Treatment FAQ

why antibiotic treatment is controversial for strangles

by Ralph Quitzon Published 2 years ago Updated 2 years ago

Bastard strangles and purpura haemorrhagica Antibiotics should not be used as a preventative. This will increase resistance in the bacterial populations and decrease the immune response.

Full Answer

Should antibiotics be used to treat strangles in horses with strangles?

Nov 26, 2019 · Antibiotic treatment of horses with strangles is reported to impair the development of immunity to subsequent exposure to Streptococcus equi ssp equi ( S. equi ). However, apart from a single clinical report, evidence‐based studies for this hypothesis are lacking. Hypothesis/Objective

What is strangles and how is it treated?

Aug 10, 2020 · If not treated with antibiotics, 75% of horses mount a sufficient immune response to develop long-term immunity to strangles. Antibiotics may be beneficial immediately after the onset of fever, prevent the formation of abscesses, and relieve airway obstruction, but their use is controversial because horses can have an altered post-infection immune response, which …

Can strangles happen to any horse?

Background: Antibiotic treatment of horses with strangles is reported to impair the development of immunity to subsequent exposure to Streptococcus equi ssp equi (S. equi). However, apart from a single clinical report, evidence-based studies for this hypothesis are lacking. Hypothesis/objective: To determine whether penicillin treatment during clinical strangles …

What is the Epizootiology of strangles in horses?

Treatment and control: There is considerable debate about the antibiotic treatment of strangles. It has been suggested that antibiotic treatment of horses with strangles is contraindicated because it promotes the development of metastatic infection.

Can strangles be treated with antibiotics?

The bacteria that cause strangles can be killed by certain antibiotics including penicillin but there is considerable disagreement as to, if or when antibiotic treatment should be given.

What antibiotics are used to treat strangles?

Antibiotic treatment may include penicillin, ceftiofur, or ampicillin. The appropriate use of antibiotics may shorten the course of the disease and prevent complications.Aug 10, 2020

Can you give a horse penicillin for strangles?

Penicillin is the drug of choice for treatment of streptococcal infections in horses. 3 However, there is controversy about whether to treat acutely infected horses with antibiotics or not,2 because most cases of strangles resolve without specific treatment.Nov 26, 2019

What bacteria causes strangles in horses?

(Distemper) Strangles is an infectious, contagious disease of Equidae characterized by abscessation of the lymphoid tissue of the upper respiratory tract. The causative organism, Streptococcus equi equi, is highly host-adapted and produces clinical disease only in horses, donkeys, and mules.

Can antibiotics cause colic in horses?

Some antibiotics can cause the disruption of the hindgut microflora, which permits proliferation of pathogenic microbes and resulting colitis or “colic”.

How much penicillin do you give a horse with strangles?

The typical dose of penicillin for a horse is 3cc (3mL) of Penicillin (300,000 IU/mL) per pound, injected into the muscle 2 times a day for 7 days. A 1000lb horse would get 30cc twice a day. It is very important to give this medication in the MUSCLE ONLY.

What does Streptococcus equi cause?

Streptococcus equi causes the disease known as “strangles” in horses. It affects primarily younger horses but may affect older horses that are immunologically naive. S. equi infection is transmitted by direct contact or via fomites such as water troughs, feed bunks, pastures, and stalls.

Is strangles a zoonotic disease?

Zoonotic Risk: Zoonotic transmission has been reported, but is uncommon. Immuno- compromised individuals should avoid exposure to Strangles.May 19, 2008

How does strangles affect the horse?

It affects horses, donkeys and ponies of all ages, breed and sex. The bacteria often infect the lymph nodes around the jaw, causing them to become swollen. In severe cases they can become so swollen that horses struggle to breathe properly, hence the name 'Strangles'.

What disinfectant kills strangles?

Kill the bacteria easily by heat and disinfectants such as an iodine-based disinfectant, chlorhexidine, or hot steam spray. Eliminating its spread will require steps such as: Cleaning and disinfecting water buckets and feed containers daily.Sep 6, 2016

Can a horse have strangles without fever?

Not all horses with strangles will show the same signs and some horses may only show mild signs such as a mild fever, other forms of nasal discharge, a slight loss of appetite or even no signs at all. This is called 'atypical strangles'.

What is glanders virus?

Glanders is an infectious disease caused by the bacterium Burkholderia mallei. Glanders is primarily a disease affecting horses, but it also affects donkeys, mules, goats, dogs, and cats.

What is a strangle?

What is strangles? Strangles is a highly contagious disease of the equine upper respiratory tract caused by the bacterium Streptococcus equi subspecies equi (S. equi). The bacteria cross mucous membranes in the nose and mouth to infect lymph nodes where they cause abscesses that can eventually rupture.

How long does it take for a horse to recover from strangles?

The prognosis for full recovery of uncomplicated cases of strangles is good, but usually takes 3 to 6 weeks. Approximately 70-75% of infected horses go on to develop an immunity to S. equi that can last for at least five years.

Why are horses monitored?

Horses are monitored closely to ensure pain management and adequate consumption of food and water. If not treated with antibiotics, 75% of horses mount a sufficient immune response to develop long-term immunity to strangles.

Why do horses need antibiotics?

Antibiotics may be beneficial immediately after the onset of fever, prevent the formation of abscesses, and relieve airway obstruction, but their use is controversial because horses can have an altered post-infection immune response, which may leave them at risk for re-infection.

How do horses get a virus?

Horses become infected through inhalation or ingestion of the bacterium. This can occur through horse-to-horse contact, drinking contaminated water, or making contact with infected material or equipment.

What is a strangle?

Strangles. Introduction: Strangles is an infectious, transmissible, world-wide disease of horses, donkeys and mules. It continues to rank among the three most significant respiratory diseases of horses. Its widespread distribution is favored by its highly contagious mode of spread and a mobile horse population.

What organs are affected by necropsy?

Necropsy findings: In the rare fatalities that occur, necropsy examination usually reveals suppuration in internal organs, especially in liver, spleen, lungs, pleura, and peritoneum. When the latter is involved, it is usually due to extension from abscesses in the mesenteric lymph nodes.

Where does S. equi attach to?

Pathogenesis: Following entry into a new host, S. equi attaches primarily to the cells on the tonsillar crypts and the ventral surface of the soft palate. The organism slowly multiplies in the lymph node.

Is hyperfibrinogenemia a chronic disease?

Hyperfibrinogenemia is characteristic of both the acute and chronic disease. Leukocytosis with neutrophilia and hyperproteinemia attributable to a polyclonal gammaglobulinemia is characteristic of metastatic and chronic abscessation.

Can horses get strangles?

Although the majority of animals with strangles are subsequently immune, some may contract the disease a second, or even third, time. Horses that have recovered from the clinical disease may have persistent infection of S. equi in the pharynx and guttural pouches for many months and are an important source of infection.

How to prevent strangles on horses?

Here are some additional suggestions for reducing your horse and your farm’s risk for infection: 1 Require a current health certificate for new horse arrivals on the farm. 2 Ask owners of new horses about a history of strangles and consider testing new horses to see if they are shedding the bacteria. 3 If feasible, quarantine new arrivals for 2 to 3 weeks and monitor their temperature. 4 All horses should have individual water buckets that are routinely disinfected. 5 If shared water troughs are utilized, they should be routinely disinfected. 6 When traveling to shows, minimize your horse’s exposure by bringing your own feed, buckets and equipment. Minimize use of shared stalls or pastures at show grounds. 7 If horses are pastured together, group them according to their age and risk level (for example, all weanlings together, all broodmares together).

What is the largest source of infection in horses?

Nasal discharge from the infected horse is the largest source of contamination. Sources of infection can be nose to nose contact with an infected horse, sharing contaminated water buckets, feed tubs, twitches, tack and clothing and equipment of handlers who work with infected horses.

Can antibiotics be used for strangles?

Complicated cases and those requiring tracheostomy for management of respiratory distress generally do require antibiotic and other supportive therapies. There is some evidence that treatment with antibiotics (s uch as penicillin) at the first sign of fever and in horses with no lymph node enlargement may prevent infection. However, early antibiotic treatment will also prevent these cases from developing immunity to the infection, and subsequently makes them susceptible to reinfection sooner.

How are strangles spread?

Strangles is spread by direct contact: contact with things such as snotty noses, contaminated halters, shared water troughs, or dirty human hands. It isn’t spread by particles that get blown into the air (which is how viral diseases like influenze, or EHV-1 spread). As such, stall walls, or isolation, serve as pretty effective barriers to the transmission of the disease. Otherwise stated, if your horse is in one barn, and a horse that’s sick with “strangles” is in another barn, your horse will probably be OK. Just don’t walk your horse over to rub noses with the sick one (or that sort of thing).

Can you give a horse antibiotics for strangles?

In particular, there’s a myth that giving horses with strangles antibiotics will make the bacteria run and hide, that is, it will make the affected horse more likely to get internal abscesses “bastard” strangles.

What is Strangles in horses?

Strangles, caused by Streptococcus equi subspecies equi ( S. equi ), is frequently seen within the equine population, affecting horses of all ages. In most cases, the clinical signs are characterised by acute onset pyrexia, pharyngitis and secondary formation of abscesses within the submandibular and retropharyngeal lymph nodes.

What is S. equi infection?

S. equi infection is normally a mild respiratory disease that has more yard implications than it does for the individual horse. Affected horses should be closely monitored to ensure they do not progress or require intensive therapy, but the mainstay of veterinary involvement includes biosecurity implantation.

How to test for PCR?

The exact choice of test relies on the clinical scenario, but a rough guide should be: 1 If there is an external abscess, then a swab for culture and PCR 2 If there is nasal discharge, then a pharyngeal wash for PCR 3 If there is no overt clinical disease but you are checking for carrier status, then a guttural pouch wash for PCR/culture 4 Serology can be used prior to movement to confirm no recent exposure

How long does it take for pyrexia to occur?

Pyrexia, often exceeding 42°C (Waller, 2014), occurs 3 to 14 days after exposure to the bacteria, leading to some difficulty in assessing the epidemiological spread of the disease. Following pyrexia, patients can show lymphadenopathy leading to abscesses.

How long does equi shedding last?

Shedding. S. equi shedding usually begins two to three days following the onset of pyrexia and can continue for two to three weeks in most animals. This can be longer when there is persistent infection within the guttural pouch or sinus.

Can antibiotics be used as a preventative?

Antibiotics should not be used as a preventative. This will increase resistance in the bacterial populations and decrease the immune response. If antibiotics are warranted, penicillin is considered the drug of choice and there is very little evidence of emerging resistance to antibiotics.

How long does S. equi live in a bucket?

equi survival appears to be up to seven days in a moist, protected environment, while in the winter, survival in buckets can be as long as 30 days.

What is the name of the disease that causes strangles?

The upper respiratory disease commonly referred to as strangles is caused by Streptococcus equi subsp equi. Less commonly, the bacteria affect lymph nodes in the thorax and/or abdomen, causing a syndrome known as metastatic or “bastard strangles”.

Can a horse die from strangles?

Strangles is rarely fatal, and most horses will recover with supportive care. Death in the acute phase of the disease can occur as a consequence of upper airway compression from retropharyngeal or peritracheal abscess formation. Complications of strangles can result in severe disease that may lead to euthanasia. Internal abscesses can form in the lung, liver, spleen, kidney, brain, mediastinum, and/or mesentery. Culture and PCR of abscesses identified during gross necropsy is usually diagnostic. Immune-mediated complications include purpura hemorrhagica, myositis, glomerulonephritis, and myocarditis. Purpura hemorrhagica leads to petechial or ecchymotic hemorrhages on mucous membranes, sclera, and visceral surfaces such as the lung. Purpura hemorrhagica can result in subcutaneous edema most commonly involving the head, limbs and trunk. Severe edema may result in oozing from the skin surfaces and sloughing of skin in the affected areas. Rhadomyolysis and infarctive myositis are also associated with purpura hemorrhagica. Significant rhabdomyolysis with progressive atrophy has been identified in Quarter Horses.

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