Abstract: In horses, surgical site infections (SSIs) are multifactorial complications influenced by patient-related, procedural, and environmental factors. While perioperative contamination has been extensively studied in the operating theater, the anesthetic induction and recovery environment has received limited attention. The aim of this study was to characterize bacterial contamination within an equine anesthetic induction and recovery stall and to evaluate its spatial and temporal distribution. Environmental samples were collected from four predefined locations within the stall at three time points: before patient admission, after recovery from general anesthesia, and after routine cleaning and disinfection. Samples were analyzed using standard aerobic culture techniques, and bacterial species were identified. Bacterial contamination was detected at all sampling locations and time points. Contamination increased significantly after recovery from general anesthesia and was most pronounced in areas associated with moisture retention, such as the groove between floor tiles. The bacterial species identified were predominantly opportunistic environmental organisms. No direct association between environmental contamination and surgical site infections could be established. However, the constant presence of potentially pathogenic bacteria indicates that the anesthetic induction and recovery stall represents a relevant component of the perioperative environment. These findings support the inclusion of the recovery area in infection control strategies aimed at reducing perioperative risk in equine surgical patients.
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Overview
This study investigated the presence and distribution of potentially pathogenic bacteria in the anesthetic induction and recovery stall used for horses during surgery.
It aimed to understand how bacterial contamination varies before, during, and after surgical procedures to improve infection control practices in equine surgery settings.
Background and Importance
Horses undergoing surgery can develop surgical site infections (SSIs), which are influenced by various factors including patient health, surgical procedures, and the environment.
While operating rooms have been studied extensively for bacterial contamination, less is known about the anesthesia induction and recovery stalls where horses spend critical perioperative time.
Recognizing that these areas could contribute to infection risk, this study aimed to fill that knowledge gap by characterizing bacterial presence and distribution in these stalls.
Study Design and Methods
Environmental sampling was conducted in a single equine hospital’s anesthetic induction and recovery stall.
Four specific locations within the stall were predefined for sample collection to standardize spatial analysis.
Samples were taken at three distinct time points:
Before a horse was admitted to the stall (baseline contamination).
After the horse recovered from general anesthesia (post-procedure contamination).
After routine cleaning and disinfection of the stall (effect of cleaning).
Standard aerobic culture techniques were used for bacterial isolation.
Identified bacteria were genotyped to determine species and potential pathogenicity.
Key Findings
Bacterial contamination was found at all sample locations and at every time point, demonstrating persistent environmental bacterial presence.
The level of contamination increased significantly after horse recovery, indicating that the presence of animals and surgical procedures contribute to increased bacterial loads.
Moist areas, such as grooves between floor tiles, had the highest concentrations of bacteria, suggesting these niches support bacterial growth.
The majority of bacteria identified were opportunistic environmental organisms rather than primary pathogens, which can still cause infections under certain conditions.
There was no direct evidence linking the environmental bacterial contamination to clinical surgical site infections in horses from this data alone.
Implications and Conclusions
The anesthetic induction and recovery stall is a relevant environmental source of potentially pathogenic bacteria in the perioperative period.
Current infection control strategies should not only focus on the operating room but also include the recovery environment to reduce overall perioperative infection risk.
Routine cleaning and disinfection reduce bacterial contamination but may not completely eliminate bacterial presence, especially in moisture-retentive areas, emphasizing the need for targeted cleaning protocols.
Further research could explore specific links between environmental contamination and clinical infections, and test interventions to minimize bacterial loads.
Overall Significance
This study contributes to a better understanding of how the environment surrounding equine surgery patients harbors bacteria that could influence infection risk.
It encourages veterinary clinics to broaden infection control measures to include anesthetic induction and recovery areas, potentially improving surgical outcomes in horses.
Cite This Article
APA
Rinnovati R, Meistro F, Ralletti MV, D'Angelo P, Spadari A, Zingariello E, Pollera C, Stancampiano L.
(2026).
Environmental Occurrence of Potentially Pathogenic Bacteria in the Equine Anesthetic Induction and Recovery Box: A Single-Center Study.
Animals (Basel), 16(5), 712.
https://doi.org/10.3390/ani16050712
Loomes K, de Grauw J, Gozalo-Marcilla M, Redondo J.I, Bettschart-Wolfensberger R. A systematic review of the prevalence of post-operative complications after general anesthesia in adult horses (2000–2023). Equine Vet. J. 2025;57:827–861.
Sjöberg I, Horn I, Ljungvall K, Andersen P.H, Sternberg-Lewerin S. Influence of antimicrobial prophylaxis in horses undergoing sutured castration. Vet. Surg. 2025;54:872–878.
Gobbo J.L, Cardozo M.V, Lacerda L.C.C, Karcher D.E, Dias L.G.G.G, Nardi A.B, Minto B.W, Moraes P.C. Evaluation of operating room environment contamination and efficacy of 2% chlorhexidine for surgical hand scrubbing before and after gowning and gloving. Acta Sci. Vet. 2017;45:1484.
Román Durá B., Navarro M., Serrano-Rodríguez J.M., Gozalo-Marcilla M.. Pre- and intraoperative predictors of recovery quality after general anesthesia in horses.. Vet. Sci. 2025;12:262.
Kelmer G., Kelmer E., Tatz A.J., Yaroslavsky A., Dahan R., Steinman A.. Surgical site infections in horses: A review of risk factors and prevention strategies.. Isr. J. Vet. Med. 2020;75:3–12.
Verwilghen D.R., Pelosi A., Abbas M., Allerton F., Archer D., Baxter G., Brehm W., Burgess B.A., Dallap-Schaer B., Ferreira J.. Surgical site infection definitions consensus: A first step toward improving prevention in veterinary medicine.. Am. J. Vet. Res. 2025:1–14.
Alfonso-Sanchez J.L., Martinez I.M., Martín-Moreno J.M., González R.S., Botía F.. Analyzing the risk factors influencing surgical site infections: The role of environmental factors.. Can. J. Surg. 2017;60:155–161.
Sartor C., Limouzin-Perotti F., Legré R., Casanova D., Bongrand M., Sambuc R., Drancourt M.. Nosocomial infections with Aeromonas hydrophila from leeches.. Clin. Infect. Dis. 2002;35:e1–e5.
Yoshino Y., Kitazawa T., Kamimura M., Tatsuno K., Ota Y., Yotsuyanagi H.. Pseudomonas putida bacteremia in adult patients: Five case reports and a review of the literature.. J. Infect. Chemother. 2011;17:278–282.
Suzuki M., Suzuki S., Matsui M., Hiraki Y., Kawano F., Shibayama K.. Genome sequence of a strain of the human pathogenic bacterium Pseudomonas alcaligenes that caused bloodstream infection.. Genome Announc. 2013;1:e00919-13.
Herrera M.A., Burkitt J.M., Epstein S.E., Jones M.E.B., Moore P.F., Sykes J.E.. Ralstonia pickettii septicemia in a dog with immune-mediated thrombocytopenia.. J. Vet. Intern. Med. 2009;23:182–185.
Henry P., Russell D., Paterson G., Salavati S., Boag A.. Clinical significance of identification of Sphingomonas paucimobilis on bacterial culture in companion dogs and cats.. Authorea 2025.
Weber D.J., Anderson D., Rutala W.A.. The role of the surface environment in healthcare-associated infections.. Curr. Opin. Infect. Dis. 2013;26:338–344.
Xiong L., Sheng G., Fan Z.M., Yang H., Hwang F.J., Zhu B.W.. Environmental design strategies to decrease the risk of nosocomial infection in medical buildings using a hybrid MCDM model.. J. Healthc. Eng. 2021;2021:5534607.
Alsing-Johansson T., Bergström K., Sternberg-Lewerin S., Bergh A., Östlund E., Penell J.. Environmental bacterial load during surgical and ultrasound procedures in a Swedish small animal hospital.. Acta Vet. Scand. 2024;66:43.
Clark A.E., Kaleta E.J., Arora A., Wolk D.M.. Matrix-assisted laser desorption ionization-time of flight mass spectrometry: A fundamental shift in the routine practice of clinical microbiology.. Clin. Microbiol. Rev. 2013;26:547–603.
Yang H., Smith R.D., Sumner K.P., Goodlett D.R., Johnson J.K., Ernst R.K.. A Matrix-Assisted Laser Desorption Ionization-Time of Flight Mass Spectrometry Direct-from-Urine-Specimen Diagnostic for Gram-Negative Pathogens.. Microbiol. Spectr. 2022;21:10.