Therapeutic management of marwari mares suffering from bacterial endometritis vis-à-vis antimicrobial sensitivity
189 / 202
Keywords:
Antibiotic sensitivity, Antimicrobial resistance (AMR), Endometritis, Marwari Mare, PregnancyAbstract
Inappropriate use of antibiotics to treat infectious endometritis in mares can lead to increased antimicrobial resistance (AMR) and, ultimately, hinder the success of achieving pregnancy. This study aims to investigate the diagnosis and treatment of infectious endometritis in sub-fertile Marwari mares. The mares with a reproductive history of either failure of conception upon repeated covering or failure to exhibit estrus were investigated through trans-rectal real-time B-mode ultrasonography for intra uterine fluid-IUF, endometrial cytology-EC and bacteriology. The 61 mares (repeat breeder-50, anoestrus-9 and silent estrus-2) with bacterial uterine infection were subjected to pre-breeding treatment which comprised of sensitive antibiotics (3 g Chloramphenicol/200mg Gentamicin/3 g Ampicillin Sulbactum diluted in 50ml normal saline, intrauterine), ecbolic (25IU i/m, Inj. Oxytocin), and anti- inflammatory drugs (500mg PO, Bol. Tolfenamic Acid, bid) for three days during estrus. The mares were naturally covered by proven stallion, and pregnancy was confirmed by transrectal ultrasound examination on Day 30 post mating. The results revealed that 62.88% of mares had bacterial uterine infections and 69 isolates, with the highest frequency of E. coli (36.23%) and Staphylococcus spp. (30.43%). The chi-square analysis revealed a significant association of uterine infection with IUF and EC. The study further identified chloramphenicol and gentamicin were the most sensitive antibiotics against the bacterial isolates. The pre-breeding therapeutic management of mares resulted in a 54.01% overall pregnancy rate (48.00, 77.78 and 100.00% in RB, anoestrus and silent estrus mares, respectively). The study’s findings indicate that bacterial infections are present not only in repeat breeder mares but also in mares experiencing anestrus and silent estrus. This finding highlights the widespread prevalence of bacterial infections among different types of sub-fertile mares, emphasizing the necessity for comprehensive management strategies to tackle this issue. This study highlights the importance of pre-breeding bacterial investigation and treatment to improve fertility and minimize rise of AMR in equine industry.
Downloads
References
Assad N I and Pandey A K. 2012. Endometritis by Corynebacterium sp. in Mares. The Indian Veterinary Journal 89(10): 136-8.
Barbary H A, Abo-ghonema I I, El-Bawab I E and Fadel M S. 2016. Diagnosis and treatment of bacterial endometritis in Arabian mares. Alexandria Journal of Veterinary Sciences 49(2): 116-25.
Benko T, Boldizar M, Novotny F, Hura V, Valocky I, Dudrikova K, Karamanova M and Petrovic V. 2015. Incidence of bacterial pathogens in equine uterine swabs, their antibiotic resistance patterns, and selected reproductive indices in English thoroughbred mares during the foal heat cycle. Veterinarni Medicina 60(11): 613-20.
Berwal S S, Bugalia N S, Kapor PK, Garg D N, Minga D P and Batra M. 2006. Cytological and microbiological evaluation of uterine flush of fertile and repeat breeder mares and post- treatment fertility. Haryana Veterinarian 45:15-17.
Burleson M D, LeBlanc M, Riddle W T and Hendricks K E M. 2010. Endometrial microbial isolates are associated with different ultrasonographic and endometrial cytology findings in Thoroughbred mares. Animal Reproduction Science 121(1): 103.
Canisso I F, Segabinazzi L G T M and Fedorka C E. 2020. Persistent breeding-induced endometritis in mares - a multifaceted challenge: from clinical aspects to immunopathogenesis and pathobiology. International Journal of Molecular Sciences 21(4): 1432.
Causey R C. 2006. Making sense of equine uterine infections: The many faces of physical clearance. The Veterinary Journal 172: 405–21.
Chiba A, Ujiie Y and Aoki T. 2019. Relationship between the presence of intrauterine fluid and cervical bacteria in heavy draft mares before and after mating. Journal of Equine Science 30(4): 75–9.
Davis H A, Stanton M B, Thungrat K and Boothe D M. 2013. Uterine bacterial isolates from mares and their resistance to antimicrobials: 8,296 cases (2003-2008). Journal of the American Veterinary Medical Association 2013: 242(7): 977–983.
Dell' Aqua Jr. J A, Papa F O, Lopes M D, Alvarenga M A, Macedo L P and Melo-ona C M. 2006. Modulation of acute uterine inflammatory response after artificial insemination with equine frozen semen. Animal Reproduction Science 94: 270-3.
Díaz-Bertrana M L, Deleuze S, Pitti Rios L, Yeste M, Morales Fariña I and Rivera del Alamo M M. 2021. Microbial prevalence and antimicrobial sensitivity in equine endometritis in field conditions. Animals 11:1476. https://doi. org/10.3390/ ani11051476
El-Shalofy A S, Derbala M K, Asfour H A, Eissa H M and Aly A B. 2021. Infectious endometritis in Arabian mares: an updated clinical investigation of uterine microbial isolates, antimicrobial sensitivities and fertility in Egypt. The Thai Journal of Veterinary Medicine 51(1):177-184.
Fotariya A A, Sutaria T V, Chaudhari R K, Prajapati B I and Chaudhari C F. 2023. Clinical appraisal of infertile Marwari mares using ultrasonography, endometrial cytology and bacteriology. Haryana Veterinarian 62(SI): 56-60.
Friso A M, Segabinazzi L G T M, Cyrino M, Correal S B, Freitas-Dell’Aqua C P, Teoro do Carmo M, Dell’Aqua J A, Miró J, Papa F O and Alvarenga M A. 2019. Periovulatory administration of firocoxib did not alter ovulation rates and mitigated post-breeding inflammatory response in mares. Theriogenology 138:24–30.
Ginther O J, Gastal E L, Gastal M O and Beg M A. 2004. Seasonal influence on equine follicle dynamics. Animal Reproduction 1(1):31-44.
Hinrichs K, Mummings M R, Sertich P L and Kenney R M. 1990. Bacteria recovered from the reproductive tracts of normal mares. Proceedings of the annual convention of the American Association of Equine Practitioners 35: 11-6.
Jones E. 2017. Characterization of the equine microbiome during late gestation and the early postpartum period, and at various times during the estrous cycle in mares being bred with raw or extended semen. Master of Science Thesis 2017. Available online at: https://core.ac.uk/download/pdf/239040066. pdf (accessed July 18, 2021).
Katila T. 2016. Evaluation of diagnostic methods in equine endometritis. Reproductive Biology 16: 189-96.
Knutti B, Pycock J F, Weijden G C and Küpfer U. 2000. The influence of early post-breeding uterine lavage on pregnancy rate in mares with intrauterine fluid accumulations after breeding. Equine Veterinary Education 12: 267-70.
LeBlanc M M and Causey R C. 2009. Clinical and subclinical endometritis in the mare: both threats to fertility. Reproduction in Domestic Animals 44(3):10–22.
LeBlanc M M. 2010. Advances in the diagnosis and treatment of chronic infectious and post-mating-induced endometritis in the mare. Reproduction in Domestic Animals 45(S2): 21-7.
Liu I K and Troedsson M H. 2008. The diagnosis and treatment of endometritis in the mare: Yesterday and today. Theriogenology 70: 415-20.
Malaluang P, Wilén E, Lindahl J, Hansson I and Morrell J M. 2021. Antimicrobial resistance in equine reproduction. Animals 11(11): 3035.
Mathew A, Patel D M, Hadiya K K, Dhami A J and Mathakiya R A. 2020. Efficacy of cytobrush, uterine lavage and endometrial biopsy techniques for cytological and cultural evaluation of endometritis in barren mares. International Journal of Livestock Research 10(9): 113-23.
McDonnell A M and Watson E D. 1992. The effect of transcervical uterine manipulations on establishment of uterine infection in mares under the influence of progesterone. Theriogenology 38(5): 945–50.
Nielsen J M, Bock T S K and Ersbol A K. 2008. Factors associated with fertility in horses in a Danish equine practice after artificial insemination with frozen-thawed semen. Animal Reproduction Science 107: 336-7.
Paccamonti D L, Pycock J F, Taverne M A M, Bevers M, van der Weijden G C, Gutjahr, Schams S D and Blouin D. 1999. PGFM response to exogenous oxytocin and determination of the half-life of oxytocin in nonpregnant mares. Equine Veterinary Journal 31(4): 285-8.
Petersen M R, Skive B, Christoffersen M, Lud K, Nielsen J M, Troedsson M H T and Bojesen A M. 2015. Activation of persistent Streptococcus equi subspecies zooepidemicus in mares with subclinical endometritis. Veterinary Microbiology 179: 119-25.
Ricketts S W. 1997. Treatment of equine endometritis with intrauterine irrigations of ceftiofur sodium: A comparison with mares treated in a similar manner with a mixture of sodium benzylpenicilin, neomycin sulphate, polymixin B sulphate and furaltadone hydrochloride. Pferdeheilkunde 13: 486-9.
Riddle W T, LeBlanc M M and Stromberg A J. 2007. Relationships between uterine culture, cytology and pregnancy rates in a thoroughbred practice. Theriogenology 68:395–402.
Risco A M, Reilas T, Muilu L, Kareskoski M and Katila T. 2009. Effect of oxytocin and flunixin meglumine on uterine response to insemination in mares. Theriogenology 72(9):1195-201.
Rojer H and Aurich C. 2010. Treatment of persistent mating- induced endometritis in mares with the non-steroid anti- inflammatory drug vedaprofen. Reproduction in Domestic Animal 45: e458–60.
Samper J C. 2010. A review of a practitioner’s perspective on endometrial edema. Pferdeheilkunde 26(1): 14-8.
Singh B R. 2009. Occurrence of multiple drug resistant (MDR) aerobic bacteria in vaginal swabs of mares and their association with infertility. Indian Journal of Comparative Microbiology Immunology and Infectious Diseases 30(2):105-12.
Troedsson M H. 1999. Uterine clearance and resistance to persistent endometritis in the mare. Theriogenology 52:461- 71.
Trundell A D. 2020. Equine Reproduction: Seasonality, Endometritis, and Twinning in the Mare. IntechOpen. doi: 10.5772/intechopen.92999
Vandaele H, Daels P, Piepers S and LeBlanc M M. 2008. The effect of post-insemination dexamethasone treatment on pregnancy rates in mares. In: LeBlanc MM (ed.), The Havemeyer Foundation: The Chronically Infertile Mare. Hilton Head Island, SC; p. 43–44.
Virendra A, Gulavane S U, Ahmed Z A, Thorat V D, Chaudhari R J, Gaikwad S M, Raju S R, Ingole S D, Khanam A and Khan F A. 2023. Identification and antimicrobial susceptibility of uterine bacterial isolates from mares with endometritis in India. Egyptian Journal of Veterinary Sciences 54(2):287-95.
Wolf C A, Maslchitzky E, Gregory R M, Jobim M I and Mattos R C. 2012. Effect of cortico therapy on proteomics of endometrial fluid from mares susceptible to persistent post breeding endometritis. Theriogenology 77:1351-9.
Downloads
Submitted
Published
Issue
Section
License
Copyright (c) 2025 The Indian Journal of Animal Sciences

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The copyright of the articles published in The Indian Journal of Animal Sciences is vested with the Indian Council of Agricultural Research, which reserves the right to enter into any agreement with any organization in India or abroad, for reprography, photocopying, storage and dissemination of information. The Council has no objection to using the material, provided the information is not being utilized for commercial purposes and wherever the information is being used, proper credit is given to ICAR.