Influence of antimicrobial prophylaxis in horses undergoing sutured castrations.

IF 1.3 2区农林科学 Q2 VETERINARY SCIENCES

Veterinary Surgery Pub Date : 2025-03-31 DOI:10.1111/vsu.14256

Ida Sjöberg, Isabella Horn, Karl Ljungvall, Pia H Andersen, Susanna Sternberg-Lewerin

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引用次数: 0

Abstract

Objective: To investigate the influence of surgical antimicrobial prophylaxis (SAP) on complication rates and surgical site infections (SSI) in horses undergoing sutured castration in a hospital setting.

Study design: Retrospective chart review of a convenience sample.

Animals: A total of 220 colts and stallions admitted for sutured castration.

Methods: Medical records of sutured castration were assessed for patient characteristics, perioperative and postoperative medications, and postoperative complications within 6 weeks after surgery. The effect of these variables on the occurrence of complications was analyzed using χ² tests, and the association between SAP use and SSI probability was evaluated.

Results: The median age of horses included in the study was 3 years (range 1-14 years), and the overall complication rate was 10.0% (22/220). Surgical antimicrobial prophylaxis was administered to 62% of the patients (136/220). There were no differences in the overall complication rates, with a 7.1% (6/84) complication rate among horses without SAP (SAP-) and an 11.8% (16/136) rate in those receiving SAP (SAP+) (p = .36). There was no association between the use of SAP and the probability of SSI, with an incidence of 3.6% in SAP- and 4.4% in SAP+ (3/84 and 6/136 respectively) (p = 1.0).

Conclusion: Administering SAP did not influence the overall complication rate or the SSI rate following sutured castrations in a hospital setting.

Clinical significance: These findings prompt a reconsideration of the use of SAP for sutured castrations under aseptic conditions. The results may also serve as a basis for future randomized controlled trials.

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抗菌素预防对缝合去势马的影响。

目的：探讨外科抗菌预防（SAP）对医院缝合去势马手术并发症发生率和手术部位感染的影响。研究设计：对方便样本进行回顾性图表分析。动物：总共有220匹小马和种马接受了缝合阉割。方法：对手术后6周内缝合去势患者的病历资料进行分析，包括患者特征、围手术期及术后用药情况及术后并发症。采用χ2检验分析这些变量对并发症发生的影响，并评估SAP使用与SSI发生率之间的相关性。结果：纳入研究的马的中位年龄为3岁（范围1-14岁），总并发症发生率为10.0%（22/220）。62%的患者（136/220）接受外科抗菌预防治疗。两组间并发症发生率无明显差异，无SAP （SAP-）组并发症发生率为7.1% (6/84),SAP （SAP+）组并发症发生率为11.8% (16/136)（p = 0.36）。SAP的使用与SSI发生率之间没有相关性，SAP-和SAP+的发生率分别为3.6%和4.4%（分别为3/84和6/136）（p = 1.0）。结论：在医院环境下，给药SAP不会影响缝合去势后的总并发症发生率或SSI发生率。临床意义：这些发现提示重新考虑在无菌条件下使用SAP进行缝合去势。该结果也可作为未来随机对照试验的基础。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Veterinary Surgery 农林科学-兽医学

CiteScore

3.40

自引率

22.20%

发文量

162

审稿时长

8-16 weeks

期刊介绍： Veterinary Surgery, the official publication of the American College of Veterinary Surgeons and European College of Veterinary Surgeons, is a source of up-to-date coverage of surgical and anesthetic management of animals, addressing significant problems in veterinary surgery with relevant case histories and observations. It contains original, peer-reviewed articles that cover developments in veterinary surgery, and presents the most current review of the field, with timely articles on surgical techniques, diagnostic aims, care of infections, and advances in knowledge of metabolism as it affects the surgical patient. The journal places new developments in perspective, encompassing new concepts and peer commentary to help better understand and evaluate the surgical patient.