Changes in Perioperative Antimicrobial and Anti-Inflammatory Drugs Regimens for Colic Surgery in Horses: A Single Center Report

Reducing postoperative incisional infection is the main reason to administer postoperative antimicrobials (AMD) after emergency laparotomy in horses, while reducing inflammation and providing analgesia are the reasons to administer anti-inflammatory drugs (AID). The basis for postoperative AMD and A...

Full description

Bibliographic Details
Main Authors: Marco Gandini, Anna Cerullo, Paolo Franci, Gessica Giusto
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Veterinary Sciences
Subjects:
Online Access:https://www.mdpi.com/2306-7381/9/10/546
_version_ 1797469637827362816
author Marco Gandini
Anna Cerullo
Paolo Franci
Gessica Giusto
author_facet Marco Gandini
Anna Cerullo
Paolo Franci
Gessica Giusto
author_sort Marco Gandini
collection DOAJ
description Reducing postoperative incisional infection is the main reason to administer postoperative antimicrobials (AMD) after emergency laparotomy in horses, while reducing inflammation and providing analgesia are the reasons to administer anti-inflammatory drugs (AID). The basis for postoperative AMD and AID administration is empirical and only recently has been questioned. Empirical approaches can be changed, and these changes, along with the description of their outcomes, can help produce appropriate stewardship. The aim of this study is to report the changes in AMD and AID regimens in horses undergoing emergency laparotomy at a referral teaching hospital between 2017 and 2021. Signalment, pathology, surgery, prophylactic AMD and AID administration were obtained from the medical records. Difference in AMD and AID regimens throughout the study period were also reported. In 234 postoperative records considered, ninety-two horses received prophylactic AMD, while 142 received pre-operative antimicrobials only. There was a progressive change in regimens throughout the years, increasing the number of AID molecules used. AMD and AID administration in horses has changed in our practice over the years to modulate therapies according to the postoperative complications that eventually arise. In this study, horses not receiving postoperative routine AMD treatment did not show an increased incidence of complications.
first_indexed 2024-03-09T19:24:02Z
format Article
id doaj.art-7b683bccc6c54ba285cd2ad2e1285061
institution Directory Open Access Journal
issn 2306-7381
language English
last_indexed 2024-03-09T19:24:02Z
publishDate 2022-10-01
publisher MDPI AG
record_format Article
series Veterinary Sciences
spelling doaj.art-7b683bccc6c54ba285cd2ad2e12850612023-11-24T03:06:27ZengMDPI AGVeterinary Sciences2306-73812022-10-0191054610.3390/vetsci9100546Changes in Perioperative Antimicrobial and Anti-Inflammatory Drugs Regimens for Colic Surgery in Horses: A Single Center ReportMarco Gandini0Anna Cerullo1Paolo Franci2Gessica Giusto3Department of Veterinary Sciences, University of Turin, 10095 Grugliasco, ItalyDepartment of Veterinary Sciences, University of Turin, 10095 Grugliasco, ItalyDepartment of Veterinary Sciences, University of Turin, 10095 Grugliasco, ItalyDepartment of Veterinary Sciences, University of Turin, 10095 Grugliasco, ItalyReducing postoperative incisional infection is the main reason to administer postoperative antimicrobials (AMD) after emergency laparotomy in horses, while reducing inflammation and providing analgesia are the reasons to administer anti-inflammatory drugs (AID). The basis for postoperative AMD and AID administration is empirical and only recently has been questioned. Empirical approaches can be changed, and these changes, along with the description of their outcomes, can help produce appropriate stewardship. The aim of this study is to report the changes in AMD and AID regimens in horses undergoing emergency laparotomy at a referral teaching hospital between 2017 and 2021. Signalment, pathology, surgery, prophylactic AMD and AID administration were obtained from the medical records. Difference in AMD and AID regimens throughout the study period were also reported. In 234 postoperative records considered, ninety-two horses received prophylactic AMD, while 142 received pre-operative antimicrobials only. There was a progressive change in regimens throughout the years, increasing the number of AID molecules used. AMD and AID administration in horses has changed in our practice over the years to modulate therapies according to the postoperative complications that eventually arise. In this study, horses not receiving postoperative routine AMD treatment did not show an increased incidence of complications.https://www.mdpi.com/2306-7381/9/10/546colic surgeryhorseperioperative antimicrobial protocolperioperative anti-inflammatory protocolpostoperative complications
spellingShingle Marco Gandini
Anna Cerullo
Paolo Franci
Gessica Giusto
Changes in Perioperative Antimicrobial and Anti-Inflammatory Drugs Regimens for Colic Surgery in Horses: A Single Center Report
Veterinary Sciences
colic surgery
horse
perioperative antimicrobial protocol
perioperative anti-inflammatory protocol
postoperative complications
title Changes in Perioperative Antimicrobial and Anti-Inflammatory Drugs Regimens for Colic Surgery in Horses: A Single Center Report
title_full Changes in Perioperative Antimicrobial and Anti-Inflammatory Drugs Regimens for Colic Surgery in Horses: A Single Center Report
title_fullStr Changes in Perioperative Antimicrobial and Anti-Inflammatory Drugs Regimens for Colic Surgery in Horses: A Single Center Report
title_full_unstemmed Changes in Perioperative Antimicrobial and Anti-Inflammatory Drugs Regimens for Colic Surgery in Horses: A Single Center Report
title_short Changes in Perioperative Antimicrobial and Anti-Inflammatory Drugs Regimens for Colic Surgery in Horses: A Single Center Report
title_sort changes in perioperative antimicrobial and anti inflammatory drugs regimens for colic surgery in horses a single center report
topic colic surgery
horse
perioperative antimicrobial protocol
perioperative anti-inflammatory protocol
postoperative complications
url https://www.mdpi.com/2306-7381/9/10/546
work_keys_str_mv AT marcogandini changesinperioperativeantimicrobialandantiinflammatorydrugsregimensforcolicsurgeryinhorsesasinglecenterreport
AT annacerullo changesinperioperativeantimicrobialandantiinflammatorydrugsregimensforcolicsurgeryinhorsesasinglecenterreport
AT paolofranci changesinperioperativeantimicrobialandantiinflammatorydrugsregimensforcolicsurgeryinhorsesasinglecenterreport
AT gessicagiusto changesinperioperativeantimicrobialandantiinflammatorydrugsregimensforcolicsurgeryinhorsesasinglecenterreport