Use of blood culture medium enrichment for synovial fluid culture in horses: A comparison of different culture methods

Dumoulin, Michèle; Pille, Frederik; Abeele, A M Van den; Boyen, Filip; Boussauw, B.; Oosterlinck, Maarten; Pasmans, Frank; Gasthuys, Frank; Martens, Ann

doi:10.1111/j.2042-3306.2010.00091.x

Cited by 48 publications

(37 citation statements)

References 24 publications

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“…Horses with lameness and/or swelling at the level of the surgical site were readmitted at the hospital for further examination. Septic arthritis was defined as cytologic synovial inflammation with >30,000 leukocytes/mm 3 , at least 85% polymorphonuclear cells and a total protein concentration of >3.5 g/dL in the synovial fluid, with or without the detection of bacteria after blood culture medium enrichment (Bactec, Becton Dickinson Diagnostic Instrument Systems, Sparks, Maryland) …”

Section: Methodsmentioning

confidence: 99%

Incidence and risk factors of surgical site infection and septic arthritis after elective arthroscopy in horses

et al. 2017

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Objective: To determine the incidence of infection and associated risk factors, after elective arthroscopy.Study design: Retrospective case study.Animals: Horses (n51079) undergoing elective arthroscopy.Methods: Medical records of all horses that underwent elective arthroscopy between 2006 and 2013 were reviewed. Age, gender, breed, surgeon, number of joints operated, total anesthetic time, perioperative antimicrobial administration, and the presence and size of osteochondral fragments/subchondral lesions were recorded. For each operated joint, the development of postoperative infection (surgical site infection [SSI] and/or septic arthritis) and long-term outcome (>6 months) were recorded. Multivariate logistic regression was used to test for association between the independent variables and the dependent outcomes.Results: A total of 1741 joints in 1079 horses underwent arthroscopy. SSI without septic arthritis occurred in 1 fetlock joint (0.14%), 1 tibiotarsal joint (0.19%), and 6 femoropatellar joints (1.67%). Thirteen joints (0.75%) were diagnosed with septic arthritis, including 1 fetlock joint (0.14%), 4 tibiotarsal joints (0.74%), and 8 femoropatellar joints (2.23%). The probability of postoperative SSI was higher when large lesions (>40 mm long) were treated, compared to medium (20-40 mm, P 5 .005) and small (<20 mm, P < .001) lesions. SSI was a significant risk factor for the development of septic arthritis (P < .001). Although age did not affect the incidence of SSI, increasing age was associated with a lower rate of septic arthritis rate (P 5 .028).Conclusion: Septic arthritis after elective arthroscopy was more likely in the presence of SSI and younger age. Horses with large lesions were at risk for SSI, which translated into a higher incidence of postoperative septic arthritis after femoropatellar arthroscopy.

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Section: Methodsmentioning

confidence: 99%

Incidence and risk factors of surgical site infection and septic arthritis after elective arthroscopy in horses

et al. 2017

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“…; Dumoulin et al . ). Superior results have recently been reported with an automated blood culture media enrichment system (79% positive culture from synovial fluid), without the delay normally associated with culture enrichment techniques (Dumoulin et al .…”

Section: Diagnosismentioning

confidence: 97%

“…Superior results have recently been reported with an automated blood culture media enrichment system (79% positive culture from synovial fluid), without the delay normally associated with culture enrichment techniques (Dumoulin et al . ). Regardless, fluid from suspected infected synovial cavities should be submitted for culture, and sensitivity testing may allow better direction of antimicrobial therapy.…”

Section: Diagnosismentioning

confidence: 97%

Penetrating injuries of the foot

Smith

2013

Equine Veterinary Education

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Penetrating injuries to the foot are potentially serious injuries in the horse. Diagnosis is usually straightforward and a combination of radiography (including positive contrast studies) and synoviocentesis usually is necessary to determine which structures within the foot are involved. Superficial punctures usually carry a good prognosis but involvement of deep structures such as the distal phalanx or deep digital flexor tendon and navicular bursa adversely influence this. Knowledge of wound healing in the foot and a rational approach to antimicrobial selection and surgical intervention are all necessary for successful case management.

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“…However, the use of blood culture medium enrichment has shown a culture rate of up to 79% of infected joints and allows for fast isolation of bacteria and susceptibility testing. 80 Polymerase chain reaction analysis of bacterial DNA in synovial fluid may also become clinically available in the future. 76 …”

Section: Diagnosismentioning

confidence: 99%

Musculoskeletal Pathology

Peat

Kawcak

2015

Veterinary Clinics of North America: Equine Practice

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The current understanding of pathology as it relates to common diseases of the equine musculoskeletal system is reviewed. Conditions are organized under the fundamental categories of developmental, exercise-induced, infectious, and miscellaneous pathology. The overview of developmental pathology incorporates the new classification system of juvenile osteochondral conditions. Discussion of exercise-induced pathology emphasizes increased understanding of the contribution of cumulative microdamage caused by repetitive cyclic loading. Miscellaneous musculoskeletal pathology focuses on laminitis, which current knowledge indicates should be regarded as a clinical syndrome with a variety of possible distinct mechanisms of structural failure that are outlined in this overview.

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Use of blood culture medium enrichment for synovial fluid culture in horses: A comparison of different culture methods

Abstract: 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.

Cited by 48 publications

References 24 publications

Incidence and risk factors of surgical site infection and septic arthritis after elective arthroscopy in horses

Incidence and risk factors of surgical site infection and septic arthritis after elective arthroscopy in horses

Penetrating injuries of the foot

Musculoskeletal Pathology

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