Hospitalization of horses involves the admission of equine patients to veterinary facilities for the diagnosis, treatment, and management of various medical conditions. This process is typically initiated when a horse requires intensive monitoring, specialized care, or advanced medical interventions that cannot be adequately provided in a non-clinical setting. Common reasons for equine hospitalization include surgical procedures, severe injuries, colic, respiratory disorders, and infectious diseases. During hospitalization, horses are monitored for vital signs, administered medications, and provided with supportive care tailored to their specific needs. This page compiles peer-reviewed research studies and scholarly articles that explore the protocols, outcomes, and advancements in the hospitalization of horses, providing insights into best practices and innovations in equine clinical care.
Lemercier J, Pasco J, Olivier G, Amiot F.Horse riding-related falls are a frequent cause of emergency department (ED) presentations; however, their regional epidemiology in France is poorly described. We aimed to quantify the incidence of ED visits after falling from a horse in the Manche Department and characterize the injury patterns, resource use, and short-term outcomes. Methods: We conducted a multicenter retrospective study across six hospitals in Manche (France), including all patients presenting to the ED after a fall from a horse between May 1, 2021, and October 31, 2024. Demographics, initial clinical status, imaging findin...
van den Brom-Spierenburg AJ, Siegers EW, Westermann CM, Vernooij JCM, Sloet van Oldruitenborgh-Oosterbaan MM, Theelen MJP.In hospitalized foals, limited data are available on the utility of sequential measurement of SAA concentrations and the value of these data in a clinical setting. Objective: To determine serum amyloid A (SAA) concentrations in ill neonatal foals at multiple timepoints during hospitalization, and to evaluate a potential association with systemic inflammatory response syndrome (SIRS) status, blood culture (BC) result, and survival. Methods: Hospitalized ill foals (n = 90, ≤ 14 days). Methods: In this retrospective study, foals were classified based on SIRS criteria: "SIRS" or "NonSIRS," ...
Stöckle SD, Kannapin DA, Merle R, Lübke-Becker A, Gehlen H. The emergence and spread of multi-drug-resistant (MDR) bacteria pose a growing threat in veterinary medicine, particularly in equine hospitals. This study investigated the colonization and infection dynamics of horses undergoing emergency laparotomy with two distinct antibiotic protocols (single-shot versus 5-day protocol) during hospitalization. Nasal swabs and fecal samples were collected from 67 horses undergoing emergency laparotomy at clinic admission as well as on postoperative days 3 and 10. These were screened for multi-drug-resistant indicator pathogens. As multi-drug-resistant indi...
Palmisano MG, Tukdarian CR, Hopster K, Nolen-Walston RD.This report describes an 8-day-old foal diagnosed with acute respiratory distress syndrome (ARDS) successfully managed using a novel approach of intratracheal oxygen delivery. Methods: An 8-day-old Standardbred filly presented for an acute onset of respiratory distress. Given the acute onset, known risk factors, bilateral diffuse infiltrate on thoracic radiographs, and low PaO:FiO ratio of 170.5, the foal was diagnosed with acute respiratory distress syndrome. Initial treatment consisted of antimicrobial therapy (minocycline and metronidazole), nonsteroidal anti-inflammatories (flunixin meglum...
Curry O, Everett A, Pearson G, Dwyer C, Duncan J.Despite the availability of several equine pain assessment tools, their use in equine veterinary practice appears limited compared to small animal practice. This study explores potential barriers to equine pain assessment, as reported by staff at a single UK equine teaching hospital. Methods: Nine hospital staff members were interviewed using semi-structured interviews. Key themes were identified through reflexive thematic analysis. Results: Participants acknowledged the importance of pain assessment, yet highlighted limitations in current methods and their inconsistent use. Key challenges inc...
Ken-Dror G, Chua V, Sharma P.To determine the frequency of traumatic injuries in polo players in England. Methods: The survey included data on body location and reason for injury derived from accident reports using a retrospective cohort design from 26 participating English polo clubs between the years 2018 and 2024. Results: The study population included injuries in 236 polo players. The most common injury site was the limb (arm, hand, leg, wrist, shoulder) 47.9% (95% CI: 41.4-54.5), and face or head 38.6% (95% CI: 32.3-45.1), of which 12.1% (95% CI: 6.2-20.6) affected the eyes. The most common reason to require hospital...
Norrlund RR, Caragounis EC, Olsén MF.Equestrian sports have been found to cause high rates of injuries. In clinical practise after such injuries, polytrauma protocol workups usually include whole-body computed tomography (WBCT), CT of the chest, abdomen and pelvis with intravenous iodine contrast medium, and CT of the cervical spine and brain without contrast. The purpose was to investigate the use of WBCT in equestrian-related accidents, to analyse demographics, mechanism of injury (MOI), therapy and severity of equine-related accidents, radiology, and the use of protecting equipment. Methods: This is a retrospective study inclu...
Vainio KME, Määttänen MK, Mykkänen AK, Huupponen AK, Niinistö KE.Iatrogenic aspiration pneumonia is rarely reported in horses, with most cases involving lipoid pneumonia from accidental mineral oil administration. Objective: Our aim is to describe horses with iatrogenic aspiration, highlighting clinical findings, treatment, outcomes, and prognostic differences based on the aspirated material. Methods: Management of 6 horses treated at the University of Helsinki Equine hospital due to iatrogenic aspiration between 2018 and 2023 are reported. Results: Of the six horses, three survived, two of whom regained full athletic function. Survivors received water, or ...
Delvescovo B, Bouton J.This issue focuses on the potential complications caused by prolonged recumbency in horses. It discusses how managing a recumbent horse involves treating the primary illness while also preventing and addressing secondary issues that can arise from recumbency itself. The authors explore the underlying pathophysiology of these complications, along with strategies for prevention and treatment. By understanding these aspects, veterinarians can improve care and outcomes for horses that are immobilized for extended periods. The issue provides insights into the most common complications and emphasize...
Beeston TJ, Duncan JC, Pollock PJ.Surgical safety checklists have demonstrated a positive impact on post-surgical morbidity/mortality in human medicine, and likely have an equal benefit in veterinary medicine. To realise their advantages, they must be correctly and regularly used. A clinical audit was planned to assess this. Objective: To determine the compliance with the pre-procedural request form/surgical safety checklist in a large multi-disciplinary equine referral hospital. Methods: Retrospective full-cycle clinical audit. Methods: One hundred and forty-eight checklists (consisting of 23 sub-sections) were examined for c...
Wilson FE, Mair TS, Freeman SL.Referral treatment costs and insurance status impact treatment decisions for colic. Objective: To evaluate changes in the cost of referral treatment for colic, and insurance cover and premiums in the United Kingdom between 2018 and 2023. Methods: Cross sectional study. Methods: Thirty UK equine referral hospitals were contacted in January 2024 and asked about their colic caseload and costs of the last three cases across six categories (surgical +/- resection, euthanasia before, during or after surgery, and medical treatment), using similar methodology to a 2018 study. Data are reported as mean...
Knee CJ, Symes M, Sivakumar BS, McGready JR, Venkatesha V, Gillett M.Equestrian activities are popular in Australia for both work and recreation. However, these activities are associated with high rates of injury [including major trauma] when compared to other physical activities and sports. Research assessing equestrian-related major trauma is limited. This study analyses the characteristics of equestrian-related major trauma in New South Wales, Australia, to guide injury prevention initiatives. Methods: A retrospective analysis was conducted using data from the New South Wales Trauma Registry on equestrian-related major trauma cases over an 11-year period fro...
Migliorisi A, Hassel DM, Moore AR, Blair BW, Wilkins PA.To characterize coagulopathies before and after antivenom administration in rattlesnake-envenomated equids. Unassigned: Client-owned envenomated equids treated with antivenom at Colorado State University (2023 to 2024). Rattlesnake bite severity score (RBSS), platelet count, prothrombin time, activated thromboplastin time, D-dimers, antithrombin, and viscoelastic testing variables were assessed before and after antivenom administration. Paired comparisons of hemostatic variables between admission and approximately 24 hours, and correlation analysis with RBSS, were performed. Length of hospital...
Loder RT, Walker AL, Blakemore LC. Equestrian activities can result in spine injuries. Most studies are from single centers, and none use a national database. It was the purpose of this study to describe the demographics, injury mechanisms, and types of equestrian-associated spinal injuries using a US national ED database. The National Electronic Injury Surveillance System database was queried for equestrian-related spine injuries from 2000-2023. ED disposition was categorized as discharged or not discharged. Statistical analyses accounted for the weighted, stratified nature of the data to obtain national estimates. There we...
Crabtree NE, Capper AM, McKinnon LH, Epstein KL.The objective was to compare perioperative factors that may influence clinician decisions regarding antimicrobial therapy duration and outcomes in horses undergoing exploratory celiotomy. Unassigned: Horses > 1 mo of age undergoing exploratory celiotomy for colic that survived without repeat celiotomy for ≥ 5 d. Unassigned: Retrospective cohort study. Cases were grouped by duration of antimicrobial therapy: G1, ≤ 24 h; G2, 1 to 3 d; G3, > 3 d. Admission, surgical, and postoperative data from the medical records and long-term outcome assessed telephone follow-up were compared among g...
Connolly KM, Estell K.Dysphagia describes a clinical sign of pathologies of the oral cavity, pharynx, and oesophagus that carries potentially serious consequences for horses. Given the diversity of differential diagnoses that may cause dysphagia, an understanding of the prevalence of dysphagia in hospitalised patients, the distribution of aetiologies and clinical outcomes could inform diagnosis, treatment, and prognosis. Objective: This study aims to describe the incidence, signalment, history, aetiology, treatment, and outcome of horses presenting to a referral hospital for dysphagia. Methods: Retrospective case s...
Cerullo A, Di Nicola MR, Scilimati N, Bertoletti A, Pollicino G, Moroni B, Pepe M, Nannarone S, Gialletti R, Passamonti F.Bacterial contamination of the surgical site in horses is a major risk factor for the development of surgical site infections (SSIs), which increase morbidity, mortality, the hospitalisation period, antibiotic use, and management costs. While contamination is a prerequisite for infection, its progression to clinical infection depends on additional factors that compromise host defences. The present study, conducted at the Veterinary Teaching Hospital of the University of Perugia over an 11-month period, investigated bacterial contamination in 70 surgeries (53 clean and 17 clean-contaminated) at...
Swezey E, Szydziak E, Angus LDG, Mehta V, Cardozo-Stolberg S.Equestrian trauma is recognized as a high-risk injury mechanism with the potential for significant morbidity and mortality. Although horse-related injuries are more frequently seen in a rural environment, they can also occur in urban settings. Urban physicians should be mindful of these potential cases. Methods: A retrospective review was performed on all patients treated at Nassau University Medical Center, East Meadow, New York, for equestrian-related trauma from January 1, 2000, to December 31, 2024. Results: Twenty-nine equestrian trauma patients ages 10-70 were included, with injuries ob...
de la Cuesta-Torrado M, Vitale V, Velloso Alvarez A, Neira-Egea P, Diss C, Cuervo-Arango J.Equine herpesvirus 1-induced myeloencephalopathy has a significant impact on the equine industry. Nevertheless, the clinical variables that may affect the severity of the disease are still under investigation. The objective of this research is studying the relationship between the level of lymphopenia and vaccination status with the severity of the disease in horses at an event, considering whether they had been correctly vaccinated or not prior to exposure to EHV-1. Ten horses were admitted to a veterinary teaching hospital following an equine herpesvirus myeloencephalopathy outbreak during a...
van der Merwe LM, Schliewert EC.Colic is a common equine emergency requiring medical or surgical intervention. These interventions can be costly, making outcomes data and prognostic indicators essential for guiding referral and treatment decisions. Objective: To determine survival rates to hospital discharge and evaluate prognostic indicators in equine colic cases treated at a referral hospital (Onderstepoort Veterinary Academic Hospital [OVAH], South Africa). Methods: This retrospective observational cohort study analysed records from horses with colic that were presented to the OVAH from January 2019 to August 2021. Data i...
Griessel TS, Muñoz Morán JA, Byaruhanga C, Smit Y.Surgical site infection (SSI) is a significant cause of postoperative morbidity following equine laparotomy. Therefore, if risk factors for SSI can be identified, morbidity may consequently be reduced. The objectives of this study were to determine the prevalence of SSI in horses undergoing exploratory laparotomy at a single hospital over an 8-year period (2013‒2021), investigate the risk factors associated with SSI and report on the bacterial isolates identified. Methods: The medical records of horses that had an exploratory laparotomy performed at the teaching hospital due to colic were r...
Loublier C, Costa M, Taminiau B, Lecoq L, Daube G, Amory H, Cesarini C.Research on fecal microbiota changes during hospitalization of horses with colic is emerging. Objective: Describe changes of the fecal microbiota during hospitalization of horses with colic caused by inflammatory (INFL), simple (SIMPLE), and strangulated (STR) obstructions, and investigate associations with survival. Methods: Twenty-three horses with colic: 9 in INFL, 5 in STR, and 9 in SIMPLE groups. Seventeen horses survived, and 6 were euthanized. Methods: Prospective observational study. Fecal samples were collected on admission (D1), on days 3 (D3) and 5 (D5). Bacterial taxonomy profiling...
Albanese V, Straticò P, Fischer H, Petrizzi L.Injuries to the distal limb are common in horses. The clinical aspect of the lesions is variable based on the structures that are involved. Synovial structures as well as tendons and/or ligaments may be involved in such injuries, affecting treatment modalities and costs, and prognosis. This retrospective study compares wounds involving synovial structures to wounds without such involvement in terms of treatment duration and costs, and prognosis. Synovial wounds were much more expensive to treat and carried a lower prognosis. Involvement of tendons and/or ligaments in the wounds resulted in mor...
Kamr AM, Bartish C, Summers J, Horton J, Hostnik LD, Orr K, Browne N, Dembek KA, Saliba C, Gomez DE, Toribio RE.Information about the association of antimicrobial peptides with hypovitaminosis D in hospitalized foals is lacking. Objective: We aimed to longitudinally determine the association of serum concentrations of vitamin D metabolites, vitamin D binding protein (DBP), and parathyroid hormone (PTH) with antimicrobial peptides (β-defensin-1 and cathelicidin-1) and the mRNA expression of the vitamin D receptor (VDR), 1α-hydroxylase (CYP27B1), 24-hydroxylase (CYP24A1), toll-like receptor-4 (TLR-4), tumor necrosis factor-α (TNF-α), interleukin-1β (IL-1β), disease severity, and mortality in hospita...
Shnaiderman-Torban A, Meltzer L, Zilberman-Daniels T, Navon-Venezia S, Cohen A, Sutton GA, Blum SE, Amit S, Steinman A.Infections with extended-spectrum beta-lactamase-producing Enterobacterales (ESBL-PE) contribute to morbidity and mortality in human neonates. In foals, data are scarce. Objective: Determine the association between ESBL-PE gastrointestinal colonization on hospital admission and infections in hospitalized neonates. Methods: Sixty-seven foals. Methods: Prospective study of foals admitted to a veterinary hospital. Foals were screened for ESBL-PE colonization and for infections. Risk factors and clinical outcomes were analyzed. Results: Seventy-six percent of foals suffered from at least 1 bacteri...
Christie KD, Epstein KL, Tyma JF, Afonso T, Fultz LE, Giguère S.Surgical site infection (SSI) is an important complication following emergency celiotomy in the horse. Judicious antimicrobial use is important for the prevention of antimicrobial resistance and the limitation of antimicrobial-associated complications. Previous studies in horses have found no association between SSI and perioperative antimicrobial duration, but the ideal duration of antimicrobial administration in horses undergoing exploratory celiotomy remains unclear. Objective: To compare SSI and describe post-operative complications, survival, duration and cost of hospitalisation in horses...
Milner PI, Bardell D.Predicting outcome in horses presenting with colic remains challenging. Objective: To test whether arterial blood samples in horses admitted for colic predict outcome to hospital discharge for different colic types. Methods: Arterial blood samples collected on admission from 358 horses undergoing medical or surgical management of colic were evaluated for pH, PaO, PaCO, Na, K, iCa, Cl, HCO (P), HCO (P, set), Base (B), Base (ecf) and anion gap. Categories were small intestinal non-strangulating (SINS) or strangulating (SIS) lesions, large colon non-volvulus (LCNV) or volvulus (LCV), small colo...
Maire U, Genton M, Vitte-Rossignol A.A 16-year-old, French saddlebred horse was referred for examination because of colic signs, diagnosed with incarceration of the jejunum in a mesoduodenic rent, and subsequently treated surgically (with an end-to-end anastomosis of the jejunum and an enterotomy of the pelvic flexure). The horse initially recovered without complications; however, on the following day, it exhibited moderate signs of endotoxemia and severe serosanguineous discharge from the abdominal wound. Abdominal ultrasonography revealed substantial peritoneal effusion, necessitating the placement of an abdominal drain. The bl...
Palmisano MG, Colmer SF, Saw YL, Xu X, Stefanovski D, Murphy L, Johnson AL.To determine the prevalence of vitamin E deficiency in horses at admission and at the time of discharge. The hypothesis was that vitamin E concentrations would decrease during hospitalization. Methods: A prospective cohort study was performed of client-owned horses admitted as patients or companions through the emergency service at a tertiary referral center. Exclusion criteria included vitamin E supplementation. Whole blood was collected into an additive-free tube at the time of admission for all horses and at discharge if the horse was hospitalized for a minimum of 5 days. Serum vitamin E co...
Dutkiewicz J, Mackiewicz B, Kinga Lemieszek M, Golec M, Milanowski J.Pantoea agglomerans, a bacterium associated with plants, is not an obligate infectious agent in humans. However, it could be a cause of opportunistic human infections, mostly by wound infection with plant material, or as a hospital-acquired infection, mostly in immunocompromised individuals. Wound infection with P. agglomerans usually follow piercing or laceration of skin with a plant thorn, wooden splinter or other plant material and subsequent inoculation of the plant-residing bacteria, mostly during performing of agricultural occupations and gardening, or children playing. Septic arthritis ...
Schnellmann C, Gerber V, Rossano A, Jaquier V, Panchaud Y, Doherr MG, Thomann A, Straub R, Perreten V.Because of the frequency of multiple antibiotic resistance, Staphylococcus species often represent a challenge in incisional infections of horses undergoing colic surgery. To investigate the evolution of antibiotic resistance patterns before and after preventative peri- and postoperative penicillin treatment, staphylococci were isolated from skin and wound samples at different times during hospitalization. Most staphylococci were normal skin commensals and belonged to the common coagulase-negative group. In some cases they turned out to be opportunistic pathogens present in wound infections. M...
Baptiste KE, Williams K, Willams NJ, Wattret A, Clegg PD, Dawson S, Corkill JE, O'Neill T, Hart CA.We determined the molecular characteristics of methicillin-resistant staphylococci from animals and staff at a small animal and equine hospital. Methicillin-resistant Staphylococcus aureus (MRSA) identical to human EMRSA-15 was found in dogs and hospital staff. In contrast, 5 distinct MRSA strains were isolated from horses but not from hospital staff.
van Duijkeren E, Moleman M, Sloet van Oldruitenborgh-Oosterbaan MM, Multem J, Troelstra A, Fluit AC, van Wamel WJ, Houwers DJ, de Neeling AJ....At the Veterinary Microbiological Diagnostic Center, the Netherlands, the percentage of methicillin-resistant Staphylococcus aureus (MRSA) isolates found in equine clinical samples increased from 0% in 2002 to 37% in 2008. MRSA of spa-type t064, belonging to MLST ST8 and spa-types t011 and t2123, both belonging to the livestock-associated MLST ST398, predominated. During an outbreak of post-surgical MRSA infections in horses at a veterinary teaching hospital in 2006/2007, MRSA isolates of spa-type t2123 were cultured from 7 horses and 4/61 personnel which indicated zoonotic transmission. After...
Seguin JC, Walker RD, Caron JP, Kloos WE, George CG, Hollis RJ, Jones RN, Pfaller MA.During a 13-month period, 11 equine patients visiting a veterinary teaching hospital for various diagnostic and surgical procedures developed postprocedural infections from which methicillin (oxacillin)-resistant Staphylococcus aureus (MRSA) strains were isolated. The S. aureus isolates were identified by conventional methods that included Gram staining, tests for colonial morphology, tests for clumping factor, and tests for coagulase and urease activities and were also tested with the API STAPH IDENT system. Antimicrobial susceptibility tests were performed by the disk diffusion method. The b...
Rodriguez C, Taminiau B, Brévers B, Avesani V, Van Broeck J, Leroux A, Gallot M, Bruwier A, Amory H, Delmée M, Daube G.The equine faecal microbiota is very complex and remains largely unknown, while interspecies interactions have an important contribution to animal health. Clostridium difficile has been identified as an important cause of diarrhoea in horses. This study provides further information on the nature of the bacterial communities present in horses developing an episode of diarrhoea. The prevalence of C. difficile in hospitalised horses at the time of admission is also reported. Results: Bacterial diversity of the gut microbiota in diarrhoea is lower than that in non-diarrhoeic horses in terms of spe...
van der Kolk JH, Endimiani A, Graubner C, Gerber V, Perreten V.Acinetobacter spp. are aerobic, rod-shaped, Gram-negative bacteria belonging to the Moraxellaceae family of the class Gammaproteobacteria and are considered ubiquitous organisms. Among them, Acinetobacter baumannii is the most clinically significant species with an extraordinary ability to accumulate antimicrobial resistance and to survive in the hospital environment. Recent reports indicate that A. baumannii has also evolved into a veterinary nosocomial pathogen. Although Acinetobacter spp. can be identified to species level using matrix-assisted laser desorption/ionisation time-of-flight mas...
Brosnahan MM, Paradis MR.To describe the demographic and clinical characteristics of a population of geriatric horses. Methods: Retrospective study. Methods: 467 horses that were > or = 20 years of age. Methods: Medical records of 539 geriatric horses that were evaluated at a university large animal hospital between 1989 and 1999 were reviewed. Data collected included signalment, reason for evaluation, specific diagnoses, surgical procedures, inpatient or outpatient care, duration of hospitalization, and outcome. Results: 467 horses met the criteria for inclusion in the study. Horses that were > or = 20 years of age c...
Cuny C, Strommenger B, Witte W, Stanek C.During 2006 and 2007 small clusters of methicillin-resistant Staphylococcus aureus (MRSA) infections in horses were recorded in different clinical departments of a veterinary university. The infections were caused by different MRSA clones (ST1, ST254, and ST398). In the same time, nasal colonization of veterinarians, veterinary personnel, and students was observed indicating transmission to humans.
Weese JS, Rousseau J, Willey BM, Archambault M, McGeer A, Low DE.Methicillin-resistant Staphylococcus aureus (MRSA) is an emerging equine pathogen. To attempt to control nosocomial and zoonotic transmission, an MRSA screening program was established for all horses admitted to the Ontario Veterinary College Veterinary Teaching Hospital, whereby nasal screening swabs were collected at admission, weekly during hospitalization, and at discharge. MRSA was isolated from 120 (5.3%) of 2,283 horses: 61 (50.8%) at the time of admission, 53 (44.2%) during hospitalization, and 6 from which the origin was unclear because an admission swab had not been collected. Clinic...
Brewer BD, Koterba AM.A sepsis scoring system was developed and tested prospectively in a blind study of 190 neonatal foals admitted to the University of Florida Veterinary Medical Teaching Hospital's neonatal intensive care unit. The system used 14 readily available historical, clinical or laboratory variables and weighted each item to arrive at a sepsis score. The score was found to have a sensitivity of 93 per cent, a specificity of 86 per cent, positive accuracy rate of 89 per cent and negative accuracy rate of 92 per cent. The sepsis score was far more sensitive and specific for infection, even in very early c...
Weese JS, Caldwell F, Willey BM, Kreiswirth BN, McGeer A, Rousseau J, Low DE.There are increasing reports of methicillin-resistant Staphylococcus aureus (MRSA) infection and colonization in horses and evidence that MRSA can be transmitted between horses and humans. The objective of this study was to investigate reports of skin infection in personnel working with a foal with community-associated MRSA colonization and subsequent infection. Clinical diagnostic specimens were collected from individuals reporting skin lesions following contact with the affected foal. Nasal and groin screening swabs were collected from other veterinary personnel that attended a voluntary scr...
Feary DJ, Hassel DM.Enteritis and colitis remain challenging and life-threatening diseases despite many recent advances. Successful treatment is largely dependent on early recognition and directed therapy, which is facilitated by obtaining a complete history and physical examination. A number of new therapies and methods of monitoring critically ill patients have become integral components of treatment success. The critical monitoring of equine foals and adults continues to be an exciting and emerging field.
Borges AS, Divers TJ, Stokol T, Mohammed OH.Detection of systemic inflammation, which is important for proper diagnosis and prompt treatment, can be challenging. Objective: Measurement of plasma iron concentration is a sensitive method for detecting systemic inflammation in horses compared with measurements of plasma fibrinogen concentration, a traditional marker for inflammation in the horse. Methods: Ninety-seven horses hospitalized with diseases causing systemic inflammation, 22 horses with localized inflammation, and 12 clinically normal horses were included in this study. Methods: A retrospective study was made on hospitalized hors...
Schneider RK, Bramlage LR, Moore RM, Mecklenburg LM, Kohn CW, Gabel AA.The medical records of 192 horses with septic arthritis/tenosynovitis 1979-1989 were reviewed. Forty-three horses developed infection after an intra-articular injection, 46 following a penetrating wound, 25 following surgery, 66 were foals less than 6 months old, and 12 were adult horses without a known aetiology. Haematogenous infection of a joint occurs in adult horses and should be considered as a differential diagnosis in horses with an acute onset of severe lameness. The aetiology of the infection had a significant effect on the type of bacteria identified by culture. Staphylococcus was c...
Boerlin P, Eugster S, Gaschen F, Straub R, Schawalder P.Acinetobacter baumannii, Enterococcus faecalis, Enterococcus faecium, and Staphylococcus intermedius isolates from infected surgical wounds and other types of infections in a veterinary teaching hospital were typed by pulsed field gel electrophoresis. A first cluster of infections with a multiresistant A. baumannii strain was observed in dogs and cats in 1998-1999. This strain disappeared after cleaning and disinfection of the companion animals intensive care unit. It was followed in 2000 by a second multiresistant strain, which caused another cluster of infections and was also transmitted to ...
Frederick J, Giguère S, Sanchez LC.Diarrhea is common in foals but there are no studies investigating the relative prevalence of common infectious agents in a population of hospitalized diarrheic foals. Objective: To determine the frequency of detection of infectious agents in a population of hospitalized foals with diarrhea and to determine if detection of specific pathogens is associated with age, outcome, or clinicopathologic data. Methods: Two hundred and thirty-three foals < or = 10 months of age with diarrhea examined at a referral institution. Methods: Retrospective case series. Each foal was examined for Salmonella s...
Sieber S, Gerber V, Jandova V, Rossano A, Evison JM, Perreten V.A total of 70 Staphylococcus aureus isolates from postoperative infections in hospitalized horses were isolated between January 2005 and January 2011. Among them, 12 isolates were methicillin-susceptible S. aureus (MSSA), 18 were borderline-oxacillin-resistant S. aureus (BORSA), and 40 were methicillin-resistant S. aureus (MRSA). During the same period, the equine clinic personnel were screened for nasal carriage of BORSA and MRSA. Genotyping revealed that BORSA ST1(MLST)-t2863(spa) isolates were responsible for most equine infections and were the main isolates found in colonized members of th...
Diab SS, Songer G, Uzal FA.Clostridium difficile is considered one of the most important causes of diarrhea and enterocolitis in horses. Foals and adult horses are equally susceptible to the infection. The highly resistant spore of C. difficile is the infectious unit of transmission, which occurs primarily via the fecal-oral route, with sources of infection including equine feces, contaminated soil, animal hospitals, and feces of other animals. Two major risk factors for the development of C. difficile associated disease (CDAD) in adult horses are hospitalization and antimicrobial treatment, although sporadically, cases...
Torcivia C, McDonnell S.In recent years, there has been a growing interest in and need for a comprehensive ethogram of discomfort behavior of horses, particularly for use in recognizing physical discomfort in domestically managed horses. A clear understanding of the physical discomfort behavior of horses among caretakers, trainers, and professional health care personnel is important to animal welfare and caretaker safety. This is particularly relevant to pain management for hospitalized equine patients. Various pain scale rubrics have been published, typically incorporating only a few classically cited pain behaviors...
Cuny C, Witte W.MRSA infections in equine clinics were reported from Northern America, Europe, Australia, and Japan. The majority of nosocomial infections in horses is obviously associated with particular MRSA clonal lineages. As already observed for epidemic MRSA in human hospitals more than 10 years ago, a dynamics of MRSA clonal lineages is also observed in European equine clinics: clonal lineages belonging to clonal complex (CC) 8 are on the retreat whereas MRSA attributed to CC398 become increasingly prevalent. The majority of CC398 isolates belong to a subpopulation which is particularly associated with...
Thomas KE, Annest JL, Gilchrist J, Bixby-Hammett DM.To characterise and provide nationally representative estimates of persons with non-fatal horse related injuries treated in American emergency departments. Methods: The National Electronic Injury Surveillance System All Injury Program (NEISS-AIP) is a stratified probability sample comprising 66 hospitals. Data on injuries treated in these emergency departments are collected and reported. NEISS-AIP data on all types (horseback riding and otherwise) of non-fatal horse related injuries from 2001 to 2003 were analysed. Results: An estimated 102,904 persons with non-fatal horse related injuries (35...
Weese JS, DaCosta T, Button L, Goth K, Ethier M, Boehnke K.After recognition of a cluster of methicillin-resistant Staphylococcus aureus (MRSA) infection in horses and humans at the Ontario Veterinary College Veterinary Teaching Hospital, environmental contamination with MRSA was evaluated. A total of 260 environmental surfaces were sampled during periods when MRSA-infected horses were hospitalized, and MRSA was isolated from 25/260 sites (9.6%). The most commonly contaminated sites were stalls housing MRSA-positive horses, but other stalls, medical equipment, personal items, and equine restraint devices also were contaminated. The role of the environ...
Laurenza C, Ansart L, Portier K.A retrospective analysis was performed to determine mortality and morbidity rates for elective and emergency cases in an equine university teaching hospital. It investigated the effect of horse-, anesthetic-, timing, and clinician experience-related variables on anesthetic complications. In total, 1,161 horses undergoing general anesthesia between January 2012 and December 2016 were included in the study. Patient information and details of the anesthetic, recovery period and immediate complications were retrieved from an archival database. Statistical analysis of qualitative and quantitative f...
Maddox TW, Clegg PD, Williams NJ, Pinchbeck GL.Antimicrobial resistance poses a significant threat to the continued successful use of antimicrobial agents for the treatment of bacterial infections. While the epidemiology of antimicrobial resistance in bacteria from man has been studied extensively, less work has been undertaken in companion animals, particularly horses. Methicillin-resistant Staphylococcus aureus has been identified as a cause of infections, with a low prevalence of nasal carriage by horses in the community but higher for hospitalised horses. Molecular characterisation has shown methicillin-resistant Staphylococcus aureus...
Walther B, Klein KS, Barton AK, Semmler T, Huber C, Wolf SA, Tedin K, Merle R, Mitrach F, Guenther S, Lübke-Becker A, Gehlen H.Pathogens frequently associated with multi-drug resistant (MDR) phenotypes, including extended-spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae (ESBL-E) and Acinetobacter baumannii isolated from horses admitted to horse clinics, pose a risk for animal patients and personnel in horse clinics. To estimate current rates of colonization, a total of 341 equine patients were screened for carriage of zoonotic indicator pathogens at hospital admission. Horses showing clinical signs associated with colic (n = 233) or open wounds (n = 108) were selected for microbiological examination of nost...
Belgrave RL, Dickey MM, Arheart KL, Cray C.To compare serum amyloid A (SAA) concentration, plasma fibrinogen concentration, total WBC count, and serum albumin-to-globulin concentration ratio (A:G ratio) in clinically normal (CN) and clinically abnormal (CA) horses. Methods: Prospective cohort study. Methods: 111 CN horses and 101 CA horses hospitalized at a specialty clinical practice. Methods: Shortly after admission, a blood sample (20 mL) was collected from each horse for a CBC, serum protein electrophoresis, and determination of plasma fibrinogen concentration; SAA concentration was assessed with a previously validated immunoturbid...
Båverud V, Gustafsson A, Franklin A, Lindholm A, Gunnarsson A.Clostridium (C.) difficile, or its cytoxin, was demonstrated in faecal samples from 10 of 25 (40%) mature horses investigated with acute colitis treated primarily with antibiotics for disorders other than diarrhoea. C. difficile was not found in faecal samples from 140 horses without signs of enteric disorders, from 21 nondiarrhoeic horses treated with antibiotics, nor from 22 horses with colitis untreated with antibiotics. Except for C. difficile neither Salmonella nor any other investigated intestinal pathogen was isolated in any of the diarrhoeic horses. The findings strongly support some e...
Nurenberg JR, Schleifer SJ, Shaffer TM, Yellin M, Desai PJ, Amin R, Bouchard A, Montalvo C.Animal-assisted therapy (AAT), most frequently used with dogs, is being used increasingly as an adjunctive alternative treatment for psychiatric patients. AAT with larger animals, such as horses, may have unique benefits. In this randomized controlled study, equine and canine forms of AAT were compared with standard treatments for hospitalized psychiatric patients to determine AAT effects on violent behavior and related measures. Methods: The study included 90 patients with recent in-hospital violent behavior or highly regressed behavior. Hospitalization at the 500-bed state psychiatric hospit...
Torcivia C, McDonnell S.Horses have evolved to show little indication of discomfort or disability when in the presence of potential predators, including humans. This natural characteristic complicates the recognition of pain in equine patients. It has been our clinical impression that, whenever a person is present, horses tend to "perk up" and ongoing discomfort behavior (DB) more or less ceases. The objective of this study was to quantitatively evaluate and describe this effect. For each of 20 orthopedic surgical patients, continuous 24-h video was reviewed to record all occurrences of DB during a caretaker visit (3...
