| Summary: | Previous studies documented antibiotic resistance in horses but did not focus on skin specifically. We investigated antibiotic resistance and correlations between resistance patterns in skin infections. Records from 2009 to 2019 were searched for <i>Staphylococcal</i> infection and susceptibility results. Seventy-seven cases were included. Organisms identified were <i>S. aureus</i> (48/77), <i>S. pseudintermedius</i> (7/77), non-hemolytic <i>Staphylococcus</i> (8/77), beta-hemolytic <i>Staphylococcus</i> (6/77), and other species (8/77). Samples included pyoderma (36/77), wounds (10/77), abscesses (15/77), incision sites (5/77), nose (8/77), and foot (3/77). A trend analysis using non-parametric Spearman’s test showed significant upward trend of resistance <i>(p</i> < 0.05) for 3/15 antibiotics (ampicillin, cefazolin, penicillin). Susceptibility was significantly different by <i>Staphylococcal</i> species for 8/15 antibiotics. Gentamicin showed significant susceptibility differences based on source (all abscesses were susceptible to gentamicin). Steel-Dwass test showed statistically significant (<i>p</i> = 0.003) difference between incision sites and abscesses. A non-parametric Kendall’s T-test found significantly negative correlation between cefazolin and amikacin sensitivity (<i>p</i> = 0.0108) and multiple positive correlations of resistance (<i>p</i> < 0.05). This study confirms increasing resistance in dermatologic samples. It is unlikely that the sample source affects resistance, but <i>Staphylococcus</i> species may affect it. Study limitations include lack of information about previous antibiotic use and small sample size.
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