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The Veterinary record2005; 157(2); 41-46; doi: 10.1136/vr.157.2.41

Quantitative assessment of the risks of reducing the routine swabbing requirements for the detection of Taylorella equigenitalis.

Abstract: The transmission of contagious equine metritis (CEM) on stud farms in Britain, Ireland and other European countries is prevented by following the recommendations in the Horserace Betting Levy Board's Code of Practice on CEM. A quantitative risk assessment was undertaken to estimate the likely impact of removing the recommendation, from the 2002 code, to culture endometrial or cervical swabs microaerophilically for the presence of Taylorella equigenitalis, the causative organism. The scientific literature was reviewed for evidence about the anatomical distribution of T. equigenitalis at different times after infection and it was found that, in chronically infected mares, the organism was detectable in the clitoral swabs of nearly 93 per cent, but in the cervical swabs of only 31 per cent. In contrast, in acutely infected mares, the organism was detectable in the clitoral swabs of nearly 69 per cent, but in the cervical swabs of 84 per cent. By using these results, a quantitative risk assessment was undertaken, assessing the likely effects of removing the recommendation that swabs from the cervix of low-risk mares should be cultured for T. equigenitalis. The results were sensitive to the prevalence of the infection, but when it was low, there appeared to be few benefits in continuing to culture cervical swabs routinely. However, such swabs are vital when the disease is suspected.
Publication Date: 2005-07-12 PubMed ID: 16006639DOI: 10.1136/vr.157.2.41Google Scholar: Lookup
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  • Journal Article
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  • Non-U.S. Gov't
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Summary

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This research evaluates the potential impacts of modifying routine swabbing procedures used to detect Taylorella equigenitalis, the bacteria causing contagious equine metritis in horses. The study discovered that reducing cervical swabbing in low-risk mares may have little effect on detecting the disease when its prevalence is low, but such tests become vital when the disease is suspected.

Introduction

A quantitative risk assessment was done aimed at estimating the possible effects of removing the recommendation from the 2002 Horserace Betting Levy Board’s Code of Practice on contagious equine metritis (CEM). This guidance had prescribed culturing endometrial or cervical swabs for detecting the presence of Taylorella equigenitalis, the bacteria responsible for CEM.

Methodology

  • To conduct this study, the researchers reviewed scientific literature for data on the anatomical distribution of T. equigenitalis at different phases post-infection.
  • The data indicated that in chronically infected mares, nearly 93% of the clitoral swabs and only 31% of the cervical swabs could detect the bacteria.
  • However, in acutely infected mares, the organism was detected in nearly 69% of the clitoral swabs and 84% of the cervical swabs.

Risk Assessment

  • Using these findings, a quantitative risk assessment was done determining the likely implications of discontinuing the recommendation to take swabs from the cervix of low-risk mares for T. equigenitalis culture.
  • The results indicated that when the infection’s prevalence was low, reduction in the routine swabbing of the cervix had few benefits.
  • However, the study underscores the importance of cervical swabs when the disease is suspected.

Conclusion

The research thus concludes that adjusting the existing routine swabbing procedures for detecting T. equigenitalis may not impair the overall detection of the bacteria. However, it further emphasizes the importance of maintaining vigilant testing procedures particularly if there is any suspicion of CEM infection in the horse population.

Cite This Article

APA
Wood JL, Kelly L, Cardwell JM, Park AW. (2005). Quantitative assessment of the risks of reducing the routine swabbing requirements for the detection of Taylorella equigenitalis. Vet Rec, 157(2), 41-46. https://doi.org/10.1136/vr.157.2.41

Publication

ISSN: 0042-4900
NlmUniqueID: 0031164
Country: England
Language: English
Volume: 157
Issue: 2
Pages: 41-46

Researcher Affiliations

Wood, J L N
  • Epidemiology Unit, Animal Health Trust, Lanwades Park, Kentford, Newmarket, Suffolk CB8 7UU.
Kelly, L
    Cardwell, J M
      Park, A W

        MeSH Terms

        • Algorithms
        • Animals
        • Carrier State / veterinary
        • Endometritis / microbiology
        • Endometritis / prevention & control
        • Endometritis / veterinary
        • Female
        • Gram-Negative Bacterial Infections / diagnosis
        • Gram-Negative Bacterial Infections / prevention & control
        • Gram-Negative Bacterial Infections / veterinary
        • Horse Diseases / epidemiology
        • Horse Diseases / microbiology
        • Horse Diseases / prevention & control
        • Horses
        • Risk Assessment
        • Taylorella equigenitalis / isolation & purification

        References

        This article includes 17 references

        Citations

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