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Equine veterinary journal2014; 47(2); 218-222; doi: 10.1111/evj.12284

Effectiveness of conventional and hydrosurgical debridement methods in reducing Staphylococcus aureus inoculation of equine muscle in vitro.

Abstract: The success of primary healing of equine traumatic wounds is dependent on thorough debridement. A specific hydrosurgical debridement device (Versajet(TM) )(a) is gentle to viable tissues, yet effectively removes macroscopic contaminants and debris. We wished to investigate whether it is effective in reducing bacterial burden and whether it differs from traditional methods. No previous reports compare hydrosurgical debridement and conventional wound debridement with regard to bacterial reduction from in vitro inoculated soft tissue. Objective: To assess the effectiveness of hydrosurgical debridement in reducing the Staphylococcus aureus load from in vitro inoculated equine muscle compared with conventional wound debridement methods. Methods: In vitro experimental study. Methods: The surface of equine masseter muscle was inoculated with a S. aureus broth and subsequently debrided using one of the following 4 methods: saline irrigation; sharp debridement; saline irrigation and sharp debridement; or hydrosurgical debridement. Tissue samples for quantitative cultures were collected before and after debridement, and the colony-forming units per gram of tissue were calculated and log transformed. The reductions in bacterial counts were analysed statistically using Wilcoxon signed-rank tests and Friedman two-way ANOVA. Results: Hydrosurgical debridement was more effective than conventional debridement methods in reducing the S. aureus load (P<0.05). Hydrosurgical debridement reduced the bacterial load by 99.7%, in comparison to saline irrigation and sharp debridement (87.4%), sharp debridement (82.2%) and saline irrigation (46.0%). Conclusions: Hydrosurgical debridement reduces the S. aureus load from in vitro contaminated equine muscle significantly more than conventional debridement methods.
Publication Date: 2014-05-26 PubMed ID: 24750338DOI: 10.1111/evj.12284Google Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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This article examines and compares the effectiveness of conventional and hydrosurgical debridement methods in removing Staphylococcus aureus from injured horse muscle tissue in a controlled laboratory setting. The hydrosurgical method was found to decrease the bacterial count more substantially than the conventional methods.

Objectives and Approach

  • The research was conducted with the aim of assessing how effective a specific hydrosurgical debridement device, Versajet, is in reducing bacterial contamination in wounds, as compared to traditional debridement methods such as saline irrigation and sharp debridement.
  • The researchers chose Staphylococcus aureus, a common cause of infection in horses, as the bacteria to study. They artificially applied this bacteria to healthy muscle tissue from a horse’s masseter muscle.
  • Different debridement methods were then used to clean these samples: saline irrigation, sharp debridement, a combination of the two, and hydrosurgical debridement.
  • Before and after each debridement, tissue samples were cultured to measure the number of bacteria remaining. This data was then statistically analyzed.

Results and Implications

  • The results of the study showed that hydrosurgical debridement was able to clean away 99.7% of the bacteria on the muscle samples, a significantly greater reduction than the other methods. This is compared to the 87.4% reduction achieved by combining saline and sharp debridement, the 82.2% reduction by sharp debridement alone, and the just 46.0% reduction by saline irrigation.
  • This suggests that using the Versajet hydrosurgical debridement device can make a significant impact on wound cleanup and bacteria removal compared to conventional debridement methods, potentially leading to better outcomes in the healing of horse wounds.
  • Further studies will be needed to assess how these laboratory findings translate to real-world clinical settings, as this study only tested the debridement methods on bacterial contamination in a controlled laboratory situation.

Cite This Article

APA
Skärlina EM, Wilmink JM, Fall N, Gorvy DA. (2014). Effectiveness of conventional and hydrosurgical debridement methods in reducing Staphylococcus aureus inoculation of equine muscle in vitro. Equine Vet J, 47(2), 218-222. https://doi.org/10.1111/evj.12284

Publication

ISSN: 2042-3306
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 47
Issue: 2
Pages: 218-222

Researcher Affiliations

Skärlina, E M
  • Evidensia Specialisthästsjukhuset Strömsholm, Strömsholm, Sweden.
Wilmink, J M
    Fall, N
      Gorvy, D A

        MeSH Terms

        • Animals
        • Debridement / methods
        • Debridement / veterinary
        • Horses
        • In Vitro Techniques
        • Muscle, Skeletal / microbiology
        • Staphylococcal Infections / prevention & control
        • Staphylococcal Infections / veterinary
        • Staphylococcus aureus / physiology
        • Surgical Wound Infection / prevention & control
        • Therapeutic Irrigation / methods

        Citations

        This article has been cited 2 times.
        1. Marinescu EA, Negrilă AA, Marinescu RA, Nica O, Tălăban A, Ciurea ME, Ciurea AM. Burn Debridment - Approach and Review. Curr Health Sci J 2025 Jan-Mar;51(1):5-13.
          doi: 10.12865/CHSJ.51.01.01pubmed: 40678309google scholar: lookup
        2. Jørgensen E, Bjarnsholt T, Jacobsen S. Biofilm and Equine Limb Wounds. Animals (Basel) 2021 Sep 27;11(10).
          doi: 10.3390/ani11102825pubmed: 34679846google scholar: lookup