Infectious Endometritis in Mares: Microbiological Findings in Field Samples.
Abstract: Endometritis is a major cause of infertility and subfertility in the mare. Early diagnosis and identification of the pathogens involved in infectious endometritis are crucial to initiate correct treatments in time, in order to optimize fertility and reduce the risk of bacterial resistance development. In this retrospective study (from 2014 to 2018), 394 samples (uterine swabs and lavages) obtained from mares before breeding, regardless of clinical history of endometritis were analyzed. Our bacteriological procedure included the subculturing from the enrichment in Brain Heart Infusion Broth of the samples resulted negative after direct smearing. A total of 386 microorganisms were isolated from 230 positive samples (58%). At least one microorganism was isolated from 33% of the samples after direct smearing and from another 25% after enrichment. The results, obtained from both direct smearing and enrichment, also show a significative difference between positive uterine lavages (80%) and swabs (53%). The most frequently isolated bacteria were α-haemolytic Streptococcus (27%), Escherichia coli (27%), β-haemolytic Streptococcus (26.1%) and Staphylococcus spp. (19.1%). In monoculture, the most common isolated microorganisms were α-haemolytic Streptococcus (13%), Staphylococcus spp. (12.2%), β-haemolytic Streptococcus (11.4%) and Escherichia coli (9.8%). Focusing on the samples with a pure culture, Gram-negative bacteria grew preferably after direct smearing, while Gram-positive after enrichment. In conclusion, the present study shows that uterine lavage with high volume of fluid statistically significantly increased the sensitivity of the bacteriological examination and highlights the key role of the enrichment step in the routine bacteriological laboratory procedure by increasing the isolation rate.
Copyright © 2022 Elsevier Inc. All rights reserved.
Publication Date: 2022-02-20 PubMed ID: 35196546DOI: 10.1016/j.jevs.2022.103913Google Scholar: Lookup
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- Journal Article
Summary
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This research investigates the cause of endometritis, an inflammation of the inner lining of the uterus, in mares, focusing on the bacteria involved. It emphasizes the use of uterine lavage and bacteriological procedures in diagnosing and identifying the specific microorganisms contributing to this condition.
Introduction and Aims
- The study addresses Endometritis in mares, a leading cause of infertility and lesser fertility. It’s perceived that early detection of the responsible pathogens is essential to start timely and correct treatments, thereby increasing fertility chance and minimizing bacterial resistance.
- The retrospective study spanned from 2014 – 2018, with 394 collected samples (uterine swabs and lavages) from mares, whether they have a clinical history of endometritis or not.
Methods and Findings
- A bacteriological procedure was engaged that involved subculturing samples from an enrichment in Brain Heart Infusion Broth, which were initially negative after direct smearing.
- The examination resulted in a total of 386 microorganisms extracted from 230 positive samples. This represents a 58% positivity rate.
- 33% of the total samples showed at least one microorganism after direct smearing, while an additional 25% showed one post-enrichment.
- The analysis of the direct smearing and enrichment results reveals a significant difference in the frequency of positive uterine lavages (80%) compared to swabs (53%).
Microbial Presence
- The most commonly occurring bacteria in the samples were α-haemolytic Streptococcus and Escherichia coli (each with 27%), β-haemolytic Streptococcus (26.1%), and Staphylococcus spp. (19.1%).
- In monoculture situations, the often-seen microorganisms consisted of α-haemolytic Streptococcus (13%), Staphylococcus spp. (12.2%), β-haemolytic Streptococcus (11.4%), and Escherichia coli (9.8%).
- Regarding samples with a pure bacterial presence, Gram-negative bacteria grew preferentially right after direct smearing, while Gram-positive bacteria thrived after enrichment.
Conclusion
- The findings from this research demonstrate that using a high volume of fluid for uterine lavage significantly enhances the sensitivity of the bacteriological examination.
- The study also emphasizes the importance of the enrichment phase in routine bacteriological laboratory procedures since it increases the isolation rate.
Cite This Article
APA
Ravaioli V, Raffini E, Tamburini M, Galletti G, Frasnelli M.
(2022).
Infectious Endometritis in Mares: Microbiological Findings in Field Samples.
J Equine Vet Sci, 112, 103913.
https://doi.org/10.1016/j.jevs.2022.103913 Publication
Researcher Affiliations
- Istituto Zooprofilattico Sperimentale della Lombardia e dell'Emilia Romagna (IZSLER) "Bruno Ubertini", Sede territoriale di Ravenna, Lugo, RA, Italy.
- Istituto Zooprofilattico Sperimentale della Lombardia e dell'Emilia Romagna (IZSLER) "Bruno Ubertini", Sede territoriale di Ravenna, Lugo, RA, Italy.
- Private veterinary practitioner, Rimini, Emilia-Romagna, Italy.
- Istituto Zooprofilattico Sperimentale della Lombardia e dell'Emilia Romagna (IZSLER) "Bruno Ubertini", Sorveglianza Epidemiologica Emilia Romagna (SEER), Bologna, Italy.
- Istituto Zooprofilattico Sperimentale della Lombardia e dell'Emilia Romagna (IZSLER) "Bruno Ubertini", Sede territoriale di Ravenna, Lugo, RA, Italy. Electronic address: matteo.frasnelli@izsler.it.
MeSH Terms
- Animals
- Communicable Diseases / veterinary
- Endometritis / diagnosis
- Endometritis / veterinary
- Escherichia coli
- Escherichia coli Infections / veterinary
- Female
- Horse Diseases / diagnosis
- Horses
- Retrospective Studies
- Uterus / microbiology
Citations
This article has been cited 7 times.- Carvalho IB, Branco S, Laranjo M, Queiroga MC, Bettencourt E. Characteristics of the Mare-Uterine-Culture-Based Bacterial Composition Using Practical Clinical Evaluation Methods. Pathogens 2025 Apr 7;14(4).
- da Silva-Álvarez E, Gómez-Arrones V, Correa-Fiz F, Martín-Cano FE, Gaitskell-Phillips G, Carrasco JJ, Rey J, Aparicio IM, Peña FJ, Alonso JM, Ortega-Ferrusola C. Metagenomic and proteomic analyses reveal similar reproductive microbial profiles and shared functional pathways in uterine immune regulation in mares and jennies. PLoS One 2025;20(4):e0321389.
- Mazzuchini MP, Lisboa FP, de Castro JI, Alvarenga MA, Segabinazzi LGTM, Canisso IF. In vitro antimicrobial activity of non-traditional therapies for infectious endometritis in mares. Equine Vet J 2025 Jul;57(4):1118-1126.
- Prete CD, Nocera FP, Piegari G, Palumbo V, Martino L, Cocchia N, Paciello O, Montano C, Pasolini MP. Use of cytobrush for bacteriological and cytological diagnosis of endometritis in mares. Vet World 2024 Feb;17(2):398-406.
- Mouncey R, Arango-Sabogal JC, Rathbone P, Scott CJ, de Mestre AM. Prevalence of Microbial Isolates Cultured from Endometrial Swab Samples Collected from United Kingdom Thoroughbred Mares from 2014 to 2020. Vet Sci 2024 Feb 9;11(2).
- Thomson P, García P, Río CD, Castro R, Núñez A, Miranda C. Antimicrobial Resistance and Extended-Spectrum Beta-Lactamase Genes in Enterobacterales, Pseudomonas and Acinetobacter Isolates from the Uterus of Healthy Mares. Pathogens 2023 Sep 8;12(9).
- Tyrnenopoulou P, Fthenakis GC. Clinical Aspects of Bacterial Distribution and Antibiotic Resistance in the Reproductive System of Equids. Antibiotics (Basel) 2023 Mar 28;12(4).
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