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Risks of Synovial Sepsis Following Intrasynovial Medication in Ambulatory Practice, 2006-2011: 9456 Intrasynovial Injections
Smith L., Palmer L., Shepherd M...
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Aims: To determine the incidence of synovial sepsis following intra-articular and intrathecal injections. Synovial sepsis is a serious potential complication of intrasynovial medication.
Methods:Available case records for all horses receiving intrasynovial medications (ISMs) performed by 9 ambulatory clinicians were examined over 5 years (2006–2011). Intrasynovial medications were defined as therapeutic interventions, based on clinical history and orthopaedic examination; nontherapeutic injections for diagnostic analgesia were excluded. Routine protocol was not to clip injection sites; the skin was prepared using standard aseptic technique. Scrupulous aseptic injection technique was employed at all times. All horses were under the care of a single practice, dealing with mainly Thoroughbred racehorses. Records were cross-referenced against synovial cytology submissions and hospital admissions for synovial sepsis. [...]
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