Comparison of the biopsy and cytobrush techniques for diagnosis of subclinical endometritis in mares.
Abstract: Endometritis is a major cause of infertility in the mare. Therefore, the diagnosis of this disease is very important in veterinary practice. The objective of this study was to compare bacteriological and cytological results obtained from the mare uterus using biopsy (EB) and cytobrush (CB) techniques and relating these findings to the presence of polymorphonuclear cells (PMNs) in endometrial tissue as the gold standard for detection of endometritis. In particular, we tested the hypothesis that endometrial cytology and microbiology data obtained from material collected using the EB and CB techniques are similar, so that the CB technique could preferentially be used to detect subclinical endometritis in clinical practice. Methods: A total of 69 mares suspected of subclinical endometritis because of previous reproductive history and 15 maiden mares were enrolled in this study. Material collected from both EB and CB was smeared on sterile glass slides for cytological examinations and on culture media for microbiological examinations. Bacteriological cultures and cytological samples were classified as negative (no growth or mixed cultures of more than three microorganisms; <2% PMNs) or positive (pure growth of microorganisms; >2% PMNs) for endometritis. Results: Positive growth was observed in 43% of CB samples and in 54% of EB samples (difference not significant). The growth of β-hemolytic streptococci was always connected with positive cytology. This relationship was not observed for growth of E. coli or for non-pathogenic flora. The sensitivity of bacterial growth and cytology from EB was 0.63 and 0.73 respectively. The sensitivities of bacterial growth and cytology from CB were 0.50 and 0.71 respectively. Conclusions: Microbiological and cytological results obtained from CB are similar to those obtained from EB and based on these findings the CB technique may be recommended for collection of materials from the mare's uterus in clinical practice.
Publication Date: 2014-04-04 PubMed ID: 24708825PubMed Central: PMC3986439DOI: 10.1186/1477-7827-12-27Google Scholar: Lookup
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- Comparative Study
- Journal Article
- Research Support
- Non-U.S. Gov't
Summary
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This research article investigates the effectiveness of two methods, endometrial biopsy (EB) and cytobrush (CB), in diagnosing subclinical endometritis in mares. It concludes that the CB technique is as effective as the EB method and could be used as a primary detection tool for subclinical endometritis in clinical practice.
Research Aims and Objectives
- The study aims to compare the bacteriological and cytological results obtained from the uterus of mares using biopsy (EB) and cytobrush (CB) techniques.
- The research specifically tests the hypothesis that data derived from materials collected through the EB and CB techniques are similar and thus, in clinical practice, the CB technique could be preferable to detect subclinical endometritis.
Methodology
- The researchers enrolled 69 mares suspected of having subclinical endometritis, owing to their reproductive history, and 15 maiden mares for this study.
- Material was gathered from both EB and CB methods and smeared on sterile glass slides for cytological examinations and on culture media for microbiological examinations.
- Bacteriological cultures and cytological samples were classified as either negative or positive for endometritis.
Results
- The study observed a positive growth in 43% of CB samples and in 54% of EB samples (a non-significant difference).
- The presence of β-hemolytic streptococci was always associated with positive cytology. This association was not noted for growth of E. coli or for non-pathogenic flora.
- The sensitivity of bacterial growth and cytology from EB was 0.63 and 0.73 respectively.
- The sensitivity of bacterial growth and cytology from CB were 0.50 and 0.71 respectively.
Conclusions
- The analysis shows similar microbiological and cytological results from CB and EB techniques.
- Based on these findings, the study concludes that the CB technique can be utilized in clinical practice for sample collection from the mare’s uterus, as it provides results comparable to the EB technique.
Cite This Article
APA
Buczkowska J, Kozdrowski R, Nowak M, Raś A, Staroniewicz Z, Siemieniuch MJ.
(2014).
Comparison of the biopsy and cytobrush techniques for diagnosis of subclinical endometritis in mares.
Reprod Biol Endocrinol, 12, 27.
https://doi.org/10.1186/1477-7827-12-27 Publication
Researcher Affiliations
- Faculty of Veterinary Medicine, Wrocław University of Environmental and Life Sciences, Wrocław, Poland. roland.kozdrowski@up.wroc.pl.
MeSH Terms
- Animals
- Biopsy / methods
- Biopsy / standards
- Cytological Techniques / methods
- Cytological Techniques / standards
- Endometritis / pathology
- Female
- Horses
- Uterus / pathology
References
This article includes 23 references
- Card C. Post-breeding inflammation and endometrial cytology in mares.. Theriogenology 2005;64:580–588.
- Defontis M, Vaillancourt D, Grand FX. Comparison of three methods of sampling for endometrial cytology in the mare.. Tierarztl Prax 2011;39:171–175.
- LeBlanc MM, Causey RC. Clinical and subclinical endometritis in the mare: both threats to fertility.. Reprod Domest Anim 2009;44:10–22.
- Liu IKM, Troedsson MHT. Diagnosis and treatment of endometritis in the mare: yesterday and today.. Theriogenology 2008;70:415–420.
- Riddle WT, LeBlanc MM, Stromberg AJ. Relationships between uterine culture, cytology and pregnancy rates in a Thoroughbred practice.. Theriogenology 2007;68:395–402.
- Cocchia N, Paciello O, Auletta L, Uccello V, Silvestro L, Mallardo K, Paraggio G, Pasolini MP. Comparison of the cytobrush, cottonswab and low-volume uterine flush techniques to evaluate endometrial cytology for diagnosing endometritis in chronically infertile mares.. Theriogenology 2012;77:89–98.
- Overbeck W, Witte TS, Heuwieser W. Comparison of three diagnostic methods to identify subclinical endometritis in mares.. Theriogenology 2011;75:1311–1318.
- Kenney RM. Cyclic and pathologic changes of the mare endometrium as detected by biopsy, with a note on early embryonic death.. J Am Vet Med Assoc 1978;172:241–262.
- LeBlanc MM. Advances in the diagnosis and treatment of chronic infectious and post-mating-induced endometritis in the mare.. Reprod Domest Anim 2010;45:21–27.
- Digby NJW. The technique and clinical application of endometrial cytology in mares.. Equine Vet J 1978;10:167–170.
- Nielsen JM. Endometritis in the mare: a diagnostic study comparing cultures from swab and biopsy.. Theriogenology 2005;64:510–518.
- Nielsen JM, Troedsson MH, Pedersen MR, Lehen-Jensen H. 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.
- Kozdrowski R, Gumienna J, Sikora M, Andrzejewski K, Nowak M. Comparison of the cytology brush and cotton swab in the cytological evaluation of the endometrium in mares with regard to fertility.. J Equine Vet Sci 2013;33:1008–1011.
- Bourke M, Mills JN, Barnes AL. Collection of endometrial cells in the mare.. Aust Vet J 1997;75:755–758.
- Walter J, Neuberg KP, Failing K, Wehrend A. Cytological diagnosis of endometritis in the mare: investigations of sampling techniques and relation to bacteriological results.. Anim Reprod Sci 2012;132:178–186.
- Reiswig JD, Threlfall WR, Rosol TJ. A comparison of endometrial biopsy, culture and cytology during oestrus and dioestrus in the horse.. Equine Vet J 1993;25:240–241.
- LeBlanc MM, Magsig J, Stromberg J. Use of a low-volume uterine flush for diagnosing endometritis in chronically infertile mares.. Theriogenology 2007;68:403–412.
- Ricketts SW, Barrelet A. A retrospective review of the histopathological features seen in series of 4241 endometrial biopsy samples collected from UK Thoroughbred mares over a 25 year period.. Pferdeheilkunde 1997;13:525–530.
- Snider TA, Sepoy C, Holyoak GR. Equine endometrial biopsy reviewed: observation, interpretation and application of histopathologic data.. Theriogenology 2011;75:1567–1581.
- Ball BA, Shin SJ, Pattern VH, Lein DH, Woods GL. Use of a low-volume uterine flush for microbiologic and cytologic examination of the mares endometrium.. Theriogenology 1988;29:1269–1283.
- Ricketts SW, Alonso S. Assessment of the breeding prognosis of mares using paired endometrial biopsy techniques.. Equine Vet J 1991;23:185–188.
- Albihn A, Båverud V, Magnusson U. Uterine microbiology and antimicrobial susceptibility in isolated bacteria from mares with fertility problems.. Acta Vet Scand 2003;44:121–129.
- Frontoso R, De Carlo E, Pasolini MP, van der Meulen K, Pagnini U, Iovane G, De Martino L. Retrospective study of bacterial isolates and their antimicrobial susceptibilities in equine uteri during fertility problems.. Res Vet Sci 2008;84:1–6.
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