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Gomez DE, Arroyo LG, Schoster A, Renaud DL, Kopper JJ, Dunkel B, Byrne D, Toribio RE. Diagnostic approaches, aetiological agents and their associations with short-term survival and laminitis in horses with acute diarrhoea admitted to referral institutions. Equine Vet J 2023. [PMID: 37984355 DOI: 10.1111/evj.14024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2023] [Accepted: 10/02/2023] [Indexed: 11/22/2023]
Abstract
BACKGROUND An international description of the diagnostic approaches used in different institutions to diagnose acute equine diarrhoea and the pathogens detected is lacking. OBJECTIVES To describe the diagnostic approach, aetiological agents, outcome, and development of laminitis for diarrhoeic horses worldwide. STUDY DESIGN Multicentre retrospective case series. METHODS Information from horses with acute diarrhoea presenting to participating institutions between 2016 and 2020, including diagnostic approaches, pathogens detected and their associations with outcomes, were compared between institutions or geographic regions. RESULTS One thousand four hundred and thirty-eight horses from 26 participating institutions from 4 continents were included. Overall, aetiological testing was limited (44% for Salmonella spp., 42% for Neorickettsia risticii [only North America], 40% for Clostridiodes difficile, and 29% for ECoV); however, 13% (81/633) of horses tested positive for Salmonella, 13% (35/262) for N. risticii, 9% (37/422) for ECoV, and 5% (27/578) for C. difficile. C. difficile positive cases had greater odds of non-survival than horses negative for C. difficile (OR: 2.69, 95%CI: 1.23-5.91). In addition, horses that were positive for N. risticii had greater odds of developing laminitis than negative horses (OR: 2.76, 95%CI: 1.12-6.81; p = 0.029). MAIN LIMITATIONS Due to the study's retrospective nature, there are missing data. CONCLUSIONS This study highlighted limited diagnostic investigations in cases of acute equine diarrhoea. Detection rates of pathogens are similar to previous reports. Non-survival and development of laminitis are related to certain detected pathogens.
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Affiliation(s)
- Diego E Gomez
- Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada
| | - Luis G Arroyo
- Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada
| | - Angelika Schoster
- Vetsuisse Faculty, Equine Department University of Zurich, Zurich, Switzerland
- Ludwig-Maximilians-University Munich, Equine Clinic, Oberschleissheim, Germany
| | - David L Renaud
- Department of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada
| | - Jamie J Kopper
- Department of Veterinary Clinical Sciences, Iowa State University College of Veterinary Medicine, Ames, Iowa, USA
| | - Bettina Dunkel
- Department of Clinical Science and Services, The Royal Veterinary College, Hertfordshire, UK
| | - David Byrne
- College of Veterinary Medicine, Murdoch University, Perth, Western Australia, Australia
| | - Ramiro E Toribio
- College of Veterinary Medicine, The Ohio State University, Columbus, Ohio, USA
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Giraldo AF, Carballo R, Serrenho RC, Tran V, Valverde A, Renaud DL, Gomez DE. Association of the type of metabolic acidosis and non-survival of horses with colitis. THE CANADIAN VETERINARY JOURNAL = LA REVUE VETERINAIRE CANADIENNE 2023; 64:1044-1050. [PMID: 37915775 PMCID: PMC10581353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/03/2023]
Abstract
Background Metabolic acidosis (MA) is the most common acid-base disorder reported in horses with colitis but its association with survival is yet to be determined. Objective Investigate the types of MA in horses with colitis to determine effects of various anions on fatality rates. Animals and procedures We studied 158 horses with colitis. Horses were classified into 4 groups depending on the anion contributing to MA: i) no MA, ii) lactic acidosis (LA), iii) unmeasured strong ion (USI) acidosis, and iv) hyperchloremic acidosis (HA). Results Sixty percent (95/158) of horses had no MA, 22% (34/158) had LA, 12% (19/158) had HA, and 6% (10/158) had USI acidosis. The fatality rate of horses without MA was 20% (20/95), whereas the rates for those with LA, USI, and HA were 53% (18/34), 30% (3/10), and 16% (3/19), respectively. Horses with LA were more likely to die or be euthanized than horses without MA (OR: 4.2, 95% CI: 1.83 to 9.72, P < 0.001) and HA (OR: 5.9, 95% CI: 1.47 to 24.4, P < 0.01). Conclusion and clinical relevance Lactic acidosis was the most common type of MA in horses with colitis, and it was associated with non-survival.
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Affiliation(s)
- Andres F Giraldo
- Departments of Clinical Studies (Giraldo, Carballo, Tran, Valverde, Gomez) and Population Medicine (Serrenho, Renaud), Ontario Veterinary College, University of Guelph, 50 Stone Road East, Guelph, Ontario N1G 2W1
| | - Rafael Carballo
- Departments of Clinical Studies (Giraldo, Carballo, Tran, Valverde, Gomez) and Population Medicine (Serrenho, Renaud), Ontario Veterinary College, University of Guelph, 50 Stone Road East, Guelph, Ontario N1G 2W1
| | - Rita Couto Serrenho
- Departments of Clinical Studies (Giraldo, Carballo, Tran, Valverde, Gomez) and Population Medicine (Serrenho, Renaud), Ontario Veterinary College, University of Guelph, 50 Stone Road East, Guelph, Ontario N1G 2W1
| | - Vylan Tran
- Departments of Clinical Studies (Giraldo, Carballo, Tran, Valverde, Gomez) and Population Medicine (Serrenho, Renaud), Ontario Veterinary College, University of Guelph, 50 Stone Road East, Guelph, Ontario N1G 2W1
| | - Alex Valverde
- Departments of Clinical Studies (Giraldo, Carballo, Tran, Valverde, Gomez) and Population Medicine (Serrenho, Renaud), Ontario Veterinary College, University of Guelph, 50 Stone Road East, Guelph, Ontario N1G 2W1
| | - David L Renaud
- Departments of Clinical Studies (Giraldo, Carballo, Tran, Valverde, Gomez) and Population Medicine (Serrenho, Renaud), Ontario Veterinary College, University of Guelph, 50 Stone Road East, Guelph, Ontario N1G 2W1
| | - Diego E Gomez
- Departments of Clinical Studies (Giraldo, Carballo, Tran, Valverde, Gomez) and Population Medicine (Serrenho, Renaud), Ontario Veterinary College, University of Guelph, 50 Stone Road East, Guelph, Ontario N1G 2W1
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Amory H, Cesarini C, De Maré L, Loublier C, Moula N, Detilleux J, Saulmont M, Garigliany MM, Lecoq L. Relationship between the Cycle Threshold Value (Ct) of a Salmonella spp. qPCR Performed on Feces and Clinical Signs and Outcome in Horses. Microorganisms 2023; 11:1950. [PMID: 37630510 PMCID: PMC10459194 DOI: 10.3390/microorganisms11081950] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Revised: 07/27/2023] [Accepted: 07/28/2023] [Indexed: 08/27/2023] Open
Abstract
The objective of this retrospective study was to evaluate the clinical significance of fecal quantitative real-time polymerase chain reaction (qPCR) Salmonella results when taking the cycle threshold values (Ct) into account. The study included 120 Salmonella qPCR-positive fecal samples obtained from 88 hospitalized horses over a 2-year period. The mean Ct of the qPCR test was evaluated in regard to (1) clinical outcome and (2) systemic inflammatory response syndrome (SIRS) status (no SIRS, moderate SIRS, or severe SIRS) of the sampled horses. An ROC analysis was performed to establish the optimal cut-off Ct values associated with severe SIRS. The mean ± SD Ct value was significantly lower in samples (1) from horses with a fatal issue (27.87 ± 5.15 cycles) than in surviving horses (31.75 ± 3.60 cycles), and (2) from horses with severe SIRS (27.87 ± 2.78 cycles) than from horses with no (32.51 ± 3.59 cycles) or moderate (31.54 ± 3.02 cycles) SIRS. In the ROC analysis, the optimal cut-off value of Ct associated with a severe SIRS was 30.40 cycles, with an AUC value of 0.84 [95% confidence interval 0.76-0.91] and an OR of 0.64 [0.51-0.79]. Results suggest that including the Ct value in the interpretation of fecal qPCR results could improve the diagnostic value of this test for clinical salmonellosis in horses.
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Affiliation(s)
- Hélène Amory
- Equine Clinical Department, Faculty of Veterinary Medicine, Bât. B41, University of Liège, Sart Tilman, 4000 Liège, Belgium; (C.C.); (L.D.M.); (C.L.); (J.D.)
- Fundamental and Applied Research for Animals & Health (FARAH), Faculty of Veterinary Medicine, University of Liège, Sart Tilman, 4000 Liège, Belgium; (N.M.); (M.-M.G.)
| | - Carla Cesarini
- Equine Clinical Department, Faculty of Veterinary Medicine, Bât. B41, University of Liège, Sart Tilman, 4000 Liège, Belgium; (C.C.); (L.D.M.); (C.L.); (J.D.)
- Fundamental and Applied Research for Animals & Health (FARAH), Faculty of Veterinary Medicine, University of Liège, Sart Tilman, 4000 Liège, Belgium; (N.M.); (M.-M.G.)
| | - Lorie De Maré
- Equine Clinical Department, Faculty of Veterinary Medicine, Bât. B41, University of Liège, Sart Tilman, 4000 Liège, Belgium; (C.C.); (L.D.M.); (C.L.); (J.D.)
- Fundamental and Applied Research for Animals & Health (FARAH), Faculty of Veterinary Medicine, University of Liège, Sart Tilman, 4000 Liège, Belgium; (N.M.); (M.-M.G.)
| | - Clémence Loublier
- Equine Clinical Department, Faculty of Veterinary Medicine, Bât. B41, University of Liège, Sart Tilman, 4000 Liège, Belgium; (C.C.); (L.D.M.); (C.L.); (J.D.)
- Fundamental and Applied Research for Animals & Health (FARAH), Faculty of Veterinary Medicine, University of Liège, Sart Tilman, 4000 Liège, Belgium; (N.M.); (M.-M.G.)
| | - Nassim Moula
- Fundamental and Applied Research for Animals & Health (FARAH), Faculty of Veterinary Medicine, University of Liège, Sart Tilman, 4000 Liège, Belgium; (N.M.); (M.-M.G.)
- Department of Veterinary Management of Animal Resources, Faculty of Veterinary Medicine, Bât. B41, University of Liège, Sart Tilman, 4000 Liège, Belgium
| | - Johann Detilleux
- Equine Clinical Department, Faculty of Veterinary Medicine, Bât. B41, University of Liège, Sart Tilman, 4000 Liège, Belgium; (C.C.); (L.D.M.); (C.L.); (J.D.)
- Fundamental and Applied Research for Animals & Health (FARAH), Faculty of Veterinary Medicine, University of Liège, Sart Tilman, 4000 Liège, Belgium; (N.M.); (M.-M.G.)
| | - Marc Saulmont
- Regional Animal Health and Identification Association (ARSIA), 2 Allée des Artisans, ZA du Biron, 5590 Ciney, Belgium
| | - Mutien-Marie Garigliany
- Fundamental and Applied Research for Animals & Health (FARAH), Faculty of Veterinary Medicine, University of Liège, Sart Tilman, 4000 Liège, Belgium; (N.M.); (M.-M.G.)
- Department of Morphology and Pathology, Faculty of Veterinary Medicine, Bât. B41, University of Liège, Sart Tilman, 4000 Liège, Belgium
| | - Laureline Lecoq
- Equine Clinical Department, Faculty of Veterinary Medicine, Bât. B41, University of Liège, Sart Tilman, 4000 Liège, Belgium; (C.C.); (L.D.M.); (C.L.); (J.D.)
- Fundamental and Applied Research for Animals & Health (FARAH), Faculty of Veterinary Medicine, University of Liège, Sart Tilman, 4000 Liège, Belgium; (N.M.); (M.-M.G.)
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Cummings CO, Krucik DD, Price E. Clinical predictive models in equine medicine: A systematic review. Equine Vet J 2023; 55:573-583. [PMID: 36199162 PMCID: PMC10073351 DOI: 10.1111/evj.13880] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Accepted: 09/23/2022] [Indexed: 11/28/2022]
Abstract
Clinical predictive models use a patient's baseline demographic and clinical data to make predictions about patient outcomes and have the potential to aid clinical decision making. The extent of equine clinical predictive models is unknown in the literature. Using PubMed and Google Scholar, we systematically reviewed the predictive models currently described for use in equine patients. Models were eligible for inclusion if they were published in a peer-reviewed article as a multivariable model used to predict a clinical/laboratory/imaging outcome in an individual horse or herd. The agreement of at least two authors was required for model inclusion. We summarised the patient populations, model development methods, performance metric reporting, validation efforts, and, using the Predictive model Risk of Bias Assessment Tool (PROBAST), assessed the risk of bias and applicability concerns for these models. In addition, we summarised the index conditions for which models were developed and provided detailed information on included models. A total of 90 predictive models and 9 external validation studies were included in the final systematic review. A plurality of models (41%) was developed to predict outcomes associated with colic, for example, need for surgery or survival to discharge. All included models were at high risk of bias, defined as failing one or more PROBAST signalling questions, primarily for analysis-related reasons. Importantly, a high risk of bias does not necessarily mean that models are unusable, but that they require more careful consideration prior to clinical use. Concerns about applicability were low for the majority of models. Systematic reviews such as this can serve to increase veterinarians' awareness of predictive models, including evaluation of their performance and their use in different patient populations.
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Affiliation(s)
- Charles O. Cummings
- Tufts Clinical and Translational Science Institute, Tufts
Medical Center, Boston, MA 02111, USA
| | - David D.R. Krucik
- Department of Comparative Medicine, Stanford University,
Stanford, California 94305, USA
| | - Emma Price
- Tufts Clinical and Translational Science Institute, Tufts
Medical Center, Boston, MA 02111, USA
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5
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Runge KE, Bak M, Vestergaard A, Staerk-Østergaard J, Jacobsen S, Pihl TH. Serum amyloid A does not predict non-survival in hospitalised adult horses with acute colitis. Vet Rec 2023; 192:e2644. [PMID: 36780213 DOI: 10.1002/vetr.2644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Revised: 01/06/2023] [Accepted: 01/10/2023] [Indexed: 02/14/2023]
Abstract
BACKGROUND Predicting non-survival in horses with acute colitis improves early decision making. Therefore, this study aimed to determine the prognostic value of serum amyloid A (SAA) and other clinicopathological and clinical variables in adult horses with acute colitis. METHODS Clinical variables, SAA and other blood biomarkers, including plasma L-lactate (lactate), were assessed in 176 horses with acute colitis. A multivariate model for the prediction of non-survival was constructed. Icelandic horses were analysed separately. RESULTS Admission SAA was similar in survivors (median 548 mg/L; range 0-5453 mg/L) and non-survivors (396 mg/L; 0-5294) (p = 0.43). A model for non-survival included year of admission, lactate, heart rate, age and colic duration of more than 24 hours. Icelandic horses had a relative risk of 2.9 (95% confidence interval = 2.2-3.8) for acute colitis compared to other breeds. Lactate in Icelandic horses was higher than that in other breeds in both survivors (4.0 mmol/L, range 1.0-12.7 vs. 2.0, 0.7-12.5) and non-survivors (10.0, 1.5-26 vs. 5.4, 0.8-22) (p < 0.001). LIMITATIONS The prognostic value of repeated measurements of SAA could not be assessed in this study, as 71% of the non-surviving horses died within a day of admission. CONCLUSION Admission SAA did not predict non-survival. Breed needs consideration when lactate is evaluated as a predictor for non-survival in horses with colitis.
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Affiliation(s)
- Kira Elisabeth Runge
- Department of Veterinary Clinical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Taastrup, Denmark
| | - Maj Bak
- Department of Veterinary Clinical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Taastrup, Denmark
| | - Amalie Vestergaard
- Department of Veterinary Clinical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Taastrup, Denmark
| | - Jacob Staerk-Østergaard
- Department of Veterinary and Animal Sciences, Animal Welfare and Disease Control, University of Copenhagen, Copenhagen, Denmark
| | - Stine Jacobsen
- Department of Veterinary Clinical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Taastrup, Denmark
| | - Tina Holberg Pihl
- Department of Veterinary Clinical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Taastrup, Denmark
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Taylor SD. Potomac Horse Fever. Vet Clin North Am Equine Pract 2023; 39:37-45. [PMID: 36737286 DOI: 10.1016/j.cveq.2022.11.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
Potomac horse fever (PHF) is a common cause of equine colitis in endemic areas. Until recently, the only causative agent known to cause PHF was Neorickettsia risticii. However, N. findlayensis has been isolated from affected horses. Horses typically become infected upon ingestion of Neorickettsia spp.-infected trematodes within aquatic insects. The most common clinical signs include diarrhea, fever, anorexia, lethargy and colic. The diagnostic test of choice for PHF is PCR of blood and feces. Tetracyclines remain an effective treatment. Supportive care, including fluid therapy, colloid administration, NSAID and anti-endotoxin medication, and digital cryotherapy, is also necessary in some cases.
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Affiliation(s)
- Sandra D Taylor
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Purdue University, 625 Harrison Street, West Lafayette, IN 47907, USA.
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Holschbach CL, Raabis SM, Peek SF. Prognostic indicators for survival of downer cattle treated using a flotation tank in a referral hospital: 190 cases (2000-2020). J Vet Intern Med 2022; 37:366-373. [PMID: 36472312 PMCID: PMC9889702 DOI: 10.1111/jvim.16599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Accepted: 11/17/2022] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Nonambulatory cattle present therapeutic challenges in addition to animal welfare concerns. Flotation therapy is a treatment option, but more information regarding prognostic indicators for survival is needed to guide use of this modality. HYPOTHESIS/OBJECTIVES Evaluate historical and clinical variables assessed during hospitalization as prognostic indicators for survival in recumbent cattle undergoing flotation treatment in a referral hospital. ANIMALS A total of 190 nonambulatory dairy cattle. METHODS Retrospective case series. Medical records were analyzed from cattle undergoing flotation between 2000 and 2020. Univariable and multivariable logistic regression analyses were performed to assess the association of clinical variables with survival to discharge. RESULTS Eighty-nine of 190 (47%) recumbent cattle survived to discharge. For each additional day of hospitalization, cattle were 1.10 (95% confidence interval [CI], 1.02, 1.21) times more likely to survive. Cattle unable to walk out of the tank after their first float session were 0.11 (95% CI, 0.04, 0.28) times less likely to survive compared to cattle that could and inappetent cattle were 0.22 (95% CI, 0.07, 0.63) times less likely to survive compared to cattle with normal appetites. Cattle diagnosed with coxofemoral luxation or toxemia were 0.11 (95% CI, 0.02, 0.65) and 0.16 (95% CI, 0.02, 0.90) times less likely to survive, respectively, compared to cattle with causes of recumbency that were undetermined. CONCLUSIONS AND CLINICAL IMPORTANCE Walking out of the tank after the first float session, appetite, diagnosis, and days of hospitalization are associated with outcome in nonambulatory dairy cattle treated by flotation. These findings can be used to determine likely outcome and guide treatment, referral, or euthanasia decisions.
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Affiliation(s)
- Chelsea L. Holschbach
- Department of Medical Sciences, School of Veterinary MedicineUniversity of Wisconsin‐MadisonMadisonWisconsinUSA
| | - Sarah M. Raabis
- Department of Clinical Sciences, School of Veterinary MedicineColorado State UniversityFort CollinsColoradoUSA
| | - Simon F. Peek
- Department of Medical Sciences, School of Veterinary MedicineUniversity of Wisconsin‐MadisonMadisonWisconsinUSA
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Gomez DE, Leclere M, Arroyo LG, Li L, John E, Afonso T, Payette F, Darby S. Acute diarrhea in horses: A multicenter Canadian retrospective study (2015 to 2019). THE CANADIAN VETERINARY JOURNAL = LA REVUE VETERINAIRE CANADIENNE 2022; 63:1033-1042. [PMID: 36185796 PMCID: PMC9484212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
This study describes the clinicopathological findings, diagnostic approach, treatment, and factors associated with non-survival of diarrheic horses admitted to 4 Canadian university teaching hospitals between 2015 and 2019. A total of 300 horses, ≥1-year-old, with acute diarrhea were included and represented 1.6% (300/18 481; range: 0.7 to 3%) of admissions during that period, 70% of the horses survived to discharge. Testing for enteropathogens was limited to a single fecal culture for Salmonella spp. in most cases. An enteropathogen was identified in 14% (42/300) of the horses, but in the hospital with higher testing rates enteropathogens were detected in 29% (16/55) of cases. Neorickettsia risticii was the pathogen most frequently detected (31%, 32/102). Antimicrobial drugs and plasma were administered to 57 and 8% of the cases, respectively. Laminitis occurred in 24/298 (8%) of the horses. A multivariable regression model identified an association between non-survival of diarrheic horses and colic signs, increased heart rate, packed cell volume, creatinine concentration, and decreased total protein concentration. A standardized approach for pathogen detection in diarrheic horses is not consistent among Canadian veterinary teaching hospitals, and testing for known pathogens is limited. Signs of colic, severe dehydration, endotoxemia, and hypoproteinemia are associated with non-survival of diarrheic horses.
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Willette JA, Kopper JJ, Kogan CJ, Seguin MA, Schott HC. Effect of season and geographic location in the United States on detection of potential enteric pathogens or toxin genes in horses ≥6-mo-old. J Vet Diagn Invest 2021; 34:407-411. [PMID: 34763559 DOI: 10.1177/10406387211056054] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
We investigated the effects of season and geographic location on detection of nucleic acids of potential enteric pathogens (PEPs) or their toxins (PEP-Ts) in feces of horses ≥6-mo-old in the United States. Results of 3,343 equine diarrhea PCR panels submitted to Idexx Laboratories for horses >6-mo-old were reviewed. Submission months were grouped into 4 seasons, and states were grouped into 4 geographic regions. Logistic regression was performed to assess effects of season and region on detection rates of PEPs and PEP-Ts. Agresti-Coull CIs were determined. Detection rate of Salmonella enterica was higher in the South in summer compared to all other regions, and was also higher in the South in fall compared to the Midwest and Northeast. The Neorickettsia risticii detection rate was lower during summer in the West and higher in fall in the Midwest. Detection of Cryptosporidium spp. was lower during spring, summer, and winter in the West. Differences were not identified for detection rates of Clostridioides difficile, Clostridium perfringens, Lawsonia intracellularis, Rhodococcus equi, equine rotavirus, and equine coronavirus. Overall, our data support seasonal and regional differences in detection rates of S. enterica, N. risticii, and Cryptosporidium spp. in horses ≥6-mo-old in the United States.
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Affiliation(s)
- Jaclyn A Willette
- Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, MI, USA
| | - Jamie J Kopper
- Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, MI, USA
| | - Clark J Kogan
- Center for Interdisciplinary Statistical Education and Research, Washington State University, Pullman, WA, USA
| | | | - Harold C Schott
- Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, MI, USA
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Luethy D, Feldman R, Stefanovski D, Aitken MR. Risk factors for laminitis and nonsurvival in acute colitis: Retrospective study of 85 hospitalized horses (2011-2019). J Vet Intern Med 2021; 35:2019-2025. [PMID: 33938584 PMCID: PMC8295695 DOI: 10.1111/jvim.16147] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2020] [Revised: 04/19/2021] [Accepted: 04/23/2021] [Indexed: 01/21/2023] Open
Abstract
Background Acute colitis is a serious cause of morbidity and death in horses. Recent studies have compared clinical features of coronavirus and salmonellosis, but no study has compared clinical features of enteric salmonellosis, coronavirus, and neorickettsiosis. Hypothesis/Objectives To identify risk factors for laminitis and nonsurvival to discharge in horses with enteric salmonellosis, coronavirus, or neorickettsiosis. Animals Eighty‐five horses hospitalized for acute colitis from 2011 to 2019. Methods Retrospective case series. Medical record review (2011‐2019) of adult (≥2 years) horses with colitis. Primary outcomes were laminitis and survival to discharge. Multivariable logistic regression was performed to assess association between variables and the development of laminitis. Stepwise Cox regression was performed to assess association between variables and survival. Results Seventeen of 85 (20%) horses developed laminitis during hospitalization. Neorickettsiosis cases (11/26, 42%) were more likely to develop laminitis than coronavirus (0/16, 0%) cases (odds ratio [OR] 24.48; 95% confidence interval [CI]: 1.33‐451.74, P = .03). There was no significant difference in laminitis between salmonellosis and neorickettsiosis cases (OR 0.27; 95% CI: 0.07‐1.07, P = .06). Admission heart rate (OR 1.08; 95% CI: 1.02‐1.15, P = .01), total solids (OR 0.17; 95% CI: 0.06‐0.54, P = .003), band neutrophils (OR 1248.47; 95% CI: 6.62‐235 540, P = .008), and bicarbonate concentration (OR 0.68; 95% CI: 0.5‐0.92, P = .01) were predictive of development of laminitis during hospitalization. Sixty‐three of 85 (74%) horses survived to discharge: 16/16 (100%) coronavirus cases, 17/26 (65%) neorickettsiosis cases, 14/20 (70%) salmonellosis cases, and 16/23 (70%) unknown cases. Packed cell volume (hazard ratio [HR] 1.17; 95% CI: 1.09‐1.26, P < .001), L‐lactate concentration (HR 1.33; 95% CI: 1.14‐1.55, P < .001), and development of laminitis (HR 7.07; 95% CI: 1.67‐29.95, P = .008) were retained in the final multivariable model for prediction of nonsurvival to discharge. Conclusion and Clinical Importance Nonsurvival and laminitis rates were high, likely related to the presence of neorickettsiosis in the region.
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Affiliation(s)
- Daniela Luethy
- Department of Large Animal Clinical Sciences, University of Florida College of Veterinary Medicine, Gainesville, Florida, USA
| | - Rose Feldman
- Department of Clinical Studies-New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, Pennsylvania, USA
| | - Darko Stefanovski
- Department of Clinical Studies-New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, Pennsylvania, USA
| | - Maia R Aitken
- Department of Clinical Studies-New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, Pennsylvania, USA
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