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Topic:Veterinary Medicine

Veterinary medicine for horses encompasses the study and application of medical practices to diagnose, treat, and prevent diseases in equine species. This field involves a comprehensive understanding of equine anatomy, physiology, pathology, and pharmacology. Veterinary practitioners employ a range of diagnostic tools and therapeutic interventions to address health issues in horses, including lameness, gastrointestinal disorders, respiratory conditions, and infectious diseases. Preventative care, such as vaccination and deworming programs, is also a significant aspect of equine veterinary medicine. This page gathers peer-reviewed research studies and scholarly articles that explore various aspects of veterinary medicine as it pertains to horses, including advancements in diagnostic techniques, treatment protocols, and preventive health strategies.
Electroencephalographic and electromyographic changes during the use of detomidine and detomidine-butorphanol combination in standing horses.
Acta veterinaria Hungarica    April 15, 2006   Volume 54, Issue 1 35-42 doi: 10.1556/AVet.54.2006.1.4
Kruluc P, Nemec A.Clinically, the use of detomidine and butorphanol is suitable for sedation and deepening of analgosedation. The aim of our study was to establish the influence of detomidine used alone and a butorphanol-detomidine combination on brain activity and to evaluate and compare brain responses (using electroencephalography, EEG) by recording SEF90 (spectral edge frequency 90%), individual brain wave fractions (beta, alpha, theta and delta) and electromyographic (EMG) changes in the left temporal muscle in standing horses. Ten clinically healthy cold-blooded horses were divided into two groups of five...
Plasmid profiles of virulent Rhodococcus equi isolates from soil environment on horse-breeding farms in Hungary.
Acta veterinaria Hungarica    April 15, 2006   Volume 54, Issue 1 11-18 doi: 10.1556/AVet.54.2006.1.2
Makrai L, Kira K, Kono A, Sasaki Y, Kakuda T, Tsubaki S, Fodor L, Varga J, Taka S.The plasmid profiles of virulent Rhodococcus equi strains isolated on three horse-breeding farms located in different parts of Hungary were investigated. From 49 soil samples collected on the three farms, 490 R. equi isolates (10 from each sample) were obtained and tested for the presence of 15- to 17-kDa antigens (VapA) by immunoblotting and PCR. Ninety-eight VapA-positive isolates were detected from 30 of the 49 culture-positive samples with a prevalence ranging from 13.1% to 23.2%. Of the 98 virulent isolates, 70 contained an 85-kb type I plasmid, 13 contained an 87-kb type I plasmid, and 1...
Measurement of redox potential and steroid concentrations in the follicular fluid of growing and regressing follicles of mares.
Acta veterinaria Hungarica    April 15, 2006   Volume 54, Issue 1 95-105 doi: 10.1556/AVet.54.2006.1.10
Becker F, Kurth J, Schneider F, Nürnberg G, Heinrich H, Kanitz W.The aim of this study was to prove if oxidation-reduction levels in the follicular fluid were new functional indices of follicular health and whether there was a high level of accordance with endocrinological parameters and with the growth stage as detected by ultrasound monitoring of individual follicles during the oestrous cycle in mares. Follicles were classified as growing and regressing follicles using ultrasonography. Altogether 48 follicles with a diameter from 20 to 56 mm were aspirated by transvaginal ultrasound guided follicular aspiration. Follicular concentration of oestradiol and ...
West Nile virus in the United States (1999-2005).
Journal of the American Animal Hospital Association    April 14, 2006   Volume 42, Issue 3 170-177 doi: 10.5326/0420170
Gerhardt R.The accidental introduction of West Nile Virus into New York City from the Old World in 1999 resulted in an epidemic in humans, horses, and birds that swept to the west coast in just 3 years. The virus is transmitted by infective mosquitoes among susceptible native birds, which serve as amplifying hosts. Clinical disease occurs in humans and horses, but not enough virus is produced in their blood to infect other mosquitoes; therefore, humans and horses are considered dead-end hosts. Humans can best protect themselves by remaining indoors during periods of high mosquito activity and/or by using...
Non-fatal horse related injuries treated in emergency departments in the United States, 2001-2003.
British journal of sports medicine    April 12, 2006   Volume 40, Issue 7 619-626 doi: 10.1136/bjsm.2006.025858
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...
Racing prognosis of horses following surgically repaired olecranon fractures.
The Canadian veterinary journal = La revue veterinaire canadienne    April 12, 2006   Volume 47, Issue 3 241-245 
Janicek JC, Rodgerson DH, Hunt RJ, Spirito MA, Thorpe PE, Tessman RK.Olecranon fracture is a common orthopedic problem in juvenile horses. Prognosis for complete fracture healing when various methods of internal fixation are used is good; however, the impact of olecranon fracture stabilization on the likelihood that foals will start on a racecourse is unknown. Medical records of foals undergoing internal fixation for an olecranon fracture were reviewed. The dam's foaling records were obtained and lifetime racing records were then retrieved for both the affected foals and 1 of their siblings. Twenty-two of 24 repaired fractures healed completely, subsequently, 1...
Degenerative suspensory ligament desmitis as a systemic disorder characterized by proteoglycan accumulation.
BMC veterinary research    April 12, 2006   Volume 2 12 doi: 10.1186/1746-6148-2-12
Halper J, Kim B, Khan A, Yoon JH, Mueller PO.Degenerative suspensory ligament desmitis (DSLD) is a debilitating disorder thought to be limited to suspensory ligaments of Peruvian Pasos, Peruvian Paso crosses, Arabians, American Saddlebreds, American Quarter Horses, Thoroughbreds, and some European breeds. It frequently leads to persistent, incurable lameness and need to euthanize affected horses. The pathogenesis remains unclear, though the disease appears to run in families. Treatment and prevention are empirical and supportive, and not effective in halting the progression of the disease. Presently, the presumptive diagnosis of DSLD is ...
Guttural pouch mycosis in a 6-month-old filly.
The Canadian veterinary journal = La revue veterinaire canadienne    April 12, 2006   Volume 47, Issue 3 259-261 
Millar H.A 6-month-old filly was presented with unilateral epistaxis. Based on clinical signs, endoscopic examination, and postmortem examination, guttural pouch mycosis was diagnosed. The young age of the filly and the fact that this was the 2nd diagnosis of guttural pouch mycosis on this farm was unusual. Mycose de la poche gutturale chez une pouliche de 6 mois. Une pouliche âgée de 6 mois a été présentée pour épistaxis unilatérale. En tenant compte des signes cliniques, de l’examen endoscopique et de l’examen post-mortem, un diagnostic de mycose de la poche gutturale a été posé. Le je...
Molecular typing of VapA-positive Rhodococcus equi isolates from Jeju native horses, Korea.
The Journal of veterinary medical science    April 7, 2006   Volume 68, Issue 3 249-253 doi: 10.1292/jvms.68.249
Son WG, Lee DS, Yamatoda N, Hatori F, Shimizu N, Kakuda T, Sasaki Y, Tsubaki S, Takai S.We recently demonstrated the presence of virulence-associated protein antigen (VapA)-positive Rhodococcus equi in Jeju Island, Korea. These bacteria contained one of two distinct plasmid types, a 90-kb type II plasmid, which has been found in isolates from the native Kiso horses of Japan, and a new variant, a 90-kb type V plasmid. However, the genotypic characters of the VapA-positive R. equi from Jeju native horses and their environments are poorly understood. Ninety-eight isolates from soil samples and 89 isolates from fecal samples were collected from five farms that breed or have bred Jeju...
New therapeutic approaches for equine protozoal myeloencephalitis: pharmacokinetics of diclazuril sodium salts in horses.
Veterinary therapeutics : research in applied veterinary medicine    April 7, 2006   Volume 7, Issue 1 52-72 
Dirikolu L, Karpiesiuk W, Lehner AF, Hughes C, Woods WE, Harkins JD, Boyles J, Atkinson A, Granstrom DE, Tobin T.Diclazuril is a triazine-based antiprotozoal agent which may have clinical application in the treatment of equine protozoal myeloencephalomyelitis (EPM). In this study, the use of the sodium salt diclazuril to increase the apparent bioavailability of diclazuril for the treatment and prophylaxis of EPM and various other Apicomplexan mediated diseases is described. In this study, diclazuril sodium salt was synthesized and administered to horses as diclazuril sodium salt formulations. The absorption, distribution, and clearance of diclazuril sodium salt in the horse are described. Diclazuril was ...
Modulation of leptin, insulin, and growth hormone in obese pony mares under chronic nutritional restriction and supplementation with ractopamine hydrochloride.
Veterinary therapeutics : research in applied veterinary medicine    April 7, 2006   Volume 7, Issue 1 64-72 
Buff PR, Johnson PJ, Wiedmeyer CE, Ganjam VK, Messer Iv NT, Keisler DH.Horses fed beyond their nutritional requirement and that are physically inactive will develop obesity, which is often accompanied by insulin resistance and heightened risk of laminitis. The use of pharmacologic agents in combination with nutritional restriction may promote weight loss in obese horses unable to exercise because of laminitic pain. This study shows that reducing feed intake of brome grass hay to 75% of ad libitum intake in obese pony mares reduces body weight without induced exercise. Additional supplementation of ractopamine hydrochloride for 6 weeks resulted in a tendency for i...
Isolation and genetic analysis of Japanese encephalitis virus from a diseased horse in Japan.
The Journal of veterinary medical science    April 7, 2006   Volume 68, Issue 3 293-295 doi: 10.1292/jvms.68.293
Yamanaka T, Tsujimura K, Kondo T, Yasuda W, Okada A, Noda K, Okumura T, Matsumura T.Japanese encephalitis (JE) developed in an unvaccinated half-bred horse kept in Tottori Prefecture, Japan. The animal showed ataxia with pyrexia and low appetite, and ultimately died. A viral strain was isolated from the cerebrum of the horse and was identified as JE virus (JEV) by RT-PCR using JEV specific primers. The isolated JEV was classified into genotype I by nucleotide sequence analysis of the viral envelope gene. We believe that this is the first report of the genotype I strain being isolated from a horse.
Prediction of equine risk of West Nile virus infection based on dead bird surveillance.
Vector borne and zoonotic diseases (Larchmont, N.Y.)    April 6, 2006   Volume 6, Issue 1 1-6 doi: 10.1089/vbz.2006.6.1
Roberts RS, Foppa IM.Since the introduction of West Nile Virus (WNV) to the United States in 1999, the efficacy of dead bird surveillance for the prediction of human and veterinary WNV infection has been an issue of debate. We utilized South Carolina's Department of Health and Environmental Control surveillance data from 2003 to determine whether dead bird surveillance accurately predicts equine WNV infection on a county level. We adjusted for human population density as a potential confounder of an association between WNV-positive dead bird counts and mammalian WNV risk. We found a strong positive association bet...
Malassezia species isolated from the intermammary and preputial fossa areas of horses.
Journal of veterinary internal medicine    April 6, 2006   Volume 20, Issue 2 395-398 doi: 10.1892/0891-6640(2006)20[395:msifti]2.0.co;2
White SD, Vandenabeele SI, Drazenovich NL, Foley JE.Malassezia-type yeasts previously have been observed on cytologic examination of the intermammary region of mares that presented with tail-head pruritus; topical antiyeast treatment resolved the pruritus. Further, Malassezia dermatitis has been observed in horses in intertriginous areas such as the udder and prepuce; the species of yeast was not confirmed. It is not known whether healthy mares or male horses can be carriers of this yeast in these body areas. Objective: Malassezia spp. are present in the intermammary region in healthy mares and the preputial fossa in healthy geldings. Methods: ...
Third metacarpal bone mineral density assessment in the standing horse by dual X-ray absorptiometry: suitability, precision and accuracy.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    April 6, 2006   Volume 18, Issue 1 26-30 
Donabedian M, Delguste C, Perona G, Lebecque P, Duboeuf F, Lepaga O, Martin-Rosset W.Bone mineral density (BMD) is correlated to mechanical properties of bone. In the horse, dual energy X-ray absorptiometry (DXA) has yet only been performed ex-vivo, but a new portable DXA device would be ideal for in-vivo BMD measurement. We explored field suitability, precision and accuracy of this device for in-vivo third metacarpal density assessment. Precision was analysed by calculating measurement variation under repeated measurement tests with (reproducibility) and without (repeatability) limb repositioning. Repeatability and reproducibility were tested ex-vivo, at the same time that in...
Comparison of tenoscopic and ultrasonographic methods of examination of the digital flexor tendon sheath in horses.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    April 6, 2006   Volume 18, Issue 4 209-214 
Edinger J, Möbius G, Ferguson J.The purpose of this study was to compare sonographic and tenoscopic findings with the purpose of establishing the accuracy and limitations of ultrasonograophy as a non-invasive diagnostic modality in evaluating the DFTS and its enclosed tendons. The medical records from 22 horses which underwent tenoscopic desmotomy of the palmar/plantar annular ligament were evaluated in a retrospective study. The qualitative assessment of sonogrophic and tenoscopic findings were documented for the digital flexor tendon sheath (DFTS), the palmar/plantar annular ligament (PAL), the superficial digital flexor t...
Relationships of changes in B-mode echotexture and colour-Doppler signals in the wall of the preovulatory follicle to changes in systemic oestradiol concentrations and the effects of human chorionic gonadotrophin in mares.
Reproduction (Cambridge, England)    April 6, 2006   Volume 131, Issue 4 699-709 doi: 10.1530/rep.1.01011
Gastal EL, Gastal MO, Ginther OJ.A duplex grey-scale and colour-Doppler ultrasound instrument was used to study the changes in the wall of the preovulatory follicle in mares. When the follicle reached > or =35 mm (hour 0), mares were randomized into control (n = 16) and human chorionic gonadotropin (hCG)-treated (n = 16) groups. The hCG treatment was given at hour 0. Scanning was done every 12 h until hour 36, every hour between hours 36 and 48, and every 12 h thereafter until ovulation. Blood was sampled every 12 h for oestradiol assay. During the period 0-24 h post-treatment, oestradiol concentrations decreased in the hC...
Comparison of four staining methods for detection of mast cells in equine bronchoalveolar lavage fluid.
Journal of veterinary internal medicine    April 6, 2006   Volume 20, Issue 2 377-381 doi: 10.1892/0891-6640(2006)20[377:cofsmf]2.0.co;2
Leclere M, Desnoyers M, Beauchamp G, Lavoie JP.Mast cells normally are present in equine bronchoalveolar lavage fluid (BALF), but usually represent <2% of all cells in healthy horses. An increased percentage of mast cells has been associated with airway hyperactivity and inflammatory airway diseases, but marked differences are reported between studies in normal and diseased horses. Because an abnormal mast cell count may be of clinical relevance, we compared the ability of a fast Romanowsky method to stain mast cell granules with that of 3 metachromatic stains: automated Romanowsky, May-Grünwald Giemsa, and toluidine blue stains. The B...
Fibrosarcoma over the tarsal groove of a 14-month-old Quarter horse.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    April 6, 2006   Volume 18, Issue 2 115-118 
Story MR, Gaughan EM, Andrews GA, Balch S.A 14-month-old male Quarter horse was presented for evaluation of a grade 3 out of 5 (grade 0 = sound; grade 5 = non-weight bearing) right rear lameness. A firm, 8 x 16 cm mass was palpable at the caudal medial aspect of the distal tibia and proximal tarsal region of the right hind limb. A percutaneous needle aspirate contained mesenchymal cells that were moderate to large in size with single, oblong nuclei. Differential diagnoses included fibrous hyperplasia, fibroma, or well-differentiated fibrosarcoma. Excisional biopsy for both definitive diagnosis and treatment was offered and selected by...
Development and evaluation of a Sarcocystis neurona-specific IgM capture enzyme-linked immunosorbent assay.
Journal of veterinary internal medicine    April 6, 2006   Volume 20, Issue 2 322-328 doi: 10.1892/0891-6640(2006)20[322:daeoas]2.0.co;2
Murphy JE, Marsh AE, Reed SM, Meadows C, Bolten K, Saville WJ.Equine protozoal myeloencephalitis (EPM) is a serious neurologic disease of horses caused primarily by the protozoal parasite Sarcocystis neurona. Currently available antemortem diagnostic testing has low specificity. The hypothesis of this study was that serum and cerebrospinal fluid (CSF) of horses experimentally challenged with S neurona would have an increased S neurona-specific IgM (Sn-IgM) concentration after infection, as determined by an IgM capture enzyme linked immunoassay (ELISA). The ELISA was based on the S neurona low molecular weight protein SNUCD-1 antigen and the monoclonal an...
Arthrodesis of the talocalcaneal joint for the treatment of two horses with talocalcaneal osteoarthritis.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    April 6, 2006   Volume 18, Issue 1 7-12 
Pauwels FE, Adams SB, Blevins WB.Two horses with lameness due to tolocalcaneal osteoarthritis that failed to respond to conservative management were treated by tolocalcaneal arthrodesis using cortex screws placed in lag fashion. The affected joint of one horse was arthrodesed by compressing and stabilizing the medial facet of the joint with three screws. In the second horse, the medial and lateral facets of the affected tolocalcaneal joint were each compressed and stabilized with two screws. The lameness of both horses improved markedly following surgery.
Anabolic effects of acellular bone marrow, platelet rich plasma, and serum on equine suspensory ligament fibroblasts in vitro.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    April 6, 2006   Volume 19, Issue 1 43-47 
Smith JJ, Ross MW, Smith RK.The purpose of this study was to investigate the response of suspensory ligament fibroblasts (SLF) to in vitro stimulation using acellular bone marrow (ABM), platelet rich plasma (in vitro PRP), and serum as potential treatment modalities for suspensory desmitis. Blood, bone marrow, and suspensory ligaments were collected from five horses. SLF were harvested, grown until confluent, and stimulated with various concentrations of ABM, PRP, equine serum, foetal bovine serum, and medium (control). The responses to the treatments were assessed using a combination of radio-labeling for total protein ...
Potential role of Clostridium difficile as a cause of duodenitis-proximal jejunitis in horses.
Journal of medical microbiology    April 6, 2006   Volume 55, Issue Pt 5 605-608 doi: 10.1099/jmm.0.46334-0
Arroyo LG, Stämpfli HR, Weese JS.Duodenitis-proximal jejunitis (DPJ) is an idiopathic condition in the horse characterized by inflammation and oedema of the duodenum and proximal jejunum. Clinical signs include colic, ileus, depression, fluid accumulation in the small intestine and stomach, and endotoxaemia. The objective of this study was to investigate prospectively the role of Clostridium difficile in this idiopathic disease. Nasogastric reflux from 10 consecutive cases with DPJ and 16 consecutive horses with other causes of nasogastric reflux was cultured for C. difficile, other Clostridium spp., and Salmonella. Toxigenic...
Measurement of free thyroxine concentration in horses by equilibrium dialysis.
Journal of veterinary internal medicine    April 6, 2006   Volume 20, Issue 2 371-376 doi: 10.1892/0891-6640(2006)20[371:moftci]2.0.co;2
Breuhaus BA, Refsal KR, Beyerlein SL.The purpose of the study reported here was to validate measurement of free thyroxine (fT4) concentration in equine serum by equilibrium dialysis (fT4D), and to compare values with fT4 concentration measured directly and with total T4 (TT4) concentration. The fT4D, fT4, and TT4 concentrations were measured over a range of values in euthyroid horses and horses made hypothyroid by administration of propylthiouracil (PTU). Concentrations of fT4D (<1.8-83 pmol/L) were consistently higher than those of fT4 (<1-40 pmol/L). There was a significant (P < .001) regression of fT4D on fT4 in 503 s...
Splenectomy impairs diffusive oxygen transport in the lung of dogs.
Journal of applied physiology (Bethesda, Md. : 1985)    April 6, 2006   Volume 101, Issue 1 289-297 doi: 10.1152/japplphysiol.01600.2005
Dane DM, Hsia CC, Wu EY, Hogg RT, Hogg DC, Estrera AS, Johnson RL.The spleen acts as an erythrocyte reservoir in highly aerobic species such as the dog and horse. Sympathetic-mediated splenic contraction during exercise reversibly enhances convective O2 transport by increasing hematocrit, blood volume, and O2-carrying capacity. Based on theoretical interactions between erythrocytes and capillary membrane (Hsia CCW, Johnson RL Jr, and Shah D. J Appl Physiol 86: 1460-1467, 1999) and experimental findings in horses of a postsplenectomy reduction in peripheral O2-diffusing capacity (Wagner PD, Erickson BK, Kubo K, Hiraga A, Kai M, Yamaya Y, Richardson R, and Sea...
Sucrose concentration in blood: a new method for assessment of gastric permeability in horses with gastric ulceration.
Journal of veterinary internal medicine    April 6, 2006   Volume 20, Issue 2 388-394 doi: 10.1892/0891-6640(2006)20[388:sciban]2.0.co;2
Hewetson M, Cohen ND, Love S, Buddington RK, Holmes W, Innocent GT, Roussel AJ.A urine sucrose test has recently been reported to be a reliable method of detecting gastric ulcers in horses; however, technical difficulties associated with urine collection have limited the practical value of the test. The objective of this pilot study was to determine whether gastric sucrose permeability, as evaluated by serum sucrose concentration, could be used to detect gastric mucosal injury in horses. Twelve adult horses with naturally acquired gastric ulceration were studied. After a 20-hour nonfeeding period, each horse was dosed with 250 g of sucrose via nasogastric intubation. Blo...
Detection of superoxide anion generation by equine spermatozoa.
American journal of veterinary research    April 4, 2006   Volume 67, Issue 4 701-706 doi: 10.2460/ajvr.67.4.701
Sabeur K, Ball BA.To identify the generation of the superoxide anion by equine spermatozoa. Methods: Multiple ejaculates collected from 3 Thoroughbred stallions. Methods: Induced superoxide production by reduced nicotinamide adenine dinucleotides (NAD[P]H; ie, reduced nicotinamide adenine dinucleotide [NADH] and reduced nicotinamide adenine dinucleotide phosphate [NADPH]) was measured by use of a nitroblue tetrazolium (NBT) reduction assay on whole spermatozoa and a cytochrome c reduction assay on isolated membrane fractions of spermatozoa. Localization of superoxide generation was determined by use of NBT cyto...
Equine eosinophils — why do they migrate?
Veterinary journal (London, England : 1997)    April 4, 2006   Volume 171, Issue 3 389-392 doi: 10.1016/j.tvjl.2005.08.003
Hubert J.No abstract available
Histomorphologic evaluation of extracorporeal shock wave therapy of the fourth metatarsal bone and the origin of the suspensory ligament in horses without lameness.
American journal of veterinary research    April 4, 2006   Volume 67, Issue 4 577-582 doi: 10.2460/ajvr.67.4.577
Bischofberger AS, Ringer SK, Geyer H, Imboden I, Ueltschi G, Lischer CJ.To determine via histologic examination and scintigraphy the effect of focused extracorporeal shock wave therapy (ESWT) on normal bone and the bone-ligament interface in horses. Methods: 6 horses without lameness. Methods: Origins of the suspensory ligament at the metacarpus (35-mm probe depth) and fourth metatarsal bone (5-mm probe depth) were treated twice (days 0 and 16) with 2,000 shocks (energy flux density, 0.15 mJ/mm2). One forelimb and 1 hind limb were randomly treated, and the contralateral limbs served as nontreated controls. Bone scans were performed on days -1 (before ESWT), 3, 16,...
Evaluation of the effects of footwear hygiene protocols on nonspecific bacterial contamination of floor surfaces in an equine hospital.
Journal of the American Veterinary Medical Association    April 4, 2006   Volume 228, Issue 7 1068-1073 doi: 10.2460/javma.228.7.1068
Stockton KA, Morley PS, Hyatt DR, Burgess BA, Patterson G, Dunowska M, Lee DE.To evaluate the effects of footwear hygiene protocols on bacterial contamination of floor surfaces in an equine hospital. Methods: Field trial. Methods: Footwear hygiene protocols evaluated included use of rubber overboots with footbaths and footmats containing a quaternary ammonium disinfectant, rubber overboots with footbaths and footmats containing a peroxygen disinfectant, and no restrictions on footwear type but mandatory use of footbaths and footmats containing a peroxygen disinfectant. Nonspecific aerobic bacterial counts were determined via 2 procedures for sample collection and bacter...