Ida Sjöberg, Isabella Horn, Karl Ljungvall, Pia H Andersen, Susanna Sternberg-Lewerin
{"title":"抗菌素预防对缝合去势马的影响。","authors":"Ida Sjöberg, Isabella Horn, Karl Ljungvall, Pia H Andersen, Susanna Sternberg-Lewerin","doi":"10.1111/vsu.14256","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Study design: </strong>Retrospective chart review of a convenience sample.</p><p><strong>Animals: </strong>A total of 220 colts and stallions admitted for sutured castration.</p><p><strong>Methods: </strong>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 χ<sup>2</sup> tests, and the association between SAP use and SSI probability was evaluated.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>Administering SAP did not influence the overall complication rate or the SSI rate following sutured castrations in a hospital setting.</p><p><strong>Clinical significance: </strong>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.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Influence of antimicrobial prophylaxis in horses undergoing sutured castrations.\",\"authors\":\"Ida Sjöberg, Isabella Horn, Karl Ljungvall, Pia H Andersen, Susanna Sternberg-Lewerin\",\"doi\":\"10.1111/vsu.14256\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>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.</p><p><strong>Study design: </strong>Retrospective chart review of a convenience sample.</p><p><strong>Animals: </strong>A total of 220 colts and stallions admitted for sutured castration.</p><p><strong>Methods: </strong>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 χ<sup>2</sup> tests, and the association between SAP use and SSI probability was evaluated.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>Administering SAP did not influence the overall complication rate or the SSI rate following sutured castrations in a hospital setting.</p><p><strong>Clinical significance: </strong>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.</p>\",\"PeriodicalId\":23667,\"journal\":{\"name\":\"Veterinary Surgery\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2025-03-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Veterinary Surgery\",\"FirstCategoryId\":\"97\",\"ListUrlMain\":\"https://doi.org/10.1111/vsu.14256\",\"RegionNum\":2,\"RegionCategory\":\"农林科学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"VETERINARY SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Veterinary Surgery","FirstCategoryId":"97","ListUrlMain":"https://doi.org/10.1111/vsu.14256","RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"VETERINARY SCIENCES","Score":null,"Total":0}
Influence of antimicrobial prophylaxis in horses undergoing sutured castrations.
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.
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.
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