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Use of standard diagnostic techniques to determine eradication of infection in experimental equine septic arthritis.

Abstract: Septic arthritis is an important disease in horses, necessitating aggressive and prolonged therapy. In order to guide therapy, reliable methods of detecting the eradication of infection are needed. Therefore, the objective of this study was to investigate detection of eradication of infection in an experimental model of equine septic arthritis using standard diagnostic techniques. For this purpose, 17 adult horses were assigned to 3 experimental groups. The middle carpal joint of each horse was injected with (Septic group, = 8), lipopolysaccharide (LPS) (LPS group, = 6), or sterile saline (Control group, = 3) at day 0. Contralateral joints were not injected. Standard therapy was applied to all joints except non-injected joints in the Control group at day 1. Sequential samples of synovial fluid (SF) were collected for bacterial culture using 3 culture media [Columbia blood agar (CBA), brain heart infusion broth (BHI), and Signal blood culture medium] and for cytological evaluation [percentage neutrophils (PN), total nucleated cell count (TNCC), and total protein (TP)]. -specific polymerase chain reaction (PCR) was carried out to detect DNA in synovial fluid. Culture and PCR were positive for in all joints injected with at day 1 and 1 joint was positive on BHI at day 4. Based on the results of bacterial culture, PCR, and TNCC, the elimination of infection in our experimental model occurred by day 4 post-infection in 6 out of 7 cases. Total protein (TP) and PN remained elevated at clinical threshold used for diagnosis of septic arthritis until day 14. In our experimental model of -induced arthritis, we conclude that TP and PN may not be good indicators for detecting the eradication of bacterial infection caused by from infected and subsequently treated joints. L’arthrite septique est une pathologie importante chez les chevaux, nécessitant une thérapie agressive et prolongée. Afin de guider la thérapie, des méthodes fiables pour détecter l’éradication de l’infection sont requises. Ainsi, l’objectif de la présente étude était d’examiner la détection de l’éradication de l’infection dans un modèle expérimental d’arthrite septique équine en utilisant des techniques diagnostiques standards. À cet effet, 17 chevaux adultes ont été assignés à trois groupes expérimentaux. L’articulation carpienne moyenne de chaque cheval a été injectée avec (groupe septique, = 8), du lipopolysaccharide (LPS) (groupe LPS, = 6), ou de la saline stérile (groupe témoin, = 3) au jour 0. Les articulations contra-latérales n’ont pas été injectées. Au jour 1, une thérapie standard fut appliquée à toutes les articulations sauf les articulations non-injectées dans le groupe témoin. De manière séquentielle des échantillons de liquide synovial (LS) furent prélevés pour culture bactérienne en utilisant trois milieux de culture [gélose au sang Columbia (CBA), bouillon coeur-cerveau (BHI), et hémoculture Signal] et pour évaluation cytologique [pourcentage de neutrophiles (PN), dénombrement total de cellules nucléées (DTCN), et la quantité de protéines totales (PT)]. Une réaction d’amplification en chaîne par la polymérase (ACP) spécifique à a été réalisée afin de détecter l’ADN d’ dans le LS. La culture et l’ACP étaient positives pour dans toutes les articulations injectées avec au jour 1 et une articulation était positive avec le BHI au jour 4. Sur la base des résultats des cultures bactériennes, de l’ACP, et du DTCN, l’élimination de l’infection dans notre modèle expérimental est survenue au jour 4 post-infection dans 6 des 7 cas. Les valeurs de PT et de PN sont demeurées élevées au seuil clinique utilisé pour diagnostiquer une arthrite septique jusqu’au jour 14. Dans notre modèle expérimental d’arthrite induite par E. coli, nous concluons que les valeurs de PT et de PN ne seraient pas de bons indicateurs pour détecter l’éradication de l’infection bactérienne causée par dans des articulations infectées et subséquemment traitées.(Traduit par Docteur Serge Messier).
Publication Date: 2019-01-24 PubMed ID: 30670899PubMed Central: PMC6318826
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  • Journal Article

Summary

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This research investigates how standard diagnostic techniques can be utilized to detect the eradication of septic arthritis in horses. The study concludes that Total Protein and Percentage Neutrophils might not serve as good indicators for detecting the elimination of bacterial infection in joints that were earlier infected and treated.

Research Objective and Methodology

  • The primary objective of this research was to evaluate how well standard diagnostic methods can detect the eradication of septic arthritis infection in horses.
  • 17 adult horses were designated into three experimental groups for this purpose. The mid-carpal joint of each horse was injected with different substances based on their experimental group: septic bacteria, lipopolysaccharide (LPS), or sterile saline at the start of the experiment.
  • Standard therapy was administered to all joints except the non-injected joints in the control group on the following day.
  • Samples of synovial fluid (SF) were collected sequentially. These samples were used for bacterial culture on three culture media and cytological evaluation, including the observation of neutrophils, the total nucleated cell count, and total protein.

Results and Findings

  • Testing and culture confirmed the presence of septic bacteria in all joints injected with the bacteria on the first day, and one joint tested positive for bacterial infection on the fourth day.
  • The study revealed that the elimination of infection in the experimental model transpired by the fourth day post-infection in six out of seven cases. This was inferred from the results of bacterial culture, PCR results, and total nucleated cell count analysis.
  • However, the Total Protein (TP) and the Percentage Neutrophils (PN) remained elevated at a clinical threshold used for diagnosing septic arthritis until the fourteenth day.

Conclusion

  • The study concludes that, in the experimental model of septic arthritis in horses, Total Protein (TP) and Percentage Neutrophils (PN) may not be accurate indicators for detecting the eradication of bacterial infection caused by septic bacteria in infected and subsequently treated joints.

Cite This Article

APA
Koziy RV, Yoshimura S, Dickinson R, Rybicka JM, Moshynskyy I, Ngeleka M, Bracamonte JL, Simko E. (2019). Use of standard diagnostic techniques to determine eradication of infection in experimental equine septic arthritis. Can J Vet Res, 83(1), 24-33.

Publication

ISSN: 1928-9022
NlmUniqueID: 8607793
Country: Canada
Language: English
Volume: 83
Issue: 1
Pages: 24-33

Researcher Affiliations

Koziy, Roman V
  • Department of Veterinary Pathology (Koziy, Dickinson, Rybicka, Moshynskyy, Simko), Department of Large Animal Clinical Sciences (Yoshimura, Bracamonte), and Prairie Diagnostic Services Inc. (Ngeleka), Western College of Veterinary Medicine, University of Saskatchewan, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5B4.
Yoshimura, Seiji
  • Department of Veterinary Pathology (Koziy, Dickinson, Rybicka, Moshynskyy, Simko), Department of Large Animal Clinical Sciences (Yoshimura, Bracamonte), and Prairie Diagnostic Services Inc. (Ngeleka), Western College of Veterinary Medicine, University of Saskatchewan, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5B4.
Dickinson, Ryan
  • Department of Veterinary Pathology (Koziy, Dickinson, Rybicka, Moshynskyy, Simko), Department of Large Animal Clinical Sciences (Yoshimura, Bracamonte), and Prairie Diagnostic Services Inc. (Ngeleka), Western College of Veterinary Medicine, University of Saskatchewan, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5B4.
Rybicka, Joanna M
  • Department of Veterinary Pathology (Koziy, Dickinson, Rybicka, Moshynskyy, Simko), Department of Large Animal Clinical Sciences (Yoshimura, Bracamonte), and Prairie Diagnostic Services Inc. (Ngeleka), Western College of Veterinary Medicine, University of Saskatchewan, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5B4.
Moshynskyy, Igor
  • Department of Veterinary Pathology (Koziy, Dickinson, Rybicka, Moshynskyy, Simko), Department of Large Animal Clinical Sciences (Yoshimura, Bracamonte), and Prairie Diagnostic Services Inc. (Ngeleka), Western College of Veterinary Medicine, University of Saskatchewan, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5B4.
Ngeleka, Musangu
  • Department of Veterinary Pathology (Koziy, Dickinson, Rybicka, Moshynskyy, Simko), Department of Large Animal Clinical Sciences (Yoshimura, Bracamonte), and Prairie Diagnostic Services Inc. (Ngeleka), Western College of Veterinary Medicine, University of Saskatchewan, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5B4.
Bracamonte, Jose L
  • Department of Veterinary Pathology (Koziy, Dickinson, Rybicka, Moshynskyy, Simko), Department of Large Animal Clinical Sciences (Yoshimura, Bracamonte), and Prairie Diagnostic Services Inc. (Ngeleka), Western College of Veterinary Medicine, University of Saskatchewan, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5B4.
Simko, Elemir
  • Department of Veterinary Pathology (Koziy, Dickinson, Rybicka, Moshynskyy, Simko), Department of Large Animal Clinical Sciences (Yoshimura, Bracamonte), and Prairie Diagnostic Services Inc. (Ngeleka), Western College of Veterinary Medicine, University of Saskatchewan, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5B4.

MeSH Terms

  • Animals
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / therapeutic use
  • Arthritis, Infectious / diagnosis
  • Arthritis, Infectious / drug therapy
  • Arthritis, Infectious / microbiology
  • Arthritis, Infectious / veterinary
  • Bacteriological Techniques
  • Escherichia coli / isolation & purification
  • Escherichia coli Infections / diagnosis
  • Escherichia coli Infections / drug therapy
  • Escherichia coli Infections / microbiology
  • Escherichia coli Infections / veterinary
  • Gentamicins / administration & dosage
  • Gentamicins / therapeutic use
  • Horse Diseases / diagnosis
  • Horse Diseases / microbiology
  • Horses
  • Injections, Intra-Articular
  • Polymerase Chain Reaction / methods
  • Synovial Fluid / microbiology

References

This article includes 24 references
  1. McIlwraith CW, Frisbie D, Kawcak C, van Weeren R. Joint Disease in the Horse. 2nd ed. Edinburgh, UK: WB Saunders; 2016. Infective (septic) arthritis; pp. 91–104.
  2. Steel CM. Equine synovial fluid analysis.. Vet Clin North Am Equine Pract 2008 Aug;24(2):437-54, viii.
    pubmed: 18652964doi: 10.1016/j.cveq.2008.05.004google scholar: lookup
  3. Wright IM, Smith MR, Humphrey DJ, Eaton-Evans TC, Hillyer MH. Endoscopic surgery in the treatment of contaminated and infected synovial cavities.. Equine Vet J 2003 Sep;35(6):613-9.
    pubmed: 14515964doi: 10.2746/042516403775467225google scholar: lookup
  4. Taylor AH, Mair TS, Smith LJ, Perkins JD. Bacterial culture of septic synovial structures of horses: does a positive bacterial culture influence prognosis?. Equine Vet J 2010 Apr;42(3):213-8.
    pubmed: 20486977doi: 10.2746/042516409x480403google scholar: lookup
  5. Schneider RK, Bramlage LR, Moore RM, Mecklenburg LM, Kohn CW, Gabel AA. A retrospective study of 192 horses affected with septic arthritis/tenosynovitis.. Equine Vet J 1992 Nov;24(6):436-42.
  6. Madison JB, Sommer M, Spencer PA. Relations among synovial membrane histopathologic findings, synovial fluid cytologic findings, and bacterial culture results in horses with suspected infectious arthritis: 64 cases (1979-1987).. J Am Vet Med Assoc 1991 May 1;198(9):1655-61.
    pubmed: 2061187
  7. Cousty M, David Stack J, Tricaud C, David F. Effect of arthroscopic lavage and repeated intra-articular administrations of antibiotic in adult horses and foals with septic arthritis.. Vet Surg 2017 Oct;46(7):1008-1016.
    pubmed: 28771839doi: 10.1111/vsu.12696google scholar: lookup
  8. Motta RG, Martins LSA, Motta IG. Multidrug resistant bacteria isolated from septic arthritis in horses. Pesquisa Veterinaria Brasileira 2017;37:325–330.
  9. Karunarathna R, Popowich S, Wawryk M, Chow-Lockerbie B, Ahmed KA, Yu C, Liu M, Goonewardene K, Gunawardana T, Kurukulasuriya S, Gupta A, Willson P, Ambrose N, Ngeleka M, Gomis S. Increased Incidence of Enterococcal Infection in Nonviable Broiler Chicken Embryos in Western Canadian Hatcheries as Detected by Matrix-Assisted Laser Desorption/Ionization-Time-of-Flight Mass Spectrometry.. Avian Dis 2017 Dec;61(4):472-480.
    pubmed: 29337627doi: 10.1637/11678-052317-reg.1google scholar: lookup
  10. Schneeweiss W, Stanek C, Wagner M, Hein I. Inhibitor-free DNA for real-time PCR analysis of synovial fluid from horses, cattle and pigs.. Vet Microbiol 2007 Mar 31;121(1-2):189-93.
    pubmed: 17222992doi: 10.1016/j.vetmic.2006.12.004google scholar: lookup
  11. Sabat G, Rose P, Hickey WJ, Harkin JM. Selective and sensitive method for PCR amplification of Escherichia coli 16S rRNA genes in soil.. Appl Environ Microbiol 2000 Feb;66(2):844-9.
    pmc: PMC91908pubmed: 10653763doi: 10.1128/aem.66.2.844-849.2000google scholar: lookup
  12. Chen J, Griffiths MW. PCR differentiation of Escherichia coli from other gram-negative bacteria using primers derived from the nucleotide sequences flanking the gene encoding the universal stress protein.. Lett Appl Microbiol 1998 Dec;27(6):369-71.
  13. Wobeser BK, Hill JE, Jackson ML, Kidney BA, Mayer MN, Townsend HG, Allen AL. Localization of Bovine papillomavirus in equine sarcoids and inflammatory skin conditions of horses using laser microdissection and two forms of DNA amplification.. J Vet Diagn Invest 2012 Jan;24(1):32-41.
    pubmed: 22362933doi: 10.1177/1040638711425952google scholar: lookup
  14. Sanchez-Teran AF, Bracamonte JL, Hendrick S, Riddell L, Musil K, Hoff B, Rubio-Martínez LM. Effect of repeated through-and-through joint lavage on serum amyloid A in synovial fluid from healthy horses.. Vet J 2016 Apr;210:30-3.
    pubmed: 26831179doi: 10.1016/j.tvjl.2016.01.001google scholar: lookup
  15. Sanchez-Teran AF, Bracamonte JL, Hendrick S, Burguess HJ, Duke-Novakovski T, Schott M, Hoff B, Rubio-Martínez LM. Effect of Arthroscopic Lavage on Systemic and Synovial Fluid Serum Amyloid A in Healthy Horses.. Vet Surg 2016 Feb;45(2):223-30.
    pubmed: 26767549doi: 10.1111/vsu.12439google scholar: lookup
  16. Sanchez Teran AF, Rubio-Martinez LM, Villarino NF, Sanz MG. Effects of repeated intra-articular administration of amikacin on serum amyloid A, total protein and nucleated cell count in synovial fluid from healthy horses.. Equine Vet J Suppl 2012 Dec;(43):12-6.
  17. Hall KK, Lyman JA. Updated review of blood culture contamination.. Clin Microbiol Rev 2006 Oct;19(4):788-802.
    pmc: PMC1592696pubmed: 17041144doi: 10.1128/cmr.00062-05google scholar: lookup
  18. Bertone AL, McIlwraith CW, Jones RL, Norrdin RW, Radin MJ, Lebel JL. Comparison of various treatments for experimentally induced equine infectious arthritis.. Am J Vet Res 1987 Mar;48(3):519-29.
    pubmed: 3565909
  19. Tulamo RM, Bramlage LR, Gabel AA. Sequential clinical and synovial fluid changes associated with acute infectious arthritis in the horse.. Equine Vet J 1989 Sep;21(5):325-31.
  20. Ludwig EK, Brandon Wiese R, Graham MR, Tyler AJ, Settlage JM, Werre SR, Petersson-Wolfe CS, Kanevsky-Mullarky I, Dahlgren LA. Serum and Synovial Fluid Serum Amyloid A Response in Equine Models of Synovitis and Septic Arthritis.. Vet Surg 2016 Oct;45(7):859-867.
    pubmed: 27580707doi: 10.1111/vsu.12531google scholar: lookup
  21. Richardson DW, Ahern BJ. Synovial and osseous infections. In: Auer JA, Stick JA, editors. Equine Surgery. 4th ed. St. Louis, Missouri: WB Saunders; 2012. pp. 1189–1201.
  22. Lloyd KC, Stover SM, Pascoe JR, Adams P. Synovial fluid pH, cytologic characteristics, and gentamicin concentration after intra-articular administration of the drug in an experimental model of infectious arthritis in horses.. Am J Vet Res 1990 Sep;51(9):1363-9.
    pubmed: 2204298
  23. Bertone AL, McIlwraith CW, Jones RL, Norrdin RW, Radin MJ. Povidone-iodine lavage treatment of experimentally induced equine infectious arthritis.. Am J Vet Res 1987 Apr;48(4):712-5.
    pubmed: 3592370
  24. van der Heijden IM, Wilbrink B, Vije AE, Schouls LM, Breedveld FC, Tak PP. Detection of bacterial DNA in serial synovial samples obtained during antibiotic treatment from patients with septic arthritis.. Arthritis Rheum 1999 Oct;42(10):2198-203.

Citations

This article has been cited 3 times.
  1. Vajs T, Nekouei O, Biermann NM. A Descriptive Study of the Clinical Presentation, Management, and Outcome of Horses with Acute Soft Tissue Trauma of the Tarsus and the Association with Synovial Involvement.. Animals (Basel) 2022 Feb 21;12(4).
    doi: 10.3390/ani12040524pubmed: 35203232google scholar: lookup
  2. Haralambus R, Florczyk A, Sigl E, Gültekin S, Vogl C, Brandt S, Schnierer M, Gamerith C, Jenner F. Detection of synovial sepsis in horses using enzymes as biomarkers.. Equine Vet J 2022 May;54(3):513-522.
    doi: 10.1111/evj.13459pubmed: 33977535google scholar: lookup
  3. Yoshimura S, Koziy RV, Dickinson R, Moshynskyy I, McKenzie JA, Simko E, Bracamonte JL. Use of serum amyloid A in serum and synovial fluid to detect eradication of infection in experimental septic arthritis in horses.. Can J Vet Res 2020 Jul;84(3):198-204.
    pubmed: 32801454