PMID- 32619814 OWN - NLM STAT- MEDLINE DCOM- 20210621 LR - 20210621 IS - 1879-3231 (Electronic) IS - 0093-691X (Linking) VI - 154 DP - 2020 Sep 15 TI - The advantages of using cytospins of uterine lavage fluid for the diagnosis of equine endometritis. PG - 143-151 LID - S0093-691X(20)30286-7 [pii] LID - 10.1016/j.theriogenology.2020.05.008 [doi] AB - Uterine lavage (UL) is a routine diagnostic procedure for endometritis. In UL the fluid is centrifuged and the sediment smeared. Samples prepared in cytocentrifuges, the so-called "cytospins", are useful for evaluating cells in fluids, but never been used in UL. The aim of this study was to assess the usefulness of cytospins after UL, comparing automatic versus manual cytocentrifuges, and to determine their value for the diagnosis of endometritis. The study was divided in two parts. Firstly, UL was performed in 16 mares and a small part of the retrieved fluid was cytocentrifuged in an automatic (PreCyto) and manual (PreMan) cytocentrifuge, whereas the remaining fluid was centrifuged. After that, the sediment was divided into three quotas. One quota was smeared, one was processed in an automatic cytocentrifuge (PostCyto) and the last quota was cytospinned in a manual apparatus (PostMan). Cytospins obtained were scored for cellularity, cell preservation, presence of inflammatory cells, bacteria and contaminants; results were compared with sediment smears. Secondly in this study, the best cytospin method was compared with sediment smears in another group of 13 mares, which had endometrial biopsy after UL. Agreement between sediment smears and cytospins was poor to moderate. Compared to sediment smears, cytospins were more cellular, with better morphological details. Urine crystals and fecal contamination were detected more often in cytospins (especially PostCyto and PostMan). No differences in the percentage of inflammatory or epithelial cells existed. PostMan was considered the best method to evaluate UL fluid and it had higher sensitivity (80%), compared with sediment smears (60%), for diagnosing endometritis. Cytocentrifugation offers significant advantages over sediment smears and the manual cytocentrifuge is well suited for horse stable conditions. CI - Copyright (c) 2020 Elsevier Inc. All rights reserved. FAU - Marcos, Ricardo AU - Marcos R AD - Cytology Diagnostic Services, Laboratory of Histology and Embryology, Institute of Biomedical Sciences Abel Salazar, University of Porto (ICBAS-UP), Portugal. Electronic address: rmarcos@icbas.up.pt. FAU - Ribeiro, Tiago AU - Ribeiro T AD - Animal Reproduction Center of Vairao, ICBAS-UP, Portugal. FAU - Santos, Marta AU - Santos M AD - Cytology Diagnostic Services, Laboratory of Histology and Embryology, Institute of Biomedical Sciences Abel Salazar, University of Porto (ICBAS-UP), Portugal. FAU - Correia-Gomes, Carla AU - Correia-Gomes C AD - Epidemiology Research Unit, Department of Veterinary and Animal Science, Northern Faculty, Scotland's Rural College (SRUC), United Kingdom. FAU - Macedo, Sonia AU - Macedo S AD - Animal Reproduction Center of Vairao, ICBAS-UP, Portugal. FAU - Guimaraes, Tiago AU - Guimaraes T AD - Animal Reproduction Center of Vairao, ICBAS-UP, Portugal. FAU - Blielbernicht, Miguel AU - Blielbernicht M AD - EmbrioVet, Salvaterra de Magos, Portugal. FAU - Caniatti, Mario AU - Caniatti M AD - DIMEVET Dipartimento di Medicina Veterinaria, Universita degli Studi di Milano, Italy. FAU - Rocha, Antonio AU - Rocha A AD - Animal Reproduction Center of Vairao, ICBAS-UP, Portugal. LA - eng PT - Journal Article DEP - 20200521 PL - United States TA - Theriogenology JT - Theriogenology JID - 0421510 SB - IM MH - Animals MH - Centrifugation/veterinary MH - *Endometritis/diagnosis/veterinary MH - Endometrium MH - Female MH - *Horse Diseases/diagnosis MH - Horses MH - Therapeutic Irrigation/veterinary OTO - NOTNLM OT - Cytology OT - Endometritis OT - Horse OT - Uterine lavage COIS- Declaration of competing interest The authors declare that they have no conflict of interest. EDAT- 2020/07/04 06:00 MHDA- 2021/06/22 06:00 CRDT- 2020/07/04 06:00 PHST- 2019/12/11 00:00 [received] PHST- 2020/05/05 00:00 [revised] PHST- 2020/05/05 00:00 [accepted] PHST- 2020/07/04 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2020/07/04 06:00 [entrez] AID - S0093-691X(20)30286-7 [pii] AID - 10.1016/j.theriogenology.2020.05.008 [doi] PST - ppublish SO - Theriogenology. 2020 Sep 15;154:143-151. doi: 10.1016/j.theriogenology.2020.05.008. Epub 2020 May 21.