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.
Prevalence, risk factors, and characterization of multidrug resistant and extended spectrum β-lactamase/AmpC β-lactamase producing Escherichia coli in healthy horses in France in 2015.
Journal of veterinary internal medicine    January 15, 2019   Volume 33, Issue 2 902-911 doi: 10.1111/jvim.15415
de Lagarde M, Larrieu C, Praud K, Schouler C, Doublet B, Sallé G, Fairbrother JM, Arsenault J.Although antimicrobial resistance is increasingly common in equine medicine, molecular and epidemiological data remains scarce. Objective: We estimated the prevalence of, and risk factors for, shedding of multidrug resistant (MDR), extended spectrum β-lactamase (ESBL)-producing, and AmpC β-lactamase-producing, or some combination of these in Escherichia coli in horses in France. We characterized ESBL/AmpC isolates for antimicrobial susceptibility and the presence of virulence and ESBL/AmpC-associated resistance genes. Methods: Fecal samples from healthy adult horses at 41 premises were colle...
Serological evidence of H3N2 canine influenza virus infection among horses with dog exposure.
Transboundary and emerging diseases    January 11, 2019   Volume 66, Issue 2 915-920 doi: 10.1111/tbed.13104
Zhou P, Luo A, Xiao X, Hu X, Shen D, Li J, Wu X, Xian X, Wei C, Fu C, Zhang G, Sun L, Li S.Currently, Canine influenza virus (CIV) H3N2 is continuously circulating in dog populations in China, Korea, and the United States (US). Both influenza SA-α-2,3-Gal and SA-α-2,6-Gal receptors have been observed in the respiratory tracts of both horses and dogs. Hence, the increasing number of CIV H3N2 cases in the world indicates a potential risk for transspecies transmission to horses with dog exposure. Here, a seroepidemiological survey of CIV H3N2 infections in horses was conducted using hemagglutination inhibition (HI), microneutralization (MN) and the chicken embryo neutralization test ...
Clostridium difficile isolates derived from Czech horses are resistant to enrofloxacin; cluster to clades 1 and 5 and ribotype 033 predominates.
Anaerobe    January 7, 2019   Volume 56 17-21 doi: 10.1016/j.anaerobe.2019.01.005
Kecerova Z, Cizek A, Nyc O, Krutova M.Clostridium difficile has been recovered from the faeces of several animal species as well as horses. Between April 2015 and October 2016, 213 samples of faeces from non-hospitalized (n = 138) and hospitalized horses (n = 75) were investigated and eighteen C. difficile isolates were cultured using an enrichment method. Sixteen C. difficile positive samples were identified from hospitalised horses (p < 0.01). Molecular typing revealed seven ribotypes and sequence types (RT033/ST11 n = 8, 44.4%; RT081/ST9 n = 4, 22.2%; RT009/ST3 n = 2, 11.1%; RT003/ST12 n = 1, 5.6%;...
Molecular Detection and Phylogenetic Analysis of Anaplasma phagocytophilum in Horses in Korea.
The Korean journal of parasitology    December 31, 2018   Volume 56, Issue 6 559-565 doi: 10.3347/kjp.2018.56.6.559
Seo MG, Ouh IO, Choi E, Kwon OD, Kwak D.The identification and characterization of pathogenic and zoonotic tick-borne diseases like granulocytic anaplasmosis are essential for developing effective control programs. The differential diagnosis of pathogenic Anaplasma phagocytophilum and non-pathogenic A. phagocytophilum-like Anaplasma spp. is important for implementing effective treatment from control programs. The objective of the present study was to investigate the prevalence of Anaplasma spp. in horses in Korea by nucleotide sequencing and restriction enzyme fragment length polymorphism assay. Of the 627 horses included in the stu...
Cyathostomin faecal egg counts in horse farms from Central Italy.
Veterinaria italiana    December 31, 2018   Volume 54, Issue 4 317-322 doi: 10.12834/VetIt.787.3812.1
Sconza S, Di Cesare A, Iorio R, Bartolini R, Paoletti B, Traversa D.Cyathostomins,  or  'small  strongyles',  are  the  most  important  equine  helminths  because  of their  worldwide  distribution,  spread  of  anthelmintic‑resistant  populations,  and  pathogenic impact.  The  so‑called  'selective  treatment'  of  those  animals  exceeding  a  certain  faecal  egg  count  (FEC)  has  recently  been  proposed  to  implement  cyathostomin  control  programmes.  The present study evaluated the extent of egg shedding in 475 horses living in 12 farms from 3 regions of Italy. All examined farms and 224 horses (47.6%...
ECHINOCOCCUS EQUINUS HYDATID CYST IN THE LIVER OF A PRZEWALSKI’S HORSE ( EQUUS PRZEWALSKII) IN A CANADIAN ZOO.
Journal of zoo and wildlife medicine : official publication of the American Association of Zoo Veterinarians    December 29, 2018   Volume 49, Issue 4 1047-1050 doi: 10.1638/2018-0072.1
Milnes E, Delnatte P, Dutton CJ, Brouwer E, Cai HY, Smith DA, Peregrine AS.A 23-yr-old captive-born Przewalski's horse mare ( Equus przewalskii) was euthanized at a Canadian zoo because of severe colic resulting from rupture of a jejunal pseudodiverticulum. An incidental finding of an encysted larval cestode within a hepatic granuloma was diagnosed on histopathology. Gel-based polymerase chain reaction (PCR) on liver tissue was positive for Echinococcus granulosus sensu lato, and deoxyribonucleic acid sequencing of the PCR product was 100% homologous with Echinococcus equinus. This appears to be the first molecular confirmation of E. equinus in North America, and the...
Effects of 2 preparation methods and long-term storage on structural integrity and bacterial loads of equine amnion.
Veterinary surgery : VS    December 20, 2018   Volume 48, Issue 2 222-228 doi: 10.1111/vsu.13138
McCoy AM, Smith RL, Secor EJ, Roady PJ.To determine the influence of tissue preparation and long-term storage methods on structural integrity and risk of bacterial contamination of equine amnion. Methods: Prospective experimental investigation SAMPLE POPULATION: Amniotic membranes from 8 healthy mares (n = 440 tested samples). Methods: Samples for baseline bacteriology and histology were taken after removal of debris. The remaining tissue was divided and processed with 0.05% chlorhexidine or 2% iodine/0.25% acetic acid. Processed amnion samples were assigned to 1 of 9 combinations of storage media (saline, chlorhexidine, acetic...
Long live the worms: methods for maintaining and assessing the viability of intestinal stages of Parascaris spp. in vitro.
Parasitology    December 18, 2018   Volume 146, Issue 5 685-693 doi: 10.1017/S0031182018002019
Scare JA, Steuer AE, Shaffer CL, Slusarewicz P, Mousley A, Nielsen MK.In vitro maintenance of helminth parasites enables a variety of molecular, pharmaceutical and immunological analyses. Currently, the nutritional and environmental in vitro requirements of the equine ascarid parasite, Parascaris spp., have not been determined. Additionally, an objective method for assessing viability of Parascaris spp. intestinal stages does not exist. The purpose of this study was to ascertain the in vitro requirements of intestinal stages of Parascaris spp., and to develop a viability assessment method. A total of 1045 worms were maintained in a total of 212 cultures. Worms o...
Evaluation of two enzyme-linked immunosorbent assays for the detection of antibodies against equine arteritis virus.
Journal of equine science    December 18, 2018   Volume 29, Issue 4 111-115 doi: 10.1294/jes.29.111
Bannai H, Nemoto M, Tsujimura K, Yamanaka T, Kokado H, Kondo T.In order to establish an efficient system for serological diagnosis of equine viral arteritis in Japan, we compared enzyme-linked immunosorbent assays (ELISAs) provided by two manufacturers (Nisseiken Co., Ltd., Tokyo, Japan, and VMRD Inc., Pullman, WA, U.S.A.) by testing a series of horse sera. The results revealed that 159 of 160 virus-neutralizing (VN) antibody-positive serum samples were positive in both the Nisseiken-ELISA and VMRD-ELISA. Of the VN-negative sera (n=157), 134 and 154 samples were negative in the Nisseiken-ELISA and VMRD-ELISA, respectively. Sensitivity was 99.4% for both t...
Viral Enrichment Methods Affect the Detection but Not Sequence Variation of West Nile Virus in Equine Brain Tissue.
Frontiers in veterinary science    December 18, 2018   Volume 5 318 doi: 10.3389/fvets.2018.00318
Prakoso D, Dark MJ, Barbet AF, Salemi M, Barr KL, Liu JJ, Wenzlow N, Waltzek TB, Long MT.West Nile virus (WNV), a small, positive sense, single stranded RNA virus continues to encroach into new locales with emergence of new viral variants. Neurological disease in the equine can be moderate to severe in the face of low to undetectable virus loads. Physical methods of virus enrichment may increase sensitivity of virus detection and enhance analysis of viral diversity, especially for deep sequencing studies. However, the use of these techniques is limited mainly to non-neural tissues. We investigated the hypothesis that elimination of equine brain RNA enhances viral detection without...
Evolution and diversity of the EMA families of the divergent equid parasites, Theileria equi and T. haneyi.
Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases    December 18, 2018   Volume 68 153-160 doi: 10.1016/j.meegid.2018.12.020
Wise LN, Kappmeyer LS, Knowles DP, White SN.The equine parasite Theilera equi continues to curtail global equine commerce due primarily to its ability to persist indefinitely in the immunocompetent horse. Details regarding the parasite life cycle, pathogenesis and mechanism of persistence remain unclear. The recently discovered T. haneyi is also capable of persistence in the horse, creating a potential reservoir for additional infections. These two divergent parasites share a unique gene family that expresses surface merozoite antigens, or equi merozoite antigens (EMAs). The EMA family was maintained in number and size in both parasites...
Venezuelan Equine Encephalitis Virus Capsid Implicated in Infection-Induced Cell Cycle Delay in vitro.
Frontiers in microbiology    December 18, 2018   Volume 9 3126 doi: 10.3389/fmicb.2018.03126
Lundberg L, Fontenot J, Lin SC, Pinkham C, Carey BD, Campbell CE, Kehn-Hall K.Venezuelan equine encephalitis virus (VEEV) is a positive sense, single-stranded RNA virus and member of the New World alphaviruses. It causes a biphasic febrile illness that can be accompanied by central nervous system involvement and moderate morbidity in humans and severe mortality in equines. The virus has a history of weaponization, lacks FDA-approved therapeutics and vaccines in humans, and is considered a select agent. Like other RNA viruses, VEEV replicates in the cytoplasm of infected cells and eventually induces apoptosis. The capsid protein, which contains a nuclear localization and...
Mycotic Rhinitis and Sinusitis in Florida Horses.
Veterinary pathology    December 17, 2018   Volume 56, Issue 4 586-598 doi: 10.1177/0300985818817046
More SN, Hernandez O, Castleman WL.Rhinitis and sinusitis caused by fungal pathogens were studied in biopsy samples submitted from 52 horses distributed throughout subtropical and tropical regions of Florida. Methods included routine histopathology as well as polymerase chain reaction (PCR) with panfungal/panoomycete primers and DNA sequencing on extracted DNA (DNA barcoding). Granulomatous, pyogranulomatous, and fibrinopurulent lesions in nasal and sinus mucosa were associated with signs of upper airway obstruction and noise as well as nasal discharge. Morphologic and histochemical assessment of cases identified 31 cases of zy...
Equus caballus papillomavirus 8 (EcPV8) associated with multiple viral plaques, viral papillomas, and squamous cell carcinoma in a horse.
Equine veterinary journal    December 17, 2018   Volume 51, Issue 4 470-474 doi: 10.1111/evj.13046
Peters-Kennedy J, Lange CE, Rine SL, Hackett RP.Equus caballus papillomavirus 8, a recently discovered virus, has been reported to cause generalised papillomavirus in horses. Objective: To describe a case in which multiple viral plaques, viral papillomas, squamous cell carcinoma (SCC) in situ and invasive squamous cell carcinoma (ISCC) were associated with EcPV8 in a horse. Methods: Case report. Methods: A 16-year-old mixed breed horse presented with dozens of raised crusted papular to nodular lesions over a course of 4 years. Masses had been surgically excised four times and cisplatin beads and emulsion were implanted on three different ...
Data on whole genome sequencing of the oomycete Pythium insidiosum strain CBS 101555 from a horse with pythiosis in Brazil.
BMC research notes    December 11, 2018   Volume 11, Issue 1 880 doi: 10.1186/s13104-018-3968-3
Krajaejun T, Kittichotirat W, Patumcharoenpol P, Rujirawat T, Lohnoo T, Yingyong W.The oomycete Pythium insidiosum infects humans and animals worldwide, and causes the life-threatening condition, called pythosis. Most patients lose infected organs or die from the disease. Comparative genomic analyses of different P. insidiosum strains could provide new insights into its pathobiology, and can lead to discovery of an effective treatment method. Several draft genomes of P. insidiosum are publicly available: three from Asia (Thailand), and one each from North (the United States) and Central (Costa Rica) Americas. We report another draft genome of P. insidiosum isolated from Sout...
Utilizing ticks as forensic indicators in a livestock investigation.
Forensic science, medicine, and pathology    December 10, 2018   Volume 15, Issue 1 119-121 doi: 10.1007/s12024-018-0067-7
Kwak ML, Schubert J.Although forensic parasitology remains in its infancy compared with more developed fields like forensic entomology, parasites can be useful forensic indicators. We present the case of an individual who disobeyed animal health legislation and crossed animal quarantine boundaries and two state lines with a cattle tick (Rhipicephalus australis) infested horse. Following recognition of the infestation by animal health officers, the individual asserted that the infestation had occurred either during transport or upon arrival at the site of discovery, and that they had not contravened quarantine leg...
Prevalence of osteochondral lesions in the fetlock and hock joints of Standardbred horses that survived bacterial infection before 6 months of age.
BMC veterinary research    December 10, 2018   Volume 14, Issue 1 390 doi: 10.1186/s12917-018-1726-3
Hendrickson EHS, Lykkjen S, Dolvik NI, Olstad K.Young Standardbred horses frequently develop fragments in joints. Some fragments represent osteochondrosis; others are considered developmental, but it is uncertain whether they result from preceding osteochondrosis. Osteochondrosis occurs as a consequence of failure of the cartilage canal blood supply and ischaemic chondronecrosis. In heritably predisposed foals, failure was associated with incorporation of vessels into bone. However, bacterial vascular failure was also recently documented in foals suffering spontaneous infections, proving that bacteria can cause osteochondral lesions in foal...
Phospholipase A2 products predict the hematopoietic support capacity of horse serum.
Differentiation; research in biological diversity    December 6, 2018   Volume 105 27-32 doi: 10.1016/j.diff.2018.12.002
Ditz T, Schnapka-Hille L, Noack N, Dorow J, Ceglarek U, Niederwieser D, Schiller J, Fuchs B, Cross M.Horse serum is commonly used as an additive to support the maintenance of hematopoietic progenitor cells in culture. However, the wide variability in the performance of different lots calls for parallel testing of multiple batches over extended periods of culture. Identification of the serum components that determine hematopoietic support would therefore save considerable time and effort and would help to standardize culture procedures. We report here that the ability of horse serum to support the self-renewal of multipotent murine hematopoietic progenitor FDCP-Mix cells is correlated to the c...
Strangles, convalescent Streptococcus equi subspecies equi M antibody titers, and presence of complications.
Journal of veterinary internal medicine    December 6, 2018   Volume 33, Issue 1 275-279 doi: 10.1111/jvim.15388
Delph KM, Beard LA, Trimble AC, Sutter ME, Timoney JF, Morrow JK.Streptococcus equi subspecies equi infection elicits M protein antibody titers in equids. Interpretation of titers is not generally accepted. Objective: The magnitude of S. equi M protein (SeM) antibody titer after infection (titer ≥1:12 800) will be useful to monitor for the presence of complications or the risk of development of complications. Methods: Forty-eight horses on 1 farm involved in strangles outbreak. Methods: Clinical and observational study. S. equi M protein antibody titers were measured on all horses 8 weeks after infection and select horses 12 and 28 weeks after infecti...
Factors associated with prolonged treatment days, increased veterinary visits and complications in horses with subsolar abscesses.
The Veterinary record    December 4, 2018   Volume 184, Issue 8 251 doi: 10.1136/vr.104138
Cole SD, Stefanovski D, Towl S, Boyle AG.There is a lack of epidemiological studies about equine subsolar (hoof) abscesses even though they are among one of the most common causes of acute, severe lameness. The goals of this study were to (1) describe the equine subsolar abscess patient population of the University of Pennsylvania's New Bolton Center's Field Service and (2) to determine the factors that are associated with increased veterinary visits, prolonged treatment and complications. Descriptive statistics were performed on data collected from 160 cases of equine subsolar abscess. Inferential statistics were performed on a subs...
Usefulness of digital and optical refractometers for the diagnosis of failure of transfer of passive immunity in neonatal foals.
Equine veterinary journal    December 3, 2018   Volume 51, Issue 4 451-457 doi: 10.1111/evj.13040
Elsohaby I, Riley CB, McClure JT.Neonatal foals with failure of transfer of passive immunity (FTPI) are at higher risk of morbidity and mortality. Successful treatment of FTPI is time-dependent, thus rapid and accurate measurement of serum IgG concentration is important for the management and care of neonatal foals. Objective: To validate the use of digital and optical refractometers for assessing FTPI in neonatal foals and compare the diagnostic performance and level of agreement of the two refractometers to the reference standard radial immunodiffusion (RID) assay. Methods: A retrospective validation study. Methods: Serum s...
Serum amyloid A concentration in postoperative colic horses and its association with postoperative complications.
Veterinary surgery : VS    November 29, 2018   Volume 48, Issue 2 143-151 doi: 10.1111/vsu.13133
Aitken MR, Stefanovski D, Southwood LL.To determine serum amyloid A (SAA) concentrations in the postoperative (PO) colic horse and its association with PO complications and infection. Methods: Prospective case series. Methods: Fifty-one horses after colic surgery. Methods: Blood samples from horses undergoing exploratory celiotomy were analyzed for quantitative SAA and fibrinogen concentrations and for neutrophil count at days 0, 1, 2, and 4-6 and at hospital discharge. Results: Complications developed in 35 (69%) horses and included PO colic (n = 13, 25%), PO reflux (n = 11, 22%), intravenous catheter (IVC) complications (...
Isolation and comparison of Arcanobacterium hippocoleae isolates from the genital tract of 15 mares.
Veterinary microbiology    November 28, 2018   Volume 228 129-133 doi: 10.1016/j.vetmic.2018.11.026
Pégné JC, Duquesne F, Laugier C, Lequeux G, Petry S.The present study reports the isolation of A. hippocoleae from genital swabs of 15 apparently healthy mares (at least one had an abortion one month earlier) and describes the genotypic and phenotypic characterisation of these strains. The mares were of eight different breeds with a thoroughbred dominance and came from 11 breeding farms located in the French region of Brittany. 16S rRNA gene sequencing confirmed the species' identification by comparing it with reference strain A. hippocoleae CIP 106850. Some degree of natural divergence within A. hippocoleae was observed by 16S rRNA sequencing ...
Sequence and functional variability of Toll-like receptor 9 gene in equines.
Molecular immunology    November 28, 2018   Volume 105 276-282 doi: 10.1016/j.molimm.2018.10.010
Manuja A, Manuja BK, Singha H.Significant structural differences in the extracellular domain of toll-like receptor 9 (TLR9) account for species-specific recognition of its ligand CpG-ODN sequences. TLR9 is extensively studied in human, mice and some domestic animals. The recognition ability appears to be utilized differently by various species and breeds, but so far no comprehensive study exists about the equine TLR9 gene. We characterized TLR9 sequences of Marwari and Zanskari breeds of horses and Poitu donkey. We sequenced and identified the protein coding regions of equine TLR9 and compared with other animals and human ...
Expression of proinflammatory cytokines IL-1β, IL-6 and TNFα in the retained placenta of mares.
Theriogenology    November 27, 2018   Volume 126 1-7 doi: 10.1016/j.theriogenology.2018.11.029
Jaworska J, Janowski T.Retained fetal membranes (RFM) is a prevalent postpartum disease in mares. During parturition, various proinflammatory cytokines are released in the placenta, which further facilitates uterine contractions, expulsion of the fetus and fetal membranes. We hypothesized that an altered inflammatory response in mares results in retained fetal membranes. Samples of the endometrium and the allantochorion were collected from 15 mares with RFM and from 29 control mares within 2 h of foal delivery. Next, the mRNA expression of IL-1β, IL-6 and TNFα proteins was analyzed by Real Time PCR and Western b...
Use of next generation sequencing to investigate the microbiota of experimentally induced wounds and the effect of bandaging in horses.
PloS one    November 26, 2018   Volume 13, Issue 11 e0206989 doi: 10.1371/journal.pone.0206989
Kamus LJ, Theoret C, Costa MC.To use next generation sequencing to characterize the microbiota of horses during healing of skin wounds in two anatomical locations (body and limb) known to present different healing patterns; and to investigate the impact of bandaging on bacterial communities of skin wounds located on the limbs of horses. Full-thickness skin wounds were created on the distal extremity of both thoracic limbs and on one lateral mid-thoracic wall of four healthy horses. Limb wounds were randomly assigned to bandaging or not. A full-thickness sample was collected with a biopsy punch from intact thorax and limb s...
A prospective multicentre survey of complications associated with equine castration to facilitate clinical audit.
Equine veterinary journal    November 22, 2018   Volume 51, Issue 4 435-439 doi: 10.1111/evj.13035
Hodgson C, Pinchbeck G.Despite the regularity with which castration is performed, the types of complications and current best practice are unknown. Objective: The objective of this study was to perform a prospective audit of routine equine castrations performed in general practice to determine complication rates and factors associated with them. Methods: Multicentre, prospective audit of castrations. Methods: Data on castrations were collected on the day of surgery from 18 veterinary practices; 30-days post-operatively follow-up was obtained and complications recorded. Frequency of complications was reported, and mu...
A minimally invasive surgical technique for ureteral ostioplasty in two fillies with ureteral ectopia.
Journal of the American Veterinary Medical Association    November 20, 2018   Volume 253, Issue 11 1467-1472 doi: 10.2460/javma.253.11.1467
Jones ARE, Ragle CA.CASE DESCRIPTION 2 fillies, aged 3 months and 1 month, were examined because of urinary incontinence and urine scalding. CLINICAL FINDINGS In horse 1, ultrasonography did not reveal any structural abnormalities of the kidneys; however, unilateral ureteral ectopia was diagnosed cystoscopically. In horse 2, CT revealed bilateral nephropathy, bilateral distended ureters (up to 3.6 cm in diameter), and bilateral ureteral ectopia. Cystoscopy revealed intramural ureteral ectopia with abnormally caudally positioned ureteral ostia in both horses. TREATMENT AND OUTCOME Ureteral ostioplasty was performe...
Nicotine-sensitive acetylcholine receptors are relevant pharmacological targets for the control of multidrug resistant parasitic nematodes.
International journal for parasitology. Drugs and drug resistance    November 20, 2018   Volume 8, Issue 3 540-549 doi: 10.1016/j.ijpddr.2018.11.003
Charvet CL, Guégnard F, Courtot E, Cortet J, Neveu C.The control of parasitic nematodes impacting animal health relies on the use of broad spectrum anthelmintics. However, intensive use of these drugs has led to the selection of resistant parasites in livestock industry. In that respect, there is currently an urgent need for novel compounds able to control resistant parasites. Nicotine has also historically been used as a de-wormer but was removed from the market when modern anthelmintics became available. The pharmacological target of nicotine has been identified in nematodes as acetylcholine-gated ion channels. Nicotinic-sensitive acetylcholin...
Equine Practice on Wound Management: Wound Cleansing and Hygiene.
The Veterinary clinics of North America. Equine practice    November 19, 2018   Volume 34, Issue 3 473-484 doi: 10.1016/j.cveq.2018.07.004
Frees KE.The goal of wound cleansing and care is the control or removal of tissue infection to allow healing in the most functional, cosmetic, fastest, and least expensive manner possible. This is accomplished through the removal of debris and necrotic tissue while reducing the bacterial load via careful use of mechanical techniques and cleaning agents, accepting that some level of tissue trauma will result. Keep in mind that the benefit of a clean wound must be weighed against the trauma inflicted in the process of cleansing. Veterinary health care professionals should take steps to reduce hospital-ac...
1 76 77 78 79 80 418