU populations but are monophyletic with respect to IN.
Virus genes    January 6, 2016   Volume 52, Issue 1 71-80 doi: 10.1007/s11262-015-1280-z
Cervantes DT, Ball JM, Edwards J, Payne S.Equine infectious anemia virus (EIAV) causes lifelong infections ranging from acutely fatal, to chronic, to asymptomatic. Within infected animals, EIAV is found as a quasispecies. Many experimental studies on EIAV, carried out in the U.S. over the past 70 years, have used either the highly virulent Wyoming (EIAVWYO) field strain or various derivatives of that strain. These infections have provided insights into the variety of genetic changes that accumulate in the env gene and LTR in experimentally infected horses. In the current study, we obtained EIAV sequences from blood samples collected f...
Further evaluation and validation of a commercially available competitive ELISA (cELISA) for the detection of antibodies specific to equine arteritis virus (EAV).
The Veterinary record    January 5, 2016   Volume 178, Issue 4 95 doi: 10.1136/vr.103362
Pfahl K, Chung C, Singleton MD, Shuck KM, Go YY, Zhang J, Campos J, Adams E, Adams DS, Timoney PJ, Balasuriya UB.The purpose of this study was to further evaluate and validate two commercially available equine arteritis virus (EAV) competitive ELISAs (original and enhanced cELISAs) using archived equine sera from experimentally inoculated animals and field sera submitted for laboratory diagnosis. First, the original and subsequently enhanced cELISAs were compared with the virus neutralisation test (VNT) using a panel of archived serum samples from experimentally inoculated animals. Then, the enhanced cELISA was compared with the VNT using a large panel of archived serum samples. The total number of equin...
Plasma disposition, milk excretion and parasitological efficacy of mebendazole in donkeys naturally infected by Cyathostominae.
Veterinary parasitology    January 2, 2016   Volume 217 95-100 doi: 10.1016/j.vetpar.2015.12.031
Gokbulut C, Aksit D, Santoro M, Roncoroni C, Mariani U, Buono F, Rufrano D, Fagiolo A, Veneziano V.Mebendazole (MBZ) has been licensed for use in horses and donkeys, however there are no data available in the literature regarding its pharmacokinetic disposition and efficacy in donkeys. This study was designed to determine the plasma disposition, milk excretion and anthelmintic efficacy of MBZ in donkeys naturally infected by Cyathostominae. The animals were allocated to three groups, each of six donkeys. One group was untreated control (C-group) and the others were treated using a paste formulation of MBZ administered per os at the manufacturer's recommended horse dosage of 10 mg/kg body we...
Dimensions of 65 Extracted Equine First Premolar Teeth.
Journal of veterinary dentistry    January 1, 2016   Volume 33, Issue 3 157-159 doi: 10.1177/0898756416675763
Hole SL, Manfredi JM, Clayton HM.The equine first premolar ("wolf tooth," Triadan number 05) is frequently extracted, and although extracted teeth have been observed to vary greatly in size, published data describing tooth dimensions are limited. Total length, root length, crown height, and crown width were measured in 65 extracted wolf teeth. Dimensions, expressed as median (range) mm, were total length: 21 (12-34), root length: 13.2 (0-19.6), crown height: 7 (2-20), and crown width: 7 (2.6-16). Root length exceeded crown height in 61 of the 65 teeth. Crown height and crown width were either not correlated or poorly correlat...
Experience of using hippotherapy in complex effects on muscle spirals in children with spastic forms of cerebral palsy.
Wiadomosci lekarskie (Warsaw, Poland : 1960)    January 1, 2016   Volume 69, Issue 3 pt 2 527-529 
Strashko EY, Kapustianska АA, Bobyreva LE.Matters of physical and medical rehabilitation of children with organic lesions of the nervous system, in particular, with cerebral palsy, are actual in countries around the world. Hippotherapy is neurophysiologically oriented therapy using horses. Determine whether a combination of hippotherapy as a method of rehabilitation in the aftermath of outpatient comprehensive impact on MS on a stationary phase; Study of the effect of hippotherapy as securing and preparation method for learning new postures and movements in children with spastic cerebral palsy forms; The study of the possible optimiza...
A Retrospective Study of the Effectiveness of Four Different Treatments of Periodontal Disease in Equine Cheek Teeth.
Journal of veterinary dentistry    January 1, 2016   Volume 33, Issue 2 83-89 doi: 10.1177/0898756416661624
Jackson K, Weber LM, Tennant M.Periodontal disease of equine cheek teeth is common and may lead to tooth loss if left untreated. Limited information is available comparing the effectiveness of treatment methods. The objective of this study was to retrospectively compare the effectiveness of 4 commonly used treatments in reducing periodontal pocket depth (in addition to routine dental treatment and occlusal equilibration). The 4 treatments compared were (1) removal of feed material, lavaging the pocket with dilute chlorhexidine, and then rinsing the mouth with chlorhexidine-containing mouthwash (CL); (2) CL plus placement of...
Qualitative and Quantitative Characteristics of the Electroencephalogram in Normal Horses during Administration of Inhaled Anesthesia.
Journal of veterinary internal medicine    December 30, 2015   Volume 30, Issue 1 289-303 doi: 10.1111/jvim.13813
Williams DC, Brosnan RJ, Fletcher DJ, Aleman M, Holliday TA, Tharp B, Kass PH, LeCouteur RA, Steffey EP.The effects of anesthesia on the equine electroencephalogram (EEG) after administration of various drugs for sedation, induction, and maintenance are known, but not that the effect of inhaled anesthetics alone for EEG recording. Objective: To determine the effects of isoflurane and halothane, administered as single agents at multiple levels, on the EEG and quantitative EEG (qEEG) of normal horses. Methods: Six healthy horses. Methods: Prospective study. Digital EEG with video and quantitative EEG (qEEG) were recorded after the administration of one of the 2 anesthetics, isoflurane or halothane...
Stride-related rein tension patterns in walk and trot in the ridden horse.
Acta veterinaria Scandinavica    December 30, 2015   Volume 57 89 doi: 10.1186/s13028-015-0182-3
Egenvall A, Roepstorff L, Eisersiö M, Rhodin M, van Weeren R.The use of tack (equipment such as saddles and reins) and especially of bits because of rein tension resulting in pressure in the mouth is questioned because of welfare concerns. We hypothesised that rein tension patterns in walk and trot reflect general gait kinematics, but are also determined by individual horse and rider effects. Six professional riders rode three familiar horses in walk and trot. Horses were equipped with rein tension meters logged by inertial measurement unit technique. Left and right rein tension data were synchronized with the gait. Results: Stride split data (0-100 %) ...
In Vitro Efficacy of Nonantibiotic Treatments on Biofilm Disruption of Gram-Negative Pathogens and an In Vivo Model of Infectious Endometritis Utilizing Isolates from the Equine Uterus.
Journal of clinical microbiology    December 30, 2015   Volume 54, Issue 3 631-639 doi: 10.1128/JCM.02861-15
Ferris RA, McCue PM, Borlee GI, Loncar KD, Hennet ML, Borlee BR.In this study, we evaluated the ability of the equine clinical treatments N-acetylcysteine, EDTA, and hydrogen peroxide to disrupt in vitro biofilms and kill equine reproductive pathogens (Escherichia coli, Pseudomonas aeruginosa, or Klebsiella pneumoniae) isolated from clinical cases. N-acetylcysteine (3.3%) decreased biofilm biomass and killed bacteria within the biofilms of E. coli isolates. The CFU of recoverable P. aeruginosa and K. pneumoniae isolates were decreased, but the biofilm biomass was unchanged. Exposure to hydrogen peroxide (1%) decreased the biofilm biomass and reduced the CF...