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Pathogens (Basel, Switzerland)2025; 14(4); doi: 10.3390/pathogens14040357

Characteristics of the Mare-Uterine-Culture-Based Bacterial Composition Using Practical Clinical Evaluation Methods.

Abstract: Uterine health is paramount to fertility in broodmares and for the success of a breeding project, and the Lusitano breed is no exception. This study aimed to characterize the mare uterine microbiota using practical clinical evaluation methods. Mares were examined by transrectal palpation and ultrasonography, followed by the collection of samples by one of three different techniques: uterine lavage, biopsy, or swab. The results of cytology, histology, microbiology, and antimicrobial susceptibility testing were recorded, and statistical analyses were performed. Inflammation was present in 42.2% of the mares and positive culture in 65.4%. Escherichia coli and Streptococcus spp. were the most isolated microorganisms. The most efficient antimicrobials were gentamicin, trimethoprim-sulfamethoxazole, and enrofloxacin and resistance was detected mainly for doxycycline, penicillin, and ceftiofur. The phase of the cycle was significantly associated with the presence of inflammation (p = 0.0308). The isolation of Gram-positive or Gram-negative bacteria correlated to the microbiological isolation by primoculture/enrichment processes (p = 0.0183). This was a routine standard breeding evaluation of broodmares in the management of a stud farm, hence displaying the characteristics of a field study. The antimicrobial resistance findings reinforce the importance of performing microbiology and susceptibility tests, even under field conditions, to maximize targeted antimicrobial therapy efficiency and minimize the worldwide problem of antimicrobial resistance, promoting antimicrobial stewardship.
Publication Date: 2025-04-07 PubMed ID: 40333165PubMed Central: PMC12030173DOI: 10.3390/pathogens14040357Google Scholar: Lookup
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  • Journal Article

Summary

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This study outlines an investigation into the bacterial make-up of the mare uterus through clinical evaluation methods, with the aim of informing breeding programs and fertility treatments. The research also explores the rising issue of antibiotic resistance and its implications in the treatment of broodmares’ uterine health, highlighting the significance of conducting microbiology and susceptibility tests.

Methodology

  • The study carried out physical evaluations on mares using transrectal palpation and ultrasonography, two common methods for investigating reproductive health in horses.
  • Sampling of the mares’ uterus was then done using either uterine lavage, biopsy or swabbing techniques.
  • The research used a combination of cytology, histology, and microbiology evaluations, and conducted antimicrobial susceptibility tests on the samples collected.
  • The gathered data was then statistically analyzed.

Findings

  • Among the broodmares examined, 42.2% had inflammation present while 65.4% had a positive culture, indicating the presence of bacteria.
  • The bacteria most frequently isolated were Streptococcus and Escherichia coli. These bacteria are known to affect reproductive health in mares.
  • Antimicrobials such as gentamicin, trimethoprim-sulfamethoxazole, and enrofloxacin were found to be the most effective. Meanwhile, resistance was primarily detected for doxycycline, penicillin, and ceftiofur.

Cycle Phase and Bacteria Type

  • One significant outcome was a noted association between the phase of the mares’ cycle and the presence of inflammation, affirming that the hormonal and physical changes during the cycle influence uterine health.
  • An additional correlation was found between the type of bacteria -Gram-positive or Gram-negative – and the bacteria isolated by primoculture/enrichment processes.

Conclusion

  • The study emphasized the necessity of field tests for bacteria and susceptibility, to improve targeted antibiotic treatments, thereby reducing the risk of antimicrobial resistance.
  • The practices involved in the research form a standard routine in managing stud farm broodmare health, with these results offering valuable information for the breeding industry.

Cite This Article

APA
Carvalho IB, Branco S, Laranjo M, Queiroga MC, Bettencourt E. (2025). Characteristics of the Mare-Uterine-Culture-Based Bacterial Composition Using Practical Clinical Evaluation Methods. Pathogens, 14(4). https://doi.org/10.3390/pathogens14040357

Publication

ISSN: 2076-0817
NlmUniqueID: 101596317
Country: Switzerland
Language: English
Volume: 14
Issue: 4

Researcher Affiliations

Carvalho, Inês B
  • MED-Mediterranean Institute for Agriculture, Environment and Development & CHANGE-Global Change and Sustainability Institute, Institute for Advanced Studies and Research, Universidade de Évora, Pólo da Mitra, 7000 Évora, Portugal.
  • Unidade Clínica de Alter, Hospital Veterinário da Universidade de Évora, Universidade de Évora, 7440 Alter do Chão, Portugal.
Branco, Sandra
  • MED-Mediterranean Institute for Agriculture, Environment and Development & CHANGE-Global Change and Sustainability Institute, Institute for Advanced Studies and Research, Universidade de Évora, Pólo da Mitra, 7000 Évora, Portugal.
  • Departamento de Medicina Veterinária, Escola de Ciências e Tecnologia, Universidade de Évora, 7000 Évora, Portugal.
Laranjo, Marta
  • MED-Mediterranean Institute for Agriculture, Environment and Development & CHANGE-Global Change and Sustainability Institute, Institute for Advanced Studies and Research, Universidade de Évora, Pólo da Mitra, 7000 Évora, Portugal.
  • Departamento de Medicina Veterinária, Escola de Ciências e Tecnologia, Universidade de Évora, 7000 Évora, Portugal.
Queiroga, Maria Cristina
  • MED-Mediterranean Institute for Agriculture, Environment and Development & CHANGE-Global Change and Sustainability Institute, Institute for Advanced Studies and Research, Universidade de Évora, Pólo da Mitra, 7000 Évora, Portugal.
  • Departamento de Medicina Veterinária, Escola de Ciências e Tecnologia, Universidade de Évora, 7000 Évora, Portugal.
Bettencourt, Elisa
  • MED-Mediterranean Institute for Agriculture, Environment and Development & CHANGE-Global Change and Sustainability Institute, Institute for Advanced Studies and Research, Universidade de Évora, Pólo da Mitra, 7000 Évora, Portugal.
  • Unidade Clínica de Alter, Hospital Veterinário da Universidade de Évora, Universidade de Évora, 7440 Alter do Chão, Portugal.
  • Departamento de Medicina Veterinária, Escola de Ciências e Tecnologia, Universidade de Évora, 7000 Évora, Portugal.

MeSH Terms

  • Female
  • Animals
  • Horses / microbiology
  • Anti-Bacterial Agents / pharmacology
  • Uterus / microbiology
  • Uterus / pathology
  • Microbial Sensitivity Tests
  • Bacteria / isolation & purification
  • Bacteria / drug effects
  • Bacteria / classification
  • Microbiota
  • Drug Resistance, Bacterial

Grant Funding

  • UIDB/05183 / Fundação para a Ciência e Tecnologia

Conflict of Interest Statement

The authors declare no conflicts of interest.

References

This article includes 35 references
  1. de Amorim M.D., Gartley C.J., Foster R.A., Hill A., Scholtz E.L., Hayes A., Chenier T.S.. Comparison of Clinical Signs, Endometrial Culture, Endometrial Cytology, Uterine Low Volume Lavage, and Uterine Biopsy, and Combinations in the Diagnosis of Equine Endometritis.. J. Equine Vet. Sci. 2016;44:54–61.
  2. Leblanc M.M., Magsig J., Stromberg A.J.. Use of a Low-Volume Uterine Flush for Diagnosing Endometritis in Chronically Infertile Mares.. Theriogenology 2007;68:403–412.
  3. Bohn A.A., Ferris R.A., Mccue P.M.. Comparison of Equine Endometrial Cytology Samples Collected with Uterine Swab, Uterine Brush, and Low-Volume Lavage from Healthy Mares.. Vet. Clin. Pathol. 2014;43/44:594–600.
    doi: 10.1111/vcp.12194pubmed: 25208767google scholar: lookup
  4. Christoffersen M., Brandis L., Samuelsson J., Bojesen A.M.. Diagnostic Double-Guarded Low-Volume Uterine Lavage in Mares.. Theriogenology 2015;83:222–227.
  5. Nielsen J.M.. Endometritis in the Mare: A Diagnostic Study Comparing Cultures from Swab and Biopsy.. Theriogenology 2005;64:510–518.
  6. Díaz-bertrana M.L., Deleuze S., Rios L.P., Yeste M., Fariña I.M., Del Alamo M.M.R.. Microbial Prevalence and Antimicrobial Sensitivity in Equine Endometritis in Field Conditions.. Animals 2021;11:1476.
    doi: 10.3390/ani11051476pmc: PMC8160901pubmed: 34065566google scholar: lookup
  7. Benko T., Boldizar M., Novotny F., Hura V., Valocky I., Dudrikova K., Karamanova M., Petrovic V.. Incidence of Bacterial Pathogens in Equine Uterine Swabs, Their Antibiotic Resistance Patterns, and Selected Reproductive Indices in English Thoroughbred Mares during the Foal Heat Cycle.. Vet. Med. 2015;60:613–620.
    doi: 10.17221/8529-VETMEDgoogle scholar: lookup
  8. Mahtab T., Jyoti A., Khusro A., Redwan B.M., Zidan M., Mitra S., Bin T., Dhama K., Hossain K., Gajdács M.. Antibiotic Resistance in Microbes: History, Mechanisms, Therapeutic Strategies and Future Prospects.. J. Infect. Public Health 2021;14:1750–1766.
    doi: 10.1016/j.jiph.2021.10.020pubmed: 34756812google scholar: lookup
  9. Malaluang P., Wilén E., Lindahl J., Hansson I., Morrell J.M.. Antimicrobial Resistance in Equine Reproduction.. Animals 2021;11:3035.
    doi: 10.3390/ani11113035pmc: PMC8614435pubmed: 34827768google scholar: lookup
  10. Brinsko S., Blanchard T., Varner D., Schumacher J., Love C., Hinrichs K., Hartman D.. Manual of Equine Reproduction.. 3rd ed. Mosby Elsevier; Maryland Heights, MO, USA: 2011.
  11. Overbeck W., Witte T.S., Heuwieser W.. Comparison of Three Diagnostic Methods to Identify Subclinical Endometritis in Mares.. Theriogenology 2011;75:1311–1318.
  12. Teixeira-Soares C., Viana A., Ribeiro I., Silva K., Sancler-Silva Y., Machado-Neves M.. Comparison Between Gynecological Examination Methods and Sample Collection Techniques for the Diagnosis of Endometritis in Subfertile Mares.. J. Equine Vet. Sci. 2022;119:104147.
    doi: 10.1016/j.jevs.2022.104147pubmed: 36283589google scholar: lookup
  13. Card C.. Post-Breeding Inflammation and Endometrial Cytology in Mares.. Theriogenology 2005;64:580–588.
  14. Markey B., Leonard F., Archambault M., Cullinane A., Maguire D.. Clinical Veterinary Microbiology.. 2nd ed. Mosby Ltd.; London, UK: 2013.
  15. Rivas R., Velázquez E., Valverde A., Mateos P.F., Martínez-Molina E.. A Two Primers Random Amplified Polymorphic DNA Procedure to Obtain Polymerase Chain Reaction.. Electrophoresis 2001;22:1086–1089.
  16. Young J.P.W., Downer H.L., Eardly B.D.. Phylogeny of the Phototrophic Rhizobium Strain BTAil by Polymerase Chain Reaction-Based Sequencing of a 16S RRNA Gene Segment.. J. Bacteriol. 1991;173:2271–2277.
  17. Laranjo M., Machado J., Young J.P.W., Oliveira S.. High Diversity of Chickpea Mesorhizobium Species Isolated in a Portuguese Agricultural Region.. FEMS Microbiol. Ecol. 2004;48:101–107.
    doi: 10.1016/j.femsec.2003.12.015pubmed: 19712435google scholar: lookup
  18. Tamura K., Stecher G., Kumar S.. MEGA11: Molecular Evolutionary Genetics Analysis Version 11.. Mol. Biol. Evol. 2021;38:3022–3027.
    doi: 10.1093/molbev/msab120pmc: PMC8233496pubmed: 33892491google scholar: lookup
  19. Clinical and Laboratory Standards Institute (CLSI). Performance Standards for Antimicrobial Disk and Dilution Susceptibility Tests for Bacteria Isolated From Animals.. 7th ed. Clinical and Laboratory Standards Institute; Malvern, PA, USA: 2024. CLSI supplement VET01S.
  20. . The European Committee on Antimicrobial Susceptibility Breakpoint Tables for Interpretation of MICs and Zone Diameters.. 2024, Version 14.
  21. Kenney R., Doig P.. Current Therapy in Theriogenology: Diagnosis, Treatment and Prevention of Reproductive Diseases in Small and Large Animals.. Saunders; Philadelphia, PA, USA: 1986. Equine Endometrial Biopsy; pp. 723–729.
  22. Rasmussen C., Petersen M., Bojesen A., Pederson H., Lehn-Jensen H., Christoffersen M.. Equine Infectious Endometritis—Clinical and Subclinical Cases.. J. Equine Vet. Sci. 2015;35:95–104.
  23. Nielsen J.M., Troedsson M.H., Pedersen M.R., Bojesen M., Lehn-jensen H., Zent W.W.. Diagnosis of Endometritis in the Mare Based on Bacteriological and Cytological Examinations of the Endometrium: Comparison of Results Obtained by Swabs and Biopsies.. J. Equine Vet. Sci. 2010;30:27–30.
  24. Ravaioli V., Raffini E., Tamburini M., Galletti G., Frasnelli M.. Infectious Endometritis in Mares: Microbiological Findings in Field Samples.. J. Equine Vet. Sci. 2022;112:103913.
    doi: 10.1016/j.jevs.2022.103913pubmed: 35196546google scholar: lookup
  25. Riddle W.T., LeBlanc M.M., Stromberg A.J.. Relationships between Uterine Culture, Cytology and Pregnancy Rates in a Thoroughbred Practice.. Theriogenology 2007;68:395–402.
  26. Burleson M.D., LeBlanc M.M., Riddle W.T., Hendricks K.E.M.. Endometrial Microbial Isolates Are Associated with Different Ultrasonographic and Endometrial Cytology Findings in Thoroughbred Mares.. Anim. Reprod. Sci. 2010;121:103.
  27. Reygaert W.C.. An Overview of the Antimicrobial Resistance Mechanisms of Bacteria.. AIMS Microbiol. 2018;4:482–501.
  28. Beyer A., Baumann S., Scherz G., Stahl J., von Bergen M., Friese A., Roesler U., Kietzmann M., Honscha W.. Effects of Ceftiofur Treatment on the Susceptibility of Commensal Porcine E. coli—Comparison between Treated and Untreated Animals Housed in the Same Stable.. BMC Vet. Res. 2015;11:265.
    doi: 10.1186/s12917-015-0578-3pmc: PMC4608134pubmed: 26472561google scholar: lookup
  29. Smet A., Martel A., Persoons D., Dewulf J., Heyndrickx M., Catry B., Herman L., Haesebrouck F., Butaye P.. Diversity of Extended-Spectrum β-Lactamases and Class C β-Lactamases among Cloacal Escherichia Coli Isolates in Belgian Broiler Farms.. Antimicrob. Agents Chemother. 2008;52:1238–1243.
    doi: 10.1128/AAC.01285-07pmc: PMC2292556pubmed: 18227190google scholar: lookup
  30. Lobanovska M., Pilla G.. Penicillin’ s Discovery and Antibiotic Resistance: Lessons for the Future?. Yale J. Biol. Med. 2017;90:135–145.
    pmc: PMC5369031pubmed: 28356901
  31. WHO. WHO’s List of Medically Important Antimicrobials: A Risk Management Tool for Mitigating Antimicrobial Resistance Due to Non-Human Use.. WHO; Geneva, Switzerland: 2024.
  32. Heil B.A., Paccamonti D.L., Sones J.L.. Role for the Mammalian Female Reproductive Tract Microbiome in Pregnancy Outcomes.. Physiol. Genom. 2021;51:390–399.
  33. Kozdrowski R., Sikora M., Buczkowska J., Nowak M., Dzi M.. Effects of Cycle Stage and Sampling Procedure on Interpretation of Endometrial Cytology in Mares.. Anim. Reprod. Sci. 2015;154:56–62.
  34. Woodward E.M., Christoffersen M., Campos J., Squires E.L., Troedsson M.H.T.. Susceptibility to Persistent Breeding-Induced Endometritis in the Mare: Relationship to Endometrial Biopsy Score and Age, and Variations between Seasons.. Theriogenology 2012;78:495–501.
  35. Morris L.H.A., Allen W.R.. Reproductive Efficiency of Intensively Managed Thoroughbred Mares in Newmarket.. Equine Vet. J. 2002;34:51–60.
    doi: 10.2746/042516402776181222pubmed: 11822372google scholar: lookup