{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T01:56:17Z","timestamp":1790042177353,"version":"4.0.1"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,9,11]],"date-time":"2013-09-11T00:00:00Z","timestamp":1378857600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["beva.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Equine Veterinary Journal"],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Reasons for performing the study<\/jats:title>\n                    <jats:p>Monitoring the development of antimicrobial resistance is important for the rational selection of appropriate antimicrobial drugs to initiate treatment of foals with sepsis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To identify temporal trends in antimicrobial susceptibility patterns of bacteria isolated from foals with sepsis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>Retrospective review of medical records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Foals aged &lt;30 days with a diagnosis of sepsis, confirmed by culture of bacteria, were included. Susceptibility data, expressed as minimum inhibitory concentrations (MICs) (MIC\n                      <jats:sub>50<\/jats:sub>\n                      , MIC\n                      <jats:sub>90<\/jats:sub>\n                      , MIC range) and percent of isolates that were susceptible to a particular antimicrobial drug, were compared for bacteria isolated from foals during 3 different time periods: 1979\u20131990, 1991\u20131997 and 1998\u20132010. The\n                      <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>\n                      ochran\u2010\n                      <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\n                      rmitage trend test and the\n                      <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>\n                      onckheere\u2010\n                      <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>\n                      erpstra test were used for statistical analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 1091 bacterial isolates were cultured from 588 foals.\n                      <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>\n                      nterobacteriaceae,\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\n                        ctinobacillus\n                      <\/jats:italic>\n                      spp\n                      <jats:italic>.<\/jats:italic>\n                      and \u03b2\u2010haemolytic\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                        treptococcus\n                      <\/jats:italic>\n                      spp\n                      <jats:italic>.<\/jats:italic>\n                      showed a decrease in percent of isolates susceptible to gentamicin over time.\n                      <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>\n                      nterobacteriaceae,\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\n                        ctinobacillus\n                      <\/jats:italic>\n                      spp\n                      <jats:italic>.<\/jats:italic>\n                      and \u03b2\u2010haemolytic\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                        treptococcus\n                      <\/jats:italic>\n                      spp. showed an increase in\n                      <jats:styled-content style=\"fixed-case\">MIC<\/jats:styled-content>\n                      values for amikacin.\n                      <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>\n                      nterobacteriaceae showed a decrease in percent of isolates susceptible to ceftiofur.\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>\n                        nterococcus\n                      <\/jats:italic>\n                      spp\n                      <jats:italic>.<\/jats:italic>\n                      and\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>\n                        seudomonas\n                      <\/jats:italic>\n                      spp. showed increased\n                      <jats:styled-content style=\"fixed-case\">MIC<\/jats:styled-content>\n                      values to ceftiofur.\n                      <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>\n                      nterobacteriaceae showed increased\n                      <jats:styled-content style=\"fixed-case\">MIC<\/jats:styled-content>\n                      values to ceftizoxime.\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>\n                        nterococcus\n                      <\/jats:italic>\n                      spp\n                      <jats:italic>.<\/jats:italic>\n                      became more resistant to imipenem and showed increased\n                      <jats:styled-content style=\"fixed-case\">MIC<\/jats:styled-content>\n                      values to ticarcillin\/clavulanic acid. In contrast, several trends in increased susceptibility were also seen.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Based on these\n                      <jats:italic>in vitro<\/jats:italic>\n                      results, the combination of amikacin and ampicillin remains an appropriate choice for initiating treatment of sepsis in foals while awaiting culture and susceptibility test results, although increasing development of resistance to amikacin was demonstrated. The decrease in\n                      <jats:italic>in vitro<\/jats:italic>\n                      activity of ceftiofur against\n                      <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>\n                      nterobacteriaceae is of concern. Similarly, the development of resistance of\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>\n                        nterococcus\n                      <\/jats:italic>\n                      spp. to imipenem is an important finding that warrants monitoring in the future. Judicious use of antimicrobials is therefore crucial.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/evj.12130","type":"journal-article","created":{"date-parts":[[2013,7,1]],"date-time":"2013-07-01T06:58:01Z","timestamp":1372661881000},"page":"161-168","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":54,"title":["Temporal trends in\n                    <i>in vitro<\/i>\n                    antimicrobial susceptibility patterns of bacteria isolated from foals with sepsis: 1979\u20132010"],"prefix":"10.1111","volume":"46","author":[{"given":"M. J. 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