Effect of arthroscopic lavage and repeated intra-articular administrations of antibiotic in adult horses and foals with septic arthritis.
Vet Surg
; 46(7): 1008-1016, 2017 Oct.
Article
en En
| MEDLINE
| ID: mdl-28771839
ABSTRACT
OBJECTIVE:
To evaluate the effect of arthroscopic lavage and repeated intra-articular administration of antibiotic in adult horses and foals with septic arthritis. STUDYDESIGN:
Retrospective clinical study. ANIMALS Adult horses and foals with septic arthritis (n = 62).METHODS:
Age, sex, cause of septic synovitis, joint involved, hospitalization time, and outcome were recorded. Arthroscopic lavage was performed at day 0 (D 0). Synovial fluid was collected every 48 hours prior to intra-articular administration of antibiotic, and until hospital discharge. Synovial nucleated cell count, total protein, and percentage of neutrophils were compared across time and between subjects with a favorable or unfavorable outcome.RESULTS:
Synovial nucleated cell counts decreased progressively and were lower at all times compared to D 0. Percentages of neutrophils were lower than baseline at D 8 and 10, only. Total protein contents decreased progressively and were lower than baseline at D 2, 4, 6, 8, 10, and 14. When adult horses and foals with a favorable outcome were compared to those with an unfavorable outcome, the nucleated cell count was lower at D 10, 12, and 14 and the percentage of neutrophils was lower at D 4 only, but total protein content did not differ between groups at any time.CONCLUSION:
Synovial nucleated cell counts and total protein concentrations decreased after arthroscopic lavage and repeated intra-articular administration of antibiotic in horses and foals with septic arthritis. Synovial nucleated cell count is limited as a monitoring tool during treatment of septic arthritis.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Artritis Infecciosa
/
Enfermedades de los Caballos
/
Irrigación Terapéutica
/
Antibacterianos
Tipo de estudio:
Observational_studies
Límite:
Animals
Idioma:
En
Año:
2017
Tipo del documento:
Article