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1.
J Vet Pharmacol Ther ; 41(2): 205-217, 2018 Apr.
Article in English | MEDLINE | ID: mdl-29226340

ABSTRACT

The objective of this review was to perform a literature compilation of all the equine publications that used dexmedetomidine as the first article on this topic was published, in 2005. We also aimed to answer the question whether the use of dexmedetomidine can currently be justified. For that, we compiled information from databases, such as PubMed, Google Scholar and Web of Science and the proceedings of the last veterinary anaesthesiology meetings. Dexmedetomidine is an attractive drug to be used in horses, mainly due to its pharmacokinetic profile and pharmacodynamics that favour its use as intravenous constant rate infusion (CRI). Nowadays, its clinical use is popular for sedation in prolonged standing procedures and during partial intravenous anaesthesia (PIVA) and total intravenous anaesthesia (TIVA). However, legal requirements for its use should be taken into account.


Subject(s)
Analgesia/veterinary , Anesthesia/veterinary , Dexmedetomidine/therapeutic use , Horses , Hypnotics and Sedatives/therapeutic use , Analgesia/methods , Anesthesia/methods , Animals
2.
Vet J ; 220: 55-62, 2017 Feb.
Article in English | MEDLINE | ID: mdl-28190496

ABSTRACT

This study evaluated the Etest for direct antimicrobial susceptibility testing (AST) of bacteria from equine synovial specimens, incubated in BACTEC enrichment bottles. Ninety-four culture-positive broths were inoculated onto agar to directly determine the minimum inhibitory concentrations (MICs) of 13 antimicrobials, using the Etest (direct Etest). Results were compared with those obtained with the agar dilution reference method, the standard Etest, and the disc diffusion method, after subculture and standardisation of the inoculum. For categorical comparison of AST results, MICs were translated into susceptibility categories, using clinical breakpoints. The direct Etest predicted categorical susceptibility/resistance of bacteria from equine synovial fluid with acceptable accuracy (overall categorical agreement, 91%) and was more reliable than the disc diffusion test. The direct Etest was less accurate than the standard Etest for generating MICs ± 1 log dilution relative to the reference method (overall essential agreement, 69% vs. 89%). As the Etest generated a high percentage of inaccuracies with trimethoprim and sulfadiazine, these were less suitable antimicrobial agents for inclusion. In conclusion, the direct Etest reliably predicted the susceptibility of isolates from equine synovial fluid for the tested antimicrobials, except for trimethoprim and sulfadiazine. Since it did not require subculture and preparation of a standardised inoculum, direct Etest results were available at least 24 h earlier than with other methods, which could facilitate the diagnosis of synovial infections. However, when accuracy is prioritised over speed for MIC determination, the standard Etest is preferred over the direct Etest.


Subject(s)
Anti-Bacterial Agents/pharmacology , Bacteria/drug effects , Bacterial Infections/veterinary , Disk Diffusion Antimicrobial Tests/veterinary , Horse Diseases/diagnosis , Microbial Sensitivity Tests/veterinary , Synovial Fluid/microbiology , Animals , Bacterial Infections/diagnosis , Bacterial Infections/microbiology , Disk Diffusion Antimicrobial Tests/methods , Horse Diseases/microbiology , Horses , Microbial Sensitivity Tests/methods
3.
J Anim Breed Genet ; 131(6): 522-8, 2014 Dec.
Article in English | MEDLINE | ID: mdl-24641331

ABSTRACT

Genetic parameters for chronic progressive lymphedema (CPL)-associated traits in Belgian Draught Horses were estimated, using a multitrait animal model. Clinical scores of CPL in the four limbs/horse (CPLclin ), skinfold thickness and hair samples (hair diameter) were studied. Due to CPLclin uncertainty in younger horses (progressive CPL character), a restricted data set (D_3+) was formed, excluding records from horses under 3 years from the complete data set (D_full). Age, gender, coat colour and limb hair pigmentation were included as fixed, permanent environment and date of recording as random effects. Higher CPLclin certainty (D_3+) increased heritability coefficients of, and genetic correlations between traits, with CPLclin heritabilities (SE) for the respective data sets: 0.11 (0.06) and 0.26 (0.05). A large proportion of the CPLclin variance was attributed to the permanent environmental effect in D_full, but less in D_3+. Date of recording explained a proportion of variance from 0.09 ± 0.03 to 0.61 ± 0.08. Additive genetic correlations between CPLclin and both skinfold thickness and hair diameter showed the latter two traits cannot be used as a direct diagnostic aid for CPL. Due to the relatively low heritability of CPLclin , selection should focus on estimated breeding values (from repeated clinical examinations) to reduce CPL occurrence in the Belgian Draught Horse.


Subject(s)
Horse Diseases/genetics , Lymphedema/veterinary , Analysis of Variance , Animals , Belgium , Disease Progression , Horse Diseases/pathology , Horses , Lymphedema/genetics , Lymphedema/pathology
4.
Vet J ; 197(2): 415-9, 2013 Aug.
Article in English | MEDLINE | ID: mdl-23465751

ABSTRACT

The increased incidence of methicillin-resistant Staphylococcus aureus (MRSA) infection in equine hospitals highlights the need for infection control protocols based on optimal patient screening. In horses, the deep ventral meatus of the nasal cavity is the principal site sampled to detect MRSA. However, in humans, the anterior nares are the preferred sampling site. The objective of this study was to determine the optimal sampling location in the nasal chambers for MRSA in horses by comparing the results obtained from three different locations (the vestibulum, diverticulum and ventral meatus) in 240 hospitalised animals. Antimicrobial susceptibility testing and epidemiological typing were conducted on representative subsets of the isolates obtained. Compared to the more invasive ventral meatus sampling (relative sensitivity 68.9%; isolation rate 37.9%), vestibulum (RS 81.1%; IR 44.6%, P=0.13) and diverticulum (RS 52.3%; IR 28.8%, P=0.03) sampling were more or less sensitive, respectively. In total, 132 horses (55%) were MRSA positive with the vast majority (98.5%) carrying genotyped isolates of the livestock-associated (LA)-MRSA clonal complex (CC) 398, and only a minority (1.5%) CC8. Of the 22 MLST typed isolates, five belonged to a novel ST2197 (t011, CC398). Although 93.9% of the isolates were multi-resistant (to ß-lactam, tetracycline, trimethoprim, and gentamicin), <5% were resistant to virtually all antimicrobials commonly used in equine medicine. The study findings indicate that detection of MRSA in horses may be enhanced by replacing the traditional deep sampling of the ventral nasal meatus by the less invasive approach of sampling the nasal vestibulum.


Subject(s)
Horse Diseases/microbiology , Hospitals, Animal , Methicillin-Resistant Staphylococcus aureus/isolation & purification , Nose/microbiology , Staphylococcal Infections/veterinary , Animals , Genotype , Horse Diseases/diagnosis , Horses , Methicillin-Resistant Staphylococcus aureus/genetics , Staphylococcal Infections/microbiology
5.
Vet Microbiol ; 163(3-4): 313-8, 2013 May 03.
Article in English | MEDLINE | ID: mdl-23434186

ABSTRACT

Equine methicillin-resistant Staphylococcus aureus (MRSA) carriage entails a risk of both equine and zoonotic transmission and infection. In Europe, CC398, the livestock-associated (LA-)MRSA is highly prevalent in horses and veterinary personnel at equine clinics. The extent of the MRSA reservoir created by healthy horses from the general population and associated health hazard for their daily caretakers is, however, unknown. This study aimed at screening healthy horse-caretaker couples from a broad range of home farms. At five equine gatherings, 166 couples were selected for MRSA screening in the anterior nares and participation in an epidemiologic survey. All MRSA isolates were subjected to genotyping and antimicrobial susceptibility testing. Only 4 humans (2.4%) and 2 of their horses (1.2%) tested MRSA positive. Within the 2 couples where both partners were positive, man and horse carried isolates belonging to identical, livestock-associated spa types (t011 and t2330) and demonstrating equal antimicrobial susceptibility patterns. For all LA-MRSA positive humans (n=3) and animals (n=2) regular (in)direct contact with the veterinary sector was reported. A significant association between the horses' carriage status and transportation to an event could not be demonstrated (P=1.00). In conclusion, outside equine clinics, the extent of the MRSA reservoir in horses and their caretakers was low. Travel to an equine gathering could not be withheld as a risk factor for equine MRSA carriage, whereas indications were found that contact with veterinary care may predispose both healthy horses and their handlers to carriage.


Subject(s)
Horse Diseases/epidemiology , Methicillin-Resistant Staphylococcus aureus/physiology , Staphylococcal Infections/epidemiology , Zoonoses/epidemiology , Adult , Animals , Belgium , Child , Disease Reservoirs , Europe , Female , Genotype , Horse Diseases/transmission , Horses , Humans , Male , Nasal Cavity/microbiology , Prevalence , Risk Factors , Staphylococcal Infections/transmission , Zoonoses/microbiology
6.
Equine Vet J ; 45(2): 204-8, 2013 Mar.
Article in English | MEDLINE | ID: mdl-22853551

ABSTRACT

REASONS FOR PERFORMING STUDY: Dexmedetomidine has been administered in the equine as a constant-rate infusion (CRI) during inhalation anaesthesia, preserving optimal cardiopulmonary function with calm and coordinated recoveries. Inhalant anaesthetic sparing effects have been demonstrated in other species, but not in horses. OBJECTIVES: To determine the effects of a CRI of dexmedetomidine on the minimal alveolar concentration (MAC) of sevoflurane in ponies. METHODS: Six healthy adult ponies were involved in this prospective, randomised, crossover, blinded, experimental study. Each pony was anaesthetised twice (3 weeks washout period). After induction with sevoflurane in oxygen (via nasotracheal tube), the ponies were positioned on a surgical table (T0), and anaesthesia was maintained with sevoflurane (expired sevoflurane fraction 2.5%) in 55% oxygen. The ponies were randomly allocated to treatment D (dexmedetomidine 3.5 µg/kg bwt i.v. [T10-T15] followed by a CRI of dexmedetomidine at 1.75 µg/kg bwt/h) or treatment S (bolus and CRI of saline at the same volume and rate as treatment D). After T60, MAC determination, using a classic bracketing technique, was initiated. Stimuli consisted of constant-current electrical stimuli at the skin of the lateral pastern region. Triplicate MAC estimations were obtained and averaged in each pony. Monitoring included pulse oximetry, electrocardiography, anaesthetic gas monitoring, arterial blood pressure measurement and arterial blood gases. Normocapnia was maintained by mechanical ventilation. Analysis of variance (treatment and period as fixed factors) was used to detect differences between treatments (α= 0.05). RESULTS: An intravenous (i.v.) dexmedetomidine CRI decreased mean ± s.d. sevoflurane MAC from 2.42 ± 0.55 to 1.07 ± 0.21% (mean MAC reduction 53 ± 15%). CONCLUSIONS AND POTENTIAL RELEVANCE: A dexmedetomidine CRI at the reported dose significantly reduces the MAC of sevoflurane.


Subject(s)
Analgesics, Non-Narcotic/pharmacokinetics , Anesthetics, Inhalation/pharmacokinetics , Dexmedetomidine/pharmacokinetics , Horses , Methyl Ethers/pharmacokinetics , Analgesics, Non-Narcotic/administration & dosage , Anesthetics, Inhalation/administration & dosage , Animals , Dexmedetomidine/administration & dosage , Drug Administration Schedule , Drug Interactions , Female , Injections, Intravenous , Male , Methyl Ethers/administration & dosage , Pulmonary Alveoli , Sevoflurane
7.
Equine Vet J ; 45(3): 278-83, 2013 May.
Article in English | MEDLINE | ID: mdl-23145879

ABSTRACT

REASONS FOR PERFORMING STUDY: Equine joint infection is a life-threatening disorder, and confirmation of the diagnosis can be difficult. Synovial fluid biomarkers may assist the discrimination between infectious and noninfectious joint disease. OBJECTIVES: This study investigates whether the immunological detection of total and enzymatically active myeloperoxidase (MPO) assists the diagnosis of joint infection in horses. METHODS: The following 4 sample groups were included: healthy; osteochondritis dissecans (OCD); traumatic synovitis; and culture-confirmed infected joints. Synovial fluid was analysed for total MPO by a horse-specific sandwich enzyme-linked immunosorbent assay (ELISA) and for active MPO using the specific immunological extraction followed by enzymatic detection (SIEFED) technique. Western blot analysis was performed to confirm the antibody specificity. RESULTS: Synovial fluid from infected joints contained significantly more total and active MPO than samples from healthy joints, joints affected by OCD and joints with traumatic synovitis. Cut-off values were set at 5000 and 350 ng/ml for total and active MPO, respectively, with fair sensitivity, specificity, positive and negative predictive values and likelihood ratios for infection. Correlation coefficients were reported between the total as well as the active MPO levels and the routine synovial fluid parameters, i.e. the white blood cell count, the neutrophil count and the total protein level. No correlation was observed between MPO and either the age of the horse or the joint affected. Western blotting confirmed the antibody specificity for equine MPO. CONCLUSIONS AND POTENTIAL RELEVANCE: Synovial fluid MPO was identified as a very promising biomarker to augment the discrimination of infectious vs. noninfectious joint disease in horses. Both ELISA and SIEFED techniques can be used for its specific and rapid detection. The analysis of synovial fluid MPO can be used as a complementary test to aid in the discrimination between infectious and noninfectious joint disease, especially when the white blood cell counts and the total protein level are inconclusive.


Subject(s)
Bacterial Infections/veterinary , Horse Diseases/diagnosis , Joint Diseases/veterinary , Peroxidase/metabolism , Synovial Fluid/enzymology , Animals , Bacterial Infections/diagnosis , Bacterial Infections/enzymology , Biomarkers/metabolism , Female , Gene Expression Regulation, Enzymologic/physiology , Horse Diseases/enzymology , Horses , Joint Diseases/diagnosis , Joint Diseases/enzymology , Male , Osteochondritis Dissecans/diagnosis , Osteochondritis Dissecans/enzymology , Osteochondritis Dissecans/veterinary , Peroxidase/genetics , Predictive Value of Tests , Sensitivity and Specificity , Synovitis/diagnosis , Synovitis/enzymology , Synovitis/veterinary
8.
Res Vet Sci ; 93(2): 1026-31, 2012 Oct.
Article in English | MEDLINE | ID: mdl-22342126

ABSTRACT

The objective of this study was to use a pressure plate to quantify the toe-heel load redistribution in the forelimbs of sound warmblood horses with normal shoes and shoes with a wide toe and narrow branches, used empirically in the treatment of superficial digital flexor tendon or suspensory ligament injuries. In a crossover-design study, six horses, randomly shod with normal shoes and shoes with a wide toe, were led over a dynamically calibrated pressure plate to record data from both forelimbs. There were no significant differences between both shoes in the toe-heel index of stance time, peak vertical force and vertical impulse. For the adapted shoe, the peak vertical pressure was slightly lower and was exerted slightly earlier in the stance phase, albeit not significantly. However, the significantly larger toe contact area of the adapted shoe resulted in a significantly lower total vertical pressure in the toe region. Hence, the pressure plate adequately visualised the individual loading of the toe and heel region, and clearly demonstrated the altered pressure distribution underneath the shoe with a wide toe. Although further research on a deformable surface is needed to confirm this hypothesis, the pressure redistribution from the toe to the heels could promote sinking of the heels in arena footing, thereby mimicking the biomechanical effects of a toe wedge and providing a rationale for its application in the treatment of SDFT or SL injuries. The pressure measuring equipment used in this study can offer to the clinician a diagnostic tool for the evaluation of the load distribution underneath the equine hoof and for the fine-tuning of corrective shoeing.


Subject(s)
Foot/physiology , Horses/physiology , Animals , Biomechanical Phenomena , Female , Gait/physiology , Orthotic Devices/veterinary , Shoes , Stress, Mechanical , Time Factors , Weight-Bearing
9.
Vet J ; 193(2): 408-11, 2012 Aug.
Article in English | MEDLINE | ID: mdl-22264643

ABSTRACT

Given the significance of methicillin-resistant Staphylococcus aureus (MRSA) infections for both horses and staff in equine veterinary hospitals, protocols are required to minimise the risk of nosocomial transmission, including the screening of the skin and nasal chambers of equine patients for evidence of infection. The objective of this study was to clarify the potential existence and extent of MRSA on the skin of horses requiring long-term hospitalisation (≥ 6 months). Thirty such horses were sampled at eight different locations on their skin and from their nasal chambers. MRSA was isolated from 12 animals (40%), with all sample sites testing positive on at least one occasion. Organisms were most frequently detected in the nasal chambers (relative sensitivity, 83.3%; 34.5% positive horses; isolation rate 33.3%). Skin presence was found in 30% of animals with the highest isolation rates found at the carpus (16.7%), neck, withers and croup (13.3% each). To achieve a relative screening sensitivity of >90%, at least one skin site was required in addition to nasal sampling. This evidence of skin as well as nasal reservoirs of MRSA in long-term hospitalised horses should facilitate the design of effective screening and containment protocols.


Subject(s)
Anti-Bacterial Agents/pharmacology , Horse Diseases/epidemiology , Methicillin Resistance/genetics , Methicillin-Resistant Staphylococcus aureus/isolation & purification , Methicillin/pharmacology , Nose Diseases/veterinary , Staphylococcal Skin Infections/veterinary , Animals , Bacterial Typing Techniques/veterinary , Belgium/epidemiology , Horse Diseases/microbiology , Horses , Methicillin-Resistant Staphylococcus aureus/genetics , Microbial Sensitivity Tests/veterinary , Nose Diseases/epidemiology , Nose Diseases/microbiology , Polymerase Chain Reaction/veterinary , Staphylococcal Skin Infections/epidemiology , Staphylococcal Skin Infections/microbiology
10.
J Vet Pharmacol Ther ; 34(5): 417-23, 2011 Oct.
Article in English | MEDLINE | ID: mdl-21241325

ABSTRACT

The influence of pretreatment with ketoconazole [cytochrome P450 3A (CYP3A) + P-glycoprotein (P-gp) inhibitor], elacridar (selective P-gp inhibitor) and rifampicin (CYP3A + P-gp inducer) on oral morphine pharmacokinetics and pharmacodynamics was investigated in experimental dogs. Seven beagles were used in a four-way crossover design. Morphine hydrochloride was administered orally (2.5 mg/kg) alone (control group CON) or after pretreatment with ketoconazole (group KETO), elacridar (group ELA) or rifampicin (group RIF). Morphine plasma concentrations were analysed by liquid chromatography-tandem mass spectrometry. Sedation scores (none, mild, moderate or severe) were evaluated subjectively. Dogs were significantly (P < 0.05) more sedated after ketoconazole pretreatment. There were no significant differences between group CON and the other pretreatment groups in pharmacokinetic parameters taking both sexes into account. Sex differences were apparent in some pharmacokinetic parameters of morphine. The area under the plasma concentration time curve (AUC(0-∞) ) was significantly higher, and the total body clearance was significantly lower in male compared to female dogs in all treatment groups. Ketoconazole, rifampicin and elacridar pretreatment had no significant effects on morphine pharmacokinetics, although dogs in the ketoconazole group showed higher sedation scores.


Subject(s)
ATP Binding Cassette Transporter, Subfamily B, Member 1/metabolism , Cytochrome P-450 CYP3A/metabolism , Morphine/pharmacokinetics , ATP Binding Cassette Transporter, Subfamily B, Member 1/antagonists & inhibitors , Absorption , Acridines/pharmacology , Administration, Oral , Animals , Cross-Over Studies , Cytochrome P-450 CYP3A Inhibitors , Dogs , Enzyme Inhibitors/pharmacology , Female , Ketoconazole/pharmacology , Male , Morphine/administration & dosage , Morphine/blood , Rifampin/pharmacology , Tetrahydroisoquinolines/pharmacology
11.
Vet J ; 190(1): 71-6, 2011 Oct.
Article in English | MEDLINE | ID: mdl-20875762

ABSTRACT

The aim of this study was to evaluate the association between fore- and hind-hoof contact area and limb loading. Data from a previous study on forelimb loading and symmetry were compared with data on hindlimb kinetics, and the fore- and hind-hoof contact area at the walk and trot was evaluated. Five sound ponies, selected for symmetrical feet, were walked and trotted over a pressure plate embedded in a custom-made runway. The hindlimb peak vertical force (PVF) and vertical impulse (VI) were found to be significantly lower than in the forelimb, whereas their high symmetry ratios (>95%) did not show a significant difference from forelimb data. Hindlimb PVF in ponies was found to be slightly higher when compared to data reported for horses even though the ponies moved at a similar or lower relative velocity. The contact area had low intra-individual variability and was significantly smaller in the hind- than in the fore-hooves. A larger contact area was significantly associated with lower peak vertical pressure (PVP) but higher PVF and VI. No significant differences between left and right sides were found for contact area or loading variables. Pressure plate measurements demonstrated a significant association between hoof contact area and limb loading, in addition to intrinsic differences between fore and hindlimb locomotor function. The pressure plate provides the clinician with a tool to quantify simultaneously contralateral differences in hoof contact area and limb loading.


Subject(s)
Gait , Horses/physiology , Running , Walking , Animals , Biomechanical Phenomena , Female , Forelimb/anatomy & histology , Hindlimb/anatomy & histology , Male , Pressure
12.
Equine Vet J ; 42(6): 541-6, 2010 Sep.
Article in English | MEDLINE | ID: mdl-20716195

ABSTRACT

REASONS FOR PERFORMING STUDY: Standard methods for culturing equine synovial fluid (SF) are often unrewarding. Evidence-based information on the relative efficiency of different systems used for optimisation of isolation of microorganisms from equine SF is lacking. OBJECTIVES: To compare the results of different culture systems performed in parallel on SF samples from horses clinically diagnosed with synovial sepsis. METHODS: Synovial fluid specimens were collected between February 2007 and October 2008 from all horses admitted to a referral hospital that were clinically diagnosed with synovial sepsis and from control horses. Synovial fluid samples were cultured in parallel by: 1) direct agar culture (DA); agar culture after: 2) lysis-centrifugation pretreatment (LC); 3) conventional enrichment (CE); 4) combined LC/CE; or 5) blood culture medium enrichment using an automated system (BACTEC 9050). RESULTS: Ninety SF samples from 82 horses were included, together with 40 control samples. Seventy-one of 90 samples (79%) were culture-positive by using blood culture medium enrichment (BACTEC), which was significantly higher compared to all other methods. BACTEC enrichment was never negative while any of the other methods was positive. Although agar culture following LC and/or CE resulted in a slightly higher number of positive samples compared to DA, this difference was not significant. All control samples were culture negative by the 5 different techniques. Although the majority of samples containing isolates recovered without enrichment, culture results after BACTEC enrichment were available on the same day as for agar culture with or without LC (19/23 samples), while CE postponed recovery by at least one day in 20/23 samples. CONCLUSION: Blood culture medium enrichment is superior to other techniques for isolation of bacteria from SF of horses. The use of an automated system allows enrichment without substantially postponing recovery of microorganisms. POTENTIAL RELEVANCE: The efficient and fast isolation of microorganisms from infected SF by the BACTEC system allows for rapid susceptibility testing and a more appropriate antibiotic treatment.


Subject(s)
Bacteriological Techniques/veterinary , Culture Media/chemistry , Horse Diseases/diagnosis , Synovial Fluid/microbiology , Synovitis/veterinary , Animals , Bacteriological Techniques/methods , Blood , Horses , Synovitis/diagnosis , Synovitis/microbiology
13.
Vet Comp Orthop Traumatol ; 23(3): 153-62, 2010.
Article in English | MEDLINE | ID: mdl-20422117

ABSTRACT

Methods currently used to restore bone defects in human and veterinary orthopaedics are often not satisfactory. This is especially the case in the healing of large, irregular defects which result in the formation of tissues with inferior qualities compared to the original structures. For these reasons, several new approaches are currently being explored to improve bone healing capacities in different situations. This review will examine the different techniques used to enhance bone regeneration, highlighting both experimental and clinically applicable methods with regard to veterinary orthopaedics.


Subject(s)
Fractures, Bone/metabolism , Fractures, Bone/therapy , Joint Diseases/veterinary , Orthopedics/veterinary , Regeneration/physiology , Animals , Bone Substitutes , Joint Diseases/therapy , Orthopedics/trends
14.
J Vet Pharmacol Ther ; 32(3): 241-8, 2009 Jun.
Article in English | MEDLINE | ID: mdl-19646088

ABSTRACT

A comparison was made in the plasma concentration of the major metabolites of amoxicillin (AMO), i.e. amoxicilloic acid (AMA) and amoxicillin diketopiperazine-2',5'-dione (DIKETO) in portal and jugular venous plasma after oral (p.o.) and intravenous (i.v.) AMO administration to pigs, in order to study a possible presystemic degradation of AMO in the gastro-intestinal tract and liver. Almost identical plasma concentration-time curves were obtained for AMO and its metabolites in portal and jugular venous plasma, both after p.o. and i.v. AMO administration. Almost immediately after i.v. AMO administration, high AMA and DIKETO concentrations were measured in plasma, while after p.o. dosing, the metabolites appeared in plasma after almost complete absorption of AMO. No significant differences in pharmacokinetic parameters of AMO, AMA and DIKETO, derived from the concentration-time profiles in portal and jugular venous plasma were calculated, both after i.v. and p.o. AMO administration (P > 0.05). After p.o. administration, the half-life of elimination (t(1/2(el))) for AMA is at least two or three times the t(1/2(el)) of AMO (0.75 h for AMO vs. 2.69 h for AMA), indicating the slower clearance of the metabolite. It could be hypothesized that AMA is only eliminated by glomerular filtration, as its open beta-lactam structure might not be recognized by the transport carrier in the proximal tubule of the kidney. The results of the study indicate that AMO is not substantially metabolized presystemically in the gut and liver. Therefore, it may be assumed that the kidney may be the major organ for AMO biotransformation. Future in vivo and in vitro experiments should be performed to state this hypothesis.


Subject(s)
Amoxicillin/pharmacokinetics , Anti-Bacterial Agents/pharmacokinetics , Gastrointestinal Tract/metabolism , Liver/metabolism , Swine/metabolism , Administration, Oral , Amoxicillin/administration & dosage , Amoxicillin/blood , Animals , Anti-Bacterial Agents/administration & dosage , Anti-Bacterial Agents/blood , Area Under Curve , Biological Availability , Biotransformation , Chromatography, High Pressure Liquid , Cross-Over Studies , Female , Half-Life , Injections, Intravenous/veterinary , Kidney/metabolism , Netherlands
16.
J Vet Pharmacol Ther ; 32(2): 137-45, 2009 Apr.
Article in English | MEDLINE | ID: mdl-19290943

ABSTRACT

The reliability of a silicone double-lumen catheter implanted into the external jugular vein and tunnelled towards the neck region was investigated in eight pigs. Surgery was uneventful without interference with the normal homoeostasis during 8 days. After injection of amoxicillin/clavulanic acid through the distal port of the catheter, analysis of drug components in the simultaneous blood samples obtained by the proximal port and a Venoject system were comparable in one pig. Histological control of the catheterized jugular veins pointed to an acceptable tissue reaction while bacteriological examination of the tip of the catheters was negative in only three animals. A moulding of the intestinal veins was made in a pig cadaver to determine the optimal length of insertion of a silicone portal catheter from the splenic vein towards the portal vein. Surgery was straightforward in four pigs whereby the catheter was exteriorized towards the back region. No complications were encountered during and after surgery for 9 days. The technique of a double-lumen catheter placed into the jugular vein and a transsplenic portal catheter is a useful tool for the study of the pharmacokinetics and also the first-pass effect of drugs in experimental pigs.


Subject(s)
Amoxicillin-Potassium Clavulanate Combination/pharmacokinetics , Anti-Bacterial Agents/pharmacokinetics , Catheterization/veterinary , Jugular Veins/surgery , Portal Vein/surgery , Swine/blood , Amoxicillin-Potassium Clavulanate Combination/administration & dosage , Amoxicillin-Potassium Clavulanate Combination/blood , Animals , Anti-Bacterial Agents/administration & dosage , Anti-Bacterial Agents/blood , Catheterization/methods , Catheters, Indwelling/veterinary , Chromatography, Liquid/veterinary , Digestive System Surgical Procedures/methods , Digestive System Surgical Procedures/veterinary , Female , Silicones , Swine/metabolism , Swine/surgery
17.
Equine Vet J ; 41(8): 778-85, 2009 Nov.
Article in English | MEDLINE | ID: mdl-20095226

ABSTRACT

REASONS FOR PERFORMING STUDY: No studies have been reported on the effects of enoximone in anaesthetised colic horses. OBJECTIVE: To examine whether enoximone improves cardiovascular function and reduces dobutamine requirement in anaesthetised colic horses. METHODS: Forty-eight mature colic horses were enrolled in this prospective, randomised clinical trial. After sedation (xylazine 0.7 mg/kg bwt) and induction (midazolam 0.06 mg/kg bwt, ketamine 2.2 mg/kg bwt), anaesthesia was maintained with isoflurane in oxygen and a lidocaine constant rate infusion (15 mg/kg bwt, 2 mg/kg/h). Horses were ventilated (PaCO2 < 8.00 kPa). If hypotension occurred, dobutamine and/or colloids were administered. Ten minutes after skin incision, horses randomly received an i.v. bolus of enoximone (0.5 mg/kg bwt) or saline. Monitoring included respiratory and arterial blood gases, heart rate (HR), arterial pressure and cardiac index (CI). Systemic vascular resistance (SVR), stroke index (SI) and oxygen delivery index (DO2I) were calculated. For each variable, changes between baseline and T10 within each treatment group and/or colic type (small intestines, large intestines or mixed) were analysed and compared between treatments in a fixed effects model. Differences between treatments until T30 were investigated using a mixed model (a = 0.05). RESULTS: Ten minutes after enoximone treatment, CI (P = 0.0010), HR (P = 0.0033) and DO2I (P = 0.0007) were higher and SVR lower (P = 0.0043) than at baseline. The changes in CI, HR and SVR were significantly different from those after saline treatment. During the first 30 min after enoximone treatment, DO2I (P = 0.0224) and HR (P = 0.0003) were higher than after saline administration. Because the difference in HR between treatments was much clearer in large intestine colic cases, an interaction was detected between treatment and colic type in both analyses (P = 0.0076 and 0.0038, respectively). CONCLUSIONS: Enoximone produced significant, but short lasting, cardiovascular effects in colic horses. POTENTIAL RELEVANCE: Enoximone's cardiovascular effects in colic horses were of shorter duration than in healthy ponies.


Subject(s)
Colic/veterinary , Enoximone/pharmacology , Heart Rate/drug effects , Horse Diseases/surgery , Respiration/drug effects , Vasodilator Agents/pharmacology , Anesthesia, Inhalation/veterinary , Animals , Blood Pressure/drug effects , Cardiac Output , Enoximone/administration & dosage , Female , Horses , Male , Oxygen/blood , Vasodilator Agents/administration & dosage
18.
Vet Microbiol ; 133(1-2): 138-44, 2009 Jan 01.
Article in English | MEDLINE | ID: mdl-18701224

ABSTRACT

Methicillin-resistant Staphylococcus aureus (MRSA) infections do occur in equine patients. Little is known, however, about their origin and the general equine MRSA colonization status. In West European horses in particular, neither the colonization rate nor the present strains or their antimicrobial susceptibility patterns are known. In the present study, a sample of 110 (Belgian, French, Dutch and Luxemburg) horses presented at a Belgian equine clinic was screened for nasal MRSA carriage. An indirect culturing protocol using a 0.001% colistin and nalidixic acid containing broth was compared to a direct agar method. Phenotypic identification following growth on a chromogenic MRSA screening agar (ChromID MRSA) was combined with genotypic analysis (PCR, PFGE, SCCmec, spa, and MLST typing). Antimicrobial susceptibility was tested through disk diffusion. Twelve (10.9%) horses carried MRSA, with the enrichment protocol resulting in a significantly higher isolation rate. None of the isolated strains were typeable through SmaI PFGE. They all harboured SCCmec type IVa or V and belonged to spa type t011 or t1451 of the ST398 lineage. All isolates were tetracycline resistant and sulfonamide and enrofloxacin susceptible. Macrolide, lincosamide, trimethoprim and aminoglycoside susceptibility varied and in total five different antimicrobial resistance patterns were distinguished. These results show that ST398 is certainly present in West European horses. Due to its known interspecies transmission and the structure of the equine industry, the presence of this clone in horses poses a substantial health hazard for both animals and humans.


Subject(s)
Anti-Bacterial Agents/pharmacology , Drug Resistance, Bacterial/genetics , Horse Diseases/microbiology , Methicillin-Resistant Staphylococcus aureus/isolation & purification , Nasal Cavity/microbiology , Staphylococcal Infections/veterinary , Animals , Bacterial Typing Techniques/veterinary , Carrier State/epidemiology , Carrier State/microbiology , Carrier State/veterinary , Colony Count, Microbial/veterinary , Dose-Response Relationship, Drug , Electrophoresis, Gel, Pulsed-Field/methods , Electrophoresis, Gel, Pulsed-Field/veterinary , Female , Genotype , Horse Diseases/epidemiology , Horse Diseases/transmission , Horses , Male , Methicillin-Resistant Staphylococcus aureus/genetics , Microbial Sensitivity Tests/veterinary , Molecular Epidemiology , Polymerase Chain Reaction/methods , Polymerase Chain Reaction/veterinary , Staphylococcal Infections/epidemiology , Staphylococcal Infections/microbiology , Staphylococcal Infections/transmission , Treatment Outcome
19.
Anat Histol Embryol ; 37(6): 452-7, 2008 Dec.
Article in English | MEDLINE | ID: mdl-18786161

ABSTRACT

Goats are frequently used as a suitable animal model for tissue engineering. Immunohistochemistry can be helpful in improving the understanding and evaluation of the in vivo tissue responses at a molecular level. Several commercially available antibodies (KI67, vimentin, CD31, core-binding factor alpha-1, osteocalcin, alkaline phosphatase, MAC387, CD3, CD20, CD20cy, CD79 and CD45) were evaluated on Technovit 9100 New embedded goat tissues. Only vimentin, osteocalcin, MAC387 and CD3 revealed positive staining. These antibodies can be routinely used to evaluate goat tissues at molecular level. The use and development of alternative antibodies might further supplement and complete the possibilities for immunohistochemical analysis of goat tissue samples.


Subject(s)
Goats , Histocytological Preparation Techniques/veterinary , Immunohistochemistry/veterinary , Methylmethacrylate/pharmacology , Tissue Embedding/veterinary , Acrylic Resins , Animals , Antibodies/analysis , Biomarkers , Cold Temperature , Histocytological Preparation Techniques/methods , Immunohistochemistry/methods , Tissue Embedding/methods
20.
Zoonoses Public Health ; 55(5): 274-8, 2008 Jun.
Article in English | MEDLINE | ID: mdl-18454748

ABSTRACT

In Belgium and even in northern Europe Rhinosporidium seeberi has not been reported in autochtonous people or animals. In this paper, the authors report the first observation of laryngeal masses, caused by Rhinosporidium seeberi, in a Belgian Warmblood horse. Moreover, laryngeal rhinosporidiosis is extremely rare since this localisation is only described in four human cases.


Subject(s)
Horse Diseases/diagnosis , Laryngeal Diseases/veterinary , Rhinosporidiosis/veterinary , Rhinosporidium/isolation & purification , Animals , Belgium , Female , Horse Diseases/pathology , Horse Diseases/surgery , Horses , Laryngeal Diseases/diagnosis , Laryngeal Diseases/pathology , Laryngeal Diseases/surgery , Rhinosporidiosis/diagnosis , Rhinosporidiosis/pathology , Rhinosporidiosis/surgery
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