Effect of intrauterine treatment with cephapirin on the reproductive performance of seasonally calving dairy cows at risk of endometritis following periparturient disease

OBJECTIVE: To determine the effect of intrauterine cephapirin (0.5 g) treatment on the reproductive performance of cows diagnosed as at risk of developing endometritis. METHODS: Cows (n = 1325) from 17 seasonal calving dairy herds were enrolled if they had been calved for more than 6 days and had a condition that placed them at risk of endometritis. Half were treated with intrauterine cephapirin at an examination performed 28-37 days prior to mating start date (MSD). Cows were scored for body condition, their vaginal discharge was scored using vaginoscopy (VV), and the uterus and ovaries were assessed by rectal palpation. RESULTS: Overall, there was no significant treatment effect on reproductive performance. In 945 modified at risk (MAR) cows the effect of treatment varied with the calving to treatment interval (CTI) and VV status. For the subset of 229 MAR cows with CTI < or = 28 days, treatment improved the proportions of first-service conception (OR 3.1; P < 0.01) and 6-week in-calf (OR 2.1; P < 0.05), and reduced the mean MSD to conception interval by 20 days (P < 0.05). The difference was greater in cows with a positive VV score (1-3). Treated VV-negative cows with CTI > 48 days had a reduced proportion of cows in-calf by 6 weeks (OR 0.58; P = 0.056) compared with untreated cows. CONCLUSION: Intrauterine cephapirin infusion of MAR cows improved reproductive performance, depending on CTI. The greater treatment effect in VV-positive cows suggests that VV scoring is a useful tool for the diagnosis of endometritis.     

Effect of exogenous administration of oxytocin on postpartum follicular dynamics,oestrous rate and ovulation in Nili-Ravi buffaloes

Based on different surveys, dairy farmers are concerned about extensive use of exogenous oxytocin in buffaloes, which is being held responsible for reproductive problems including irregular oestrous cycle and delayed ovulation. For these concerns, effects of oxytocin injection on postpartum follicular dynamics, postpartum oestrous interval (PEI), oestrous length, the interval from onset of estrus to ovulation and blood progesterone (P4) were studied in Nili-Ravi buffaloes. For this purpose, 23 animals within 1 week after calving were randomly divided into three groups: without oxytocin (CON; n = 7), 10 i.u. oxytocin (LOW; n = 8), 30 i.u. oxytocin – (HIGH; n = 8) and used to record the PEI for the study period of 154 days. At subsequent estrus, three buffaloes from each group (not served) were selected randomly to monitor two cycles for 6 weeks. Transrectal ultrasonography was performed to evaluate follicular and corpus luteum (CL) development, and blood sampling was done for progesterone (P4) analysis. These results revealed that postpartum oestrous interval (PEI) decreased significantly in oxytocin-treated groups. The number of small, medium and total follicles on the left ovary was significantly higher in the HIGH group. However, an overall number of small and total follicles on both right and left ovaries was significantly higher in CON and HIGH groups. On the other hand, there was no difference in the number of follicles on the right ovary among all treatment groups. The same was true for the size of pre-ovulatory follicles, CL, P4 concentrations and oestrous cycle length. The intervals from onset of estrus to ovulation and from standing estrus to ovulation were increased considerably in the HIGH group. It is concluded that exogenous oxytocin administration resulted in the shortening of PEI but triggered a delay in ovulation. Moreover, a higher dose of oxytocin could stimulate the growth of small, medium, and total follicles in postpartum Nili-Ravi buffaloes.     

Efficiency of uterine fluid cytology in the diagnosis of subclinical endometritis in the water buffalo (Bubalus bubalis)

This study compared endometrial cytology vis‐a‐vis uterine fluid cytology for assessment of uterine health in clinically normal and subclinical endometritis (SE)‐affected buffaloes. Uterine fluid samples and endometrial samples were collected from the buffaloes (n = 38) at oestrus using blue sheath and cytobrush, respectively. The smears were stained with Field stain for 3 minutes, and a minimum of 400 cells were counted in each smear for determination of the percentage of polymorphonuclear (PMN) leucocyte. The incidence of subclinical endometritis, based on the cytobrush cytology, was 23.08%. The correlation between cytobrush cytology with uterine fluid cytology was positive and significant (r = .37; p = .02). The ratio of PMN leucocyte in cytobrush cytology to uterine fluid cytology was 1:2.4. ROC analysis revealed that the threshold value of 6.16% PMN leucocyte in uterine fluid cytology showed a diagnostic sensitivity and specificity of 100% in differentiating normal from SE‐affected buffaloes. In conclusion, collection of uterine fluid was easier compared to collection of endometrial samples using cytobrush and the percentage of PMN leucocyte in uterine fluid cytology can be used as a tool for diagnosis of subclinical endometritis in buffaloes.     

Biochemical analysis of uterine fluid for identification of indicators for subclinical endometritis in the water buffalo (Bubalus bubalis)

Alterations in biochemical constituents of uterine fluid have been suggested for diagnosis of subclinical uterine infection in the bovine. This study was undertaken to investigate whether uterine fluid biomolecules could act as tool for diagnosis of subclinical endometritis in the buffalo. Uterine fluid samples from normal (n = 22) and subclinical endometritis (n = 18; diagnosed based on uterine cytology)‐affected buffaloes were subjected to biochemical analysis. Among the different biochemical constituents estimated, urea, urea N, cholesterol, total bilirubin and alkaline phosphatase (ALP) concentrations were significantly (p < 0.05) higher in uterine fluid obtained from subclinical endometritis‐affected buffaloes. The extent of difference between normal and subclinical endometritis‐affected buffaloes was highest in ALP (69%) followed by cholesterol (55%), bilirubin (48%), urea (30%) and urea N (30%) concentrations. Receiver operating characteristic (ROC) analysis indicated that the likelihood ratio (LR) was 3.63 for urea, indicating that buffaloes having less than the threshold concentration (47.5 mg/dl) of urea in their uterine fluid were at 3.6 times more risk to be affected with SE. The LRs for urea N, cholesterol, ALP and bilirubin were 2.33, 2.54, 2.12 and 1.65, respectively. It was concluded that ALP, urea, urea N and cholesterol concentrations in uterine fluid may serve as an aid for diagnosing subclinical endometritis in the buffalo.     

Phagocytic and oxidative burst activity of phagocytic cells in peripheral blood and uterine washings in cows with clinical endometritis before and after intrauterine use of cephapirin and methisoprinol

The aim of the study was to evaluate phagocytic and killing activity of phagocytic cells in blood and uterine flush of cows with endometritis before and after intrauterine (i.u.) administration of cephapirin and methisoprinol. The research was carried out on 28 cows with clinical endometritis. Animals were divided into four groups, each composed of seven cows, depending on the i.u. treatment used: Group A—cephapirin; Group B—methisoprinol; Group C—cephapirin and methisoprinol at the same time; and a control group—without medication. Using flow cytometry technique, the phagocytic activity of granulocytes and monocytes was identified, as well as the oxidative burst activity of neutrophils in the peripheral blood and uterine washings. Summarizing the results of the research, i.u. infusion of cephapirin caused a reduction in the phagocytic and killing activity of phagocytes. The i.u. use of methisoprinol increased phagocytic and killing activity of phagocytes in the uterus. Administering both listed substances simultaneously showed a decrease in phagocytosis, presumably due to the dominating inhibitor effect of the antibiotic. However, also an increase of mean fluorescence intensity was observed, presumably caused by the methisoprinol. Intrauterine use of immunostimulatory substances, can improve the effectiveness of the treatment of endometritis in cows.     

Reproducibility of endometrial cytology using cytobrush technique and agreement for the diagnosis of subclinical endometritis between five predefined endometrial sites

The objectives of this study were as follows: (a) to assess the reproducibility of polymorphonuclear neutrophil (PMN) cell counts at five predefined endometrial sites (corpus uteri, left horn base, right horn base, left horn tip and right horn tip) and (b) to determine the agreement for the diagnosis of subclinical endometritis (SE) between the different endometrial sites. Forty milking cows between 28 and 34 days post‐partum were enrolled for endometrial sampling using cytobrush technique. Intraclass correlation coefficient (ICC) was calculated to evaluate the reproducibility of PMN counts at different sites. The right horn base was found to have the greatest agreement of PMN counts with the other endometrial sites (ICC = 0.66–0.85). Twenty‐eight of 40 cows showed no signs of clinical endometritis and were used for evaluation of agreement for the diagnosis of SE, analysed by using Cohen´s kappa (κ) statistics. Agreement for SE diagnosis with PMN cut‐off ≥5% was greatest between the right horn base and the right horn tip (κ = 0.84), and with PMN cut‐off ≥18% between the right horn base and left horn tip (κ = 1.0), respectively. The results indicate that the right horn base can be regarded as suitable for cytobrush sampling. The probability to detect an animal positive for SE (PMN ≥ 5%) with a single cytobrush sampling was 51.0%; thus, a second sampling is recommended to improve the accuracy.     

Plasma progesterone concentration and reproductive function relative to thyroid activity in postpartum buffaloes (Bubalus bubalis)

The lowest value for plasma protein bound iodine (PBI) (3.47 g%) in 20 freshly calved Murrah buffaloes was observed on day 1 postpartum. The values then increased consistently up to day 36 and were almost constant thereafter. The plasma progesterone concentrations were lower in animals with relatively low PBI from day 22 to 57 postpartum, except on day 36. The mean values ± SE (ng/ml) in the high and low PBI groups were 0.93±0.09 and 0.72±0.15. The correlation coefficient between PBI and progesterone was 0.80 (p<0.01). Relatively poor reproductive efficiency, in terms of a higher initiation of follicular development interval, postpartum oestrus interval, service period and number of services for conception, was observed in animals in the low PBI group.     

Comparison of two methods of detecting purulent vaginal discharge in postpartum dairy cows and effect of intrauterine cephapirin on reproductive performance

Objective   Part 1: compare the use of a Metricheck™ device (a stainless steel probe with a semi-spherical rubber cup attached at one end) to sample the contents of the anterior vagina with a vaginal speculum examination for the diagnosis of pus in the vagina of postpartum dairy cows and to investigate the association of that pus with reproductive performance. Part 2: assess the effect of a single intrauterine infusion of 500 mg cephapirin in cows diagnosed with vaginal purulent or mucopurulent discharge 7 to 28 days after calving on reproductive performance.
Procedure   Six herds were visited fortnightly to examine cows that had calved between 7 and 28 days (n = 423) with both the Metricheck device and a vaginal speculum to score, by each method, the vaginal discharge from 0 (clear or absent) to 3 (purulent) for each animal included in the study. Half of the cows that had a positive discharge score (1 to 3 by either examination method) were then treated with an intrauterine infusion of 500 mg of cephapirin. The relationship between Metricheck score, vaginoscopy score, treatment and reproductive performance was assessed.
Results   There was a substantial measure of agreement between each method when scores were analysed by status. Cows that were positive with either method had inferior reproductive performance compared with cows with a score of zero. Treatment of cows diagnosed with a purulent or mucopurulent discharge with intrauterine cephapirin improved reproductive performance in both the vaginoscopy and Metricheck groups.     

奶牛产后急性子宫内膜炎病原的分离与鉴定

通过研究奶牛产后急性子宫内膜炎致病微生物组成,揭示该病主要病原并为临床治疗提供依据。以产后6～10 d急性化脓性卡他性子宫内膜炎患牛80头为研究对象,对子宫内容物进行细菌和真菌的分离鉴定。共分离到195株细菌及真菌,其中35.4%具有溶血性,50.8%对试验动物有致病性;大肠杆菌和金黄色葡萄球菌分离率较高,为83.75%和62.5%,其次是奇异变形杆菌(36.25%)、白色念珠菌(20%)和肺炎克雷伯氏菌(17.5%)。该病的90%为混合感染,细菌混合感染(70%)主要由大肠杆菌、金黄色葡萄球菌、肺炎克雷伯氏菌和奇异变形杆菌组成;真菌与细菌混合感染占20%,均有白色念珠菌存在;细菌单一感染占10%。结果表明,奶牛产后急性子宫内膜炎主要致病菌是大肠杆菌、金黄色葡萄球菌、肺炎克雷伯氏菌、奇异变形杆菌,20%受试牛存在着以白色念珠菌为主的真菌感染。     

Selected leukocyte subpopulations in peripheral blood and uterine washings in cows before and after intrauterine administration of cefapirin and methisoprinol

The aim of the study was to evaluate the selected lymphocyte subpopulations TCD4, TCD8, BCD21, BCD25, CD18, CD11b, and MHC II in blood and uterine flush of cows with endometritis, before and after intrauterine (i.u.) administration of cefapirin and methisoprinol. The research was carried out on 28 cows with clinical endometritis. Animals were divided into four groups, each composed of seven cows, depending on the i.u. preparation used: Group A, cefapirin; Group B, methisoprinol; Group C, cefapirin and methisoprinol simultaneously; and a control group—without medication. The study was performed using flow cytometry method. Summarizing the results of the research, i.u. infusion of cefapirin caused a weakening of the effector phase of the local uterine immune response; however, it enhanced leukocyte chemotaxis and antigen presentation. After i.u. administration of methisoprinol, the stimulation of specific uterine immunity mechanisms was mainly observed. The use of both mentioned preparations showed the strengthening of specific uterine immunological mechanisms presumably caused by methisoprinol, despite the inhibitory effect of the antibiotic. Intrauterine use of immunostimulatory substances can improve the effectiveness of the endometritis treatment in cows by improving specific local mechanisms of uterine immunity. As a consequence, it may enhance the effector function of immune competent cells and finally eliminate inflammation.     

Effects of induced endometritis on uterine blood flow in cows as evaluated by transrectal Doppler sonography

This study was conducted to evaluate the effects of induced endometritis on uterine blood flow in cows. Transrectal Doppler sonography was performed on uterine arteries of six cyclic cows before and for 4 days after inducing acute endometritis by intrauterine infusion of 720 mg of policresulen, and for 4 days of the following estrous cycle. Time-averaged maximum velocity (TAMV) increased (p < 0.001) and pulsatility index (PI) decreased (p < 0.0001) within 1 h of policresulen administration, and did not change (p > 0.05) in the next 4 days of the same cycle. TAMV and PI values in the subsequent cycle did not differ (p > 0.05) from the values measured before infusion and showed no changes (p > 0.05) within the cycle. Blood flow parameters were not related (p > 0.05) to plasma concentrations of progesterone and estrogen. All cows showed an acute endometritis determined by histopathological findings of biopsy samples taken 1 day after infusion and fibrotic endometrial alterations detected in the subsequent cycle. No relationships were observed between fibrotic changes of the endometrium and uterine blood flow during either cycle. In conclusion, acute inflammation is accompanied by a rise in uterine blood flow, but fibrotic alterations do not seem to be related to Doppler sonographic findings.     

奶牛子宫内膜炎病原菌的分离鉴定及中药的抑菌作用

为了研究中药新促孕液防治母畜子宫内膜炎的机理和改进组方,采集南京地区患牛子宫分泌物进行细菌分离及鉴定,并测定了新促孕液及其组分药、其他10味中药及3个复方对主要分离株的体外抑菌作用和最小抑菌浓度。结果,共分离出葡萄球菌10株、链球菌6株、大肠杆菌8株,溶血性和非溶血性大肠杆菌的血清型分别为O159和O110,O159可在68 h内引起小鼠全部死亡,表明葡萄球菌、链球菌和大肠杆菌是主要致病菌,O159具有致病性。新促孕液对6种分离菌株均有较强的抑制作用,淫羊藿、黄柏、硼砂发挥主要作用;其他单味药以丹参、复方以方2的抑菌作用最强,这些可以作为改进新促孕液组方的依据。     

冀东地区奶牛隐性乳房炎病原菌的分离鉴定

通过LMT法、乳汁pH检验法和体细胞直接计数等方法相结合,对冀东地区3个大型奶牛场、8个奶牛养殖户选取的1 021头奶牛进行隐性乳房炎流行病学调查与病菌分离鉴定。结果表明,隐性乳房炎发病率为60.63%(619/1021),乳房炎阳性乳样品中细菌分离率达88.21%(546/619)。从543头隐性乳房炎患牛的阳性乳区乳样中分得细菌共4类14种菌82株,其中葡萄球菌36株,占43.90%;链球菌33株,占40.24%;肠杆菌类8株,占9.76%;棒状杆菌5株,占6.10%。冀东地区奶牛隐性乳房炎主要病原菌为金黄色葡萄球菌和无乳链球菌。     

大肠杆菌性子宫内膜炎对山羊血液和子宫内膜的影响

用致病性大肠杆菌经子宫角插管灌入子宫腔,以建立山羊子宫内膜炎疾病模型。经检测发现,致病性大肠杆菌在子宫静脉血液中呈一过性存在;子宫卵巢静脉和颈静脉血液中性粒细胞数量明显增加。其中,颈静脉血液嗜中性粒细胞增多明显于子宫静脉血液,颈静脉血液淋巴细胞降低明显于子宫静脉血液。病羊子宫黏膜损伤、炎性细胞浸润,子宫内膜上皮分泌细胞微绒毛和纤毛成片或部分脱落。     

Impact of ovarian and uterine conditions on some diagnostic tests output of endometritis in postpartum high-yielding dairy cows

The effect of ovarian predominating structures and uterine condition on the result of some diagnostic tools for the evaluation of endometritis was studied in postpartum (pp) Holstein-Friesian dairy cows (n = 58). Endometrial cytology (EC) and the evaluation of vaginal mucus by vaginoscopy or Metricheck were performed weekly from week 3 to 7 pp. The ovarian studies involved the predominating structures including cystic follicles with plasma progesterone (P(4) ; more or <1 ng/ml; >23 mm), corpus luteum (CL), pre-ovulatory follicles (10-23 mm) and small follicles (<10 mm). The uterine conditions comprised uterine involution, tonicity and fluid in uterus (FIU) regarding echogenicity extent. During week 5, the percentage of polymorphonuclear neutrophils (PMN%) was higher (p < 0.05) in animals with pre-ovulatory follicles (mean ± SEM, 26.3 ± 7.6%) than animals having CL (11.0 ± 3.6%). In cystic ovaries, during week 5, PMN% was higher (p < 0.05) in follicular cysts with low progesterone (P(4) < 1 ng/ml; 9.3 ± 2.6%) than those with high P(4) (P(4) ≥ 1 ng/ml; 1.5 ± 1.1%). Moreover, PMN% was higher (p < 0.01) in animals with non-involuted uterus (11.5 ± 7.4%) than those with involuted uterus (2.7 ± 0.6%) during week 7 pp. The animals that had abnormal mucus determined by Metricheck was higher in animals with atonic uterus than those with tonic uterus during week 6 (82.6% vs 51.5%; p < 0.05) and 7 (71.4% vs 25.7%; p < 0.01) pp. In addition, by vaginoscopy, the prevalence of animals with abnormal discharge showing small follicles (100%, 5/5) during week 3 pp and pre-ovulatory follicles (40.0%, 8/20) during week 5 pp was higher (p < 0.05) when compared to those having CL during week 3 (33.3%; 1/3) and week 5 pp (7.7%; 2/26), respectively. In conclusion, endometrial cytology, Metricheck and vaginoscopy were influenced by the predominating various ovarian structures and uterine condition in early pp high-yielding dairy cows.     

患子宫内膜炎母猪阴道菌群变化与发病关系研究

探究患子宫内膜炎母猪阴道病原,采用16SrRNA测序技术对健康和患子宫内膜炎母猪阴道菌群进行比较研究。结果表明,患子宫内膜炎母猪阴道菌群的多样性和丰富度均高于健康母猪。与健康母猪阴道菌群组成相比,患子宫内膜炎母猪阴道变形菌门(Proteobacteria)的相对丰度显著增加,而厚壁菌门(Firmicutes)和梭杆菌门(Fusobacteria)显著降低(P<0.05)。在属的分类水平上,健康母猪阴道的主要优势菌属有链球菌属、梭菌属、拟杆菌属、放线杆菌等。母猪患子宫内膜炎后,大多数健康组的优势菌属丰度显著降低。特别是子宫内膜炎组中相对丰度最高的菌属Burkholderia-Paraburkholderia在健康组中未检出。试验首次发现,患子宫内膜炎母猪的阴道菌群失衡,其发病可能与Burkholderia-Paraburkholderia数量的增加有关。本研究为研究子宫内膜炎的病因及发病机制奠定基础,并为其治疗提供依据。     

宫炎净中生物碱对子宫内膜炎家兔病理组织形态变化的影响

为研究中药复方宫炎净中生物碱对子宫内膜炎家兔子宫组织病理形态变化的影响,本实验通过子宫灌注混合菌液建立子宫内膜炎家兔模型,观察家兔在造模前后的临床症状以及白细胞分类计数变化,确认造模成功后给予不同剂量的生物碱治疗,并在末次给药后,取各组家兔的子宫,观察其病理变化。结果显示,通过子宫灌注病原菌可以导致家兔采食量减少,精神状态差,体温升高,白细胞总数及中性粒细胞数显著增多（P〈0.05或P〈0.01）、淋巴细胞显著减少（P〈0.05）,成功建立子宫内膜炎家兔模型;通过观察家兔子宫组织变化,结果表明,宫炎净中生物碱有一定的活血化瘀、抗菌消炎作用,对子宫内膜炎家兔有较好的治疗作用。     

Effect of intrauterine bacterial infusions and subsequent endometritis on prostaglandin F2 alpha metabolite concentrations in postpartum beef cows.

Multiparous Angus and crossbred Angus cows were used to determine the effect of induced endometritis on plasma concentrations of 13,14-dihydro-15-keto-prostaglandin F2 alpha (PGFM) and progesterone (P4) and on duration of the estrous cycle of treatment. Beginning on the day of calving (d 0), blood samples were collected on alternate days. On three consecutive days, ranging from d 8 to 14 of the first postpartum estrous cycle, uterine horns were inoculated transcervically with either 3 x 10(9) colony forming units (cfu) of Actinomyces pyogenes and 1.5 x 10(9) cfu of beta-hemolytic Escherichia coli (treated; n = 9) in sterile PBS or with sterile PBS alone (control; n = 9). Samples of uterine fluid were collected by transcervical aspiration twice weekly from just before the start of each series of inoculations until the end of the experiment. Endometrial biopsies were collected transcervically between d 4 to 6 and 11 to 13 after inoculation. Based on clinical observations and results of bacterial cultures, all treated cows developed acute uterine infections. Controls did not develop uterine infections. Endometrial biopsies indicated that there were no significant diffuse or focal cellular reactions in response to the infection. The interestrous interval was greater (P less than .0003) for treated (27.7 +/- 1.0 d) than for control (20.6 +/- 1.0 d) cows, but P4 concentrations were similar between the two groups. Mean PGFM concentration and PGFM profiles were similar (P greater than .10) between treated and control cows before bacterial infusions. Bacterial infusions increased mean PGFM concentration (P less than .0001) and changed the shape of the PGFM profile (P less than .02).(ABSTRACT TRUNCATED AT 250 WORDS)     

Persistence of uterine bacterial infection,and its associations with endometritis and ovarian function in postpartum dairy cows

We investigated the relationship between the persistence of uterine bacterial infections with cytologically determined endometritis and ovarian function in 65 postpartum Holstein cows. Vaginal mucus discharges were collected, and endometrial smear samples (n = 130) were collected for cytological and bacteriological examinations from the cows at weeks 5 and 7 postpartum (pp). Blood samples were collected at weeks 3, 5 and 7 pp to determine plasma progesterone concentrations to monitor ovarian activity. According to the bacteriological examination, cows were classified into four groups. The first group (n = 32; 49%) comprised cows negative for bacteria at weeks 5 and 7 pp. The second group (n = 11; 17%) comprised cows with bacterial infections at week 5 pp but that were clear of infection at week 7 pp. The third group (n = 12; 19%) comprised cows without bacteria at week 5 pp but that acquired an infection by week 7 pp. The fourth group (n = 10; 15%) comprised cows with bacterial infections at weeks 5 and 7 pp (persistence of infection). A positive correlation (P < 0.001) was noted between the severity of cytologically determined endometritis, purulent vaginal discharge and the persistence of infection. Cows with persistent infections had a significantly (P < 0.01) prolonged luteal phase compared with cows without infection. In conclusion, the prevalence of cytologically determined endometritis and prolonged luteal phase were significantly increased in cows with persistent infections.     

川渝地区奶牛隐性乳房炎调查和主要病原菌分离鉴定及药敏试验

用LMT法对川渝地区134头泌乳奶牛的491个乳区进行隐性乳房炎发病情况调查,并对阳性乳样进行主要病原菌的分离鉴定及药敏试验。结果显示,被检奶牛患隐性乳房炎头阳性率为70.90%,乳区阳性率为35.64%,175份阳性乳样的细菌检出率为90.86%,病原菌单独感染率为10.69%,混合感染率为89.31%;共分离到金黄色葡萄球菌、链球菌和大肠杆菌3种主要病原菌134株,其中金黄色葡萄球菌93株,占分离菌株的69.40%,链球菌34株,占25.37%,大肠杆菌7株,占5.23%;主要病原菌对呋喃妥因、新生霉素、头孢菌素类和喹诺酮类药物敏感性较好,对大多数抗菌药物产生不同程度的耐药性,对青霉素和链霉素则完全不敏感,耐药程度接近100%。