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).
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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.
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
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