Surgical and traumatic wound infections, cellulitis, and myositis in horses.
Abstract: Surgical site infections (SSIs) and traumatic wound management remain challenging clinical scenarios. The prevention of SSIs involves meticulous surgical technique and aftercare. Traumatic wounds require thorough evaluation to assess the involvement of synovial structures and radiographs to check for fractures. Chronic wounds can require a biopsy and histologic evaluation to obtain a diagnosis, because many underlying pathologic processes grossly appear similar but different treatment regimens are required. Early recognition and diagnosis of cellulitis and myositis enable the rapid aggressive intervention necessary for a positive outcome. Any delay in diagnosis and treatment increases the complication and mortality rates and makes these conditions difficult to treat successfully.
Publication Date: 2006-08-03 PubMed ID: 16882479DOI: 10.1016/j.cveq.2006.04.003Google Scholar: Lookup
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Summary
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This research article focuses on the challenges related to managing and preventing surgical site infections (SSIs) and traumatic wounds in horses. It explores the techniques involved in wound evaluation and emphasizes on early diagnosis of conditions like cellulitis and myositis for facilitating better outcomes. The authors highlight the fact that any delay in treatment could increase complications and mortality rates.
Challenges with Surgical and Traumatic Wounds in Horses
- The research points out that the management and prevention of surgical site infections (SSIs) and traumatic wounds in horses remain complex challenges for veterinarians. The careful surgical technique and aftercare process are crucial when it comes to preventing SSIs.
- Horses, owing to their active and outdoor lifestyle, are likely to suffer from a range of wound types, each presenting unique complications. Traumatic wounds, for example, demand thorough evaluation to assess the engagement of synovial structures and to check for possible fractures.
The Importance of Early Diagnosis
- The article emphasizes the significance of early diagnosis in dealing with conditions like cellulitis and myositis. Rapid and aggressive intervention is often the key to achieving a positive outcome.
- In the case of chronic wounds, a biopsy and a detailed histological evaluation may be necessary to ascertain the correct diagnosis because different pathological symptoms may display similar gross appearances yet demand different treatment plans. Recognizing these subtle differences early is critical for treatment success.
Consequences of Delayed Treatment
- The article addresses the important issue of delayed diagnosis and treatment, which could drastically increase complication and mortality rates. Correctly diagnosing a condition, but treating it late, often makes the condition more challenging to cure.
- Providing timely and appropriate treatment is thus crucial in ESIs and traumatic wound management in horses. It could mean the difference between recovery and severe, permanent damage, or even death.
Cite This Article
APA
Adam EN, Southwood LL.
(2006).
Surgical and traumatic wound infections, cellulitis, and myositis in horses.
Vet Clin North Am Equine Pract, 22(2), 335-viii.
https://doi.org/10.1016/j.cveq.2006.04.003 Publication
Researcher Affiliations
- New Bolton Center, University of Pennsylvania, 382 West Street Road, Kennett Square, PA 19348-1692, USA. eadam@vet.upenn.edu
MeSH Terms
- Animals
- Anti-Infective Agents / therapeutic use
- Cellulitis / microbiology
- Cellulitis / therapy
- Cellulitis / veterinary
- Horse Diseases / diagnosis
- Horse Diseases / microbiology
- Horse Diseases / therapy
- Horses
- Infection Control / methods
- Myositis / microbiology
- Myositis / therapy
- Myositis / veterinary
- Surgical Wound Infection / diagnosis
- Surgical Wound Infection / etiology
- Surgical Wound Infection / therapy
- Surgical Wound Infection / veterinary
- Wound Healing / physiology
- Wound Infection / diagnosis
- Wound Infection / therapy
- Wound Infection / veterinary
References
This article includes 82 references
Citations
This article has been cited 6 times.- Huang X, Deng R, Huang H, Xie H, Chen A. Pseudomonas-Enterobacter Co-Infection Drives Cellulitis and Lymphangitis in Equines: A Case Report. Vet Sci 2025 Jun 11;12(6).
- Recchi L, Cribb N, Côté N, Dubois MS, Koenig J, Valverde A, Monteith G. Retrospective study of perioperative antimicrobial use in horses undergoing elective laparoscopy at a single institution. Can J Vet Res 2024 Jan;88(1):24-29.
- Gehlen H, Klein KS, Merle R, Lübke-Becker A, Stoeckle SD. Does colonization with MRSA, ESBL - producing Enterobacteriaceae, and/or Acinetobacter baumannii - increase the risk for postoperative surgical site infection?. Vet Med Sci 2023 Mar;9(2):729-737.
- Brock AK, Chamoun-Emanuelli AM, Howard EA, Huntzinger KD, Lawhon SD, Bryan LK, Cosgriff-Hernandez EM, Cohen ND, Whitfield-Cargile CM. Wound swabs versus biopsies to detect methicillin resistant Staphylococcus aureus in experimental equine wounds. Vet Surg 2022 Nov;51(8):1196-1205.
- Kovacevic Z, Blagojevic B, Suran J, Horvat O. Mapping knowledge and comprehension of antimicrobial stewardship and biosecurity among veterinary students. PLoS One 2020;15(8):e0235866.
- Mellish MA, Adreani CM. Management of a gunshot wound in a mare. Can Vet J 2008 Feb;49(2):180-2.
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