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The Veterinary record2020; 187(2); 68; doi: 10.1136/vr.105788

Bacterial translocation in horses with colic and the potential association with surgical site infection: a pilot study.

Abstract: Surgical site infection (SSI) is a leading cause of morbidity in horses undergoing emergency exploratory laparotomy for the treatment of acute colic. The exact mechanism by which SSI develops in these cases is unclear. This prospective observational study investigated whether bacterial translocation occurs in horses with acute colic and if there is an association between bacterial translocation and development of SSI. Peripheral venous blood (PVB) and peritoneal fluid (PF) samples were collected on admission and PF samples were collected at the end of surgery from horses presenting for investigation of acute colic. Any discharge from the laparotomy incision in horses that developed SSI was also collected. All samples were submitted for bacterial culture. In total, 7.7 per cent of PVB samples (3/39), 11.8 per cent (4/34) of admission PF samples and 8.7 per cent (2/23) of the PF samples at surgery were culture positive. The prevalence of SSI was 10.2 per cent. No association was identified between a positive PVB or PF culture and development of a SSI or survival to hospital discharge. Bacterial translocation can occur in some horses with acute colic. However, we were unable to identify any association between bacterial translocation and the development of SSIs following emergency exploratory laparotomy.
Publication Date: 2020-05-29 PubMed ID: 32471957DOI: 10.1136/vr.105788Google Scholar: Lookup
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  • Journal Article
  • Observational Study
  • Veterinary

Summary

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This study investigates the occurrence of bacterial translocation in horses suffering from acute colic, and its potential correlation with surgical site infection (SSI), following emergency exploratory laparotomy. However, no association could be identified between bacterial translocation and the development of SSI.

Introduction and Objective of the Study

  • The research in discussion is an observational study aimed at exploring the occurrence of bacterial translocation in horses experiencing acute colic and the potential association with surgical site infection (SSI) following emergency exploratory laparotomy.
  • SSIs are a major cause of morbidity in horses who undergo this emergency procedure, and this study seeks to understand the mechanisms behind this development.

Methods and Materials

  • Peripheral venous blood (PVB) and peritoneal fluid (PF) samples were collected from horses presenting with acute colic on admission and at the end of surgery.
  • The research also included collection and analysis of any discharge from the laparotomy incision in horses that developed SSI.
  • All collected samples were submitted for detailed bacterial culture to determine the presence of bacterial translocation.

Results and Analysis

  • The analysis showed that 7.7 per cent of PVB samples (3 out of 39), 11.8 per cent (4 out of 34) of admission PF samples and 8.7 per cent (2 out of 23) of the PF samples at surgery were culture positive i.e., they tested positive for bacterial presence.
  • The prevalence of SSI was noted to be 10.2 per cent amongst the studied cases.

Conclusion and Recommendations

  • While the study does confirm that bacterial translocation can occur in some horses with acute colic, it found no evidence supporting a correlation between bacterial translocation and the development of SSIs after emergency exploratory laparotomy.
  • The exact mechanism behind the development of SSI in these cases remains unclear, indicating further research is needed in this area to delineate the underlying causes and propose effective preventative measures.

Cite This Article

APA
Hann M, Timofte D, Isgren CM, Archer DC. (2020). Bacterial translocation in horses with colic and the potential association with surgical site infection: a pilot study. Vet Rec, 187(2), 68. https://doi.org/10.1136/vr.105788

Publication

ISSN: 2042-7670
NlmUniqueID: 0031164
Country: England
Language: English
Volume: 187
Issue: 2
Pages: 68

Researcher Affiliations

Hann, Michelle
  • Institute of Veterinary Science, University of Liverpool, Neston, Wirral, UK shelly_hann@icloud.com darcher@liverpool.ac.uk.
Timofte, Dorina
  • Institute of Veterinary Science, University of Liverpool, Neston, Wirral, UK.
Isgren, Cajsa M
  • Institute of Veterinary Science, University of Liverpool, Neston, Wirral, UK.
Archer, Debra C
  • Institute of Veterinary Science, University of Liverpool, Neston, Wirral, UK shelly_hann@icloud.com darcher@liverpool.ac.uk.

MeSH Terms

  • Animals
  • Bacterial Translocation
  • Colic / surgery
  • Colic / veterinary
  • Horse Diseases / surgery
  • Horses
  • Laparotomy / adverse effects
  • Laparotomy / veterinary
  • Pilot Projects
  • Prospective Studies
  • Surgical Wound Infection / veterinary

Conflict of Interest Statement

Competing interests: None declared.

Citations

This article has been cited 1 times.
  1. Shnaiderman-Torban A, Marchaim D, Navon-Venezia S, Lubrani O, Paitan Y, Arielly H, Steinman A. Third Generation Cephalosporin Resistant Enterobacterales Infections in Hospitalized Horses and Donkeys: A Case-Case-Control Analysis. Antibiotics (Basel) 2021 Feb 4;10(2).
    doi: 10.3390/antibiotics10020155pubmed: 33557061google scholar: lookup