Analyze Diet

Topic:Infection

Infections in horses encompass a range of diseases caused by various pathogens, including bacteria, viruses, fungi, and parasites. These infections can affect different systems within the horse, such as the respiratory, gastrointestinal, and integumentary systems, leading to a variety of clinical signs depending on the pathogen and the severity of the infection. Common infectious diseases in horses include equine influenza, strangles, and equine herpesvirus. Diagnosis often involves clinical examination, laboratory testing, and sometimes imaging, to identify the causative agent and assess the extent of the disease. Treatment strategies may include antimicrobial therapy, supportive care, and preventive measures such as vaccination and biosecurity practices. This page aggregates peer-reviewed research studies and scholarly articles that explore the pathogenesis, diagnosis, treatment, and prevention of infectious diseases in equine populations.
Helminth egg excretion with regard to age, gender and management practices on UK Thoroughbred studs.
Parasitology    January 25, 2013   Volume 140, Issue 5 641-652 doi: 10.1017/S0031182012001941
Relf VE, Morgan ER, Hodgkinson JE, Matthews JB.Few studies have described the combined effect of age, gender, management and control programmes on helminth prevalence and egg shedding in grazing equines. Here, fecal samples collected from 1221 Thoroughbred horses, residing at 22 studs in the UK, were analysed. The distribution of strongyle eggs amongst individuals in relation to age, gender and management practices was investigated. Fecal worm egg counts (FWECs), described as the number of eggs per gramme (epg) of feces, were determined using a modification of the salt flotation method. The FWEC prevalence (mean%) of strongyles, Parascaris...
Prevalence of yeasts in English full blood mares.
Mycopathologia    January 24, 2013   Volume 175, Issue 3-4 339-344 doi: 10.1007/s11046-013-9615-6
Różański P, Slaska B, Różańska D.The aim of the study was a quantitative and qualitative analysis of microflora, presentation of current data about prevalence of the microflora on the skin and mucous membranes, and determination of its possible effect on reproduction of English full blood horses bred in Poland. The material for analyses was sampled from the skin and mucous membranes (385 samples) of 55 English full blood mares. Taking into account reproduction traits, the mares were classified into three groups. Six yeast-like species, including five species from the genus Candida (C. albicans, C. guiliermondii, C. lusitaniae...
Longitudinal study of horses for carriage of methicillin-resistant Staphylococcus aureus following wound infections.
Veterinary microbiology    January 23, 2013   Volume 163, Issue 3-4 388-391 doi: 10.1016/j.vetmic.2013.01.004
Bergström K, Bengtsson B, Nyman A, Grönlund Andersson U.An outbreak of methicillin-resistant Staphylococcus aureus (MRSA) infections in horses in Sweden raised questions concerning the risk posed by horses to their surroundings following MRSA infections. This initiated a longitudinal study to investigate how long MRSA-infected horses remained positive and to test the sensitivity of different anatomical sampling sites for detection of MRSA. Between October 2008 and June 2010, 9 of 15 horses notified as having MRSA-infected wounds fitted the case criteria for the study. The cases were sampled at five anatomical sites (nostrils, corner of mouth, paste...
MRSA carriage in the equine community: an investigation of horse-caretaker couples.
Veterinary microbiology    January 23, 2013   Volume 163, Issue 3-4 313-318 doi: 10.1016/j.vetmic.2012.12.038
Van den Eede A, Martens A, Floré K, Denis O, Gasthuys F, Haesebrouck F, Van den Abeele A, Hermans K.Equine methicillin-resistant Staphylococcus aureus (MRSA) carriage entails a risk of both equine and zoonotic transmission and infection. In Europe, CC398, the livestock-associated (LA-)MRSA is highly prevalent in horses and veterinary personnel at equine clinics. The extent of the MRSA reservoir created by healthy horses from the general population and associated health hazard for their daily caretakers is, however, unknown. This study aimed at screening healthy horse-caretaker couples from a broad range of home farms. At five equine gatherings, 166 couples were selected for MRSA screening in...
Diagnosis of Theileria equi infections in horses in the Azores using cELISA and nested PCR.
Ticks and tick-borne diseases    January 19, 2013   Volume 4, Issue 3 242-245 doi: 10.1016/j.ttbdis.2012.11.008
Baptista C, Lopes MS, Tavares AC, Rojer H, Kappmeyer L, Mendonça D, da Câmara Machado A.Equine piroplasmosis is a tick-borne disease of equids that is often caused by the parasite Theileria equi. We applied competitive ELISA (cELISA) and nested PCR diagnostic methods to detect this parasite in horses by screening 162 samples from mainland Portugal where the parasite is endemic, and 143 from the Azores representing both native and imported horse populations. We found that 2.8% of the Azorean samples tested positive exclusively by cELISA, 1.4% tested positive only by nested PCR, and 9.1% tested positive using both tests. Samples from the native Terceira Pony population were negativ...
Prevalence of tick borne pathogens in horses from Italy.
The Journal of veterinary medical science    January 18, 2013   Volume 75, Issue 6 715-720 doi: 10.1292/jvms.12-0449
Laus F, Veronesi F, Passamonti F, Paggi E, Cerquetella M, Hyatt D, Tesei B, Fioretti DP.In order to investigate the prevalence of tick-borne diseases, equine piroplasmosis, equine granulocytic anaplasmosis and Lyme borreliosis in Central Italy, blood samples from 300 horses were analyzed for the presence of antibodies against Babesia caballi, Theileria equi, Anaplasma phagocytophilum and Borrelia burgdorferi using the IFAT. The blood samples were also subjected to PCR assays in order to detect pathogen DNA. A total of 78 (26.0%) and 123 (41.0%) horses were found to be seropositive for B. caballi and T. equi, respectively, while 41 (13. 4%) and 21 (7.0%) horses were, respectively,...
Some notes on fatal acquired multiple acyl-CoA dehydrogenase deficiency (MADD) in a two-year-old warmblood stallion and European tar spot (Rhytisma acerinum).
The veterinary quarterly    January 16, 2013   Volume 33, Issue 1 47-51 doi: 10.1080/01652176.2012.758904
van der Kolk JH, Boelens R, Halkes SB, Wijnberg ID, de Sain-van der Velden MG, Ippel JH.No abstract available
West Nile Virus outbreak in Sardinia, Italy, in 2011.
Journal of infection in developing countries    January 15, 2013   Volume 7, Issue 1 6-9 doi: 10.3855/jidc.3305
Spissu N, Panichi G, Montisci A, Fiore F.West Nile Virus (WNV) is an enveloped, positive-sense RNA virus belonging to the genus Flavivirus, antigenically related to the Japanese encephalitis complex in the family Flaviviridae. The principal vectors are mosquitoes, in particular Culex spp, and virus amplification seems to occur in susceptible birds that are the principal vertebrate reservoir hosts, whereas humans, horses and other vertebrates are considered incidental or dead-end hosts. The first Italian equine outbreak was reported in late summer of 1998 in Tuscany, in the area surrounding the Fucecchio marshes, where 14 clinical cas...
First evidence of placental transfer of ochratoxin A in horses.
Toxins    January 11, 2013   Volume 5, Issue 1 84-92 doi: 10.3390/toxins5010084
Minervini F, Giannoccaro A, Nicassio M, Panzarini G, Lacalandra GM.Ochratoxin A (OTA) is a renal mycotoxin and transplacental genotoxic carcinogen. The aim of this study was to evaluate the natural occurrence of OTA in equine blood samples and its placental transfer. For the assessment of OTA levels, serum samples were collected from 12 stallions, 7 cycling mares and 17 pregnant mares. OTA was found in 83% of serum samples (median value = 121.4 pg/mL). For the assessment of placental transfer, serum samples were collected from the 17 mares after delivery and from the umbilical cords of their foals, after foaling. Fourteen serum samples from pregnant mares con...
Pharmacokinetics of ganciclovir and valganciclovir in the adult horse.
Journal of veterinary pharmacology and therapeutics    January 10, 2013   Volume 36, Issue 5 441-449 doi: 10.1111/jvp.12029
Carmichael RJ, Whitfield C, Maxwell LK.Equine herpes myeloencephalopathy, resulting from equine herpes virus type 1 (EHV-1) infection, is associated with substantial morbidity and mortality in the horse. As compared to other antiviral drugs, such as acyclovir, ganciclovir has enhanced potency against EHV-1. This study investigated the pharmacokinetics of ganciclovir and its oral prodrug, valganciclovir, in six adult horses in a randomized cross-over design. Ganciclovir sodium was administered intravenously as a slow bolus at a dose of 2.5 mg/kg, and valganciclovir was administered orally at a dose of 1800 mg per horse. Intravenousl...
Evaluation of contact heat thermal threshold testing for standardized assessment of cutaneous nociception in horses – comparison of different locations and environmental conditions.
BMC veterinary research    January 8, 2013   Volume 9 4 doi: 10.1186/1746-6148-9-4
Poller C, Hopster K, Rohn K, Kästner SB.The aim of the study was to evaluate the performance of contact heat thermal stimulation in horses at different body sites and under different environmental conditions and different test situations. Five warm-blood horses were equipped with the thermal probe located on the skin of nostril (N), withers (W) or coronary band (C). Skin temperature and reaction temperature (thermal threshold) at each location were measured and percent thermal excursion (% TE = 100 * (threshold temperature - skin temperature)/(cut-out temperature - skin temperature) was calculated. Environmental conditions were ...
Effect of a stent bandage on the likelihood of incisional infection following exploratory coeliotomy for colic in horses: a comparative retrospective study.
Equine veterinary journal    January 7, 2013   Volume 45, Issue 5 564-569 doi: 10.1111/evj.12026
Tnibar A, Grubbe Lin K, Thurøe Nielsen K, Christophersen MT, Lindegaard C, Martinussen T, Ekstrøm CT.Incisional infections are common in horses after colic surgery. There is a clinical impression that the use of a stent bandage reduces the prevalence of such infections. Objective: To determine the effect of a stent bandage on the likelihood of incisional infection after ventral midline exploratory coeliotomy. It was hypothesised that the use of a stent bandage would reduce the likelihood of incisional infection. Methods: Medical records of horses that underwent exploratory coeliotomy for colic between January 2005 and September 2011 were reviewed. Inclusion criteria were animals that had one ...
Isolation and characterization of H3N8 equine influenza A virus associated with the 2011 epizootic in Mongolia.
Influenza and other respiratory viruses    January 4, 2013   Volume 7, Issue 5 659-665 doi: 10.1111/irv.12069
Yondon M, Heil GL, Burks JP, Zayat B, Waltzek TB, Jamiyan BO, McKenzie PP, Krueger WS, Friary JA, Gray GC.Equine influenza virus (EIV) epizootics affect 2.1 million Mongolian horses approximately every 10 years and critically impact economy and nomadic livelihood of Mongolia. Objective: An active surveillance program was established in 2011 to monitor influenza viruses circulating among Mongolian horses. Methods: Nasal swabs were collected from horses in free-ranging horse herds in Töv, Khentii, and Dundgovi aimags (provinces) from January to September 2011. Real-time reversetranscriptase-polymerase chain reaction (rRT-PCR) was used to determine the presence of influenza A virus. Influenza A-posi...
Diagnostic accuracy of a duplex real-time reverse transcription quantitative PCR assay for detection of African horse sickness virus.
Journal of virological methods    January 3, 2013   Volume 189, Issue 1 30-35 doi: 10.1016/j.jviromet.2012.12.014
Guthrie AJ, Maclachlan NJ, Joone C, Lourens CW, Weyer CT, Quan M, Monyai MS, Gardner IA.Blood samples collected from 503 suspect cases of African horse sickness (AHS) and another 503 from uninfected, unvaccinated South African horses, as well as 98 samples from horses from an AHS free country, were tested with an AHS virus (AHSV) specific duplex real-time reverse transcription quantitative PCR (RT-qPCR) assay and virus isolation (VI). The diagnostic sensitivity and specificity of this AHSV RT-qPCR assay and VI were estimated using a 2-test 2-population Bayesian latent class model which made no assumptions about the true infection status of the tested animals and allowed for the p...
Development of a broad-range quantitative polymerase chain reaction assay to detect and identify fungal DNA in equine endometrial samples.
American journal of veterinary research    December 29, 2012   Volume 74, Issue 1 161-165 doi: 10.2460/ajvr.74.1.161
Ferris RA, Dern K, Veir JK, Hawley JR, Lappin MR, McCue PM.To develop a broad-range 28S ribosomal DNA quantitative PCR (qPCR) assay for detection of fungal DNA in equine endometrial samples. Methods: 12 fungal samples from a clinical diagnostic laboratory and 29 samples obtained from 17 mares. Methods: The qPCR assay was optimized with commercially acquired fungal organisms and validated with samples obtained from the clinical diagnostic laboratory. Subsequently, 29 samples from 17 mares suspected of having fungal endometritis were evaluated via the qPCR assay and via traditional fungal culture and endometrial cytology. Amplicons from the qPCR assay w...
Equine platelets inhibit E. coli growth and can be activated by bacterial lipopolysaccharide and lipoteichoic acid although superoxide anion production does not occur and platelet activation is not associated with enhanced production by neutrophils.
Veterinary immunology and immunopathology    December 28, 2012   Volume 152, Issue 3-4 209-217 doi: 10.1016/j.vetimm.2012.12.007
Aktan I, Dunkel B, Cunningham FM.Activated platelets can contribute to host defense through release of products with bactericidal actions such as antimicrobial peptides and reactive oxygen species (ROS), as well as by forming heterotypic aggregates with neutrophils and enhancing their antimicrobial properties. Whilst release of vasoactive mediators from equine platelets in response to stimuli including bacterial lipopolysaccharide (LPS) has been documented, neither ROS production, nor the effects of activated platelets on equine neutrophil ROS production, have been reported. This study first sought evidence that activated equ...
Isolation of Serratia rubidaea from a mixed infection after a horse bite.
Revista Argentina de microbiologia    December 27, 2012   Volume 44, Issue 4 272-274 
Litterio ML, Arazi S, Hernández C, Lopardo H.Horse bite infections are very rarely reported in the medical literature. Here we present a case of a severe facial infection in a 2-year-old boy after a horse bite, from which Serratia rubidaea and Enterobacter cloacae were isolated. Some pieces of grass were found inside the wound and were removed before performing a surgical toilet. The presence of these two gram-negative bacteria associated with a horse bite infection, as well as other organisms such as anaerobes, Pseudomonas, gram-positive cocci, Actinobacillus spp., previously described in other works, should be taken into account when s...
Coadministration of sodium alginate pellets containing the fungi Duddingtonia flagrans and Monacrosporium thaumasium on cyathostomin infective larvae after passing through the gastrointestinal tract of horses.
Research in veterinary science    December 27, 2012   Volume 94, Issue 3 568-572 doi: 10.1016/j.rvsc.2012.11.011
Tavela Ade O, de Araújo JV, Braga FR, da Silveira WF, Dornelas e Silva VH, Carretta Júnior M, Borges LA, Araujo JM, Benjamin Ldos A, Carvalho GR....The predatory nematophagous fungi have been used as an alternative control of gastrointestinal nematodes of domestic animals in natural and laboratory conditions. However, it is unclear if the association of some of these species could bring some kind of advantage, from a biological standpoint. In this context, this study consisted of two tests in vitro: in assay A, the assessment of the viability of the association of pellets in sodium alginate matrix containing the fungus Duddingtonia flagrans (AC001) and Monacrosporium thaumasium (NF34) and its predatory activity on infective larvae (L3) of...
Contagious equine metritis: artificial reproduction changes the epidemiologic paradigm.
Veterinary microbiology    December 26, 2012   Volume 167, Issue 1-2 2-8 doi: 10.1016/j.vetmic.2012.12.021
Schulman ML, May CE, Keys B, Guthrie AJ.Recent CEM outbreak reports reflect a novel epidemiologic manifestation with a markedly different risk association for transmission via artificial reproduction and subsequent to inadvertent importation of unapparent carrier stallions. Artificial breeding has an increased association with horizontal or fomite-associated transmission. Reported risk factors include inadequate biosecurity protocols at centralised breeding facilities associated with stallion management and methods of semen collection, processing and transport. Detection of carriers is based on traditional bacteriology from genital ...
Comparison of two antimicrobial regimens on the prevalence of incisional infections after colic surgery.
The Veterinary record    December 25, 2012   Volume 172, Issue 11 287 doi: 10.1136/vr.101186
Durward-Akhurst SA, Mair TS, Boston R, Dunkel B.Appropriate durations of perioperative antimicrobial therapy following exploratory coeliotomy in horses are controversial, and with the rising prevalence of multiresistant bacteria there is a strong incentive to use antimicrobials for the shortest time possible. Following exploratory coeliotomies, incisional infections are an important cause of morbidity in horses and could be influenced by the duration of systemic antimicrobial therapy. The aim of this study was to investigate whether 72 hours of perioperative antimicrobial therapy is as effective as 120 hours at preventing the development of...
Lack of Cyathostomin sp. reduction after anthelmintic treatment in horses in Brazil.
Veterinary parasitology    December 20, 2012   Volume 194, Issue 1 35-39 doi: 10.1016/j.vetpar.2012.12.020
Canever RJ, Braga PR, Boeckh A, Grycajuck M, Bier D, Molento MB.The increase of anthelmintic resistance in the last years in the nematode population of veterinary importance has become a major concern. The objective of the present study was to evaluate the efficacy of the main anthelmintic drugs available in the market against small strongyles of horses in Brazil. A total of 498 horses from 11 horse farms, located in the states of Paraná, São Paulo, Rio de Janeiro and Minas Gerais, in Brazil, were treated with ivermectin, moxidectin, pyrantel and fenbendazole, orally at their recommended doses. The fecal egg count reduction test (FECRT) was used to deter...
Transmission of equine influenza virus during an outbreak is characterized by frequent mixed infections and loose transmission bottlenecks.
PLoS pathogens    December 20, 2012   Volume 8, Issue 12 e1003081 doi: 10.1371/journal.ppat.1003081
Hughes J, Allen RC, Baguelin M, Hampson K, Baillie GJ, Elton D, Newton JR, Kellam P, Wood JL, Holmes EC, Murcia PR.The ability of influenza A viruses (IAVs) to cross species barriers and evade host immunity is a major public health concern. Studies on the phylodynamics of IAVs across different scales - from the individual to the population - are essential for devising effective measures to predict, prevent or contain influenza emergence. Understanding how IAVs spread and evolve during outbreaks is critical for the management of epidemics. Reconstructing the transmission network during a single outbreak by sampling viral genetic data in time and space can generate insights about these processes. Here, we ob...
Use of antibody titers measured via serum synergistic hemolysis inhibition testing to predict internal Corynebacterium pseudotuberculosis infection in horses.
Journal of the American Veterinary Medical Association    December 14, 2012   Volume 242, Issue 1 86-92 doi: 10.2460/javma.242.1.86
Jeske JM, Spier SJ, Whitcomb MB, Pusterla N, Gardner IA.To estimate likelihood ratios (LRs) of correctly identifying internal Corynebacterium pseudotuberculosis infection in horses by measurement of antibody titers via serum synergistic hemolysis inhibition (SHI) testing. Methods: Retrospective case-control study. Methods: 170 horses (171 records; 92 cases of C pseudotuberculosis infection and 79 controls). Methods: Medical records were reviewed, and horses were grouped on the basis of evidence of internal or external C pseudotuberculosis infection. The LRs and 95% confidence intervals for identification of internal C pseudotuberculosis infection b...
Abdominal abscesses in adult horses: 61 cases (1993-2008).
Journal of the American Veterinary Medical Association    December 12, 2012   Volume 241, Issue 12 1659-1665 doi: 10.2460/javma.241.12.1659
Arnold CE, Chaffin MK.To determine clinical signs, diagnostic methods, treatment, and outcome for a series of adult horses with abdominal abscesses. Methods: Retrospective case series. Methods: 61 adult horses. Methods: Medical records of adult horses with abdominal abscesses treated at Texas A&M Veterinary Medical Teaching Hospital (1993 to 2008) were reviewed. Information was recorded regarding signalment, history, clinical signs, diagnosis, treatment, and short- and long-term outcomes. Risk factors for survival were determined. Results: 61 horses met the criteria for inclusion. Clinical signs included colic ...
Clinical use of antimicrobial regional limb perfusion in horses: 174 cases (1999-2009).
Journal of the American Veterinary Medical Association    December 12, 2012   Volume 241, Issue 12 1650-1658 doi: 10.2460/javma.241.12.1650
Rubio-Martínez LM, Elmas CR, Black B, Monteith G.To describe the clinical use of regional limb perfusion with antimicrobials (A-RLP), complications, and outcome in a large series of patients. Methods: Retrospective case series. Methods: 174 horses. Methods: Medical records of horses treated with A-RLP between 1999 and 2009 were reviewed. Signalment, primary complaint, horse use, etiology, duration of clinical signs, previous treatment, structures involved, concurrent conditions, A-RLP characteristics, additional treatments, complications, and outcome were recorded. At long-term follow-up, 2 outcomes were investigated: survival rate and retur...
Serological evidence for infections with Borna disease virus in Turkey.
Berliner und Munchener tierarztliche Wochenschrift    December 12, 2012   Volume 125, Issue 11-12 452-455 
Yeşilbağ K, Herzog S, Kennerman E, Tuncer P, Schmid S, Kaya G, Thiel HJ.Distribution of Borna disease virus (BDV) infection outside endemic areas has been studied in several countries. We examined serum samples for anti-BDV antibodies in purebred racing horses and other domestic animals in Turkey. In total serum samples of 437 animals including 282 horses, 50 sheep, 25 goats, 50 cattle, and 30 cats were tested by indirect immunofluorescence assay (IFA). Anti-BDV antibodies were detected in 4.9% of horses, 12% of sheep, 4% of goats, 14% of cattle and 6.6% of cats. No statistical difference was observed between seroprevalence in Arabic and English purebred horses fr...
HybProbes-based real-time PCR assay for rapid detection of equine herpesvirus type 2 DNA.
Polish journal of veterinary sciences    December 12, 2012   Volume 15, Issue 3 411-416 doi: 10.2478/v10181-012-0064-9
Osińska E, Golke A, Słońska A, Cymerys J, Bańbura MW, Dzieciatkowski T.Equid herpesvirus type 2 (EHV-2) together with equid herpesvirus type 5 are members of Gammaherpesvirinae subfamily, genus Rhadinovirus. EHV-2 is one of major agents causing diseases of horses common worldwide. A possible role of EHV-2 in reactivating latent equid herpesvirus type-1 has been suggested, because reactivation of latent EHV-1 was always accompanied by EHV-2 replication. Variety techniques, including cell culture, PCR and its modifications, have been used to diagnose EHV-2 infections. The aim of this study was to develop, optimize and determine specificity of real-time PCR (qPCR) f...
Corneal stromal abscessation in two horses treated with intracorneal and subconjunctival injection of 1% voriconazole solution.
Veterinary ophthalmology    December 10, 2012   Volume 16, Issue 6 451-458 doi: 10.1111/vop.12014
Tsujita H, Plummer CE.To describe and evaluate intrastromal and subconjunctival injection of voriconazole for the therapy of deep corneal stromal abscess (DSA) in horses. Methods: A retrospective clinical study describing the indications for intrastromal and subconjunctival voriconazole injection and the outcomes of this procedure in two eyes of two horses. Methods: The two horses in this study failed to respond to medical therapy. Treatment with intracorneal and subconjunctival administration of 1% voriconazole was performed in this study. Results: Treatment with intracorneal and subconjunctival administration of ...
Fungal polymerase chain reaction testing in equine ulcerative keratitis.
Veterinary ophthalmology    December 10, 2012   Volume 16, Issue 5 341-351 doi: 10.1111/vop.12004
Zeiss C, Neaderland M, Yang FC, Terwilliger G, Compton S.To assess the diagnostic utility of fungal polymerase chain reaction (PCR) in forty-three horses with naturally acquired corneal ulcers presenting to a private practice. Methods: Routine evaluation of cytologic, histologic, and microbiologic samples was performed. Two PCR approaches were compared - generic and specific fungal nested PCR followed by sequencing and quantitative PCR (qPCR). PCRs were applied to pure control fungal cultures, corneal tissue from ulcerated eyes and in a subset of 9 horses, to swabs from contralateral normal eyes. Results: The expected fungus was identified by nested...
The effect of short- and long-term treatment with manuka honey on second intention healing of contaminated and noncontaminated wounds on the distal aspect of the forelimbs in horses.
Veterinary surgery : VS    December 5, 2012   Volume 42, Issue 2 154-160 doi: 10.1111/j.1532-950X.2012.01083.x
Bischofberger AS, Dart CM, Perkins NR, Kelly A, Jeffcott L, Dart AJ.To compare the effects of manuka honey and manuka honey gel on second intention healing of noncontaminated distal limb wounds and those contaminated with feces. Methods: Experimental study. Methods: Standardbred horses (n = 10). Methods: Five full-thickness wounds (2 × 2 cm) were created on both metacarpi. Wounds on 1 forelimb were covered with horse feces for 24 hours. Wounds on the contralateral limb were left uncontaminated. Wounds were assigned to the following 5 different treatments: manuka honey, manuka honey gel or gel applied for 12 days, manuka honey gel applied throughout healing an...