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Evaluation of itraconazole-dimethyl sulfoxide ointment for treatment of keratomycosis in nine horses.

Abstract: To evaluate the efficacy of itraconazole-dimethyl sulfoxide ointment for treatment of keratomycosis in horses in the northeastern United States. Methods: Prospective clinical trial. Methods: 9 horses (10 affected eyes). Methods: All horses treated for keratomycosis at Cornell University between July 1994 and July 1996 were included in the study. The diagnosis of keratomycosis was confirmed by cytologic examination, and all horses were treated with 0.25 ml of a 1% itraconazole-30% dimethyl sulfoxide petrolatum-based ointment, applied to the affected eye every 4 hours. Results: Topical application of itraconazole-dimethyl sulfoxide ointment (q 4 h) resolved keratomycosis in 8 of 10 eyes; mean duration of treatment was 34.6 days (range, 16 to 53 days). Conclusions: Results of this study indicate topical administration of itraconazole-dimethyl sulfoxide ointment may provide an additional treatment option for horses with keratomycosis.
Publication Date: 1997-07-15 PubMed ID: 9227751
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  • Clinical Trial
  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research study evaluates the effectiveness of using an ointment composed of itraconazole and dimethyl sulfoxide in treating keratomycosis, a fungal infection that affects the horse’s eye. The results demonstrate a high success rate, suggesting the ointment as a viable additional treatment option.

Research Objective

The main objective of the study was to determine the effectiveness of an ointment made from itraconazole and dimethyl sulfoxide in treating keratomycosis – a fungal eye infection in horses. The study was based out of the northeastern United States and was conducted over two years from July 1994 to July 1996 at Cornell University.

Methodology

  • The study was a prospective clinical trial that involved a total of nine horses, affecting ten eyes in total.
  • The horses affected by keratomycosis were properly diagnosed through cytologic examination.
  • All the horses in the study were treated with the developed ointment, which contained 1% itraconazole and 30% dimethyl sulfoxide mixed in petrolatum. Each affected eye received 0.25 ml of ointment every 4 hours.

Results of the Study

  • The research reported positive results, with 8 out of the 10 affected eyes experiencing resolution of keratomycosis symptoms.
  • The mean duration of treatment until resolution of symptoms was observed to be 34.6 days. However, the range for treatment length varied between 16 to 53 days, indicating that the severity of the infection and response to treatment may differ among individual cases.

Research Conclusion

Based on the high success rate of the treatment, the researchers concluded that the topical administration of the itraconazole-dimethyl sulfoxide ointment could potentially represent an additional treatment option for horses affected with keratomycosis. It’s essential to note that this was a small sample size, and more extensive research is necessary to finalize the ointment’s effectiveness on a larger scale.

Cite This Article

APA
Ball MA, Rebhun WC, Gaarder JE, Patten V. (1997). Evaluation of itraconazole-dimethyl sulfoxide ointment for treatment of keratomycosis in nine horses. J Am Vet Med Assoc, 211(2), 199-203.

Publication

ISSN: 0003-1488
NlmUniqueID: 7503067
Country: United States
Language: English
Volume: 211
Issue: 2
Pages: 199-203

Researcher Affiliations

Ball, M A
  • Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA.
Rebhun, W C
    Gaarder, J E
      Patten, V

        MeSH Terms

        • Administration, Topical
        • Animals
        • Antifungal Agents / administration & dosage
        • Antifungal Agents / therapeutic use
        • Aspergillosis / diagnosis
        • Aspergillosis / drug therapy
        • Aspergillosis / veterinary
        • Aspergillus / isolation & purification
        • Candida / isolation & purification
        • Candidiasis / diagnosis
        • Candidiasis / drug therapy
        • Candidiasis / veterinary
        • Dimethyl Sulfoxide / administration & dosage
        • Dimethyl Sulfoxide / therapeutic use
        • Dose-Response Relationship, Drug
        • Drug Therapy, Combination
        • Eye / drug effects
        • Eye / microbiology
        • Eye / pathology
        • Eye Infections, Fungal / diagnosis
        • Eye Infections, Fungal / drug therapy
        • Eye Infections, Fungal / veterinary
        • Female
        • Fusarium / isolation & purification
        • Horse Diseases / drug therapy
        • Horse Diseases / epidemiology
        • Horse Diseases / pathology
        • Horses
        • Itraconazole / administration & dosage
        • Itraconazole / therapeutic use
        • Male
        • Mucor / isolation & purification
        • Mucormycosis / diagnosis
        • Mucormycosis / drug therapy
        • Mucormycosis / veterinary
        • Ointments
        • Prospective Studies
        • United States / epidemiology

        Citations

        This article has been cited 2 times.
        1. Reed Z, Thomasy SM, Good KL, Maggs DJ, Magdesian KG, Pusterla N, Hollingsworth SR. Equine keratomycoses in California from 1987 to 2010 (47 cases).. Equine Vet J 2013 May;45(3):361-6.
        2. Dowling PM, Grahn BH. Antimicrobial therapy of ocular infections.. Can Vet J 1998 Feb;39(2):121-4.
          pubmed: 10051961