Abstract: Infectious endometritis is a major cause of infertility in the mare and inflicts major losses on the equine breeding industry. The ability of the mare to eliminate uterine infections has been studied intensively for decades; however, despite identification of several factors contributing to the multifactorial pathogenesis and improved treatment, infectious endometritis remains a significant problem in a subpopulation of broodmares. Streptococcus equi subsp. zooepidemicus (S. zooepidemicus) is one of the most commonly isolated pathogens from the uterus of mares, suffering from infectious endometritis. Its ability to cause chronic latent infection by residing deep within the endometrial tissue has previously been described. The aim of the present study was to correlate different mare risk factors to infectious endometritis and pregnancy rates in broodmares and to investigate whether clonal or genetically distinct S. zooepidemicus strains isolated from mares with endometritis were associated with mare risk factors and the outcome of insemination. Mares (N = 152) were examined after natural cover, and 20% (31 mares) had intrauterine fluid (IUF) accumulation. Fifty-five percent (16 of 29) of the mares with IUF had infectious endometritis, and S. zooepidemicus was isolated in 81% (13 of 16) of these mares. Significantly more resting mares had IUF compared with foaling mares, and the foaling mares had the highest prevalence of positive bacterial growth from the uterine swab. The per-cycle pregnancy rate for the study was 63%. Pregnancy rate was significantly negatively affected by increased age (>12 years) and increased parity (>4), and the lowest pregnancy rate was observed in resting mares compared with foaling, barren, and maiden mares. Up to four S. zooepidemicus isolates were selected from each mare with growth of S. zooepidemicus from the uterine swab sample and further characterized by pulsed-field gel electrophoresis. In total, S. zooepidemicus isolates from 18 mares were analyzed with pulsed-field gel electrophoresis. In 13 mares, the isolates selected from each mare showed a high genetic relatedness within each individual mare, whereas two genetically distinct strains were isolated in five mares. A clonal S. zooepidemicus infection was associated with increased age, high parity, and poor vulvar conformation. Mares with clonal infection had a low pregnancy rate (38%) compared with mares with two strains isolated (80%). In conclusion, the results indicate that clonal S. zooepidemicus endometritis is associated with increased age, parity, and poor vulvar conformation in the broodmare.
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
This study investigates the correlation between varying risk factors for broodmares — such as age, parity, and vulvar conformation — and the contraction of infectious endometritis, a significant contributor to infertility commonly caused by the bacterium Streptococcus equi subsp. zooepidemicus. The findings suggest that older, multi-parous mares with poor vulvar conformation showing clonal S. zooepidemicus infections have lower pregnancy rates compared to those with two strains isolated.
Research Objectives
The study’s main objective was to understand the relationship between different risk factors in mares, infectious endometritis (an infection of the uterus causing infertility), and pregnancy rates in broodmares (mares used for breeding).
The researchers further aimed to investigate whether distinct strains of the Streptococcus equi subsp. zooepidemicus (S. zooepidemicus) bacterium, isolated from mares with endometritis, were associated with specific mare risk factors and the outcome of insemination.
Key Findings
The researchers found that 20% of the observed mares (a total of 152) had intrauterine fluid accumulation after natural mating, indicating the presence of endometritis.
S. zooepidemicus was isolated in 81% of mares with detected intrauterine fluid, affirming the bacteria’s prominence in causing endometritis.
Mares not involved in the breeding process (“resting mares”) showed a higher instance of intrauterine fluid compared to the ones who recently gave birth (“foaling mares”), hinting at a higher risk of infection for resting mares.
Overall, pregnancy rate dropped significantly with advanced age and greater parity (a higher number of births). The lowest pregnancy rate was recorded in resting mares compared to the counterparts like foaling, barren, and never-bred (“maiden”) mares.
On further studying the genetics of the isolated bacterial strains using pulsed-field gel electrophoresis, the researchers identified distinct patterns within each mare, even isolating two genetically unique strains in five mares.
A clonal (genetically identical) S. zooepidemicus infection was notably associated with older mares of high parity and poor vulvar conformation. These mares also showed a lower pregnancy rate.
Conclusions and Implications
The results of the study suggests, that clonal S. zooepidemicus endometritis, which renders a lower pregnancy rate, occurs more often among older, high-parity mares with poor vulvar conformation.
These findings can be used by the equine breeding industry to modify breeding plans for mares based on risk factors to reduce the occurrence of endometritis, thereby improving fertility rates and economic efficiency.
Additionally, a better understanding of the bacterial strains causing endometritis can guide the development or enhancement of current treatment options for the condition.
Cite This Article
APA
Christoffersen M, Söderlind M, Rí»ºlk SR, Pedersen HG, Allen J, Krekeler N.
(2015).
Risk factors associated with uterine fluid after breeding caused by Streptococcus zooepidemicus.
Theriogenology, 84(8), 1283-1290.
https://doi.org/10.1016/j.theriogenology.2015.07.007
Department of Large Animal Sciences, Section of Veterinary Reproduction and Obstetrics, Faculty of Health and Medical Sciences, University of Copenhagen, Frederiksberg, Denmark. Electronic address: Metc@sund.ku.dk.
Söderlind, Maja
Department of Large Animal Sciences, Section of Veterinary Reproduction and Obstetrics, Faculty of Health and Medical Sciences, University of Copenhagen, Frederiksberg, Denmark.
Rí»ºlk, Sofia Rydemann
Department of Large Animal Sciences, Section of Veterinary Reproduction and Obstetrics, Faculty of Health and Medical Sciences, University of Copenhagen, Frederiksberg, Denmark.
Pedersen, Hanne Gervi
Department of Large Animal Sciences, Section of Veterinary Reproduction and Obstetrics, Faculty of Health and Medical Sciences, University of Copenhagen, Frederiksberg, Denmark.
Allen, Joanne
Asia-Pacific Centre for Animal Health, Faculty of Veterinary and Agricultural Sciences, University of Melbourne, Parkville, Victoria, Australia.
Krekeler, Natali
Faculty of Veterinary and Agricultural Sciences, University of Melbourne, Werribee, Victoria, Australia.
Ludbey PA, Sahibzada S, Annandale CH, Robertson ID, Waichigo FK, Tufail MS, Valenzuela JL, Aleri JW. A pilot study on bacterial isolates associated with purulent vaginal discharge in dairy cows in the south-west region of Western Australia. Aust Vet J 2022 May;100(5):205-212.
Wojtysiak K, Ryszka W, Stefaniak T, Król J, Kozdrowski R. Changes in the Secretion of Anti-Inflammatory Cytokines and Acute-Phase Proteins in the Uterus after Artificial Insemination in the Mare. Animals (Basel) 2020 Dec 19;10(12).
Ferreira CSC, Pinna AE, Dos Santos IPF, Dias MCR, Dos Santos NSL, Bragueroli SDS, Quintino PM, Almeida GB, Penna BA, da Rocha EMDS, de Souza GN, Barbosa CG, de Jesus VLT, Jacob JCF. Powerflow Doppler Ultrasonography in the Evaluation of Mares with and Without Endometritis. Vet Sci 2025 Sep 28;12(10).
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).