Effect of Four Antimicrobial Lavage Solutions on the Tarsocrural Joint of Horses

Three concentrations of povidone-iodine (0.1% w/v, 0.2% w/v, 0.5% w/v) and one concentration of chlorhexidine (0.5% w/v) were selected as antimicrobial joint lavage solutions. Through-and-through joint lavage was performed with one of these antimicrobial solutions on a tarsocrural joint of 12 horses. The contralateral tarsocrural joints (control limbs) were lavaged with a balanced electrolyte solution (BES). The effect of the lavage solution on the joints was evaluated with respect to lameness, foot flight pattern, soreness to joint palpation, articular and periarticular enlargement, and synovial fluid composition on Day 1,4, and 8 postlavage. On Day 8 postlavage, all horses were euthanized and the tarsocrural joints were examined.
All solutions induced a synovitis. Based on clinical assessment, synovial fluid protein levels, color, clarity, mucin clot forming ability, gross appearance of the joint at necropsy, and synovial membrane histologic evaluation, a similar, mild, transient, synovitis was induced by the BES and 0.1% povidone-iodine (PI) solution. The 0.2% PI solution induced a more prolonged neutrophilic response and poorer mucin clot forming ability in the synovial fluid as compared to the BES.
The 0.5% PI and 0.5% chlorhexidine solutions produced severe lameness, soreness to joint palpation, and limb enlargement. The elevated synovial fluid total protein content persisted significantly longer (p < 0.05) than the corresponding control (BES) solution. Histologic evaluation of the synovial membrane confirmed the presence of a moderate to severe neutrophilic synovitis in these treatment groups.     

磷霉素钠和硫酸阿米卡星体外联合抗大肠埃希菌试验

用磷霉素钠和硫酸阿米卡星单一药物和联合使用对大肠埃希菌进行药物敏感性试验。结果表明,磷霉素钠和硫酸阿米卡星对大肠埃希菌的MIC值分别为64μg/mL和22μg/mL。联合应用对大肠埃希菌FIC指数为0.45,小于0.5,表现为协同作用。     

In Vitro Model for Testing Novel Implants for Equine Laryngoplasty

Objective— To develop an in vitro laryngeal model to mimic airflow and pressures experienced by horses at maximal exercise with which to test laryngoplasty techniques.
Study Design— Randomized complete block.
Sample Population— Cadaveric equine larynges (n=10).
Methods— Equine larynges were collected at necropsy and a bilateral prosthetic laryngoplasty suture was placed with #5 Fiberwire^™ suture to achieve bilateral maximal arytenoid abduction. Each larynx was positioned in a flow chamber and subjected to static flow and dynamic flow cycling at 2 Hz. Tracheal pressure and flow, and pressure within the flow chamber were recorded at a sampling frequency of 500 Hz. Data obtained were compared with the published physiologic values for horses exercising at maximal exercise.
Results— Under static flow conditions, the testing system produced inspiratory tracheal pressures (mean±SEM) of −33.0±0.98 mm Hg at a flow of 54.48±1.8 L/s. Pressure in the flow chamber was −8.1±2.2 mm Hg producing a translaryngeal impedance of 0.56±0.15 mm Hg/L/s. Under dynamic conditions, cycling flow and pressure were reproduced at a frequency of 2 Hz, the peak inspiratory (mean±SEM) pharyngeal and tracheal pressures across all larynges were −8.85±2.5 and −35.54±1.6 mm Hg, respectively. Peak inspiratory flow was 51.65±2.3 L/s and impedance was 0.57±0.06 mm Hg/L/s.
Conclusions— The model produced inspiratory pressures similar to those in horses at maximal exercise when airflows experienced at exercise were used.
Clinical Relevance— This model will allow testing of multiple novel techniques and may facilitate development of improved techniques for prosthetic laryngoplasty.     

Collateral Ligaments of the Tarsocrural Joint An Anatomic and Functional Study

Forty canine hock joints were used to study the anatomy and function of the medial and lateral tarsocrural collateral ligament complexes. Dissection of the ligaments was used to describe the anatomic arrangement, and location and tenseness in various positions. The component parts of the ligament complexes were evaluated for their contribution to stability of the tarsocrural joint. The medial and lateral tarsocrural collateral ligament complexes were composed of several components. The medial tibiotalar and lateral calcaneofibular short component parts were important static joint stabilizers in both flexion and extension. The long medial and lateral ligaments and the medial tibiocentral short component were less important in maintaining joint stability in flexion but were important in extension. The stability of the joint as a whole did not depend on any individual ligament component, but rather all components of the ligament complex, including the joint capsule and malleoli, acted together to stabilize the joint.     

In Vitro Strength of the Suspensory Apparatus in Training and Resting Horses

Forty-eight limbs of 12 freshly euthanized horses were used to generate data on the strength of the equine suspensory apparatus. The point of failure of the suspensory apparatus of each limb was determined. Immediately before euthanasia, 6 of the 12 horses (thoroughbreds and standardbreds) had been engaged in active training or racing, and six horses in stall and/or pasture activity. In the actively training or racing horses, the point of acute failure of the suspensory apparatus was within the proximal sesamoid bones in 20 (83%) limbs (resulting in 17 apical fractures, 2 basilar fractures, and 1 midbody fracture). In the pasture exercised or stalled horses, the point of failure of the suspensory apparatus was either acutely within the suspensory ligament (10 horses, 42%) or, if no acute failure occurred, insidiously within the suspensory ligament (12 horses, 50%). Active training appeared to have a strengthening effect on the suspensory ligament, causing the weakest point in the suspensory apparatus to become the sesamoid bones rather than the suspensory ligament. An average force of 1338 kg (between 1082 and 1673 kg) was needed to fail the suspensory apparatus in this group of horses. In nontraining horses, the site of failure was most often the suspensory ligament. An average force of 1100 kg (between 918 and 1241 kg) used to fail the suspensory apparatus in this group of horses was significantly (p less than 0.5) less than in the first group.     

Influence of Cysteamine on In Vitro Maturation, In Vitro and In Vivo Fertilization of Equine Oocytes

The effect of cysteamine on in vitro nuclear and cytoplasmic maturation of equine oocytes collected by transvaginal ultrasound guided follicular aspiration was assessed. Oocytes were matured in vitro with (cysteamine group) or without (control group) cysteamine. The nuclear stage after DNA Hoechst staining, penetration rates after two different in vitro fertilization (IVF) techniques (IVF media with ionophore and Hepes buffer with heparin) and the embryo yield following oocyte intra-oviductal transfer were used as a criterion for assessing nuclear and cytoplasmic maturation, respectively. Contrary to the data described in other domestic species, there was no effect of cysteamine on in vitro nuclear maturation, IVF or in vivo embryonic development under our conditions. Ovum pick up yields (52%) and maturation rates (control group: 47% and cysteamine group: 55%) were similar to those previously reported. From 57 oocytes transferred to the oviduct in each group, the number of embryos collected was 10 (17%) in the control group and five in the cysteamine group (9%). Those two percentages were not statistically different (p > 0.05). No effect of IVF technique was seen on the success rate (6%) in each group.     

Allergy Testing for Skin Disease in the Cat In Vivo vs In Vitro Tests

Abstract— The results of in vitro and in vivo tests for 36 cats with signs suggestive of allergic skin disease were compared. The cats were presented to the dermatology section of the Department of Veterinary Medicine, University of Bristol, with a variety of skin conditions. Intradermal skin testing with flea extract alone (six cats) or combined with a panel of 40 inhalant altergens (30 cats) was employed. Serum samples were tested with a commercial IgE ELISA against flea extract and 36 inhalant allergens. A diagnosis of flea bite hypersensitivity was made in 18 cats, atopic disease in nine cats and food hypersensitivity in one cat. Intradermal skin testing gave a positive predictive value in over 85 per cent of flea allergic cases and 100 per cent of atopic cases; the IgE ELISA test demonstrated relatively low predictive values for flea allergy and atopic disease and was not considered to be a useful diagnostic test. Résumé— Les résultats de tests in vitro et in vivo faits chez 36 chats ayant des symptômes évocateurs d'une dermite allergique ont été comparés. Des tests cutanés à la seule puce (six chats) ou combinés avec un panel de pneumallergènes (30 chats) ont été utilisés. Les sérums ont été testés avec un kit commercial de dosages d'IgE spécifiques de la puce et de 36 pneumallergènes par technique EIA. Un diagnostic de dermite par hyperseensibilité aux piqùres de puce a été fait chez 18 chats, une atopie chez neuf et une hypersensibilité d'origine alimentaire chez un. Les tests cutanés avaient une valeur prédictive de 85% pour les allergies à la puce et 100% pour les cas d'atopie; les tests IgE EIA avaient une valeur prédictive assez faible et n'ont pas été considérés comme étant un test utilisable en diagnostic. Resumen En este artículo se comparan los resultados de pruebas in vivo e in vitro efectuadas en 36 gatos con cuadro clínico indicativo de alergias cutáneas. Éstos animales fueron presentados en la sección de Dermatología del departamento de medicina de la Universidad de Bristol con una variedad de condiciones cutäneas. En las pruebas de invecciones intradérmicas se utilizaron alergenos de extracto de pulga solos o combinados con un panel de 40 alergenos inhalatorios (30 gatos). También se llevaron a cabo pruebas de suero con el test comercial de IgE ELISA para el extracho de pulga y 36 de los alergenos inhalatorios. En 18 de los gatos se diagnostico hipersensitividad a las pulgas, en nueve atopía y solo uno hipersensitividad a los alimentos. Las pruebas intradérmicas produjeron una predictividad positiva en 85% de los casos de alergia a las pulgas y 100% de los casos de atopía. Sin embargo el test ELISA de IgE produjo una baja predictividad relativa en los casos de hipersensitividad a las pulgas y casos de atopía y no se consideró como un test de gran utilidad diagnóstica.     

阿莫西林与阿米卡星对沙门氏菌的体外联合药敏试验

采用阿莫西林与阿米卡星联用对沙门氏菌进行药物敏感性试验,结果表明阿莫西林、阿米卡星联用对沙门氏菌呈现协同作用.     

Documentation of In Vivo and In Vitro Aerobic Resistance of Feline Tritrichomonas foetus Isolates to Ronidazole

Background: The mainstays of treatment for clinically important trichomonad infections are the 5‐nitroimidazoles. Metronidazole resistance of feline Tritrichomonas foetus is presumed because of common treatment failure, and tinidazole does not consistently eradicate infection. To date, ronidazole is the only drug demonstrated as effective for treatment of cats infected with T. foetus. Objective: To document in vivo treatment failure and identify underlying causes and in vitro conditions of resistance of feline T. foetus to ronidazole. Animals: Two intact male Abyssinians failing ≥5 courses of treatment with increasing doses of 5‐nitroimidazole drugs. An intact male Abyssinian documented to clear infection after treatment with a single course of ronidazole. Methods: T. foetus isolates were cultured from feces and tested in vitro for susceptibility to ronidazole under aerobic and anaerobic culture conditions. A urogenital nidus of T. foetus infection was investigated by culture, polymerase chain reaction, or immunohistochemical testing of urogenital specimens. Results: Resistance to ronidazole under aerobic conditions was uniquely identified in T. foetus isolated from cats with well‐documented treatment failure. Treatment failure could not be attributed to reinfection, inappropriate treatment protocol, or presence of a urogenital nidus of infection. Conclusions and Clinical Importance: Clinical resistance to metronidazole, low efficacy of tinidazole, and present documentation of in vivo and in vitro resistance to ronidazole in some cats are consistent with a high level of cross resistance of feline T. foetus to 5‐nitroimidazole drugs. Current lack of alternative drugs with clinical efficacy against feline T. foetus suggests that active investigation of other treatment approaches is warranted.     

Minimum Inhibitory Concentration and Postantibiotic Effect of Amikacin for Equine Isolates of Methicillin-Resistant Staphylococcus aureus In Vitro

Objective— To report the minimum inhibitory concentration (MIC) of amikacin sulfate for equine clinical isolates of methicillin-resistant Staphylococcus aureus (MRSA) and characterize the initial kill and duration of the postantibiotic effect (PAE) for selected strains.
Study Design— Experimental study.
Methods— Isolates of MRSA (n=35) had their amikacin MIC determined using the E-test agar diffusion method. Two isolates with MICs>256 μg/mL limit were further characterized using broth macrodilution. Six distinct isolates with amikacin MICs of 32, 48, 128 (2 isolates) and 500 (2 isolates) μg/mL had PAE determinations made over a range of amikacin concentrations from 31.25–1000 μg/mL using standard culture-based techniques.
Results— Median MIC of the 35 isolates was 32 μg/mL (range 2 to >256 μg/mL). Mean PAE of selected MRSA strains had an overall mean (all amikacin doses) of 3.43 hours (range 0.10–9.57 hours). PAE for MRSA exposed to amikacin at 1000 μg/mL was 6.18 hours (range 3.30–9.57 hours), significantly longer than that for all other concentrations ( P <.0001). There was no statistically significant effect of isolate MIC on PAE.
Conclusions— Isolates had a wide range of MIC; however, growth of all 6 selected strains were inhibited within the range of concentrations tested, including 2 strains with MICs of 500 μg/mL. PAE duration was not influenced by the MIC of amikacin but was significantly longer with treatment at 1000 μg/mL than at lower concentrations.
Clinical Relevance— Clinical isolates of MRSA are susceptible to amikacin at concentrations achieved by regional perfusion: however, the modest duration of PAE observed suggest that further laboratory and in vivo evaluation be conducted before recommending the technique for clinical use.     

托氟沙星纳米乳的体内外抗菌作用研究

为考察托氟沙星纳米乳的体外抑菌活性及体内药效作用,用CLSI推荐的微量肉汤稀释法测定托氟沙星纳米乳的最低抑菌浓度(MIC)和最低杀菌浓度(MBC),并与盐酸左氧氟沙星进行比较;以鼠伤寒沙门菌人工感染的雏鸡为研究对象,测定不同浓度托氟沙星纳米乳的体内药效作用。体外抑菌试验表明,托氟沙星纳米乳对无乳链球菌、金黄色葡萄球菌、多杀巴氏杆菌、大肠埃希菌、痢疾志贺菌、鼠伤寒沙门菌、甲型副伤寒沙门菌的MIC为0.25μg/mL~2.00μg/mL,其抑菌活性是托氟沙星原药的2倍~4倍,盐酸左氧氟沙星的2倍~8倍;MBC为0.25μg/mL~4.00μg/mL,其抗菌活性是托氟沙星原药的2倍~8倍,盐酸左氧氟沙星的2倍~8倍。体内药效试验结果表明,低剂量(40mg/L)和中剂量(60mg/L)的托氟沙星纳米乳可显著降低鼠伤寒沙门菌感染雏鸡的死亡率和体重损失。托氟沙星纳米乳以纳米乳作为药物载体,增强了托氟沙星对临床常见细菌的体内外抵抗作用,提高了托氟沙星的临床应用价值。     

Quality Control of Compounded Crystalloid Fluids for Intravenous Delivery to Horses

Background

Periodic lack of availability and high cost of commercially produced isotonic fluids for intravenous (IV) use in horses have increasingly led to use of home‐made or commercially compound fluids by veterinarians. Data regarding the quality control and safety of compounded fluids would be of benefit to equine veterinarians.

Objectives

To compare electrolyte concentrations, sterility, and endotoxin contamination of commercially available fluids to 2 forms of compounded isotonic crystalloid fluids intended for IV use in horses.

Methods

Prospective study. Two methods of preparing compounded crystalloids formulated to replicate commercial Plasma‐Lyte A (Abbott, Chicago, IL) were compared. One formulation was prepared by a hand‐mixed method involving chlorinated drinking water commonly employed by equine practitioners, and the other was prepared by means of ingredients obtained from a commercial compounding pharmacy. The variables for comparison were electrolyte concentrations, sterility, and presence of endotoxin contamination.

Results

Electrolyte concentrations were consistent within each product but different between types of fluids (P < 0.0001). Hand‐mixed fluids had significantly more bacterial contamination compared to commercial Plasma‐Lyte A (P = 0.0014). One of the hand‐mixed fluid samples had detectable endotoxin contamination.

Conclusions and Clinical Importance

Chlorinated drinking water is not an acceptable source of water to compound isotonic fluids for IV administration. Equine practitioners should be aware of this risk and obtain the informed consent of their clients.     

In Vivo and In Vitro Sperm Interaction with Oviductal Epithelial Cells of Llama

Sperm reservoirs in South American Camelids would be crucial for successful fertilization. Since ovulation occurs approximately 36 h after mating, the maintenance of the sperm viability in the oviduct waiting for the ovum is a critical reproductive event. Our study aimed at determining whether the isthmus or the utero tubal junction (UTJ) could function as a sperm reservoir in llama by means of in vivo and in vitro experiments. For the in vivo experiments, the oviducts of adult females with a dominant follicle bigger than 7 mm were examined for the presence of sperm at 6, 18, 24, 28 and 35 h after mating. The results using scanning and transmission electron microscopy showed ultrastructural differences between isthmus and UTJ with respect to (1) predominance of secretory cells in the UTJ and ciliated cells in the isthmus epithelium and (2) cytoplasmic bulbous projection of the secretory cells in the UTJ. Sperm adhered by a mucus‐like substance were seen only in the UTJ at 6, 18, 24 and 28 h post‐mating. Lack of sperm adhered to oviductal mucosa was observed around ovulation (35 h). In vitro experiments demonstrated higher ability of UTJ epithelial cell explants with respect to isthmus explants to bind sperm in a co‐cultured system. The anatomical features and the presence of a sperm bonding agent in the UTJ together with the in vitro differential binding of sperm to UTJ explants strongly suggest that both may be feasible mechanisms that facilitate sperm storage in this oviductal region in llama.     

In Vivo Investigation of Communication Between the Distal Intertarsal and Tarsometatarsal Joints in Horses and Ponies

The frequency of communication between the tarsometatarsal and distal intertarsal joints was investigated in 27 horses and 12 ponies. After the injection of diluted latex into the tarsometatarsal joints using the plantarolateral approach, the horses and ponies were walked for 200 meters. Latex was found in the distal intertarsal joints of 19 of 73 tarsi (26% communication) at necropsy. In 3 tarsi, latex was also found in the proximal intertarsal and tar-socrural joints.