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  Discussion on Uterine infection
Author Message
New Member:
Appyone

Posted on Tuesday, Jun 1, 2004 - 2:13 pm:

We have a 10 yr old broodmare that has a strep uterine infection as diagnosed by a culture by our vetrinarin. The mare was first treated with 5 days of infusing with a hyDrOgen peroxide/ iodine combination. She again tested positive and was retreated. Again positive and was treated twice(5 days ina row) with Batril as the culture dish showed a sensitivity to it. Still postive for the infection. The last time she was infused for 5 days with batril and DMSO. The mare still cultures dirty. Any suggestions?
This is a mare we've never had problems with-has had four foals previously with no problems foaling.
Moderator:
DrO

Posted on Thursday, Jun 3, 2004 - 6:20 am:

Hello Patty,
What organism are they culturing and what were the cytology results? For more on this see the article associated with this forum.
DrO
Member:
Appyone

Posted on Thursday, Jun 3, 2004 - 12:37 pm:

Hello Dr.O
I talked to our vet this am and she said the culture swab showed a lot of white blood cells. The organism was not identified. She puts different antibiotics in the culture dish to see what it is sensitive to and then infuses with that drug. The strep showed a sensitivity to Batril but evidentally did not work when infused in the mare. The mare shows no discharge. We have not biopsied the mare at this point.
Thank you!
Moderator:
DrO

Posted on Friday, Jun 4, 2004 - 9:46 am:

She is going to have to find a different antibiotic Patty. Where there no other signs of susceptibility on her culture plates? Important to understand that this is probably not just an infection but also a failure of the uterine defense systems. Anything you can do to improve the mares general health should be pursued and relatively caustic treatments to the uterus are to be avoided. When treating without culture direction it can be hard to beat the combination of amikacin and penicillin, for more see, Equine Diseases » Reproductive Diseases » Trouble Settling Mares & Stallion Infertility » Uterine Infection and Inflammation.
DrO
Member:
Appyone

Posted on Friday, Jun 4, 2004 - 3:05 pm:

I'm not sure if there were other drugs that worked on the culture plate. But I will find out.
The mare is in good health and has been on 6# Purina Strategy and an alfalfa grass mix hay along with a salt block. She is not thin by any means. She is only a 14.1 hand mare-weight about 900 lbs. Would you recommend something else or a supplement in addidtion to this? What do you consider caustic treatment? Thanks very much
Moderator:
DrO

Posted on Saturday, Jun 5, 2004 - 9:04 am:

There are many substances which are caustic and I can make a list only to find there is one I left out. Iodine is one however and I am not sure about the safety of the hydorgen peroxide.
DrO
Member:
Appyone

Posted on Tuesday, Jun 8, 2004 - 1:25 pm:

OK, thanks. The hyDrOgen peroxide/iodine mix seems to be one that is popular in this area. Have heard several friends remark that their vet has used this combination. Its obviously not one that you would recommend? I hope infusing her with that has not caused the mare further damage?
Would you suggest giving the mare some time off and then reculture in a couple months? That is what our vet has recommended so as not to cause a fungal infection due to all the anitibiotics.
Moderator:
DrO

Posted on Wednesday, Jun 9, 2004 - 8:21 am:

Yes, it is a well establihed trend that reproductive experts have moved toward milder and milder treatments that center on the use of isotonic saline and wide spectrum antibiotics, see Equine Diseases » Reproductive Diseases » Trouble Settling Mares & Stallion Infertility » Uterine Infection and Inflammation for specifics.

If there is a purulent exudate in the uterus I would not allow it to remain. I would reculture and find what it is now sensitive to and treat accordingly (again see article).
DrO
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