The evaluation of the effect of probiotics on the healing of equine distal limb wounds

PLoS One. 2020 Jul 29;15(7):e0236761. doi: 10.1371/journal.pone.0236761. eCollection 2020.

Abstract

The effect of dressings saturated with either a standardized suspension of probiotic bacteria or saline on healing of traumatic distal limb wounds in horses was evaluated for 24 days, and the systemic inflammatory effect was assessed. The wounds were divided in two groups based on the phase of healing: wounds with an incomplete (ICGB) or a complete granulation bed (CGB). The wound area was expressed as percentage of the wound area at day 0 and defined as relative wound area. The mean relative wound area decreased faster in probiotic than saline treated wounds. The difference was most obvious in CGB and increased rapidly from day 0 until day 12 up to 30%, and stabilized around 25% thereafter until the end of the observation period, but it was not statistically significant because of the large variation within the treatment groups. The mean wound area of CGB decreased to 28.4% (range: 6.3 to 49.3) with probiotic and to 51.9% (range: 29.3 to 81.7) with saline treatment at day 24. Additionally, the rate to 50% healing in CGB was 3.4 faster with probiotic compared to saline treatment, whereas in ICGB this was 1.9 faster. Topical probiotics did not increase serum amyloid A and white blood cell counts. Although the mentioned differences were not statistically significant, the clinical relevance of the effect of treatment with probiotics in CGB wounds is clear, supported by the differences in mean wound area in course of time and the time required to reach 50% healing (day 12 for probiotic vs more than day 24 for saline treated wounds). Thus the probiotic treated wounds reached 50% reduction in wound area in half of the time of the saline treated wounds. The topical use of probiotics can be considered as safe as it did not cause a systemic effect.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Bacteriology
  • Extremities / physiology*
  • Female
  • Hematology
  • Horses / blood
  • Horses / microbiology
  • Horses / physiology*
  • Male
  • Probiotics / pharmacology*
  • Wound Healing / drug effects*

Grants and funding

The study was funded by Micuri Aps, Denmark. Unfortunately the company does not exist anymore. Micuri has provided the materials required for the study, and payed for the bacteriology and the hematology. Micuri has payed a compensation to the contributing practitioners for their clinical work to treat the wounds of the horses. JW SL AJ have recieved an award for setting up the study and their practical work to perform the study (order of 50%). Analysis of the results and preparation of the manuscript has not been funded. The funder had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.