Page 929 - The Veterinary Care of the Horse
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(Figure 19.15). It is then cultured for bacteria that produce venereal disease. These include

        Tayorella  equigenitalis,  the  organism  responsible  for  contagious  equine  metritis  (CEM),
  VetBooks.ir  Klebsiella  pneumoniae  and  Pseudomonas  aeruginosa.  The  CEM  culture  takes  7  days.
        However,  polymerase  chain  reaction  (PCR)  testing  of  swabs  at  specialist  laboratories

        typically has results available 24 hours after arrival of the swabs.

















































        Figure 19.15 Taking a clitoral swab



        Endometrial swab and smear

        The endometrium is the inner lining of the uterus. An endometrial swab and smear can only
        be taken when the mare is in season and the cervix is relaxed. This is usually done early in

        oestrus so the mare can be covered in the same oestrus if the results are satisfactory. Using a
        sterile  speculum,  a  sterile  swab  is  passed  through  the  cervix  into  the  uterus.  Following

        withdrawal it is cultured for 48 hours to see if any bacteria grow. A second swab is then
        inserted into the uterus and gently rubbed against the endometrium before being withdrawn
        and rolled onto a microscope slide. The slide is examined for the presence of endometrial

        cells  and  neutrophils.  The  presence  of  increased  numbers  of  neutrophils  and  a  positive
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