der to comply with good antimicrobial stewardship
Notes
Upper Respiratory Tract Disease
ely rests on a document produced by the New Zealand Veterinary
on-it most closely resembles the South African situation.
Strangles Formed abscess
Not indicated
Penicillin
or us by Dr Pia Randleff-Rasmussen- Drakenstein Veterinary Clinic
(uncomplicated strangles)
Primary Sinusitis
Trimethoprim &
Sulphadiazine
Guttural pouch empyena /
Penicillin
he impacts of antimicrobial use on human and animal health is made by all Oxytetracycline or
chondroids
Doxycycline
r administering antimicrobial agents.
Lower Respiratory Tract Disease
ditions that could require antimicrobial therapy is a key focus of veterinary
Core Principles
Penicillin
Primary pneumonia
Penicillin & Gentamicin
Oxytetracycline or
ntimicrobial agents only as required to maintain their health and welfare.
Doxycycline
g the number of animals given antimicrobial agents are employed where this
se animal health or welfare.
.RAO/COPD (Equine asthma)
Not Indicated
Not indicated
al agents are used, dose rates and regimens are designed to improve efficacy
ment.
Rhodococcus pneumonia
Azithromycin /
Rifampin & Doxycycline
nts considered more important in human medicine are not used as first line
Clarithromycin +
(10mg/kg BID PO)
Rifampin
only employed when use is likely to deliver superior outcomes.
Wounds
Contaminated wounds with
synovial sepsis
Contaminated wound with open
fracture Penicillin & Gentamicin
Contaminated wounds (non-
complicated)
Skin / Hoof Cellulitis
TMS is contraindicated since it is inactivated in
the presence of pus.
NB secondary sinusitis: see GI disease. TMPS
inactivated by pus, so must have lavage as well.
Strep equi most commonly implicated
Extremely uncommon
Affected animals systematically ill
Metronidazole if anaerobes suspected
Secondary pneumonia more common than
primary
Only if large or multiple abscess and/or sick foal
Not indicated Oxytetracycline/
Doxycycline
IVRP (adjust
aminoglycoside dose if
adding via IVRP)
Not indicated Synovial debridement and lavage most often
indicated
Metronidazole if anaerobes suspected
Fracture care is more important than
antimicrobial therapy
Debridement and drainage is far more important
than antibiosis