Outcome of colic surgery

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Colic is a common problem in horses, and although many cases will respond quickly to medical treatment, some do not, and surgical intervention is required to correct the problem. This is not something to be undertaken lightly. There are risks associated with general anaesthesia and with the surgical procedure itself. A period of convalescence lasting months will likely be required.

A further concern is the risk that the horse will not regain its original athletic ability.

A study in the Netherlands has looked at the outcome of horses after colic surgery.

Johannes van Loon and colleagues at Utrecht University reviewed the clinical records of 283 horses treated surgically after being presented for acute colic at the department of Equine Sciences.

As well as looking at survival and complication rates, they also considered the functional outcome and behavioural problems

They found that of the horses that underwent colic surgery, 59% went home alive. Of those, 96% were still alive a year later. More than half of them suffered at least one or two episodes of colic during that time.

Encouragingly, almost two thirds of horses that returned home achieved at least their previous level of performance.

Owners reported altered behaviour and gait-related problems in up to 46.2% of horses.

The researchers suggest that Improving veterinary aftercare, in collaboration with other disciplines such as physiotherapy and saddle fitting, during rehabilitation could produce further improvement in athletic performance and welfare after recovery from colic surgery

 

For more details, see:

Colic Surgery in Horses: A Retrospective Study Into Short- And Long-Term Survival Rate, Complications and Rehabilitation Toward Sporting Activity.

Johannes P A M van Loon, Emi M S Visser , Marjolein de Mik-van Mourik, Pieternel Kerbert, Tsjester Huppes, Eveline S Menke

J Equine Vet Sci (2020) 90:103012.

DOI:10.1016/j.jevs.2020.103012

Ivermectin-resistant parascaris in Poland

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The large roundworm (Parascaris spp) is a common parasite of foals.

Migrating larvae may cause a mild cough and nasal discharge. Adult worms live in the small intestine. A heavy infection leads to failure to thrive and may cause intestinal impaction or rupture. Deaths have been reporte

d in foals up to 4 months of age. Older foals develop immunity, and the parasite rarely causes problems in adult horses.

Ivermectin has been a popular dewormer for foals, but there have been an increasing number of reports from around the world of its lack of efficacy against Parascaris.

A recently published study, by Maria Studzińska and colleagues at the University of Life Sciences in Lublin, is the first to report ivermectin resistance in Parascaris in foals in Poland. 

A total of 225 foals, from 7 stud farms in south-eastern Poland, were treated orally with ivermectin paste. The research team collected faecal samples one day before and two weeks after deworming.

Foals with faecal worm egg counts lower than 150 eggs per gram before treatment and farms with fewer than 6 eligible foals were excluded from the statistical analysis.

The research team found that, before treatment, 40% of foals had Parascaris spp eggs in their faeces. Two weeks after ivermectin treatment, 28.4% of foals were still excreting Parascaris spp. eggs.

Faecal egg count reduction (FECR) ranged from 44% to 97%. Overall average efficacy was 49.3%.

(FECR test is the standard method of assessing resistance in small red worms (cyathostomins) but has not yet been validated for use in Parascaris. In general, for cyathostomins, if the FEC is not reduced by 95% or more after treatment with a macrocyclic lactone such as ivermectin, that is interpreted as evidence of resistance.)

The researchers found that ivermectin was least effective against Parascaris spp. infection on farms with the largest herd sizes. Reduced efficacy was more common in older foals compared with those of three months of age. In this study, ivermectin was more effective in male foals than in females

For more details, see:

A survey of ivermectin resistance in Parascaris species infected foals in south-eastern Poland

Maria Bernadeta Studzińska, Guillaume Sallé, Monika Roczeń-Karczmarz, Klaudiusz Szczepaniak, Marta Demkowska-Kutrzepa & Krzysztof Tomczuk

Acta Veterinaria Scandinavica (2020) vol 62, Article number: 28

https://doi.org/10.1186/s13028-020-00526-2