A RETROSPECTIVE STUDY OF 192 HORSES AFFECTED WITH SEPTIC ARTHRITIS TENOSYNOVITIS
A RETROSPECTIVE STUDY OF 192 HORSES AFFECTED WITH SEPTIC ARTHRITIS TENOSYNOVITIS
复制标题
DOI：
10.1111/j.2042-3306.1992.tb02873.x
复制
发表时间：
1992-11-01
影响因子：
2.2
通讯作者：
GABEL, AA
中科院分区：
文献类型：
--
作者：
SCHNEIDER, RK;BRAMLAGE, LR;GABEL, AA
回顾了1979-1989年192匹患脓毒性关节炎/腱鞘炎的马的病历。43匹马在关节内注射后发生感染，46匹在穿透伤后发生感染，25匹在手术后发生感染，66匹为小于6个月大的马驹，12匹为无已知病因的成年马。关节的血源性感染发生在成年马中，应被视为严重跛行急性发作的马的鉴别诊断。感染的病原学对通过培养鉴定的细菌类型有显著影响。葡萄球菌是从大多数在关节注射或手术后发生感染的马中培养出来的，其中69%的马被鉴定出微生物。继发于穿透伤的感染的马经常提供一种以上微生物的培养物;肠杆菌科和厌氧菌在该组中更常见。从马驹中分离出的最常见的微生物是肠杆菌科;在超过27%的马驹中发现了大肠杆菌。飞节是最常受累的关节。在10年的研究期间使用了多种治疗。小马驹的存活率最低，只有45%存活到出院。成年马的存活率更高; 85%接受治疗的马出院。感染脓毒性腱鞘炎的马的存活率显著更高;所有14匹接受治疗的马均存活。存活率并没有受到关节受累或从滑液中培养的细菌类型的显著影响。获得了所有从医院出院的比赛年龄的马的随访比赛数据;这些马中有56.5%返回比赛，其中超过45%的马能够进行至少5次首发。我们认为，如果感染可以消除不可逆的关节软骨损伤发生之前，马可以恢复运动功能。
The medical records of 192 horses with septic arthritis/tenosynovitis 1979-1989 were reviewed. Forty-three horses developed infection after an intra-articular injection, 46 following a penetrating wound, 25 following surgery, 66 were foals less than 6 months old, and 12 were adult horses without a known aetiology. Haematogenous infection of a joint occurs in adult horses and should be considered as a differential diagnosis in horses with an acute onset of severe lameness. The aetiology of the infection had a significant effect on the type of bacteria identified by culture. Staphylococcus was cultured from most of the horses that developed infection following a joint injection or surgery, 69% of the horses from which an organism was identified. Horses that developed infection secondary to a penetrating wound frequently provided cultures of more than one organism; Enterobacteriaceae and anaerobes were more frequently isolated in this group. The most common organisms isolated from foals were Enterobacteriaceae; E. coli was identified in more than 27% of the foals. The hock was the most frequently involved joint. Multiple treatments were used over the 10-year period of study. Survival rates were lowest in foals; only 45% survived to be released from the hospital. Survival was greater in adult horses; 85% of the horses that were treated were released from the hospital. Survival was significantly greater in horses with septic tenosynovitis; all 14 of the horses that were treated survived. Survival was not significantly affected by the joint involved or by the type of bacteria cultured from the synovial fluid. Follow-up racing data were obtained for all horses of racing age that were released from the hospital; 56.5% of these horses returned to racing and over 45% of these horses were able to make at least 5 starts. We suggest that if the infection can be eliminated before irreversible damage to the articular cartilage occurs, horses can return to athletic function.