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Chemoprophylactic Effects of Gallium Maltolate Against Rhodococcus equi Pneumonia Among Foals at Endemic Equine Breeding Farms
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1. Introduction
Rhodococcus equi causes severe pneumonia in foals worldwide. Most affected foals likely become infected early in life. We previously reported the results of a clinical trial showing that chemoprophylaxis with azithromycin reduced the incidence of R. equi pneumonia. This preventative strategy has limited practical application because of the potential for development of antimicrobial resistance. Gallium maltolate (GaM) has shown potential for control of R. equi pneumonia. The objective of this study was to determine the effects of GaM chemoprophylaxis on the incidence of R. equi pneumonia among foals at R. equi-endemic equine breeding farms.
2. Materials and Methods
A controlled, randomized, double-blind clinical trial was performed at 12 equine breeding farms with histories of endemic R. equi infections. Foals assigned to group 1 were treated with a placebo (indistinguishable from GaM formulation) during the first 2 wk of life, and foals assigned to group 2 were treated with GaM formulation (~30 mg/kg, q 24 h, PO) during the first 2 wk of life. Enrolled foals were monitored for development of R. equi pneumonia. Data were compared between treatment groups. [...]
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