Nasogastric Intubation as Health and Safety Risk in Equine Practice—A Questionnaire

Drozdzewska, Karolina; Potocnik, Eva; Schwarz, Bettina

doi:10.1016/j.jevs.2020.102951

Cited by 4 publications

(3 citation statements)

References 31 publications

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“…Thus, a broad overview over the management of equine endometritis in Germany is provided. It is noteworthy that comparable surveys on issues of equine clinical practice such as retained fetal membranes ( 24 ), nasogastric intubation ( 25 ), or management of endometritis ( 22 , 23 ) were completed by a comparable or smaller number of veterinarians. Since the exact number of practitioners working with equines is not gathered in Germany, no statement of the proportion of participants in the survey to the total number of equine practitioners is possible.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic and Treatment Practices of Equine Endometritis—A Questionnaire

et al. 2020

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Endometritis is a major cause for impaired fertility in mares. The objectives of this study were to collect information on diagnostic and treatment practices performed by veterinarians and to investigate possible effects of professional experience, caseload, and geographical location on the practitioners' management of endometritis cases. For this purpose, equine practitioners ( n = 680) were asked to fill out an online survey (34 questions). The online survey yielded 117 responses by veterinarians practicing in all parts of Germany. Most respondents came from Lower Saxony and managed <20 mares per year. For the diagnosis of chronic infectious endometritis, uterine sampling for microbiological examination was performed manually with a swab by the majority of practitioners whereas only few used the speculum technique. The incidence of antibiotic resistant pathogens was reported to be <5% by almost all respondents. Most practitioners relied on systemic antibiotic treatment with trimethoprim-sulfadiazine. Only occasionally veterinarians used intrauterine antibiotic therapy. Uterine lavages were performed routinely by almost half of the respondents in case of positive uterine cultures, mostly with 0.9% saline solution. Irritant solutions (e.g., iodine, chlorhexidine, kerosene) were used less often. Collection of an endometrial culture after completion of the treatment was common practice. While only a very limited association of the geographical location of practitioner (e.g., on selection of mares for endometrial culture, p < 0.05) was observed, the number of managed mares affected the answers notably (e.g., for use of irritating intrauterine treatment, p < 0.05). The management of persistent breeding induced endometritis (PBIE) was influenced by the number of managed mares (e.g., for use of oxytocin, p < 0.05) and 29.6% of respondents administered antibiotics as part of their PBIE management. In summary, treatment strategies in the field vary considerably and include also non-evidence-based methods, but most German practitioners apply the recommended suitable treatments. Following the guidelines for antibiotic usage, most veterinarians administer antibiotics dependent on endometrial culture results but do not use cytology, low-volume lavage, or biopsy routinely. Antibiotic resistant uterine pathogens are reported to be isolated infrequently and equine practitioners prefer systemic to local antibiotic treatment of endometritis.

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Section: Discussionmentioning

confidence: 99%

Diagnostic and Treatment Practices of Equine Endometritis—A Questionnaire

et al. 2020

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“…Gastric intubation was performed to deliver water and mineral oil into the horses’ stomach as a laxative. The main basis for rigorous medical treatment was the severity of clinical parameters and ongoing monitoring throughout the case assessment and recovery phases [ 19 ].…”

Section: Methodsmentioning

confidence: 99%

Colic incidence, risk factors, and therapeutic management in a working horse population in Tuban, Indonesia

Fikri,

Hendrawan,

Wicaksono

et al. 2024

Vet World

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Background and Aim: Colic is the primary problem affecting equestrian care worldwide. The primary cause of colic is digestive diseases; however, they can also affect organs from different systems in the abdominal region. In addition to a prior history of the disease and its treatment, risk factors may be assessed to determine the etiology of the disease in horses without or with a history of colic. This study aimed to present a summary of the incidence, risk factors, and medical procedures for colic in horses. Materials and Methods: Based on owner reports, 223 horses in Tuban, Indonesia, suspected of having colic were investigated. During the investigation of clinical parameters, investigators went door-to-door with interested horse owners to gather information about potential risk factors related to equine colic. Information on horses diagnosed with colic was obtained from the medical records of treatment. A Chi-square test was used to investigate the potential association between the risk factors, medical protocol, and the outcome of colic in horses. Results: Of the 187 cases, spasmodic colic was the most common (48.13%), but 17 (9.09%) had no definitive diagnosis. Poor body condition scores (χ2 = 58.73; p < 0.001), wheat bran feeding (χ2 = 26.79; p < 0.001), concentrate (χ2 = 10.66; p < 0.01), less access to water (χ2 = 128.24; p < 0.001), recurrence of colic (χ2 = 85.64; p < 0.001), no deworming program (χ2 = 54.76; p < 0.001), the presence of gastrointestinal parasites (χ2 = 56.79; p < 0.001), stressed physical activity (χ2 = 28.53; p < 0.001), and summer season (χ2 = 7.83; p < 0.01) were the risk factors for colic. We further reported that 185 (98.93%) patients who received the following medical interventions recovered: injection of non-steroidal anti-inflammatory drugs was necessary, Vitamin B complex (χ2 = 39.98; p < 0.001), fluid therapy (χ2 = 92.99; p < 0.001), and gastric intubation (χ2 = 4.09; p < 0.05). Conclusion: The importance of colic was demonstrated in 187 (83.86%) of the 223 horses investigated in Tuban, Indonesia, documented. In this study, recommendations for medical procedures when colic risk factors have been determined are presented. Keywords: colic, domesticated animals, horse, risk factors, therapeutic management.

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“…In aktuellen Studien wurden bei Ankunft in der Klinik 3,5 % der Pferde positiv auf MRSA und 10,7 % positiv auf ESBL-bildende Enterobacteriaceae getestet 33 , 80 . Dies erhöht zum einen das Risiko für den Patienten selbst, eine MRE-assoziierte Erkrankung zu entwickeln, zum anderen besteht die Gefahr, dass eine Kontamination der Umgebung oder eine Übertragung auf andere Pferde oder sogar Menschen stattfindet 26 , 28 , 29 , 81 . Pferdetierärzte sind signifikant häufiger Träger von MRSA als die übrige Population oder auch andere Tierärzte 29 , 31 .…”

Section: Hygienemaßnahmen Bei Ausgewählten Infektionenunclassified

Vorgehensweise und Hygienemaßnahmen beim Ausbruch von Herpes, Influenza, Druse oder Infektionen mit multiresistenten Keimen

Gehlen

Rutenberg

Simon

et al. 2022

Tierarztl Prax Ausg G Grosstiere Nutztiere

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ZusammenfassungDas Ziel dieses Reviews ist, die allgemein gültigen Hygienemaßnahmen im Pferdestall zusammenzufassen sowie aktuelle Empfehlungen bei Ausbruch relevanter Infektionskrankheiten zu liefern. Die allgemeine Sauberkeit, Handhygiene, stressarme Haltung sowie regelmäßige Entwurmungen und Impfungen gehören dabei zur Basishygiene im Pferdebestand. Wichtige Maßnahme in der Infektionsprävention stellen dabei die Quarantäne aller rückkehrenden oder neu eingestallten Equiden und das regelmäßige Waschen und Desinfizieren der Hände zur Reduktion der Übertragung von Krankheitserreger dar.Die Erstellung eines Hygieneplans, welcher die allgemeinen Biosicherheitsregeln sowie die Vorgehensweise für den Fall eines Ausbruchs einer ansteckenden Erkrankung, Zoonose bzw. Infektion mit multiresistenten Erregern (MRE) festlegt, wird empfohlen. Bereits bei begründetem Verdacht auf eine dieser Erkrankungen sollten weitere, über die übliche Basishygiene hinausgehende Maßnahmen (inklusive Schutzkleidung, Flächen- und Gerätereinigung und Desinfektion sowie Isolation potenziell erkrankter Tiere) eingeleitet werden. Die erforderlichen diagnostischen Proben sollen möglichst zeitnah entnommen werden, um einen Krankheitsverdacht schnellstmöglich zu bestätigen. Die entsprechenden Schutzmaßnahmen sind dem Übertragungsrisiko der Infektionserreger und der Art ihrer potenziellen Übertragung anzupassen.Neben dem „Lock-Down“ des ganzen Stalls, der Klinik oder des Turnier-/Veranstaltungsgeländes spielt die räumliche Trennung der Tiere eine wichtige Rolle. Ein „Ampelsystem“ wird empfohlen, bei dem kranke oder positiv getestete Pferde in die rote Gruppe eingeordnet werden („erkrankt“). Tiere mit möglichem Kontakt zum pathogenen Agens sollten der gelben Gruppe („verdächtig“) zugeteilt und regelmäßig auf Anzeichen der Erkrankung und Fieber kontrolliert werden. In der grünen Kategorie („unverdächtig“) befinden sich klinisch unauffällige Pferde ohne Kontakt zu erkrankten Tieren. Zwischen den räumlich getrennten Bereichen sollte die Schutzkleidung gewechselt werden und eine entsprechende Desinfektion stattfinden.Alle erweiterten Hygienemaßnahmen sollten beibehalten werden bis alle Tiere negativ getestet wurden und keine Symptome der Erkrankung über eine ausreichend lange Zeit zeigen.

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Nasogastric Intubation as Health and Safety Risk in Equine Practice—A Questionnaire

Cited by 4 publications

References 31 publications

Diagnostic and Treatment Practices of Equine Endometritis—A Questionnaire

Diagnostic and Treatment Practices of Equine Endometritis—A Questionnaire

Colic incidence, risk factors, and therapeutic management in a working horse population in Tuban, Indonesia

Vorgehensweise und Hygienemaßnahmen beim Ausbruch von Herpes, Influenza, Druse oder Infektionen mit multiresistenten Keimen

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