1. Accuracy of differences in blood and peritoneal glucose to differentiate between septic and non-septic peritonitis in horses
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Bruna dos Santos, Marcos Jun Watanabe, Carolina Soares Esper, Márcio Garcia Ribeiro, Simony Trevizan Guerra, Henry David Mogollón García, Rodrigo Rosa Giampietro, Juliana de Moura Alonso, Celso Antonio Rodrigues, Gustavo dos Santos Rosa, José Carlos de Figueiredo Pantoja, Regina Kiomi Takahira, Carlos Alberto Hussni, Ana Liz Garcia Alves, and Universidade Estadual Paulista (Unesp)
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Blood Glucose ,Male ,medicine.medical_specialty ,040301 veterinary sciences ,Peritonitis ,Septic peritonitis ,Gastroenterology ,0403 veterinary science ,03 medical and health sciences ,Glucose concentration ,Nucleated cell ,Internal medicine ,medicine ,Animals ,Ascitic Fluid ,Horses ,Positive test ,030304 developmental biology ,0303 health sciences ,General Veterinary ,business.industry ,Abdominal Infection ,Peritoneal fluid ,Bacterial Infections ,04 agricultural and veterinary sciences ,Abdominal infection ,medicine.disease ,Clinical Practice ,Glucose ,Specificity ,Female ,Horse Diseases ,business - Abstract
Made available in DSpace on 2020-12-12T02:13:21Z (GMT). No. of bitstreams: 0 Previous issue date: 2020-10-01 Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) Difference in blood and peritoneal glucose (DBPG) is used in clinical practice to support a diagnosis of septic peritonitis in horses. It is inexpensive, easy and rapid to perform. The aim of this study was to evaluate the accuracy of the DBPG to differentiate between septic and non-septic peritonitis in horses. Blood and peritoneal fluids were harvested from suspected animals. Plasma and peritoneal glucose levels, total nucleated cell count, direct microscopic and microbiological examinations of the peritoneal fluid were evaluated. Using DBPG levels, the animals were classified into two groups: difference ≥ 50 mg/dL (positive test) and difference < 50 mg/dL (negative test). Positive microbiological examination and/or presence of bacteria in direct microscopic examination was used as a gold standard to detect septic peritonitis. The accuracy parameters analysed were: sensitivity, specificity, and positive/negative predictive values, for which the results were respectively: 0.23, 0.91, 0.60 and 0.67. Due to poor accuracy, other cut-off margins and peritoneal glucose concentrations were evaluated. The test was considered most accurate when the DBPG was zero with sensitivity, specificity, and positive/negative predictive values of 0.85, 0.82, 0.73, 0.90 respectively. Peritoneal glucose concentrations alone were not a reliable feature to detect peritonitis. DBPG ≥50 mg/dL, widely used for the diagnosis of septic peritonitis, does not have a good accuracy and the DBPG = 0 has a better accuracy for detecting the disease. Department of Veterinary Surgery and Animal Reproduction School of Veterinary Medicine and Animal Science Univ. Estadual Paulista (Unesp) Department of Animal Production and Preventive Veterinary Medicine School of Veterinary Medicine and Animal Science Univ. Estadual Paulista (Unesp) Department of Internal Medicine Botucatu Medical School Univ. Estadual Paulista (Unesp) Department of Veterinary Clinics School of Veterinary Medicine and Animal Science Univ. Estadual Paulista (Unesp) Department of Veterinary Surgery and Animal Reproduction School of Veterinary Medicine and Animal Science Univ. Estadual Paulista (Unesp) Department of Animal Production and Preventive Veterinary Medicine School of Veterinary Medicine and Animal Science Univ. Estadual Paulista (Unesp) Department of Internal Medicine Botucatu Medical School Univ. Estadual Paulista (Unesp) Department of Veterinary Clinics School of Veterinary Medicine and Animal Science Univ. Estadual Paulista (Unesp) FAPESP: 2016/08712-8 e 2018/ 16013-8
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- 2020
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