Lesão facial grave em um gambá-de-orelha-branca (Didelphis albiventris) - tratamento com ozonioterapia / Severe facial wound in a white-eared opossum (Didelphis albiventris) - treatment with ozone therapy

Background: Ozone therapy (OT) is a type of treatment that uses ozone gas, which has high oxidizing power. OT has been utilized for various diseases and to accelerate the wound healing process and reduce inflammation. Additionally, OT is a low-cost treatment recommended for patients that can be easily restrained. There are several methods of ozone administration, including topical use through bagging, cupping, or rectal insufflation, in addition to ozonated autohemotherapy. Based on the benefits of OT and the scarcity of reports describing its effects on white-eared opossums (Didelphis albiventris), we report on the use of ozone in the treatment of a severe facial wound in a white-eared opossum. Case: An adult female white-eared opossum weighing 1.6 kg was rescued from a fire. The patient was pregnant, dehydrated, hypothermic and had an extensive burn wound in the facial region. Due to the stress of captivity and its aggressive behavior, the animal needed to be chemically restrained with dexmedetomidine and butorphanol. Following sedation, the cephalic vein was catheterized and intravenous fluid therapy with ringer lactate was started to treat dehydration. Next, enrofloxacin, meloxicam, and tramadol hydrochloride were administered. Body rewarming was performed with thermal bags. The microbial load of the wound was reduced with chlorhexidine degerming solution followed by washing with saline solution. A thin layer of silver sulfadiazine cream was applied to the wound area. Over the following days the patient was treated with OT using the cupping technique combined with ozonated sunflower oil. After the first applications there was an improvement in the appearance of the wound, which initially had a purulent aspect. After 20 days of treatment the wound showed good granulation and there were no signs of infection, and at 45 days of treatment it was completely healed. The patient was then released with her baby. Discussion: Ozone therapy was included in the patient's treatment plan to enhance the tissue repair process in order to reintroduce the animal to the wild in the shortest possible time. The strategy was successful in improving healing and reducing tissue inflammation and infection. Ozone is known to cause the inactivation of microorganisms as a result of the oxidation of phospholipids and lipoproteins present in the cell membrane of bacteria and to interrupt viral replication. Ozone helps in the perfusion of injured tissues, contributing to the entry of humoral components, which control inflammation. Moreover, ozone contributes to increase supply of oxygen and nutrients to tissues and to stimulate increased production of fibrinogen and formation of granulation tissue. Ozone increases the enzymatic antioxidant response, while also playing a role in immunoregulation. Ozone can be used in several ways and via various methods with potential routes including intravenous, urethral, intramuscular, subcutaneous, or intra-articular, in addition to rectal and intramammary insufflation. Immunomodulatory, anti-inflammatory, analgesic, and antiseptic effects can be achieved with different doses and concentrations, which enables its application in different types of pathologies. Because of the aggressive behavior of the animal, in the current case we opted for the cupping technique combined with ozonated oil, both techniques which can be administered easily with only physical restraint of the patient. Cupping allows for the provision of a higher concentration of ozone gas locally whereas the ozonated oil maintains the effect of the gas for slightly longer, enhancing its effect and promoting tissue repair. The present report showed that OT is an effective alternative for the treatment of burn wounds in opossums, without causing adverse effects to the patient or her baby.

Cicatrização de ferida pós-cirúrgica com ozonioterapia em um cão: relato de caso / Post-surgical wound healing with ozoniotherapy in one dog: case report

A ozonioterapia é um tratamento utilizado para diversas enfermidades, porém uma das suas maiores indicações é para o tratamento de feridas, pois essa técnica proporciona efeitos bactericidas, viricidas, fungicidas e cicatrizantes. Se for corretamente empregada, constitui-se em um tratamento de baixo custo, baixos riscos e com poucas contraindicações. A ozonioterapia pode ser utilizada de forma única ou associada a outros métodos terapêuticos. O presente trabalho relata o uso da ozonioterapia como tratamento coadjuvante na cicatrização de ferida pós-cirúrgica em um cão submetido a remoção de um neurofibrossarcoma em membro torácico direito.(AU)

Ozone therapy is a treatment used for several diseases but as this technique provides bactericidal, virucidal, fungicidal and healing effects. It's greatest indication is the treatment of wounds, because it is a low-cost and, low-risk treatment with few contraindications, when correctly applied, it usually presents satisfactory results. Ozone therapy can be used alone or associated with other therapeutic methods. This paper reports the use of ozone therapy as an adjunctive treatment in the healing of post-surgical wounds in a dog with a neurofibersarcome in the right hind leg.(AU)

Ozonioterapia, PRP, fitoterapia, misoprostol e imunomodulação: Novas abordagens terapêuticas para a solução de velhos problemas / Ozone therapy, PRP, phytotherapy, misoprostol and immunomodulation: New therapeutic approaches to solving old problems

A resistência aos antimicrobianos representa uma ameaça sanitária global crescente, que deve ser abordada com urgência na saúde pública, na produção animal, agrícola e no meio ambiente. Essa circunstância põe em risco a eficiência do tratamento e diminui a eficácia contra infecções causadas pelos mais diversos agentes etiológicos, resultando em enfermidades mais prolongadas afetando diretamente os índices de fertilidade. Dessa forma, o objetivo dessa revisão foi abordar diferentes formas terapêuticas para sub/infertilidade em equinos, com o intuito de minimizar os problemas acarretados pelo uso indiscriminado de fármacos, relatando novas terapias alternativas, tais como ozonioterapia, plasma rico em plaquetas, uso de prostaglandina E1 e imunomoduladores na tentativa de solucionar velhos problemas.(AU)

Antimicrobial resistance represents a growing global health threat that must be urgently addressed in public health, animal production, agriculture and the environment. This circumstance jeopardizes the efficiency of the treatment and decreases the effectiveness against infections caused by the most diverse etiological agents, resulting in more prolonged illnesses, directly affecting fertility rates. Thus, the objective of this review was to address different therapeutic forms for sub/infertility in horses, with the aim of minimizing the problems caused by the indiscriminate use of drugs, reporting new alternative therapies, such as ozone therapy, platelet-rich plasma, use of prostaglandin E1 and immunomodulators in an attempt to solve old problems.(AU)

Use of ozonized sunflower oil in the treatment of skin injury in golden hamster (Mesocricetus auratus): case report / Uso de óleo de girassol ozonizado no tratamento de lesão cutânea em hamster sírio (Mesocricetus auratus): relato de caso

Hamster breeding is becoming increasingly popular, mainly because of the simplicity of breeding, low cost, and characteristics of these animals: they are small, quiet, and do not require a large space. Because of this ease of keeping, some people choose to keep more than one animal of the same species in a single enclosure. In some cases, this sociability can lead to fights, because hamsters are extremely territorial animals, which can cause significant injuries. Knowledge of the most efficient methods for wound healing is essential in medicine for wild and exotic animals, as it allows faster clinical treatment and thus, stress reduction. The present case report refers to the therapeutic treatment of an extensive skin lesion in a golden hamster (Mesocricetus auratus) using ozonized sunflower oil. The treatment, which lasted 23 days, allowed complete healing of the lesion.

A criação de hamsters tem se tornado cada vez mais popular, especialmente pela facilidade de criação, pelo baixo custo e pelas características desses animais: são pequenos, silenciosos, e não necessitam de um grande espaço. Por essa facilidade de manejo, algumas pessoas decidem manter mais de um animal da mesma espécie em um único recinto. Em alguns casos, esse convívio pode causar brigas, visto que hamsters são animais extremamente territorialistas, podendo resultar em injúrias cutâneas significativas. O conhecimento sobre os métodos mais eficientes para a cicatrização de lesões é fundamental na medicina de animais silvestres e exóticos, possibilitando um manejo clínico mais rápido, consequentemente, redução do estresse. O presente relato refere-se ao manejo terapêutico de uma extensa lesão cutânea em um hamster sírio (Mesocricetus auratus) com o uso do óleo de girassol ozonizado. O tratamento, que teve 23 dias de duração, possibilitou a cicatrização total da lesão.

Associação da ozonioterapia com itraconazol para tratamento das lesões de esporotricose felina: relato de caso / Association of ozoniotherapy with itraconazole for the treatment of feline sporotricosis lesions: case report / Asociación de ozonoterapia con itraconazol para el tratamiento de lesiones de esporotricosis felina: reporte de caso

A esporotricose é uma micose de difícil tratamento e tem os gatos como seu principal hospedeiro. Suas manifestações clínicas são caracterizadas, principalmente por lesões de continuidade ulcerativas na pele e subcutâneo, linfocutânea, disseminada, com presença de sinais extracutâneo e sistêmica fatal. Seu tratamento baseia-se na administração de antifúngicos sistêmicos e tópicos, porém causam danos expressivos ao organismo e ao ambiemte. Com poucas opções de tratamento, a ozonioterapia pode ser indicada para o tratamento de afecções infecciosas para esporotricose, devido a ação fungicida, analgésica e anti-inflamatória. Objetivou-se em descrever o caso clínico de um felino, macho, castrado de 1 ano e 8 meses, que apresentava lesões ulcerativas no membro pélvico esquerdo e coxim plantar, diagnosticado com esporotricose. Uma vez que não havia a regressão das lesões com o tratamento convencional, foi instituído a ozonioterapia pela técnica de insuflação de bag's. Após 12 sessões, as feridas estavam parcialmente cicatrizadas, manteve-se o tratamento convencional com a adição do uso de óleo de girassol ozonizado até a regressão total das lesões.

Sporotrichosis is a mycosis that is difficult to treat and has cats as main hosts. Its clinical manifestations are characterized mainly by ulcerative skin lesions and subcutaneous, lymphocutaneous, disseminated, with the presence of extracutaneous and fatal systemic signs. Its treatment is based on the administration of systemic and topical antifungals, but they cause significant damage to the organism and the environment. With few treatment options, ozone therapy can be indicated for the treatment of infectious conditions for sporotrichosis, due to its fungicidal, analgesic and anti-inflammatory action. The objective was to describe the clinical case of a feline, male, castrated 1 year and 8 months old, who had ulcerative lesions on the left pelvic limb and foot pad, diagnosed with sporotrichosis. Since there was no regression of the lesions with conventional treatment, ozone therapy was instituted using the bag inflation technique. After 12 sessions, the wounds were partially healed, the conventional treatment was maintained with the addition of the use of ozonated sunflower oil until the total regression of the lesions.

La esporotricosis es una micosis de difícil tratamiento que tiene al gato como uno de sus principales huéspedes. Sus manifestaciones clínicas se caracterizan principalmente por lesiones ulcerativas continuas en piel y subcutáneas, linfocutáneas, diseminadas, con presencia de signos extracutáneos y sistémicos fatales. Su tratamiento se basa en la administración de antifúngicos sistémicos y tópicos, pero provocan importantes daños al organismo y al medio ambiente. Con pocas opciones de tratamiento, la ozonoterapia puede estar indicada para el tratamiento de cuadros infecciosos por esporotricosis, debido a su acción fungicida, analgésica y antiinflamatoria. El objetivo fue describir el caso clínico de un felino, macho, castrado de 1 año y 8 meses de edad, que presentaba lesiones ulcerativas en miembro pélvico izquierdo y almohadilla plantar, diagnosticado de esporotricosis. Dado que no hubo regresión de las lesiones con el tratamiento convencional, se instauró ozonoterapia mediante la técnica de bolsa inflada. Después de 12 sesiones, las heridas cicatrizaron parcialmente, se mantuvo el tratamiento convencional con la adición del uso de aceite de girasol ozonizado hasta la regresión total de las lesiones.

Relato de caso: tratamento de ferida perfurante no dígito de equino / Case report: treatment of a perforating wound in the equine digit / Caso clínico: tratamiento de una herida perforante en el dedo equino

Apesar dos avanços na medicina equina, certas condições de claudicação ainda representam um desafio significativo para os clínicos veterinários, especialmente quando se trata de afecções distais, como feridas perfurantes no casco do equino. Essas lesões podem afetar estruturas vitais, incluindo a articulação interfalângica distal, o osso navicular, a bolsa do osso navicular, o tendão flexor digital profundo, a bainha sinovial e a terceira falange. O presente estudo tem como objetivo esclarecer que um diagnóstico mais rápido e preciso das estruturas afetadas e do grau de lesões resultantes leva a um tratamento mais eficaz. Além disso, foi demonstrado que o tratamento convencional com antibióticos e anti-inflamatórios não esteroides sistêmicos -AINEs,em combinação com terapias alternativas, como campo magnético pulsado, laser classe III e Ozonioterapia, apresentou um efeito sinérgico com resultados excelentes.(AU)

Despite advances in equine medicine, certain claudication conditions still pose a significant challenge to veterinary clinicians, especially when it comes to distal affections such as puncture wounds on the equine hoof. These injuries can affect vital structures, including the distal interphalangeal joint, navicular bone, navicular bone pouch, deep digital flexor tendon, synovial sheath, and third phalanx. The present study aims to clarify that a more rapid and accurate diagnosis of the affected structures and the resulting degree of injury leads to more effective treatment. Furthermore, it was shown that conventional treatment with antibiotics and systemic non-steroidal anti-inflammatory drugs -NSAIDs, in combination with alternative therapies, such as pulsed magnetic field, class III laser and ozone therapy, presented a synergistic effect with excellent results.(AU)

A pesar de los avances en medicina equina, ciertas afecciones claudicantes siguen planteando un reto importante a los clínicos veterinarios, especialmente cuando se trata de afecciones distales como las heridas perforantes en el casco equino. Estas lesiones pueden afectar a estructuras vitales, como la articulación interfalángica distal, el hueso navicular, la bolsa del hueso navicular, el tendón flexor digital profundo, la vaina sinovial y la tercera falange. El presente estudio pretende aclarar que un diagnóstico más rápido y preciso de las estructuras afectadas y del grado de lesión resultante conduce a un tratamiento más eficaz. Además, se demostró que el tratamiento convencional con antibióticos y antiinflamatorios no esteroideos sistémicos -AINE, en combinación con terapias alternativas, como el campo magnético pulsado, el láser de clase III y la ozonoterapia, presentaban un efecto sinérgico con excelentes resultados.(AU)

O efeito da ozonioterapia no tratamento de fratura de fêmur em filhote canino: relato de caso / The effect of ozone therapy in the treatment of femur fracture in puppies: case report

Fraturas de fêmur são casos recorrentes na clínica veterinária de pequenos animais, ocorrendo principalmente em filhotes. O seu diagnóstico considera histórico e sinais clínicos apresentados, como sensibilidade dolorosa e apoio do membro em pinça, e é confirmado por exame radiográfico do membro lesionado. Geralmente, esse tipo de fratura tem o tratamento cirúrgico como indicação, entretanto, com o perigo de submeter o animal a riscos tanto anestésicos quanto cirúrgicos. O presente relato de caso descreve o uso da ozonioterapia, uma forma diferente e menos invasiva de se tratar fratura femoral, com um maior potencial de adesão do tutor por ser um tratamento mais acessível e com excelentes resultados.(AU)

Femur fractures are recurrent cases in the small animal veterinary clinic, occurring mainly in puppies. It's diagnosis is based on the history and clinical signs presented, such as painful sensitivity and support of the limb on tweezers, and defined by radiographic examination of the injured limb. Generally, this type of fracture has surgical treatment indication, however, with the danger of subjecting the animal to both anesthetic and surgical risks. The present case report describes the use of ozone therapy, a different and less invasive way of treating a femoral fracture, with a greater potential for adherence by the tutor, as it is a more accessible treatment and with excellent results.(AU)

Aplicabilidade da ozonioterapia na oncologia veterinária: aspectos bioquímicos e imunológicos / Applicability of ozone therapy in Veterinary Oncology: biochemical and immunological aspects

A oncologia, em especial na Medicina Veterinária, ainda representa um importante desafio para a ciência exigindo o desenvolvimento de métodos profiláticos, diagnósticos e terapêuticos que apresentem resultados rápidos e eficazes. A ozonioterapia é um procedimento pouco invasivo e praticamente isento de efeitos adversos desde que a sua correta forma de aplicação seja respeitada. A técnica vem sendo estudada há tempos e a sua capacidade imunomoduladora, cicatrizante, bactericida e analgésica já é reconhecida. Contudo, embora existam diversos estudos publicados em Medicina Humana e Veterinária, ainda não há protocolos específicos para o seu emprego em pacientes oncológicos. O presente trabalho discorre sobre as reações bioquímicas e imunológicas desencadeadas pelo ozônio, que podem afetar o paciente oncológico, seja diretamente pelo controle da proliferação das células neoplásicas ou indiretamente com o alívio de dor, fadiga e dos efeitos adversos de outros tratamentos.(AU)

Oncology, especially in Veterinary Medicine, is a subject not solved and scientific methodology must be applied for the development of prophylactic, diagnostic and therapeutic methods that could provide quick and effective results. Ozone therapy is a minimally invasive procedure and practically free from adverse effects when the correct form of application is respected. The technique has been studied for some time and its immunomodulating, healing, bactericidal and analgesic capacity are already recognized. However, in human and veterinary medicine there are still no concrete indications for its use in cancer patients. This article analyzes biochemical and immunological reactions triggered by ozone that can affect the cancer patient, either directly inhibiting the proliferation of the neoplasm, or indirectly through relief of pain, fatigue and the adverse effects of other treatments.(AU)

Use of ozone in the culture medium of zebrafish (Danio rerio) embryos / Uso do ozônio no meio de cultura para embriões de zebrafish (Danio rerio)

In this study, we sought to demonstrate the toxicity of different concentrations of ozonated water in zebrafish embryos up to 120 hours postfertilization (hpf ) and their antimicrobial activity advantages. For the test, we placed 40 embryos per treatment in Petri dishes containing 30 ml of solution to be tested. The ozone concentrations used were calculated from an initial concentration of 72 µg/ml using the O&L 1.5 RM ozone generator (Ozone & Life, Brazil). Five serial dilutions 1:1 was performed in egg water to produce the ozone treatments. We also analyzed a treatment with 30 ml of egg water without ozone, with only the addition of methylene blue, and a treatment with 30 ml of egg water without the addition of any antifungal agent. The plates were incubated at 28 ± 1°C, and the embryos were analyzed daily until 120 hpf. The survival rate, incubation period, and possible deformities were analyzed. In addition, egg water microbiological analyses were performed to detect total coliforms and fungi and yeasts. The data were tested for normality, and analysis of variance was performed within Minitab®version 1.8 software. The results showed that there was no significant difference in embryo survival or hatching rate between treatments with different ozone concentrations (p > 0.05), and no embryonic deformities were found under any of the ozone concentrations evaluated. It can be concluded that ozone within the concentrations analyzed is not toxic to zebrafish embryos and has antifungal and antimicrobial action.(AU)

Neste estudo, procuramos demonstrar a toxicidade de diferentes concentrações de água ozonizada em embriões de zebrafish até 120 horas pós-fertilização (hpf ) e suas vantagens na atividade antimicrobiana. Para o teste, colocamos 40 embri-ões por tratamento em placas de Petri contendo 30 ml da solução a ser testada. As concentrações de ozônio utilizadas foram calculadas a partir de uma concentração inicial de 72 µg/ml usando o gerador de ozônio O&L 1,5 RM (Ozone & Life, Brasil). Foram realizadas cinco diluições seriadas 1:1 em Egg Water. Também analisamos um tratamento com 30 ml de Egg Water sem ozônio, apenas com adição de azul de metileno, e um tratamento com 30 ml de Egg Water sem adição de nenhum agente antifúngico. As placas foram incubadas a 28 ± 1°C e os embriões foram analisados diariamente até 120 hpf. A taxa de sobrevi-vência, período de incubação e possíveis deformidades foram analisados. Além disso, foram realizadas análises microbiológicas da Egg Water para detectar coliformes totais, fungos e leveduras. Os dados foram testados quanto à normalidade e a análise de variância foi realizada no software Minitab® versão 1.8. Os resultados mostraram que não houve diferença significativa na sobrevivência de embriões ou taxa de eclosão entre os tratamentos com diferentes concentrações de ozônio (p > 0,05), e não foram encontradas deformidades embrionárias sob nenhuma das concentrações de ozônio avaliadas. Pode-se concluir que o ozônio dentro das concentrações analisadas não é tóxico para embriões de zebrafish e possui ação antifúngica e antimicrobiana.(AU)

Ozonioterapia em animais domésticos: conceitos básicos e diretrizes / Ozone therapy in domestic animals: basic concepts and guidelines

Ozonioterapia é uma técnica de tratamento de diversas doenças locais e sistêmicas por meio da administração de uma mistura oxigênio-ozônio. O gás pode ser aplicado diretamente no corpo do paciente ou ainda ser diluído em soro ou sangue, a chamada auto-hemoterapia ozonizada. Seus efeitos são mediados por mecanismos de oxidação direta ou indireta de células ou patógenos. Dentre os efeitos de oxidação direta, destaca-se a microporação na superficie de microorganismos incapazes de se protegerem por antioxidantes, resultando em destruição fisica de suas membranas e/ou paredes celulares, o conhecido efeito antisséptico ou desinfetante da ozonioterapia local, tópica ou cavitaria. Ao entrar em contato com sangue ou outros fluidos biológicos, o gás ozônio imediatamente se combina com a água resultando em radicais livres e oxida lipídeos, formando os lipoperóxidos. Os radicais livres e lipoperóxidos passam a ser os mediadores dos efeitos do ozônio em diversas células, como as hemácias, leucócitos, plaquetas, fibroblastos, entre outras. Como resultado, obtém-se os efeitos de melhora de perfusão e oxigenação tecidual, modulação da inflamação, analgesia, cicatrização e produção de antioxidantes enzimáticos. Porém, o planejamento terapêutico deve compreender a escolha das vias adequadas de tratamento, concentrações, doses de aplicações sistêmicas e frequência de aplicação para que os resultados sejam maximizados. Além disso, o profissional deve estar corretamente capacitado e conhecer todas as limitações e efeitos adversos possíveis da técnica.

Ozone therapy is a technique for treating various local and systemic diseases by administering an oxygen-ozone mixture. The gas can be applied directly to the patient's body or diluted in serum or blood, the so-called ozone auto-hemotherapy. Its effects are mediated by mechanisms of direct or indirect oxidation of cells or pathogens. Among the direct oxidation effects is microporation on the surface of microorganisms that are unable to be protected by antioxidants, resulting in physical destruction of their membranes and/or cell walls, the well-known antiseptic or disinfectant effect of local, topical or cavitating ozone therapy. When in contact with blood or other biological fluids, ozone gas immediately combines with water resulting in free radicals and oxidizes lipids, forming lipoperoxides. The free radicals and lipoperoxides become the mediators of ozone effects on various cells, such as red blood cells, leukocytes, platelets, fibroblasts, and others. As a result, we obtain the effects of improved tissue perfusion and oxygenation, modulation of inflammation, analgesia, healing, and production of enzymatic antioxidants. However, the therapeutic planning must include the choice of adequate treatment routes, concentrations, doses of systemic applications, and frequency of application so that the results are maximized. In addition, the professional must be properly trained and know all the possible limitations and adverse effects of the technique.

Ozone therapy in veterinary medicine: clinical indications and techniques / Ozonioterapia na medicina veterinária: técnicas e indicações clínicas

Ozone therapy application and research have increased recently. The mixture of oxygen-ozone (O2-O3) has been used as a therapeutic agent for the treatment of several diseases with beneficial effects. This brief literature review has the objective of disclosing the mechanisms of action and main clinical indications and possibilities of ozone therapy for different conditions. The local and systemic approaches and techniques described for human treatment can be easily transposed for use in animals, such as rectal insufflation; bag therapy; ozonated oil; intradiscal and paravertebral applications; in acupuncture points; minor autohemotherapy, and major autohemotherapy. The possibilities of clinical indications and dosages were also described, including immunological and infectious diseases. Although it is a minimally invasive and relatively safe approach, more clinical studies are necessary to standardize techniques, doses, and clinical indications.

A aplicação e a pesquisa da terapia com ozônio aumentaram recentemente. A mistura de oxigênio-ozônio (O2-O3) tem sido utilizada como agente terapêutico para o tratamento de diversas doenças com efeitos benéficos. Esta breve revisão de literatura tem o objetivo de divulgar os mecanismos de ação e as principais indicações clínicas e possibilidades da ozonioterapia para diferentes condições. As abordagens e técnicas locais e sistêmicas descritas para o tratamento em humanos podem ser facilmente transpostas para uso em animais, como insuflação retal; terapia tópica de "bagging"; óleo ozonizado; aplicações intradiscal e paravertebral; em pontos de acupuntura; auto-hemoterapia menor e auto-hemoterapia maior. Também foram descritas as possibilidades de indicações clínicas e dosagens, incluindo doenças imunológicas e infecciosas. Embora seja uma abordagem minimamente invasiva e relativamente segura, mais estudos clínicos são necessários para padronizar técnicas, doses e indicações clínicas.

Utilização da ozonioterapia como tratamento da endometrite em égua / Use of ozone therapy as endometritis treatment in mare

Conformações perineais inadequadas estão frequentemente associadas à pneumovagina, predispondo animais a processos inflamatórios vaginais e uterinos. Dentre as patologias reprodutivas que acometem éguas, a endometrite é a que ocorre com maior frequência, com forte impacto negativo sobre os índices reprodutivos de um criatório. Para essa afecção, a ozonioterapia se apresenta como tratamento em potencial. Assim, este estudo objetiva relatar um caso de endometrite em égua Quarto de Milha, multípara, de 17 anos de idade, atendida no Hospital Veterinário Sylvio Barbosa Cardoso, da Universidade Estadual de Ceará. Durante a avaliação ginecológica, observou-se alterações na conformação vulvar e teste de Windsucker positivo, indicando pneumovagina. Foram coletadas amostras endometriais para exames laboratoriais, os quais apresentaram citologia com contagem de neutrófilos polimorfonucleares ≥30% e cultura negativa para fungos e bactérias. O exame histopatológico revelou fibrose intersticial endometrial crônica acentuada. Diante do diagnóstico de endometrite, iniciou-se o tratamento com lavagem uterina usando solução ringer lactato ozonizada, seguido por insuflação uterina com ozônio. O animal foi submetido à técnica cirúrgica de Caslick para correção da má conformação vulvar. Após o tratamento, a égua foi inseminada, resultando na coleta de dois embriões viáveis. Diante do exposto, o caso reforça a efetividade da ozonioterapia associada à Caslick para o tratamento de endometrite em éguas.

Dysfunctional perineal conformations are often associated with pneumovagina, predisposing animals to vaginal and uterine inflammatory processes. Among the reproductive pathologies that affect mares, endometritis is the most frequent, with a strong negative impact on the reproductive indices of a farm. For this condition, ozone therapy presents itself as a potential treatment. The study aimed to report a case of endometritis in a 17-year-old multiparous quarter-mile mare, which was attended at the Veterinary Hospital Sylvio Barbosa Cardoso located in the State University of Ceará. During the gynecological evaluation, changes in vulvar conformation and a positive Windsucker test were observed, indicating pneumovagina. Endometrial samples were collected for laboratory exams, resulting in cytology with polymorphonuclear neutrophil count ≥30% and negative culture for fungi and bacteria. The histopathological examination revealed severe chronic endometrial interstitial fibrosis. Regarding the diagnosis of endometritis, the treatment with uterine lavage using ozonated ringer lactate solution was initiated followed by uterine insufflation with ozone. The animal was submitted to Caslick's surgical technique to correct the vulvar malformation. After treatment, the mare was inseminated, resulting in the collection of two viable embryos. In view of the above, the case reinforces the effectiveness of ozone therapy associated with Caslick`s technique for endometritis treatment in mares.

Effects of ozone therapy on hematological, biochemical, and oxidative stress parameters of vaquejada athlete horses / Efeitos da ozonioterapia sobre os parâmetros hematológicos, bioquímicos e estresse oxidativo de cavalos atletas de vaquejada

Ozone therapy is a technique used in several specialties of equine medicine; however, there are few studies on its use in vaquejada (cowboy competition) athlete horses. This study aims to evaluate the potential effect of ozone gas administered by two different routes on hematological and biochemical values and the oxidative stress marker in vaquejada athlete horses. For this, nine healthy equines that followed a training protocol and underwent two treatments were used with an 8-day wash-out between them. The major ozonated autohemotherapy (MOA) treatment group received a volume of 600ml of the 02-03 mixture at a concentration of 60 µg/mL, and the rectal insufflation (RI) treatment group received 5mL of gas per kg of body weight at a concentration of 15µg/kg performed every 24h on three consecutive days. Results were significant for RBC, hematocrit, and hemoglobin in the hematological variables, and AST and lactate for biochemical and malondialdehyde variables. No statistically significant differences were found in comparisons between treatment groups. Thus, we can conclude that there is no difference between the two therapies, indicating that the two techniques are effective for the application of ozone therapy in horses competing for vaquejada.

A ozonioterapia é uma técnica utilizada em diversas especialidades da medicina equina, contudo, são escassos os estudos de sua utilização em cavalos atletas de vaquejada. O presente estudo tem por objetivo avaliar o potencial efeito do gás ozônio administrado por duas diferentes vias sobre os valores hematológicos, bioquímicos e no marcador de estresse oxidativo em cavalos atletas de vaquejada. Para isso, foram utilizados 9 equinos hígidos que seguiram um protocolo de treinamento e foram submetidos a dois tratamentos, com um wash-out de 8 dias entre eles. O grupo de tratamento auto-hemoterapia maior ozonizada (AHTMO) recebeu um volume de 600ml da mistura 02-03 na concentração de 60 µg/mL e o grupo de tratamento insuflação retal (IR) recebeu 5mL de gás por kg de peso vivo, na concentração de 15µg/kg, realizado a cada 24h em três dias consecutivos. Os resultados demonstraram-se significativos para hemácias, hematocrito e hemoglobina nas variáveis hematológicas, AST e lactato para as variáveis bioquímicas e para o malondialdeido. Não foram encontradas diferenças estatísticas significativas nas comparações entre grupos de tratamento. Assim, pode-se concluir que não há diferença entre as duas terapias, indicando que as duas técnicas são eficazes para a aplicação da ozonioterapia em cavalos competidores de vaquejada.

The interference of ozone gas in kinects and mitochondrial potential of equine sperm submitted on cryopreservation

The objective of this study was to evaluate the effects of the addition of different concentrations of ozone to quarter horse semen submitted to cryopreservation. Six ejaculates from four stallions were collected and were divided in four experimental groups: a control group (BotuCRIO® extender) and three other groups with BotuCRIO® ozonized at concentrations of 6, 8 and 12 μg of O3/mL. The semen samples were diluted (200 x 106 spermatozoa/mL), filled in straws and frozen. After thawing (37 ºC, 30s), the samples were evaluated at 0, 30 and 60 minutes of incubation regarding sperm kinetics by a computer-assisted sperm analysis (CASA), and plasma membrane integrity (PMI), acrosome integrity (ACi) and mitochondrial membrane potential (MMP) by fluorescent probes. There was a reduction in the kinetic parameters total motility (TM), progressive motility (PM), curvilinear velocity (VCL), straight line velocity (VSL) and average path velocity (VAP) in all groups during the thermoresistance test (TT), a pattern also found in PMI and MMP analyses (p<0.05). There was no difference (p>0.05) between the control and treatment (6, 8, and 12 μg of O3/mL) groups, in any of the evaluated times for the kinetic parameters TM, linearity (LIN), straightness (STR), wobble index (WOB), amplitude of lateral head displacement (ALH) and beat cross frequency (BCF). Regarding the VCL, VSL and VAP parameters, the group treated with 6 μg did not differ from the control or from 8 μg, but was higher than 12 μg at 30 and 60 minutes. ACi and PMI did not differ between groups (p>0.05), but PMI was lower in groups 8 μg and 12 μg compared to the control and 6 μg (p<0.05). It was concluded that the addition of ozone does not present beneficial effects for cryopreservation of equine semen at the concentrations used and decreases important parameters of fertility.(AU)

The interference of ozone gas in kinects and mitochondrial potential of equine sperm submitted on cryopreservation

The objective of this study was to evaluate the effects of the addition of different concentrations of ozone to quarter horse semen submitted to cryopreservation. Six ejaculates from four stallions were collected and were divided in four experimental groups: a control group (BotuCRIO® extender) and three other groups with BotuCRIO® ozonized at concentrations of 6, 8 and 12 μg of O3/mL. The semen samples were diluted (200 x 106 spermatozoa/mL), filled in straws and frozen. After thawing (37 ºC, 30s), the samples were evaluated at 0, 30 and 60 minutes of incubation regarding sperm kinetics by a computer-assisted sperm analysis (CASA), and plasma membrane integrity (PMI), acrosome integrity (ACi) and mitochondrial membrane potential (MMP) by fluorescent probes. There was a reduction in the kinetic parameters total motility (TM), progressive motility (PM), curvilinear velocity (VCL), straight line velocity (VSL) and average path velocity (VAP) in all groups during the thermoresistance test (TT), a pattern also found in PMI and MMP analyses (p0.05) between the control and treatment (6, 8, and 12 μg of O3/mL) groups, in any of the evaluated times for the kinetic parameters TM, linearity (LIN), straightness (STR), wobble index (WOB), amplitude of lateral head displacement (ALH) and beat cross frequency (BCF). Regarding the VCL, VSL and VAP parameters, the group treated with 6 μg did not differ from the control or from 8 μg, but was higher than 12 μg at 30 and 60 minutes. ACi and PMI did not differ between groups (p>0.05), but PMI was lower in groups 8 μg and 12 μg compared to the control and 6 μg (p<0.05). It was concluded that the addition of ozone does not present beneficial effects for cryopreservation of equine semen at the concentrations used and decreases important parameters of fertility.

Use of hyaluronic acid associated with triamcinolone acetonide or ozone gas in the treatment of induced osteoarthritis in rabbits

Purpose: To evaluate the effects of the intra-articular application of hyaluronic acid associated with triamcinolone acetonide, and ozone gas in the treatment of induced osteoarthritis in rabbit’s stifles.Methods: Twenty-one Norfolk rabbits were submitted to cranial cruciate ligament transection of the left stifle. After six weeks of the surgery, the rabbits were randomized assigned into three groups: G1 (control) – saline solution (0.9%); G2 – hyaluronic acid associated with triamcinolone; G3 – ozone gas, submitted to three intra-articular applications every seven days. Results: Significant differences occurred: osteophytes at medial femoral condyle (G2 > G1, G2 > G3) on radiography exam; thickening of the medial condyle (G1 > G3, G2 > G3) on ultrasound exam; osteophytes at lateral tibial condyle (G2 > G1, G2 > G3), and medial femoral condyle (G1 > G2, G3 > G1) on computed tomography. Histologically, mean values of chondrocytes in the femur and tibia in G3 and G2 were statistically lower. Conclusions: The intra-articular injection of hyaluronic acid associated with triamcinolone accentuated degenerative joint disease by imaging and macroscopic evaluations, and by histological findings, this treatment and the ozone gas treatment showed similar effects and were inferior to the saline solution (0.9%).

Ozonioterapia no tratamento auxiliar de éguas inférteis: Potencial angiogênico e antimicrobiano / Ozone therapy in the supporting treatment of infertile mares: Angiogenic and antimicrobial actions

A endometrite infecciosa é considerada uma das principais causas de infertilidade em éguas. Por sua vez, alterações degenerativas endometriais interferem diretamente na hemodinâmica uterina, podendo comprometer a fertilização e a manutenção da gestação. Por serem poderosos agentes oxidantes nãoespecíficos, o gás ozônio (O3) e os óleos vegetais ozonizados tem sido utilizados como alternativas às terapias antimicrobianas convencionais. Além de apresentar ação germicida frente a forma livre de fungos e bactérias, a ozonioterapia possui marcante potencial antibiofilme. Adicionalmente, o preenchimento da cavidade uterina de éguas com gás O3 estimula a angiogênese local sem apresentar efeitos deletérios ao endométrio. Dessa forma, os potencias antimicrobianos e angiogênicos fazem da ozonioterapia uma promissora alterativa para o tratamento adjuvante de endometrites crônicas em éguas.

Infectious endometritis is considered one of the main causes of infertility in mares. Similarly, endometrial degenerative changes directly affect the uterine hemodynamics, compromising the fertilization and the maintenance of pregnancy. Based on their powerful non-specific oxidizing action, ozone (O3) and ozonized vegetable oils have been used as alternatives to conventional antimicrobial therapies. In addition to the germicidal effect against the free-living cells of fungi and bacteria, O3 therapy has showed unspecific anti-biofilm potential. Additionally, the insufflation of the uterine cavity of mares with O3 stimulates local angiogenesis without inducing deleterious effects on the endometrium. Therefore, the antimicrobial and angiogenic potentials make O3 therapy a promising alternative for the adjuvant treatment of persistent endometritis in mares.

Exérese tumoral seguida de blefaroplastia no tratamento de carcinoma de células escamosas em pálpebra inferior de equino / Tumoral resection followed by blepharoplasty in squamous cell carcinoma treatment in the lower eyelid of a horse

Background: Equines are routinely subjected to enucleation due to palpebral tumors. Blepharoplasties in horses, especially in the lower eyelid, are rarely performed due to the difficulty of sliding once the tissue around the eyes presents low mobility. Defects involving more than 50% of the lower eyelid is considered challenging after tumor removal. Squamous cell carcinoma (SCC) is the second most reported neoplasm in horses, being very common in regions of the lower eyelid, third eyelid, sclera and or cornea. The aim of this study is to present the Destro VY skin advancement flap as a blepharoplasty technique performed after surgical excision of a SCC, with total commitment of the lower eyelid, completely covering the right eye of a mare. Case: A 8-year-old mare Paint Horse, weighing 420 kg, was referred for evaluation of tumor tissue of 6.0 x 4.0 x 2.0 cm, with nodular and ulcerated appearance, involving the right lower eyelid, in its total extension and completely covering the eye, without adhering to it. Considering the initial suspicion of SCC, the treatment strategy performed was surgical eyelid excision and maintenance of the eye, followed by blepharoplasty as an attempt to reconstruct the eyelid. Under general inhalation anesthesia, the animal was placed in left lateral recumbency, when the surgical region was prepared and local anesthetic block was performed. After antisepsis, a skin incision was made circumscribing the tumor, respecting a margin of 10 mm apart and excision of all visible tumor tissue was performed followed by intralesional ozone therapy. Blepharoplasty was performed to cover the portions of the exposed lacrimal and zygomatic bones, as well as correction of the eyelid aesthetics. For this, Destro VY skin advancement flap was performed for reconstruction of the lower eyelid. An incision of approximately 7 cm in Vshaped skin was performed, and the subcutaneous tissue under the V was dissected, maintaining a central pedicle, responsible for the vascularization of the flap, which was slid, approximately 20 mm, towards the eye. After obtaining the desired skin approximation, Y-suture was performed, covering the exposed bone and reconstructing the lower eyelid. In the postoperative period, local instillation of mitomycin eye drops and systemic meloxicam administration were instituted. The mare had her vision restored, presenting satisfactory morpho functional and aesthetic results and no tumor recurrence during 1-year of follow-up. Discussion: The repair of lower eyelid imperfections is challenging, especially when they have large defects, and there are no reports of performing the Destro VY skin advancement flap technique in horses for lower eyelid reconstruction. In this case, the importance of the blepharoplasty technique is emphasized, avoiding enucleation, preserving horse's vision and aesthetics. In addition, aiming to avoid tumor recurrence, especially if surgical safety margins can not be achieved, other complementary treatments should be associated, including intralesional ozone therapy, mitomycin, an antineoplastic chemotherapy drug, and meloxicam, a COX-2 selective, non-steroidal anti-inflammatory drug, as performed in this study. It is concluded that the use of the Destro VY skin advancement flap technique for reconstruction of the external lamella in cases of SCC in the lower eyelid of horses is a feasible technique, which preserves the animal's vision, as well as aesthetics. The safety margin in the surgical excision of the SCC and the association of complementary therapies in the resolution of the condition are important points also to be considered.

Pulmonary effects of ozone therapy at different doses combined with antibioticotherapy in experimental sepsis model

Purpose. This experimental sepsis model created with Escherichia coli aimed to investigate the histopathological effects of two different doses of ozone combined with antibiotherapy on lung tissue.. Methods. Rats were divided into 5 groups. Then sepsis was induced intraperitoneally in the first 4 groups. The 1st group was treated with cefepime, the 2nd and 3rd groups were treated with cefepime combined with ozone at a dose of 0.6 mg/kg and 1.1 mg/kg. Lung tissue sections were stained with hematoxylin-eosin and assessed under light microscope and scored between 0-4 in terms of histopathological findings.. Results. In the comparisons between Group 1 and Group 4 in terms of cellular damage (p=0.030), inflammation (p=0.000) and overall score (p=0.007), statistically significant positive effects were observed in favor of Group 1. In the comparisons of Groups 2 and 3 with Group 4, only positive effects were observed in terms of inflammation (p=0.020, p=0.012, respectively).. Conclusion. Although negative histopathological effects of ozone on tissue injury were detected, it was noteworthy that the increase in the ozone dose reduced the number of damaged parameters.(AU)

Effects of transrectal medicinal ozone in horses - clinical and laboratory aspects / Efeitos do ozônio medicinal transretal em cavalos - aspectos clínicos e laboratoriais

Ozone (O3) therapy has been used for medical procedures for centuries; however, there are no extensive studies on its utilization in horses. This study aimed to evaluate the application of transrectal O3 on horses by physical and laboratorial evaluation, and production of reactive oxygen species (ROS). Sixteen healthy horses were separated in two groups: a control group (CG) and a group treated with O3 (TG). The TG animals received 1L of an oxygen and O3 mixture transrectally. The initial dose was 10µg/ml for the first two applications, 15µg/ml for the following two applications, and 20µg/ml for the next six applications. The CG animals received 1L of oxygen transrectally. In TG animals no variations in the physical examination were detected; furthermore, TG animals did not exhibit changes in biochemical evaluation results, fibrinogen concentrations, or ROS production. TG animals had increased red blood cell counts, hemoglobin concentrations, and packet cell volume values in comparison to the baseline and CG values. We could infer that O3 affected the red blood cell counts and improved rhetological properties of the blood. The transrectal application of O3 in horses is safe and can indirectly improve the oxygenation and metabolism of tissues.(AU)

A utilização medicinal do ozônio (O3) é secular, contudo não existem estudos expressivos de sua utilização em equinos. O objetivo deste estudo foi avaliar o efeito da aplicação transretal de O3 em equinos por meio da avaliação física, laboratorial, e produção de espécies reativas de oxigênio (EROs). Dezesseis equinos hígidos foram separados em dois grupos: grupo controle (GC) e grupo tratado com O3 (GT). O GT recebeu por via retal 1L da mistura de oxigênio e ozônio, sendo a dose inicial de 10µg/ml por duas aplicações, 15µg/ml por mais duas aplicações e 20µg/ml por seis aplicações. O GC recebeu 1L de oxigênio via transretal. No GT não foram observadas alterações no exame físico, bem como não foram observadas alterações na avaliação bioquímica, concentração de fibrinogênio e produção de EROs. O GT apresentou aumento no número de hemácias, na concentração de hemoglobina, e nos valores de hematócrito em relação aos valores basais e GC. Podemos inferir que o O3 alterou os valores de eritrócitos e melhorou as propriedades reológicas do sangue. Conclui-se que a aplicação transretal de 03 em equinos é segura e pode melhorar indiretamente a oxigenação e metabolismo dos tecidos.(AU)