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  • Author or Editor: Kevin J. Cummings x
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Abstract

Objective—To estimate the prevalence of fecal shedding of Salmonella spp among bovine patients at a veterinary teaching hospital, to identify risk factors for fecal shedding of Salmonella organisms, and to characterize the serotypes.

Design—Retrospective cohort study.

Sample Population—5,398 hospitalized cattle.

Procedures—Data were collected for all cattle admitted during an 11-year period. Fecal shedding of Salmonella spp was determined by means of standard bacteriologic culture. Multivariable logistic regression models were used to identify risk factors for shedding of Salmonella spp among patients.

Results—The prevalence of Salmonella shedding among clinical suspects was 6.5% (50/768), whereas that among nonsuspects tested through routine surveillance was 2.5% (50/2,020). Among clinical suspect calves, fecal shedding of Salmonella spp was more likely for those admitted in the fall (odds ratio [OR], 5.9), those with septicemia (OR, 3.3), or those with an umbilical hernia (OR, 8.6). Among clinical suspect adult cattle, those with enteritis (OR, 9.9) or metritis (OR, 5.2) were more likely to be shedding Salmonella spp. Among nonsuspect cattle, none of the variables were significant predictors of shedding status. Twenty-one serotypes were detected during the study period, with the most common being Salmonella enterica serotypes Typhimurium (33%), Newport (23%), and Agona (12%).

Conclusions and Clinical Relevance—Seasonal and disease risk factors for fecal shedding of Salmonella spp were evident among clinical suspect cattle admitted to a veterinary teaching hospital. In contrast, lack of significant associations among nonsuspect cattle would suggest that targeted screening within this population is not warranted.

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in Journal of the American Veterinary Medical Association

Abstract

OBJECTIVE To describe the antimicrobial resistance patterns of Salmonella isolates obtained from horses in the northeastern United States and to identify trends in resistance to select antimicrobials over time.

SAMPLE 462 Salmonella isolates from horses.

PROCEDURES Retrospective data were collected for all Salmonella isolates obtained from equine specimens that were submitted to the Cornell University Animal Health Diagnostic Center between January 1, 2001, and December 31, 2013. Temporal trends in the prevalence of resistant Salmonella isolates were investigated for each of 13 antimicrobials by use of the Cochran-Armitage trend test.

RESULTS The prevalence of resistant isolates varied among antimicrobials and ranged from 0% (imipenem) to 51.5% (chloramphenicol). During the observation period, the prevalence of resistant isolates decreased significantly for amoxicillin—clavulanic acid, ampicillin, cefazolin, cefoxitin, ceftiofur, chloramphenicol, and tetracycline and remained negligible for amikacin and enrofloxacin. Of the 337 isolates for which the susceptibility to all 13 antimicrobials was determined, 138 (40.9%) were pansusceptible and 192 (57.0%) were multidrug resistant (resistant to ≥ 3 antimicrobial classes). The most common serovar isolated was Salmonella Newport, and although the annual prevalence of that serovar decreased significantly over time, that decrease had only a minimal effect on the observed antimicrobial resistance trends.

CONCLUSIONS AND CLINICAL RELEVANCE Results suggested that current antimicrobial use in horses is not promoting the emergence and dissemination of antimicrobial-resistant Salmonella strains in the region served by the laboratory.

Full access
in American Journal of Veterinary Research

Abstract

OBJECTIVE To determine the effect of resveratrol administration in performance horses with lameness localized to the distal tarsal joints.

DESIGN Randomized, blinded, placebo-controlled clinical trial.

ANIMALS 45 client-owned horses with lameness localized to the distal tarsal joints.

PROCEDURES All horses received injections of triamcinolone acetonide in the centrodistal and tarsometatarsal joints of both hind limbs. A placebo or a supplement containing resveratrol was fed twice daily by owners for 4 months. Primary outcomes were horse performance as determined by rider opinion (better, worse, or the same) and change in lameness severity from the enrollment examination.

RESULTS Complete data were obtained for 21 horses that received resveratrol and 20 that received the placebo. Percentage of riders who reported that the horse's performance was better, compared with worse or the same, was significantly higher for the resveratrol group than for the placebo group after 2 (20/21 [95%] vs 14/20 [70%]) and 4 (18/21 [86%] vs 10/20 [50%]) months. The change in A1:A2 ratio between the enrollment and 4-month recheck examinations was significantly better for horses in the resveratrol versus placebo group. However, subjective lameness scores and degree of asymmetry of pelvis movement did not differ between groups.

CONCLUSIONS AND CLINICAL RELEVANCE Results suggested that in performance horses with lameness localized to the distal tarsal joints, injection of triamcinolone in the centrodistal and tarsometatarsal joints of both hind limbs followed by oral supplementation with resveratrol for 4 months resulted in reduced lameness, compared with triamcinolone injection and supplementation with a placebo.

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in Journal of the American Veterinary Medical Association

Abstract

Objective—To quantify physical activity and dietary energy intake in dogs enrolled in a controlled weight-loss program and assess relationships between energy intake and physical activity, sex, age, body weight, and body condition score (BCS).

Design—Prospective clinical study.

Animals—35 client-owned obese dogs (BCS > 7/9).

Procedures—Dogs were fed a therapeutic diet with energy intake restrictions to maintain weight loss of approximately 2%/wk. Collar-mounted pedometers were used to record the number of steps taken daily as a measure of activity. Body weight and BCS were assessed at the beginning of the weight-loss program and every 2 weeks thereafter throughout the study. Relationships between energy intake and sex, age, activity, BCS, and body weight at the end of the study were assessed via multivariable linear regression. Variables were compared among dogs stratified post hoc into inactive and active groups on the basis of mean number of steps taken (< or > 7,250 steps/d, respectively).

Results—Mean ± SD daily energy intake per unit of metabolic body weight (kg0.75) of active dogs was significantly greater than that of inactive dogs (53.6 ± 15.2 kcal/kg0.75 vs 42.2 ± 9.7 kcal/kg0.75, respectively) while maintaining weight-loss goals. In regression analysis, only the number of steps per day was significantly associated with energy intake.

Conclusions and Clinical Relevance—Increased physical activity was associated with higher energy intake while maintaining weight-loss goals. Each 1,000-step interval was associated with a 1 kcal/kg0.75 increase in energy intake.

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in Journal of the American Veterinary Medical Association

Abstract

Objective—To evaluate the effects of clopidogrel on clinical and clinicopathologic variables in healthy horses with experimentally induced endotoxemia.

Animals—12 adult mares.

Procedures—Horses were assigned with a randomization procedure to receive clopidogrel (4 mg/kg, once, then 2 mg/kg, q 24 h; n = 6) or a placebo (6) through a nasogastric tube. After 72 hours of treatment, horses received lipopolysaccharide (LPS; 30 ng/kg, IV). Heart rate, respiratory rate, rectal temperature, CBC variables, plasma fibrinogen concentration, serum tumor necrosis factor-α concentration, plasma von Willebrand factor concentration, and measures of platelet activation (including ADP- and collagen-induced platelet aggregation and closure times, thrombelastography variables, and results of flow cytometric detection of platelet membrane P-selectin, phosphatidylserine, and microparticles) were determined at various times before and after LPS administration by investigators unaware of the treatment groups. Statistical analyses were performed with repeated-measures ANOVA.

Results—4 of 6 clopidogrel-treated horses had significant decreases in ADP-induced platelet aggregation before and after LPS administration. Heart rate increased significantly after LPS administration only for the placebo group. No significant differences were detected between groups for CBC variables, closure time, and plasma concentration of fibrinogen or serum concentration of tumor necrosis factor-α, and no clinically relevant differences were detected for other hemostatic variables.

Conclusions and Clinical Relevance—In this study, administration of LPS did not induce platelet hyperreactivity in horses on the basis of measures of platelet adhesion, aggregation, degranulation, and procoagulant activity. Administration of clopidogrel was associated with variable platelet antiaggregatory activity and attenuated some clinical signs of endotoxemia.

Full access
in American Journal of Veterinary Research

Abstract

OBJECTIVE To investigate risk factors for the development of pasture- and endocrinopathy-associated laminitis (PEAL) in horses and ponies in North America.

DESIGN Case-control study.

ANIMALS 199 horses with incident cases of PEAL and 351 horses from 2 control populations (healthy horses [n = 198] and horses with lameness not caused by laminitis [153]) that were evaluated in North America between January 2012 and December 2015 by veterinarian members of the American Association of Equine Practitioners.

PROCEDURES North American members of the American Association of Equine Practitioners were contacted to participate in the study, and participating veterinarians provided historical data on incident cases of PEAL, each matched with a healthy control and a lameness control. Conditional logistic regression analysis was used to compare data on PEAL-affected horses with data on horses from each set of controls.

RESULTS Horses with an obese body condition (ie, body condition score ≥ 7), generalized or regional adiposity (alone or in combination), preexisting endocrinopathy, or recent (within 30 days) glucocorticoid administration had increased odds of developing PEAL, compared with horses that did not have these findings.

CONCLUSIONS AND CLINICAL RELEVANCE The present study identified several risk factors for PEAL that may assist not only in managing and preventing this form of laminitis, but also in guiding future research into its pathogenesis.

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in Journal of the American Veterinary Medical Association