Abstract
A common complication in purulent endometritis is septicemia and septic shock, leading to the death of the animal. To prevent the development of complications, an early diagnosis is carried out. For this purpose, a proprietary variation of the scoring models (scales PRO (P = predisposition, I = infection, K = response, O = organ dysfunction) and PYOMETRA) is proposed. An algorithm of actions has been developed for making operational decisions on the prognosis of possible septic complications in animals, including an assessment of the clinical manifestation of the inflammatory response SIRS, the syndrome of multiple organ insufficiency MODS and the syndrome of compensatory anti-inflammatory response CARS. The algorithm at the first stage provides for the determination of the PIRO score. If necessary, if the PIRO data indicate a doubtful, cautious or unfavorable prognosis, an assessment of the cellular and humoral blood parameters of dogs is carried out on a PIOMETRA scale. This makes it possible to determine the degree of development of the clinical manifestation of the inflammatory response (SIRS) and the level of expenditure of the body's protective resources because of the anti-inflammatory response (CARS). The indicator of the severity of the general condition of the sick animal also affects the reliability of the prognosis regarding the outcome of the disease. When evaluating the PIRO and PYOMETRA scales in the study, some animals had a mild degree; others had a medium, severe or critical degree of severity of the disease, which allowed us to confirm the importance of using additional scales when developing strategies and tactics for treating animals.
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