Med. Weter. 82 (9), 429-434, 2026

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PRZEMYSŁAW BARTOSZEK, IZABELA POLKOWSKA, RENATA KOMSTA, KINGA OSEMEK, PIOTR BRODZKI, NAIM NASHAWATI, GRZEGORZ OPIELAK, JOANNA BARTOSZEK
Evaluation of the effectiveness of treatment of uterine inflammation in mares using hydrogen peroxide, ethacridine lactate in combination with probiotic therapy
The aim of the study was to evaluate the usefulness of a minimally invasive therapeutic procedure involving single-uterine irrigation with hydrogen peroxide and ethacridine lactate, combined with oral probiotic therapy, in mares with endometritis. The study involved eight mares aged 3-21 years, for whom the diagnosis was based on clinical, ultrasound and microbiological examinations and an assessment of the pH of uterine mucus. In the baseline examination, microbial growth was detected in 7 of 8 samples (87.5%), whereas in the follow-up examination after treatment, in 3 of 8 samples (37.5%). No microbial growth was noted in the follow-up study in 5 of 8 samples (62.5%). At the same time, the following were observed: a decrease in the amount of fluid in the uterine cavity, an improvement in the ultrasound image of the endometrium, and a decrease in the pH of uterine mucus from 8.5-9.0 to 7.0-7.5. The results obtained showed that the procedure applied may represent a promising supportive method for the treatment of endometritis in mares and require further evaluation in controlled trials. A microbiological examination isolated bacteria of the Enterobacteriaceae group, Streptococcus spp., Staphylococcus spp. and Pseudomonas aeruginosa. After the treatment, a follow-up test showed no Pseudomonas aeruginosa, and the number of samples with a positive culture result decreased markedly.
Keywords: endometritis, mare, hydrogen peroxide, ethacridine lactate, probiotics, uterine irrigation
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