{"id":1531584,"date":"2025-04-30T10:05:17","date_gmt":"2025-04-30T08:05:17","guid":{"rendered":"https:\/\/laboklin.com\/fungal-and-bacterial-detection-in-horse-breeding-hygiene-frequency-and-evaluation\/"},"modified":"2025-06-23T12:46:54","modified_gmt":"2025-06-23T10:46:54","slug":"fungal-and-bacterial-detection-in-horse-breeding-hygiene-frequency-and-evaluation","status":"publish","type":"post","link":"https:\/\/laboklin.com\/no\/fungal-and-bacterial-detection-in-horse-breeding-hygiene-frequency-and-evaluation\/","title":{"rendered":"Fungal and Bacterial Detection in Horse Breeding Hygiene: Frequency and Evaluation"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column width=&raquo;2\/3&#8243;][vc_column_text css=&raquo;&raquo;]In breeding mares, infections of the genital tract can primarily lead to infertility, abortions, and the birth of weak foals with septicaemia.<br \/>\nFor this reason, bacteriological examination of cervical or uterine swabs, is required before a mare is inseminated, whether by natural or artificial insemination. In addition to bacteriological culture, it may also be useful to test for possible yeast and mould infestations.<\/p>\n<p>&nbsp;<\/p>\n<h2>Protective Mechanisms Against Infections<\/h2>\n<p>In addition to physical barriers such as vulvar closure, the vestibulovaginal sphincter, and the cervix, local immune mechanisms also prevent the colonisation of (facultative) pathogenic micro-organisms. If these physical barriers are not intact, for example, after a difficult labour, a pneumovagina or urine retention can occur. Pathogens can therefore colonise more easily. Anatomical features such as large hanging uterine horns, defects in the myometrium, a hanging ligamentum latum uteri, and degenerative changes in the vascular supply and lymphatic drainage can negatively impact the self-cleaning of the uterine mucosa.<\/p>\n<p>&nbsp;<\/p>\n<h2>Immune Defence<\/h2>\n<p>After experimental infection with <em>Streptococcus equi <\/em>ssp. <em>zooepidemicus<\/em>, intact mares were able to eliminate the pathogen within a few hours.<br \/>\nIn older mares that had remained sterile for a longer period of time, the elimination of the introduced pathogens <em>Streptococcus equi <\/em>ssp. <em>zooepidemicus <\/em>and <em>Pseudomonas aeruginosa <\/em>took considerably longer.<\/p>\n<p>&nbsp;<\/p>\n<h2>Humoral Defence Mechanisms<\/h2>\n<p>The dominant immunoglobulins, secretory IgG and IgA, are produced in the endometrium. The concentration of immunoglobulins differs only marginally between mares that are susceptible to endometritis and those that prove to be immune to it.<br \/>\nMares that were susceptible to endometritis were less efficient at eliminating introduced streptococci with opsonins during the acute infection and were therefore less able to initiate their elimination.<\/p>\n<p>&nbsp;<\/p>\n<h2>Cellular Immune Response<\/h2>\n<p>Chemotactically, neutrophils can react to bacteria, endotoxins, sperm, semen diluents, and even sterile water, with no significant difference between mares that are susceptible to endometritis and those that are not.<\/p>\n<p>The cellular stimulation after mating can lead to a permanent inflammatory reaction in some mares due to the foreign protein, known as permanent mating-induced endometritis (PMIE). This persistent inflammatory reaction, with an increased occurrence of neutraphils, is further stimulated by the presence of bacteria. It is initiated by a local reaction to the primary antigen, with local production of inflammatory mediators, particularly prostaglandin E2, and the increased influx of neutraphils along with serum proteins. The phagocytic activity of the neutrophils is highest during oestrus.[\/vc_column_text][\/vc_column][vc_column width=&raquo;1\/3&#8243;][vc_column_text css=&raquo;&raquo;]<\/p>\n\n\t\t\t<style type='text\/css'>\n\t\t\t\t#gallery-1 {\n\t\t\t\t\tmargin: auto;\n\t\t\t\t}\n\t\t\t\t#gallery-1 .gallery-item {\n\t\t\t\t\tfloat: left;\n\t\t\t\t\tmargin-top: 10px;\n\t\t\t\t\ttext-align: center;\n\t\t\t\t\twidth: 100%;\n\t\t\t\t}\n\t\t\t\t#gallery-1 img {\n\t\t\t\t\tborder: 2px solid #cfcfcf;\n\t\t\t\t}\n\t\t\t\t#gallery-1 .gallery-caption {\n\t\t\t\t\tmargin-left: 0;\n\t\t\t\t}\n\t\t\t\t\/* see gallery_shortcode() in wp-includes\/media.php *\/\n\t\t\t<\/style>\n\t\t<div id='gallery-1' class='dt-gallery-container gallery galleryid-1531584 gallery-columns-1 gallery-size-large'><dl class='gallery-item'>\n\t\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t\t<a class=\"rollover rollover-zoom dt-pswp-item\" title=\"\" data-dt-img-description=\"LABOKLIN aktuell Horse | &lt;i&gt;Image source: envatoelements&lt;\/i&gt;\" data-large_image_width=\"1200\" data-large_image_height=\"674\"href='https:\/\/laboklin.com\/wp-content\/uploads\/2025\/06\/Mare_with_Foal.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"575\" src=\"https:\/\/laboklin.com\/wp-content\/uploads\/2025\/06\/Mare_with_Foal-1024x575.jpg\" class=\"attachment-large size-large\" alt=\"Mare with Foal\" aria-describedby=\"gallery-1-1531520\" srcset=\"https:\/\/laboklin.com\/wp-content\/uploads\/2025\/06\/Mare_with_Foal-1024x575.jpg 1024w, https:\/\/laboklin.com\/wp-content\/uploads\/2025\/06\/Mare_with_Foal-300x169.jpg 300w, https:\/\/laboklin.com\/wp-content\/uploads\/2025\/06\/Mare_with_Foal-768x431.jpg 768w, https:\/\/laboklin.com\/wp-content\/uploads\/2025\/06\/Mare_with_Foal.jpg 1200w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a>\n\t\t\t\t<\/dt>\n\t\t\t\t\t<dd class='wp-caption-text gallery-caption' id='gallery-1-1531520'>\n\t\t\t\t\t<i>Image source: envatoelements<\/i>\n\t\t\t\t\t<\/dd><\/dl><br style=\"clear: both\" \/><dl class='gallery-item'>\n\t\t\t\t<dt class='gallery-icon portrait'>\n\t\t\t\t\t<a class=\"rollover rollover-zoom dt-pswp-item\" title=\"\" data-dt-img-description=\"LABOKLIN aktuell Horse | &lt;b&gt;Fig. 1:&lt;\/b&gt; Candida parapsilosis &lt;br&gt;&lt;i&gt;Image source: Laboklin&lt;\/i&gt;\" data-large_image_width=\"800\" data-large_image_height=\"1067\"href='https:\/\/laboklin.com\/wp-content\/uploads\/2025\/06\/Candida_parapsilosis.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"1024\" src=\"https:\/\/laboklin.com\/wp-content\/uploads\/2025\/06\/Candida_parapsilosis-768x1024.jpg\" class=\"attachment-large size-large\" alt=\"Candida parapsilosis\" aria-describedby=\"gallery-1-1531537\" srcset=\"https:\/\/laboklin.com\/wp-content\/uploads\/2025\/06\/Candida_parapsilosis-768x1024.jpg 768w, https:\/\/laboklin.com\/wp-content\/uploads\/2025\/06\/Candida_parapsilosis-225x300.jpg 225w, https:\/\/laboklin.com\/wp-content\/uploads\/2025\/06\/Candida_parapsilosis.jpg 800w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><\/a>\n\t\t\t\t<\/dt>\n\t\t\t\t\t<dd class='wp-caption-text gallery-caption' id='gallery-1-1531537'>\n\t\t\t\t\t<b>Fig. 1:<\/b> Candida parapsilosis <br><i>Image source: Laboklin<\/i>\n\t\t\t\t\t<\/dd><\/dl><br style=\"clear: both\" \/><dl class='gallery-item'>\n\t\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t\t<a class=\"rollover rollover-zoom dt-pswp-item\" title=\"\" data-dt-img-description=\"LABOKLIN aktuell Horse | &lt;b&gt;Fig. 2:&lt;\/b&gt; Evaluation of the mycological examination from 2024, positive detection 7.4% (n = 101) &lt;br&gt;&lt;i&gt;Image source: Laboklin&lt;\/i&gt;\" data-large_image_width=\"1200\" data-large_image_height=\"720\"href='https:\/\/laboklin.com\/wp-content\/uploads\/2025\/06\/Evaluation_of_mycological_examination_2024.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"614\" src=\"https:\/\/laboklin.com\/wp-content\/uploads\/2025\/06\/Evaluation_of_mycological_examination_2024-1024x614.jpg\" class=\"attachment-large size-large\" alt=\"Evaluation of the mycological examination from 2024, positive detection 7.4% (n = 101)\" aria-describedby=\"gallery-1-1531571\" srcset=\"https:\/\/laboklin.com\/wp-content\/uploads\/2025\/06\/Evaluation_of_mycological_examination_2024-1024x614.jpg 1024w, https:\/\/laboklin.com\/wp-content\/uploads\/2025\/06\/Evaluation_of_mycological_examination_2024-300x180.jpg 300w, https:\/\/laboklin.com\/wp-content\/uploads\/2025\/06\/Evaluation_of_mycological_examination_2024-768x461.jpg 768w, https:\/\/laboklin.com\/wp-content\/uploads\/2025\/06\/Evaluation_of_mycological_examination_2024.jpg 1200w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a>\n\t\t\t\t<\/dt>\n\t\t\t\t\t<dd class='wp-caption-text gallery-caption' id='gallery-1-1531571'>\n\t\t\t\t\t<b>Fig. 2:<\/b> Evaluation of the mycological examination from 2024, positive detection 7.4% (n = 101) <br><i>Image source: Laboklin<\/i>\n\t\t\t\t\t<\/dd><\/dl><br style=\"clear: both\" \/><dl class='gallery-item'>\n\t\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t\t<a class=\"rollover rollover-zoom dt-pswp-item\" title=\"\" data-dt-img-description=\"LABOKLIN aktuell Horse | &lt;b&gt;Fig. 3:&lt;\/b&gt; Candida isolates by concentration &lt;br&gt;&lt;i&gt;Image source: Laboklin&lt;\/i&gt;\" data-large_image_width=\"1200\" data-large_image_height=\"715\"href='https:\/\/laboklin.com\/wp-content\/uploads\/2025\/06\/Candida_isolates_by_concentration.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"610\" src=\"https:\/\/laboklin.com\/wp-content\/uploads\/2025\/06\/Candida_isolates_by_concentration-1024x610.jpg\" class=\"attachment-large size-large\" alt=\"Candida isolates by concentration\" aria-describedby=\"gallery-1-1531554\" srcset=\"https:\/\/laboklin.com\/wp-content\/uploads\/2025\/06\/Candida_isolates_by_concentration-1024x610.jpg 1024w, https:\/\/laboklin.com\/wp-content\/uploads\/2025\/06\/Candida_isolates_by_concentration-300x179.jpg 300w, https:\/\/laboklin.com\/wp-content\/uploads\/2025\/06\/Candida_isolates_by_concentration-768x458.jpg 768w, https:\/\/laboklin.com\/wp-content\/uploads\/2025\/06\/Candida_isolates_by_concentration.jpg 1200w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a>\n\t\t\t\t<\/dt>\n\t\t\t\t\t<dd class='wp-caption-text gallery-caption' id='gallery-1-1531554'>\n\t\t\t\t\t<b>Fig. 3:<\/b> Candida isolates by concentration <br><i>Image source: Laboklin<\/i>\n\t\t\t\t\t<\/dd><\/dl><br style=\"clear: both\" \/>\n\t\t\t<\/div>\n\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column css=&raquo;.vc_custom_1750668201895{margin-top: 30px !important;}&raquo;][vc_column_text css=&raquo;&raquo;]<\/p>\n<h2>Diagnosis of Fungal Infections<\/h2>\n<p>Cytological samples (biopsies of the uterine mucosa are more reliable) provide indications of the cycle status and mucosal formation, as well as signs of inflammation. Bacteria can be detected directly under the microscope without further identification of the species. If the inflammatory cell profile suggests an infection with fungi, special stains can be used to determine whether it is a yeast or a fungi.<br \/>\nFor the culture examinations, the sample should be taken from the cervix or uterus using a sterile speculum, if possible. Both bacteriological and mycological cultures can be obtained from this sample.<br \/>\nFor the mycological culture, Sabouraud dextrose agar with chloramphenicol and gentamicin is used to inhibit the bacterial flora. Incubation takes place at 36 \u00b0C for 48 hours, followed by the first reading. Negative cultures are checked again for fungal growth after a further 5 days of incubation. The yeasts and filamentous fungi are differentiated using MALDI-TOF mass spectrometry and microscopically after staining with cotton blue lactophenol solution.<\/p>\n<p>&nbsp;<\/p>\n<h2>Results of Our Own Investigations<\/h2>\n<p>Out of 1,365 mycologically examined cervical and uterine swabs, 7.4% (n = 101) showed positive growth on the fungal culture medium. Of these, yeasts of the species <em>Candida <\/em>spp. were isolated in 61% of cases.<br \/>\nIn the differentiation, <em>Candida parapsilosis <\/em>(Fig. 1) dominated the <em>Candida <\/em>complex with 46%, while 16% and 17% exhibited moderate or high levels of this yeast (Fig. 2 and 3). Other <em>Candida <\/em>species were isolated only sporadically. Filamentous fungi, including <em>Aspergillus <\/em>and <em>Penicillium <\/em>species, as well as black fungi such as Alternaria alternata, were only cultivated in isolated cases, usually at low levels.<\/p>\n<p>&nbsp;<\/p>\n<h2>Evaluation<\/h2>\n<p>In addition to the detection of yeasts and fungi, the clinical findings must also be considered.<br \/>\nYeast or fungal endometritis is suspected if chronic endometritis does not improve or only improves temporarily after antibiotic treatment. A highly distended uterus with cloudy secretion is often present. The cervical mucosa and the endometrium appear distinctly inflamed, with a dirty red discolouration. Low levels of yeasts without clinical changes are generally negligible. The detection of a low level of fungi is more likely to be interpreted as contamination during sample collection.<\/p>\n<p>In many cases, endometritis caused by yeasts or fungi is preceded by intrauterine treatment with antibiotics to treat an inflammation caused by bacteria. The applied antibiotics can damage the mucous membrane, while yeasts and fungi can be introduced from outside during intrauterine treatment. There is also discussion about whether the use of semen thinners containing antibiotics can lead to a fungal manifestation.<\/p>\n<p>&nbsp;<\/p>\n<h2>Therapy<\/h2>\n<p>Lavage is used to clean the uterine lumen and flush out cellular debris, such as dead neutrophils, along with microorganisms and other inflammatory products. The fluid induces uterine contractions and cleansing due to temporary mucosal irritation. For irrigation, warmed balanced electrolyte solutions such as Ringer\u2019s or saline solutions are used.<br \/>\nMild antiseptics, such as povidone-iodine or chlorhexidine, can be added to these solutions. Care must be taken to ensure that they are used in a diluted form; otherwise, severe inflammation or even mucosal necrosis may occur. Povidone-iodine solution should be used at a maximum concentration of <strong>0.05% <\/strong>(5 ml of a <strong>10% <\/strong>povidone-iodine solution in <strong>1 litre <\/strong>of saline solution), and chlorhexidine digluconate at a maximum concentration of <strong>0.25%<\/strong>. The use of dimethyl sulfoxide (DMSO) as an irritating chemical agent to remove inflamed endometrial tissue is rather questionable from an animal welfare perspective. After irrigation, the use of antimycotics can be considered. Currently, no active agent is approved for horses for systemic or intrauterine application. Various substances, such as nystatin, amphotericin B, or clotrimazole, are used intrauterinely for the treatment of fungal or yeast infections (off-label use). Nystatin, <strong>0.5 to 2.5 million <\/strong>units dissolved in <strong>100\u2013250 ml <\/strong>of sterile water, is suitable for yeasts. Since it is poorly soluble in water, it must be prepared immediately before application and brought into suspension by vigorous shaking. Miconazole, <strong>200\u2013700 mg <\/strong>in <strong>40\u201360 ml <\/strong>sterile saline solution daily for up to <strong>10 days<\/strong>, is reported to be most effective against Candida.Therapy with antimycotics should be continued for at least <strong>7\u201310 days<\/strong>. If necessary, an antimycogram can be performed to determine susceptibility to the antifungal agents.<\/p>\n<p>&nbsp;<\/p>\n<h2>Conclusion<\/h2>\n<p>Stallions that have been kept alone for long periods should also undergo a mycological examination as part of the breeding hygiene assessment. The likelihood of successfully eliminating the pathogen remains uncertain despite treatment.<\/p>\n<p style=\"text-align: right;\"><em>Dr. Anton Heusinger<\/em><\/p>\n<p>&nbsp;<\/p>\n<blockquote><p>&nbsp;<\/p>\n<p><strong>Services<\/strong> <strong>related<\/strong> <strong>to<\/strong> <strong>breeding<\/strong> <strong>hygiene<\/strong><\/p>\n<ul>\n<li><span style=\"color: #000000;\">Breeding hygiene<\/span><\/li>\n<li><span style=\"color: #000000;\">Breeding hygiene + mycology<\/span><\/li>\n<li><span style=\"color: #000000;\">Breeding hygiene + CEM (<em>Taylorella equigenitalis<\/em>)<\/span><\/li>\n<li><span style=\"color: #000000;\">CEM culture or PCR<\/span><\/li>\n<li><span style=\"color: #000000;\">CEM profiles for mares and stallions<\/span><\/li>\n<\/ul>\n<\/blockquote>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=&raquo;vc_default&raquo; gap=&raquo;10&#8243; css=&raquo;.vc_custom_1708519842350{margin-top: 30px !important;}&raquo;][vc_column width=&raquo;1\/2&#8243;][vc_column_text css=&raquo;&raquo;]<\/p>\n<h5><strong>Further literature<\/strong><\/h5>\n<h6><span style=\"color: #808080;\"><strong>Cafarchia C, Figueredo LA, Otranto D. Fungal diseases of horses. Vet Microbiol. 2013;167(1-2):215-234. doi: 10.1016\/j.vetmic.2013.01.015<\/strong><\/span><\/h6>\n<h6><span style=\"color: #808080;\"><strong>Sellon DC, Long MT, Equine infectious diseases second edition Saunders; 2013.<\/strong><\/span><\/h6>\n<h6><span style=\"color: #808080;\"><strong>Sielhorst J, K\u00f6hne M, Spilker K-C, Kahler A, Brekle C, T\u00f6nnisen A, K\u00e4ser R, Burger D, Sieme H. Aktuelle Empfehlungen zur Diagnostik und Therapie der Endometritis bei der Stute. Pferdespiegel. 2019;22(02):75-88. doi:10.1055\/a-0858-4508<\/strong><\/span><\/h6>\n<p>[\/vc_column_text][\/vc_column][vc_column width=&raquo;1\/2&#8243;][vc_row_inner equal_height=&raquo;yes&raquo; content_placement=&raquo;middle&raquo; gap=&raquo;10&#8243;][vc_column_inner width=&raquo;1\/4&#8243; css=&raquo;.vc_custom_1738925210054{background-color: #e7e7e7 !important;}&raquo;][vc_icon icon_fontawesome=&raquo;fa fa-solid fa-file-pdf&raquo; color=&raquo;custom&raquo; size=&raquo;xl&raquo; align=&raquo;center&raquo; css=&raquo;.vc_custom_1750666839027{margin-top: 10px !important;margin-bottom: 10px !important;padding-top: 20px !important;padding-bottom: 20px !important;}&raquo; custom_color=&raquo;#e51e1e&raquo; link=&raquo;url:https%3A%2F%2Flaboklin.com%2Fwp-content%2Fuploads%2F2025%2F06%2FFungal_and_Bacterial_Detection_in_Horse_Breeding_Hygiene.pdf|target:_blank&raquo;][\/vc_column_inner][vc_column_inner width=&raquo;3\/4&#8243; css=&raquo;.vc_custom_1724665489913{background-color: #e7e7e7 !important;}&raquo;][vc_column_text css=&raquo;.vc_custom_1750666875373{margin-top: 10px !important;margin-bottom: 10px !important;padding-top: 20px !important;padding-bottom: 20px !important;}&raquo;]<a href=\"https:\/\/laboklin.com\/wp-content\/uploads\/2025\/06\/Fungal_and_Bacterial_Detection_in_Horse_Breeding_Hygiene.pdf\" target=\"_blank\" rel=\"noopener\"><strong>Fungal and Bacterial Detection in Horse Breeding Hygiene: Frequency and Evaluation<\/strong><\/a>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>In breeding mares, infections of the genital tract can primarily lead to infertility, abortions, and the birth of weak foals with septicaemia.<\/p>\n","protected":false},"author":30,"featured_media":1531520,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_seopress_robots_primary_cat":"none","_seopress_titles_title":"%%post_title%%","_seopress_titles_desc":"%%post_excerpt%%","_seopress_robots_index":"","footnotes":""},"categories":[91],"tags":[],"table_tags":[],"class_list":["post-1531584","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-laboklin-horse","category-91","description-off"],"_links":{"self":[{"href":"https:\/\/laboklin.com\/no\/wp-json\/wp\/v2\/posts\/1531584","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/laboklin.com\/no\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/laboklin.com\/no\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/laboklin.com\/no\/wp-json\/wp\/v2\/users\/30"}],"replies":[{"embeddable":true,"href":"https:\/\/laboklin.com\/no\/wp-json\/wp\/v2\/comments?post=1531584"}],"version-history":[{"count":1,"href":"https:\/\/laboklin.com\/no\/wp-json\/wp\/v2\/posts\/1531584\/revisions"}],"predecessor-version":[{"id":1531592,"href":"https:\/\/laboklin.com\/no\/wp-json\/wp\/v2\/posts\/1531584\/revisions\/1531592"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/laboklin.com\/no\/wp-json\/wp\/v2\/media\/1531520"}],"wp:attachment":[{"href":"https:\/\/laboklin.com\/no\/wp-json\/wp\/v2\/media?parent=1531584"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/laboklin.com\/no\/wp-json\/wp\/v2\/categories?post=1531584"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/laboklin.com\/no\/wp-json\/wp\/v2\/tags?post=1531584"},{"taxonomy":"table_tags","embeddable":true,"href":"https:\/\/laboklin.com\/no\/wp-json\/wp\/v2\/table_tags?post=1531584"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}