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Equine veterinary journal2013; 46(2); 150-155; doi: 10.1111/evj.12109

Infectious risk factors and clinical indicators for tracheal mucus in British National Hunt racehorses.

Abstract: Many studies of respiratory disease in racehorses have focused on a combination of increased tracheal mucus and airway neutrophilia. Examination of each component separately should provide further insight into this condition. Objective: To identify infectious risk factors for endoscopically visible tracheal mucus in National Hunt racehorses. Methods: A 2 year prospective longitudinal study. Methods: Monthly quantitative bacteriological examinations of tracheal wash samples and viral serological examinations were conducted. Risk factors for 'small amounts of mucus' (mucus score = 1/3) and 'increased mucus' (score ≥2/3) were identified. Results: There were increased odds of small amounts of mucus when both Streptococcus zooepidemicus and nonhaemolytic streptococci (NHS) were isolated (odds ratio [OR] 2.6; 95% confidence interval [CI] 1.5-4.6; P<0.001) but not when either species was isolated in the absence of the other. Increased odds of increased mucus were associated with the isolation of either S. zooepidemicus (OR 5.6; 95% CI 1.2-25.9; P = 0.03) or NHS (OR 3.7; 95% CI 1.2-11.6; P = 0.02), with an increased effect when both were isolated together (OR 12.5; 95% CI 3.7-41.6; P<0.001). Approximately 6-fold increased odds of small amounts of mucus were associated with the first 3 months in training (OR 6.3; 95% CI 2.0-19.4; P<0.001) and 3-fold increased odds of increased mucus associated with the first 6 months in training (OR 2.9; 95% CI 1.3-6.4; P = 0.01). Coughing at exercise and increased serous nasal discharge were specific but insensitive indicators of increased mucus. Conclusions: Associations with S. zooepidemicus corroborate previous research, but an independent effect of NHS has not previously been reported. The possibility that there are individual pathogenic species within this group should be considered. Further work is required to identify S. zooepidemicus subtypes and NHS species associated with disease. Closer monitoring of the respiratory health of horses entering training for the first time is likely to be valuable.
Publication Date: 2013-08-30 PubMed ID: 23738942DOI: 10.1111/evj.12109Google Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research article explores the infection risk factors that contribute to visible tracheal mucus in National Hunt racehorses, and the correlation between the presence of certain bacteria (namely Streptococcus zooepidemicus and non-haemolytic streptococci) and increased mucus production.

Study Methodology and Objectives

  • The study was undertaken over two years and was prospective and longitudinal in nature.
  • It sought to provide further understanding of the respiratory disease in racehorses, particularly focusing on tracheal mucus and airway neutrophilia by examining them independently.
  • The researchers conducted monthly quantitative bacteriological examinations of tracheal wash samples taken from the racehorses and viral serological examinations to clear the presence of any pathogens.
  • The specific objective was to identify risk factors for two levels of tracheal mucus – ‘small amounts of mucus’ and ‘increased mucus’ – using a scoring system.

Key Findings

  • The research found that the odds of having small amounts of mucus were increased when both Streptococcus zooepidemicus and nonhaemolytic streptococci (NHS) were isolated in a horse’s system, but not when either species was present independently.
  • Increased mucus production was associated with the presence of either S. zooepidemicus or NHS, with an increased effect when both were isolated together.
  • The study also found that the odds of finding small amounts of mucus were about six times higher within the first three months of a horse’s training. A threefold increase in odds was noted for increased mucus within the first six months of training.
  • Interestingly, coughing at exercise and increased serous nasal discharge were found to be specific, but not very sensitive, indicators of increased mucus.

Conclusions and Further Research

  • The study managed to confirm previous research findings associating S. zooepidemicus with respiratory disease in racehorses, but an independent effect of NHS had not been previously reported.
  • The researchers recommend considering the possibility that there are individual pathogenic species within the NHS group.
  • They also suggest conducting further research to identify subtypes of the S. zooepidemicus species and the NHS species that are associated with disease.
  • Lastly, the research concludes that closely monitoring the respiratory health of horses entering training for the first time could prove valuable.

Cite This Article

APA
Cardwell JM, Smith KC, Wood JL, Newton JR. (2013). Infectious risk factors and clinical indicators for tracheal mucus in British National Hunt racehorses. Equine Vet J, 46(2), 150-155. https://doi.org/10.1111/evj.12109

Publication

ISSN: 2042-3306
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 46
Issue: 2
Pages: 150-155

Researcher Affiliations

Cardwell, J M
  • Department of Production and Population Health, Royal Veterinary College, North Mymms, Hatfield, Hertfordshire, UK.
Smith, K C
    Wood, J L N
      Newton, J R

        MeSH Terms

        • Animals
        • Horse Diseases / epidemiology
        • Horse Diseases / microbiology
        • Horses
        • Mucus / microbiology
        • Odds Ratio
        • Respiratory Tract Infections / epidemiology
        • Respiratory Tract Infections / microbiology
        • Respiratory Tract Infections / veterinary
        • Risk Factors
        • Sports
        • Trachea / microbiology
        • United Kingdom / epidemiology

        Citations

        This article has been cited 8 times.
        1. Cullinane A, Garvey M, Walsh C, Gibbons J, Creighton A. A Scoping Review of Non-Structural Airway Disease as a Cause of Poor Performance in Racehorses.. Animals (Basel) 2023 Jan 27;13(3).
          doi: 10.3390/ani13030429pubmed: 36766318google scholar: lookup
        2. Karagianni AE, Kurian D, Cillán-Garcia E, Eaton SL, Wishart TM, Pirie RS. Training associated alterations in equine respiratory immunity using a multiomics comparative approach.. Sci Rep 2022 Jan 10;12(1):427.
          doi: 10.1038/s41598-021-04137-3pubmed: 35013475google scholar: lookup
        3. Lo Feudo CM, Stucchi L, Alberti E, Stancari G, Conturba B, Zucca E, Ferrucci F. The Role of Thoracic Ultrasonography and Airway Endoscopy in the Diagnosis of Equine Asthma and Exercise-Induced Pulmonary Hemorrhage.. Vet Sci 2021 Nov 15;8(11).
          doi: 10.3390/vetsci8110276pubmed: 34822649google scholar: lookup
        4. Couetil L, Cardwell JM, Leguillette R, Mazan M, Richard E, Bienzle D, Bullone M, Gerber V, Ivester K, Lavoie JP, Martin J, Moran G, Niedźwiedź A, Pusterla N, Swiderski C. Equine Asthma: Current Understanding and Future Directions.. Front Vet Sci 2020;7:450.
          doi: 10.3389/fvets.2020.00450pubmed: 32903600google scholar: lookup
        5. Kinnison T, Cardwell JM. Conflict Between Direct Experience and Research-Based Evidence Is a Key Challenge to Evidence-Based Respiratory Medicine on British Racing Yards.. Front Vet Sci 2020;7:266.
          doi: 10.3389/fvets.2020.00266pubmed: 32537459google scholar: lookup
        6. Manguin E, Pépin E, Boivin R, Leclere M. Tracheal microbial populations in horses with moderate asthma.. J Vet Intern Med 2020 Mar;34(2):986-995.
          doi: 10.1111/jvim.15707pubmed: 31985115google scholar: lookup
        7. Doubli-Bounoua N, Richard EA, Léon A, Pitel PH, Pronost S, Fortier G. Multiple molecular detection of respiratory viruses and associated signs of airway inflammation in racehorses.. Virol J 2016 Nov 29;13(1):197.
          doi: 10.1186/s12985-016-0657-5pubmed: 27899161google scholar: lookup
        8. Couëtil LL, Cardwell JM, Gerber V, Lavoie JP, Léguillette R, Richard EA. Inflammatory Airway Disease of Horses--Revised Consensus Statement.. J Vet Intern Med 2016 Mar-Apr;30(2):503-15.
          doi: 10.1111/jvim.13824pubmed: 26806374google scholar: lookup