{"id":2063,"date":"2023-10-09T11:30:44","date_gmt":"2023-10-09T09:30:44","guid":{"rendered":"https:\/\/www.rumexperts.vet\/?post_type=training&#038;p=2063"},"modified":"2024-03-16T09:21:58","modified_gmt":"2024-03-16T08:21:58","slug":"le-dextrose-une-alternative-aux-antibiotiques-pour-le-traitement-des-endometrites-cliniques","status":"publish","type":"training","link":"https:\/\/www.rumexperts.vet\/en\/training\/le-dextrose-une-alternative-aux-antibiotiques-pour-le-traitement-des-endometrites-cliniques","title":{"rendered":"LE DEXTROSE, UNE ALTERNATIVE AUX ANTIBIOTIQUES POUR LE TRAITEMENT DES ENDOMETRITES CLINIQUES ?"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><p>REFERENCE : Wang H, Yan Z, Wu X, Zhang Y, Wei Y, Zhao X. Using vaginal discharge score (VDS) grading system to evaluate the effect of clinical endometritis on reproductive performance of dairy cows in China. Anim Reprod. 2021;18(1):e20200228. <a href=\"https:\/\/doi.org\/10.1590\/1984-3143-AR2020-0228\">https:\/\/doi.org\/10.1590\/1984-3143-AR2020-0228<\/a><\/p>\n<p>LEUR RECETTE<\/p>\n<p>761 vaches laiti\u00e8res ont fait l\u2019objet d\u2019un examen vaginal au sp\u00e9culum 26 \u00b1 3 jours apr\u00e8s le v\u00ealage. La pr\u00e9valence des vaches normales ou avec endom\u00e9trite de degr\u00e9 1 (flocons de pus), 2 (mucopurulent) et 3 (purulent) (voir figure) ont \u00e9t\u00e9 respectivement de 67 %, 12\u00a0,9 %, 10,8 % et 9,3 %, cette pr\u00e9valence \u00e9tant significativement sup\u00e9rieure chez les pluripares par rapport aux primipares, le score corporel n\u2019ayant pas d\u2019effet.<\/p>\n<p>Chaque vache avec une endom\u00e9trite de degr\u00e9 2 ou 3 a \u00e9t\u00e9 trait\u00e9e par voie intraut\u00e9rine au moyen de 200 ml d\u2019une solution de dextrose \u00e0 50 %.\u00a0 Au 40<sup>\u00e8me<\/sup> jour PP, toutes les vaches ont \u00e9t\u00e9 trait\u00e9es au moyen d\u2019une PGF2\u03b1 et celles vues en chaleurs ont \u00e9t\u00e9 ins\u00e9min\u00e9es. Le cas non \u00e9ch\u00e9ant, les vaches ont eu 11 jours plus tard un protocole de type OvSynch et ont \u00e9t\u00e9 ins\u00e9min\u00e9es syst\u00e9matiquement 75 \u00b1 3 jours apr\u00e8s le v\u00ealage. La gestation a \u00e9t\u00e9 confirm\u00e9e par \u00e9chographie 35 jours apr\u00e8s l\u2019IA et par palpation manuelle 65 jours apr\u00e8s l\u2019IA.<\/p>\n<p>Les valeurs des % de gestation en 1<sup>\u00e8re<\/sup> ins\u00e9mination, du\u00a0 % de vaches gestantes au bout de 200 jours et du VIF des 25 premiers % de vaches gestantes sont pr\u00e9sent\u00e9es dans la figure. Les index de fertilit\u00e9 ont \u00e9t\u00e9 pour les 6 classes de vaches respectivement de 1,8\u00b11; 2,2 \u00b11,4\u00a0; 2,0\u00b11,3\u00a0; 2,4\u00b11,4\u00a0; 1,9\u00b11,1\u00a0et 2,5\u00b11,1 ins\u00e9minations.<\/p>\n<p>GARDEZ LE A L\u2019ESPRIT<\/p>\n<p>Une vache sur trois (33 %) pr\u00e9sente 1 mois apr\u00e8s le v\u00ealage une endom\u00e9trite.<\/p>\n<p>Selon plusieurs \u00e9tudes, les endom\u00e9trites de degr\u00e9 1 n\u2019auraient pas d\u2019effet sur les performances de reproduction compte tenu de la capacit\u00e9 d\u2019autogu\u00e9rison du tractus g\u00e9nital. Cette \u00e9tude comme d\u2019autres ont fait l\u2019observation inverse. Elles recommandent le traitement de ces endom\u00e9trites. Rappelons-nous par ailleurs, que l\u2019absence de signes d\u2019endom\u00e9trite clinique n\u2019implique pas n\u00e9cessairement une absence d\u2019endom\u00e9trite subclinique.<\/p>\n<p>Tout le monde est d\u2019accord pour dire que les endom\u00e9trites de degr\u00e9 2 ou 3 ont un effet n\u00e9gatif sur les performances de reproduction et doivent \u00eatre trait\u00e9es.<\/p>\n<p>Une solution de dextrose \u00e0 50 % a pour effet d\u2019am\u00e9liorer la \u00ab\u00a0sant\u00e9\u00a0\u00bb de l\u2019ut\u00e9rus en y inhibant la croissance bact\u00e9rienne, en en augmentant le tonus, en stimulant l\u2019activit\u00e9 des cellules endom\u00e9triales (Brick et al., 2012; Maquivar et al., 2015; Ahmadi et al., 2019). L\u2019absence d\u2019effet de ce traitement a cependant \u00e9t\u00e9 observ\u00e9 par une \u00e9tude (Machado et al\u00a0; 2015) qui avait identifi\u00e9 les endom\u00e9trites au moyen du Metricheck syst\u00e8me connu pour avoir une moindre sp\u00e9cificit\u00e9 que le sp\u00e9culum (McDougall et al., 2007).<\/p>\n<p>ET DONC PLUS SIMPLEMENT ENCORE<\/p>\n<ol>\n<li>Syst\u00e9matiser l\u2019examen vaginal 30\u00b17 jours apr\u00e8s le v\u00ealage<\/li>\n<li>Instiller 200 ml d\u2019une solution de dextrose \u00e0 50 %<\/li>\n<li>Tenez-moi au courant \u2026.<\/li>\n<\/ol>\n<\/div><div class=\"fusion-image-element \" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"800\" height=\"447\" title=\"Wang 2021 dextrose et endom\u00e9trites\" src=\"https:\/\/www.rumexperts.vet\/wp-content\/uploads\/2023\/10\/Wang-2021-dextrose-et-endometrites-scaled.gif\" data-orig-src=\"https:\/\/www.rumexperts.vet\/wp-content\/uploads\/2023\/10\/Wang-2021-dextrose-et-endometrites-800x447.gif\" alt class=\"lazyload img-responsive wp-image-2065\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271900%27%20height%3D%271062%27%20viewBox%3D%270%200%201900%201062%27%3E%3Crect%20width%3D%271900%27%20height%3D%271062%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/www.rumexperts.vet\/wp-content\/uploads\/2023\/10\/Wang-2021-dextrose-et-endometrites-200x112.gif 200w, https:\/\/www.rumexperts.vet\/wp-content\/uploads\/2023\/10\/Wang-2021-dextrose-et-endometrites-400x224.gif 400w, https:\/\/www.rumexperts.vet\/wp-content\/uploads\/2023\/10\/Wang-2021-dextrose-et-endometrites-600x335.gif 600w, https:\/\/www.rumexperts.vet\/wp-content\/uploads\/2023\/10\/Wang-2021-dextrose-et-endometrites-800x447.gif 800w, https:\/\/www.rumexperts.vet\/wp-content\/uploads\/2023\/10\/Wang-2021-dextrose-et-endometrites-1200x671.gif 1200w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 640px) 100vw, 1200px\" \/><\/span><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":20,"featured_media":2064,"template":"","keyword":[],"theme":[59],"class_list":["post-2063","training","type-training","status-publish","has-post-thumbnail","hentry","theme-reproduction-en"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.rumexperts.vet\/en\/wp-json\/wp\/v2\/training\/2063","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rumexperts.vet\/en\/wp-json\/wp\/v2\/training"}],"about":[{"href":"https:\/\/www.rumexperts.vet\/en\/wp-json\/wp\/v2\/types\/training"}],"author":[{"embeddable":true,"href":"https:\/\/www.rumexperts.vet\/en\/wp-json\/wp\/v2\/users\/20"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.rumexperts.vet\/en\/wp-json\/wp\/v2\/media\/2064"}],"wp:attachment":[{"href":"https:\/\/www.rumexperts.vet\/en\/wp-json\/wp\/v2\/media?parent=2063"}],"wp:term":[{"taxonomy":"keyword","embeddable":true,"href":"https:\/\/www.rumexperts.vet\/en\/wp-json\/wp\/v2\/keyword?post=2063"},{"taxonomy":"theme","embeddable":true,"href":"https:\/\/www.rumexperts.vet\/en\/wp-json\/wp\/v2\/theme?post=2063"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}