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Topic:Equine Health

Equine health encompasses the study and management of diseases, disorders, and overall well-being of horses. It involves understanding various physiological systems, preventive care, and treatment strategies to maintain optimal health in equine populations. Common areas of focus include nutrition, infectious diseases, orthopedic conditions, and reproductive health. Research in equine health aims to advance knowledge on diagnostic methods, therapeutic interventions, and management practices that improve horse welfare and performance. This page collects peer-reviewed research studies and scholarly articles that explore the diverse aspects of equine health, offering insights into current findings and advancements in the field.
Assessment of Rabies Prophylaxis Cases in an Emergency Service.
Journal of emergency nursing    May 14, 2020   Volume 46, Issue 6 907-913 doi: 10.1016/j.jen.2020.03.014
Can FK, Tekin E, Sezen S, Clutter P.The aim of the present study was to evaluate the demographic characteristics, exposure features, and prophylactic care aspects of cases that presented to the emergency department of 1 state hospital in Turkey between 2013 and 2017 because of the risk of rabies contact. Methods: Data from the retrospective cohort study were obtained from ED records of Erzurum Palandöken State Hospital between August 2013 and June 2017 regarding patients presenting to emergency service after the risk of rabies contact. Evaluation forms included demographic characteristics of the patients, contact type, contacte...
Streptococcus equi subsp. equi meningitis, septicemia and subdural empyema in a child.
IDCases    May 14, 2020   Volume 21 e00808 doi: 10.1016/j.idcr.2020.e00808
Torpiano P, Nestorova N, Vella C.Streptococcus equi subsp. equi is a group C β-hemolytic streptococcus, and is an invasive pathogen with a very restricted host, causing the equine infection known as 'strangles'. It is a poor colonizer in horses, preferentially causing invasion and infection, compared with its ancestor Streptococcus equi subsp. zooepidemicus, which is considered an opportunistic commensal of the equine upper respiratory tract. In humans, S. equi subsp. equi causes invasive infections in immunocompromised hosts, often following close contact with horses. Such infections are associated with a high mortality, as...
Whole-Genome Sequences of an Abortive Bacillus safensis Strain Isolated from a Mare’s Uterus.
Microbiology resource announcements    May 14, 2020   Volume 9, Issue 20 doi: 10.1128/MRA.00342-20
Little SV, Hillhouse AE, Lawhon SD.This is a report of two Bacillus safensis genomes sequenced from separate cultures isolated from the uterus of a 16-year-old Westphalian mare that aborted a dead fetus. This strain represents the first case of a B. safensis-associated equine abortion and the first case of infection caused by this bacterium.
First catheter-based high-density endocardial 3D electroanatomical mapping of the right atrium in standing horses.
Equine veterinary journal    May 14, 2020   Volume 53, Issue 1 186-193 doi: 10.1111/evj.13265
Hesselkilde E, Linz D, Saljic A, Carstensen H, Kutieleh R, Jespersen T, Sanders P, Buhl R.Three-dimensional electroanatomical mapping is of potential interest in equine cardiology to identify arrhythmia mechanisms, characterise electroanatomical substrates and guide ablation strategies. Objective: To describe three-dimensional electroanatomical mapping in standing horses. Methods: Research methodology, proof of concept study. Methods: Four Standardbred horses (2 geldings, 2 mares, median age 4.5 [4-9] years, mean bodyweight 485 [440-550] kg) were sedated and placed in stocks. Via the jugular vein, a high-density multipolar grid catheter (Advisor™ HD Grid Mapping Catheter with E...
Seasonal variations in quantitative and qualitative sperm characteristics in fertile and subfertile stallions.
Archives animal breeding    May 14, 2020   Volume 63, Issue 1 145-154 doi: 10.5194/aab-63-145-2020
Suliman Y, Becker F, Tuchscherer A, Wimmers K.Horses are seasonal breeders with a natural breeding season beginning in spring and extending through midsummer. In this study, quantitative and qualitative parameters of chilled stallion semen were compared between fertile and subfertile stallions and between the breeding and the non-breeding season. Semen quality parameters compared included ejaculate volume, sperm concentration, total sperm number, sperm morphology, and computer-assisted semen analysis (CASA)-derived sperm movement characteristics obtained from two groups of warmblood stallions ( ; four fertile stallions and four subfert...
Variability in peripheral blood enrichment techniques can alter equine leukocyte cellularity, viability and function.
Veterinary immunology and immunopathology    May 13, 2020   Volume 225 110062 doi: 10.1016/j.vetimm.2020.110062
Connelly C, Norton NA, Hurley DJ, Hart KA, Meichner K, Gogal RM.Peripheral blood is commonly sampled to assess the health status of human and veterinary patients. Venous blood collection is a minimally invasive procedure, and in the horse, the common collection site is the jugular vein. Post blood collection, sample processing for leukocyte enrichment can vary by research laboratory with the potential to yield different effects on the enriched cells and their function. The focus of the present study was to compare a common blood dilution-leukocyte enrichment technique using a Histopaque gradient medium (His) to a modified leukocyte buffy coat syringe-lymph...
Movement Caused by Electrical Stimulation of the Lumbosacral Region in Standing Horses.
Journal of equine veterinary science    May 13, 2020   Volume 91 103116 doi: 10.1016/j.jevs.2020.103116
Riedler DC, Zsoldos RR, Robel M, Jobst ID, Licka TF.Electrical stimulation is commonly used as a modality for physical therapy in human and veterinary medicine. However, studies measuring the movement generated by electrical stimulation in horses are rare. The present study therefore evaluates the range of movement provoked by a commercially available physical therapy unit (FES310) and contrasts it with the movement generated by manually induced pelvic inclination (back rounding). Ten horses were tested on three measurement days over one week. Electrical stimulation was applied via a back treatment pad (belonging to the FES310 system) containin...
Assessment of Clayey Peloid Formulations Prior to Clinical Use in Equine Rehabilitation.
International journal of environmental research and public health    May 12, 2020   Volume 17, Issue 10 3365 doi: 10.3390/ijerph17103365
Bastos CM, Rocha F, Cerqueira Â, Terroso D, Sequeira C, Tilley P.Clays are natural ingredients used to prepare therapeutic cataplasms suitable for topical application. The knowledge about these formulations and their preparations to be applied on humans and animals has been orally transmitted since ancient times. Several empirical methods using clays have demonstrated fast and effective results in the reduction of the inflammatory response and the formation of edemas in horse limbs. The use of traditional and alternative medicine, such as pelotherapy, is now becoming more popular in veterinarian medical practice, alone or combined with other therapies in ho...
Effect of shoeing conditions on hoof dimensions in Icelandic and Warmblood horses.
Veterinary journal (London, England : 1997)    May 12, 2020   Volume 259-260 105461 doi: 10.1016/j.tvjl.2020.105461
Waldern NM, Kubli V, Dittmann MT, Amport C, Krieg C, Weishaupt MA.In Icelandic horses (ICE), high, long hooves with added weights are often used to improve gait quality in competitions. From a biomechanical point of view, excessively long hooves can be problematic as they increase forces acting on the distal limb. The study aimed to determine if hoof capsule size and angle of ICE at competitions are comparable to those of Warmblood horses (WB) requiring shoeing. Hoof dimensions and balance were quantified in 13 horses of each breed at the beginning of a shoeing period (BSP), allowing a baseline comparison between breeds, as well as for WB at the end of a sho...
Platelet and Leukocyte Concentration in Equine Autologous Conditioned Plasma Are Inversely Distributed by Layer and Are Not Affected by Centrifugation Rate.
Frontiers in veterinary science    May 12, 2020   Volume 7 173 doi: 10.3389/fvets.2020.00173
Radtke AV, Goodale MB, Fortier LA. Platelet rich plasma (PRP) is used extensively in equine regenerative medicine. Differences in preparation protocols give rise to significant variability in the cellular composition of PRP making it very difficult to establish a standard of care in the field. This study aimed to optimize the preparation protocol for leukocyte-reduced PRP (P-PRP). Blood (100 mL) was collected from horses ( = 5) and divided into 2 purple top EDTA tubes and 6 (15 mL) double syringes with a final concentration of 10% acid citrate dextrose anticoagulant. Six double syringes were collected from each horse; PRP sam...
Equine influenza vaccination as reported by horse owners and factors influencing their decision to vaccinate or not.
Preventive veterinary medicine    May 12, 2020   Volume 180 105011 doi: 10.1016/j.prevetmed.2020.105011
Bambra W, Daly JM, Kendall NR, Gardner DS, Brennan M, Kydd JH.Equine influenza virus is a highly contagious respiratory pathogen that causes pyrexia, anorexia, lethargy and coughing in immunologically naïve horses. Vaccines against equine influenza are available and vaccination is mandatory for horses that participate in affiliated competitions, but this group forms a small proportion of the total horse population. The aims of this study were to: i) identify the equine influenza vaccination rate as reported in 2016 by horse owners in the United Kingdom (UK); ii) examine the demographics of owners and horses which were associated with significantly lower...
Presence of Antimicrobials in Postrace Samples in Japanese Thoroughbred Racing.
Journal of equine veterinary science    May 12, 2020   Volume 91 103115 doi: 10.1016/j.jevs.2020.103115
Mizobe F, Mori M, Nagata SI, Yamashita S, Okada J, Kusano K.Ever since 'One Health' concept was introduced in early 2000s, judicious use of antimicrobials by veterinarians has become an issue of great concern. Recently, findings of anti-inflammatory effects in certain types of antimicrobials have raised a subject for discussion among racing authorities. Regulatory framework of antimicrobials in racing should be based on best interest of horse welfare and doping control perspective, but basic data on prevalence of antimicrobials are lacking. Analysis of 100 postrace urinary samples collected from 10 Japanese racecourses by targeting 21 antimicrobials us...
EEG based assessment of stress in horses: a pilot study.
PeerJ    May 12, 2020   Volume 8 e8629 doi: 10.7717/peerj.8629
de Camp NV, Ladwig-Wiegard M, Geitner CIE, Bergeler J, Thöne-Reineke C.As has been hypothesized more than 20 years ago, data derived from Electroencephalography (EEG) measurements can be used to distinguish between behavioral states associated with animal welfare. In our current study we found a high degree of correlation between the modulation index of phase related amplitude changes in the EEG of horses ( = 6 measurements with three different horses, mare and gelding) and their facial expression, measured by the use of the horse grimace scale. Furthermore, the pattern of phase amplitude coupling (PAC) was significantly different between a rest condition and a s...
Equine penile squamous cell carcinoma: expression of biomarker proteins and EcPV2.
Scientific reports    May 12, 2020   Volume 10, Issue 1 7863 doi: 10.1038/s41598-020-64014-3
Arthurs C, Suarez-Bonnet A, Willis C, Xie B, Machulla N, Mair TS, Cao K, Millar M, Thrasivoulou C, Priestnall SL, Ahmed A.Equine penile squamous cell carcinoma (EpSCC) is a relatively common cutaneous neoplasm with a poor prognosis. In this study, we aimed to determine the protein expression and colocalisation of FRA1, c-Myc, Cyclin D1, and MMP7 in normal (NT), tumour (T), hyperplastic epidermis and/or squamous papilloma (Hyp/Pap), poorly-differentiated (PDSCC), or well-differentiated (WDSCC) EpSCC using a tissue array approach. Further objectives were to correlate protein expression to (i) levels of inflammation, using a convolutional neural network (ii) equine papillomavirus 2 (EcPV2) infection, detected using ...
Quantitative sensory testing of the equine face.
Equine veterinary journal    May 12, 2020   Volume 53, Issue 1 177-185 doi: 10.1111/evj.13270
Veres-Nyéki KO, Nyéki J, Bodó G, Spadavecchia C.Quantitative sensory testing methods are now standard in the evaluation of sensory function in man, while few normal equine values have been reported. Objective: The aim of this experimental study was (a) to define the tactile sensory, mechanical nociceptive and thermal nociceptive thresholds of the equine face; (b) to assess the effect of age, sex, stimulation site and shaving; (c) to evaluate the reliability of the methods and (d) to provide reference facial quantitative sensory testing values. Methods: Method description. Methods: Thirty-four healthy Warmblood horses were used in the study....
Alterations of peripheral gene expression in response to lipopolysaccharide-induced synovitis as a model for inflammation in horses.
Veterinary immunology and immunopathology    May 11, 2020   Volume 225 110058 doi: 10.1016/j.vetimm.2020.110058
Page AE, Adam E, Stewart JC, Gonzales C, Barker V, Horohov DW.While the use of lipopolysaccharide (LPS) to induce inflammation has been well described in the horse, the object of this study was to evaluate the effect of repeated intra-articular LPS injections and determine whether this method may be of use to assess changes in gene expression related to inflammation. Six mixed breed horses were utilized for this study, with three horses aged 10-17 years (older group) and three horses aged 3 years (younger group). One milliliter of phosphate-buffered saline containing 3 μg of LPS from Escherichia coli O111:B4 was aseptically injected into either the radi...
Prostaglandins effect on matrix metallopeptidases and collagen in mare endometrial fibroblasts.
Theriogenology    May 11, 2020   Volume 153 74-84 doi: 10.1016/j.theriogenology.2020.04.040
Szóstek-Mioduchowska AZ, Baclawska A, Rebordão MR, Ferreira-Dias G, Skarzynski DJ.An increasing number of studies have shown that prostaglandins (PGs) exert multiple regulatory actions in the processes associated to tissue remodeling and fibrosis. Extracellular matrix (ECM) turnover is mediated by matrix metallopeptidases (MMPs). The knowledge about the regulation of their expression in mare endometrium is still limited. Thus, the aim of this study was to investigate whether: (i) profibrotic transforming growth factor (TGF)-β1 modulates PG production in equine endometrium; and (ii) PGE and PGF modulate MMPs, their tissue inhibitors (TIMPs), and collagen 1 (COL1) expression...
Stallion Semen Cooling Using Native Phosphocaseinate-based Extender and Sodium Caseinate Cholesterol-loaded Cyclodextrin-based Extender.
Journal of equine veterinary science    May 11, 2020   Volume 92 103104 doi: 10.1016/j.jevs.2020.103104
Novello G, Podico G, Segabinazzi LGTM, Lima FS, Canisso IF.The objective of this study was to compare semen parameters and embryo recovery rates of cooled stallion semen extended with INRA 96 or BotuSemen Gold. In experiment 1, 45 ejaculates from nine mature stallions were collected, assessed, and equally split between both extenders and then extended to 50 million sperm/mL. Then, the extended semen was stored in three passive cooling containers (Equitainer, Equine Express II, and BotuFlex) for 48 hours. In experiment 2, the same ejaculates extended in experiment 1 were cushion-centrifuged, the supernatant was discarded, and the pellets were resuspend...
Molecular typing of equine papillomavirus and autovaccination to treat horses with cutaneous papillomatosis.
Australian veterinary journal    May 10, 2020   Volume 98, Issue 8 405-410 doi: 10.1111/avj.12954
Onen EA.The aim of this study was to evaluate formalin-inactivated autovaccination to treat cutaneous papillomatosis and to perform molecular typing of the papillomavirus in four horses (two foals, one 3-year-old filly and a 5-year-old stallion). Methods: Histopathological slides of lesions were prepared and stained with haematoxylin and eosin (H&E) to establish a diagnosis that was based on observation koilocytosis, which is a pathognomonic cytopathic change that is associated with papillomatosis, using light microscopy. Polymerase chain reaction (PCR) and DNA sequencing were performed using the ...
Novel Streptococcus equi strains causing strangles outbreaks in Arabian horses in Egypt.
Transboundary and emerging diseases    May 10, 2020   Volume 67, Issue 6 2455-2466 doi: 10.1111/tbed.13584
Tartor YH, El-Naenaeey EY, Gharieb NM, Ali WS, Ammar AM.Strangles displays a major challenge to veterinary medicine worldwide. However, no data on Streptococcus equi subsp. equi (S. equi) M protein alleles have been reported so far from Arabian horses. We report here for the first time the S. equi SeM alleles causing strangles in Arabian horses, and the associated risk factors for the disease. Duplicate samples from one hundred Arabian horses with acute strangles in confirmed outbreaks and sporadic cases were analysed by phenotypic methods and multiplex polymerase chain reaction (PCR) targeting streptokinase precursor, seeI and sodA genes. PCR and ...
Safety Profile of a Virus-Like Particle-Based Vaccine Targeting Self-Protein Interleukin-5 in Horses.
Vaccines    May 9, 2020   Volume 8, Issue 2 213 doi: 10.3390/vaccines8020213
Jonsdottir S, Fettelschoss V, Olomski F, Talker SC, Mirkovitch J, Rhiner T, Birkmann K, Thoms F, Wagner B, Bachmann MF, Kündig TM, Marti E....: Insect bite hypersensitivity (IBH) is an eosinophilic allergic dermatitis of horses caused by type I/IVb reactions against mainly bites. The vaccination of IBH-affected horses with equine IL-5 coupled to the Cucumber mosaic virus-like particle (eIL-5-CuMV) induces IL-5-specific auto-antibodies, resulting in a significant reduction in eosinophil levels in blood and clinical signs. the preclinical and clinical safety of the eIL-5-CuMV vaccine. The B cell responses were assessed by longitudinal measurement of IL-5- and CuMV-specific IgG in the serum and plasma of vaccinated and unvaccinate...
Practical experience with artificial insemination (AI) using fresh chilled and frozen semen in mares.
Acta veterinaria Hungarica    May 8, 2020   Volume 68, Issue 1 85-90 doi: 10.1556/004.2020.00007
Gáspárdy A, Renkó E, Somoskői B, Bába A, Cseh S.The objective of this study was to compare the efficiency of artificial insemination (AI) carried out with frozen and fresh, diluted and chilled semen under field conditions. One hundred and twenty-nine mares of different breeds were included in the study. Eighty-one out of the 107 mares inseminated with fresh, chilled semen got pregnant. Seven pregnant mares aborted and 74 foals were born. Out of the 22 mares inseminated with frozen semen, 17 mares got pregnant. Two mares out of the 17 pregnant mares aborted and finally 15 healthy foals were born. No difference was found between the two group...
Enterocin M-Producing Enterococcus faecium CCM 8558 Demonstrating Probiotic Properties in Horses.
Probiotics and antimicrobial proteins    May 8, 2020   Volume 12, Issue 4 1555-1561 doi: 10.1007/s12602-020-09655-6
Lauková A, Styková E, Kubašová I, Strompfová V, Gancarčíková S, Plachá I, Miltko R, Belzecki G, Valocký I, Pogány Simonová M.The effects of non-authochtonous Enterococcus faecium AL41 = CCM 8558, enterocin M-producing and probiotic strain were tested on the microbiota, phagocytic activity, hydrolytic enzymes, biochemical parameters and dry matter in horses based on its previous benefits demonstrated in other animals. E. faecium CCM 8558 sufficiently colonized the digestive tract of horses. At day 14, its counts reached 2.35 ± 0.70 CFU/g (log 10) on average. The identity of CCM 8558 was confirmed by means of PCR after its re-isolation from horse faeces. The inhibition activity of CCM 8558 was demonstrated a...
Homing and Engraftment of Intravenously Administered Equine Cord Blood-Derived Multipotent Mesenchymal Stromal Cells to Surgically Created Cutaneous Wound in Horses: A Pilot Project.
Cells    May 8, 2020   Volume 9, Issue 5 doi: 10.3390/cells9051162
Mund SJK, Kawamura E, Awang-Junaidi AH, Campbell J, Wobeser B, MacPhee DJ, Honaramooz A, Barber S.Limb wounds on horses are often slow to heal and are prone to developing exuberant granulation tissue (EGT) and close primarily through epithelialization, which results in a cosmetically inferior and non-durable repair. In contrast, wounds on the body heal rapidly and primarily through contraction and rarely develop EGT. Intravenous (IV) multipotent mesenchymal stromal cells (MSCs) are promising. They home and engraft to cutaneous wounds and promote healing in laboratory animals, but this has not been demonstrated in horses. Furthermore, the clinical safety of administering >1.00 × 108 alloge...
Modulation of the renin-angiotensin-aldosterone system by steroid hormones during the oestrous cycle in mares.
Acta veterinaria Hungarica    May 8, 2020   Volume 68, Issue 1 79-84 doi: 10.1556/004.2020.00011
Satué K, Montesinos P, Muñoz A.In women and females of different species of laboratory animals, oestrogens stimulate the renin-angiotensin-aldosterone system (RAAS) by increasing tissue and circulating levels of angiotensinogen and renin during the preovulatory period. Progesterone and cortisol compete with aldosterone for mineralocorticoid receptors, which results in increased Na+ reabsorption during the postovulatory period. The purpose of the current research was to analyse the relationship of oestradiol-17β, progesterone and cortisol with RAAS in 23 mares during an oestrous cycle. During the preovulatory period, signif...
Behavioral and Cardiopulmonary Effects of a Constant Rate Infusion of Remifentanil-Xylazine for Sedation in Horses.
Journal of equine veterinary science    May 8, 2020   Volume 91 103111 doi: 10.1016/j.jevs.2020.103111
Pallarols NB, Lamuraglia R, Guglielminetti A, Ortiz de Elguea MF, Carossino M, Funcia JP.Xylazine and remifentanil in constant rate infusion (CRI) could be used for sedation in horses without adverse effects. The objective was to evaluate behavioral and cardiopulmonary effects of an intravenous (IV) infusion of xylazine and remifentanil for sedation in horses. Xylazine (0.8 mg/kg IV) followed after 3 minutes by a CRI of xylazine and remifentanil (0.65 mg/kg/h and 6 μg/kg/h, respectively) was administered in 10 healthy horses for 60 minutes. Sedation, ataxia, and cardiopulmonary, hematological, and blood gases variables were evaluated. Heart rate decreased significantly durin...
Utility of systemic voriconazole in equine keratomycosis based on pharmacokinetic-pharmacodynamic analysis of tear fluid following oral administration.
Veterinary ophthalmology    May 8, 2020   Volume 23, Issue 4 640-647 doi: 10.1111/vop.12764
Tamura N, Okano A, Kuroda T, Niwa H, Kusano K, Matsuda Y, Fukuda K, Mita H, Nagata S.To clarify the detailed pharmacokinetics (PK) of orally administered voriconazole in tear fluid (TF) of horses for evaluating the efficacy of voriconazole secreted into TF against equine keratomycosis. Methods: Five healthy Thoroughbred horses. Methods: Voriconazole was administrated through a nasogastric tube to each horse at a single dose of 4.0 mg/kg. TF and blood samples were collected before and periodically throughout the 24 hours after administration. Voriconazole concentrations in plasma and TF samples were analyzed using liquid chromatography-electrospray tandem-mass spectrometry. T...
Digit innervation of the thoracic limb of Criollo horses: Anatomical description and consequences to perineural blocks.
Anatomia, histologia, embryologia    May 8, 2020   Volume 49, Issue 6 728-736 doi: 10.1111/ahe.12567
Silveira BB, Souza EC, Dos Santos MDN, Porciuncula ML, Azevedo MDS, Duarte CA, de Carvalho AD, de Souza Junior P.Criollo horse breeding is an important economic activity in South America. Because of their athletic performance, these animals tend to show great incidence of musculoskeletal disorders, many of them diagnosed by means of perineural blocks. However, incorrect interpretation of these blocks may be due to anatomical differences in nerve distribution. The objective of this study was to describe the innervation of the digit region of thoracic limbs in Criollo horses, in order to improve the interpretation of tests for claudication diagnosis based on nerve block. Thirty thoracic limbs from Criollo ...
Effect of age and the individual on the gastrointestinal bacteriome of ponies fed a high-starch diet.
PloS one    May 8, 2020   Volume 15, Issue 5 e0232689 doi: 10.1371/journal.pone.0232689
Morrison PK, Newbold CJ, Jones E, Worgan HJ, Grove-White DH, Dugdale AH, Barfoot C, Harris PA, Argo CM.Bacteria residing in the gastrointestinal tract of mammals are crucial for the digestion of dietary nutrients. Bacterial community composition is modified by age and diet in other species. Although horses are adapted to consuming fibre-based diets, high-energy, often high-starch containing feeds are increasingly used. The current study assessed the impact of age on the faecal bacteriome of ponies transitioning from a hay-based diet to a high-starch diet. Over two years, 23 Welsh Section A pony mares were evaluated (Controls, 5-15 years, n = 6/year, 12 in total; Aged, ≥19 years, n = 6 Year 1;...
Evolution of In Vitro Antimicrobial Susceptibility of Equine Clinical Isolates in France between 2016 and 2019.
Animals : an open access journal from MDPI    May 7, 2020   Volume 10, Issue 5 doi: 10.3390/ani10050812
Léon A, Castagnet S, Maillard K, Paillot R, Giard JC.The present study described the evolution of antimicrobial resistance in equine pathogens isolated from 2016 to 2019. A collection of 7806 bacterial isolates were analysed for their in vitro antimicrobial susceptibility using the disk diffusion method. The most frequently isolated pathogens were group C Streptococci (27.0%), Escherichia coli (18.0%), Staphylococcus aureus (6.2%), Pseudomonas aeruginosa (3.4%), Klebsiella pneumoniae (2.3%) and Enterobacter spp. (2.1%). The majority of these pathogens were isolated from the genital tract (45.1%, n = 3522). With the implementation of two French n...