Antimicrobial use as an adjunctive treatment in dental‐related sinusitis in horses: A systematic review
Summary Dental‐related sinusitis is a common condition in horses and often involves polymicrobial infection. Tooth extraction followed by sinus lavage and debridement are the recommended treatment. However, infection may persist or recur due to incomplete removal of infected material or, in rare cas...
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| Published in: | Equine veterinary education Vol. 36; no. 5; pp. 273 - 280 |
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| Format: | Journal Article |
| Language: | English |
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01-05-2024
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| Abstract | Summary
Dental‐related sinusitis is a common condition in horses and often involves polymicrobial infection. Tooth extraction followed by sinus lavage and debridement are the recommended treatment. However, infection may persist or recur due to incomplete removal of infected material or, in rare cases, potential antimicrobial resistance. Although the use of antibiotics may be considered, evidence supporting their indication is scarce. This systematic literature review sets out to examine existing evidence supporting the use of antimicrobial therapy in dental‐related sinusitis in horses. Five articles (retrospective studies, prospective studies and case series) were included. Doxycycline, sulphadiazine‐trimethoprim, metronidazole and procaine benzylpenicillin combined with neomycin were the most commonly used antimicrobials. Oxytetracycline, gentamicin and cephazolin were used to a lesser extent. Two or more active pharmaceutical substances were often combined. In all studies, antimicrobial therapy was used as an ancillary strategy and criteria for drug selection were not reported. This review highlighted the scarcity of evidence supporting the use of antimicrobials in horses with dental‐related sinusitis. In cases with positive clinical outcomes, it was not possible to determine whether clinical improvement was due to antibiotics or other therapeutic interventions. Therefore, the actual contribution of antimicrobials could not be established. |
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| AbstractList | Dental‐related sinusitis is a common condition in horses and often involves polymicrobial infection. Tooth extraction followed by sinus lavage and debridement are the recommended treatment. However, infection may persist or recur due to incomplete removal of infected material or, in rare cases, potential antimicrobial resistance. Although the use of antibiotics may be considered, evidence supporting their indication is scarce. This systematic literature review sets out to examine existing evidence supporting the use of antimicrobial therapy in dental‐related sinusitis in horses. Five articles (retrospective studies, prospective studies and case series) were included. Doxycycline, sulphadiazine‐trimethoprim, metronidazole and procaine benzylpenicillin combined with neomycin were the most commonly used antimicrobials. Oxytetracycline, gentamicin and cephazolin were used to a lesser extent. Two or more active pharmaceutical substances were often combined. In all studies, antimicrobial therapy was used as an ancillary strategy and criteria for drug selection were not reported. This review highlighted the scarcity of evidence supporting the use of antimicrobials in horses with dental‐related sinusitis. In cases with positive clinical outcomes, it was not possible to determine whether clinical improvement was due to antibiotics or other therapeutic interventions. Therefore, the actual contribution of antimicrobials could not be established. Summary Dental‐related sinusitis is a common condition in horses and often involves polymicrobial infection. Tooth extraction followed by sinus lavage and debridement are the recommended treatment. However, infection may persist or recur due to incomplete removal of infected material or, in rare cases, potential antimicrobial resistance. Although the use of antibiotics may be considered, evidence supporting their indication is scarce. This systematic literature review sets out to examine existing evidence supporting the use of antimicrobial therapy in dental‐related sinusitis in horses. Five articles (retrospective studies, prospective studies and case series) were included. Doxycycline, sulphadiazine‐trimethoprim, metronidazole and procaine benzylpenicillin combined with neomycin were the most commonly used antimicrobials. Oxytetracycline, gentamicin and cephazolin were used to a lesser extent. Two or more active pharmaceutical substances were often combined. In all studies, antimicrobial therapy was used as an ancillary strategy and criteria for drug selection were not reported. This review highlighted the scarcity of evidence supporting the use of antimicrobials in horses with dental‐related sinusitis. In cases with positive clinical outcomes, it was not possible to determine whether clinical improvement was due to antibiotics or other therapeutic interventions. Therefore, the actual contribution of antimicrobials could not be established. |
| Author | Mendes, Rubens Peres Souza, Gabryela Brinhol Souza, Anderson Fernando Corrêa, Rodrigo Romero |
| Author_xml | – sequence: 1 givenname: Gabryela Brinhol orcidid: 0000-0003-4431-5023 surname: Souza fullname: Souza, Gabryela Brinhol email: gbrinhol@policiamilitar.sp.gov.br organization: Universidade de São Paulo (USP) – sequence: 2 givenname: Rubens Peres orcidid: 0000-0003-2658-9442 surname: Mendes fullname: Mendes, Rubens Peres organization: Universidade de São Paulo (USP) – sequence: 3 givenname: Anderson Fernando orcidid: 0000-0001-8066-4787 surname: Souza fullname: Souza, Anderson Fernando organization: Universidade de São Paulo (USP) – sequence: 4 givenname: Rodrigo Romero orcidid: 0000-0003-2587-8998 surname: Corrêa fullname: Corrêa, Rodrigo Romero organization: Universidade de São Paulo (USP) |
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| Cites_doi | 10.1186/s13028-018-0394-4 10.1038/s41598‐021‐85484‐z 10.3389/fmicb.2018.00643 10.1111/j.2042-3306.2011.00420.x 10.1016/j.cveq.2021.04.012 10.1177/1945892421989142 10.1111/eve.13068 10.1002/vms3.607 10.1002/alr.21934 10.1111/evj.13884 10.1016/j.jevs.2017.11.001 10.1111/evj.12469 10.1016/j.jevs.2020.103323 10.1186/s13567-016-0333-1 10.3389/fvets.2020.580356 10.1111/j.1532-950X.2014.12132.x 10.1111/j.2042-3292.2006.tb00444.x 10.17632/625b8ym8cj.1 10.1093/jac/dkl224 10.1111/evj.12581 10.1017/S0022215121002310 10.1111/avj.12791 10.1111/j.2042-3292.2011.00245.x 10.1111/jvp.12730 10.1111/evj.12322 10.1136/vr.d4844 10.2460/ajvr.76.4.318 10.1111/evj.13168 10.1002/lio2.147 10.1111/j.1365‐2125.2008.03306.x 10.1111/evj.13930 10.1111/j.1365‐2885.2004.00624.x 10.1111/jvp.13099 10.1111/evj.13393 10.1111/evj.13905 10.1016/j.jcms.2017.01.023 10.1016/B978-1-4557-4555-5.00050-9 10.1016/j.iac.2019.12.012 10.1016/j.ijsu.2021.105906 10.1016/B978-1-4377-0867-7.00043-0 10.2307/2529786 10.1111/vsu.12680 |
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Dental‐related sinusitis is a common condition in horses and often involves polymicrobial infection. Tooth extraction followed by sinus lavage and... Dental‐related sinusitis is a common condition in horses and often involves polymicrobial infection. Tooth extraction followed by sinus lavage and debridement... |
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| SubjectTerms | Antibiotics Antimicrobial agents Antimicrobial resistance antimicrobials Benzylpenicillin dental‐related sinusitis Doxycycline Gentamicin horse Horses infection Literature reviews Metronidazole Neomycin Oxytetracycline resistance Sinus Sinusitis Teeth Therapeutic applications Trimethoprim |
| Title | Antimicrobial use as an adjunctive treatment in dental‐related sinusitis in horses: A systematic review |
| URI | https://onlinelibrary.wiley.com/doi/abs/10.1111%2Feve.13923 https://www.proquest.com/docview/3028146383 |
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