Evidence map›Paper›PMID 41552904›Full record

ArticleVeterinary ophthalmology2026

Polyhexanide, Povidone-Iodine, and Hypochlorous Acid Show High In Vitro Antimicrobial Efficacy Against Pathogens Commonly Associated With Equine Infectious Keratitis.

Leonie Maria Stolle, Hilke Oltmanns, Jessica Meißner, Frederik Heun, Ann-Kathrin Schieder, Hinrich Tönjes Wolff, Bernhard Ohnesorge, Claudia Busse

Abstract read
In one paragraph

Article in Veterinary ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Leonie Maria StolleClinic for Horses, University of Veterinary Medicine Hannover, Foundation, Hannover, Lower Saxony, Germany.ORCID https://orcid.org/0009-0008-1542-4101
Hilke OltmannsDepartment of Pharmacology, Toxicology and Pharmacy, University of Veterinary Medicine Hannover, Foundation, Hannover, Lower Saxony, Germany.ORCID https://orcid.org/0000-0003-0596-4979
Jessica MeißnerDepartment of Pharmacology, Toxicology and Pharmacy, University of Veterinary Medicine Hannover, Foundation, Hannover, Lower Saxony, Germany.ORCID https://orcid.org/0000-0002-7263-848X
Frederik HeunClinic for Horses, University of Veterinary Medicine Hannover, Foundation, Hannover, Lower Saxony, Germany.ORCID https://orcid.org/0000-0001-6928-3772
Ann-Kathrin SchiederLABOKLIN GmbH & Co. KG, Bad Kissingen, Bavaria, Germany.
Hinrich Tönjes WolffDepartment of Ophthalmology, Clinic for Small Animals, University of Veterinary Medicine Hannover, Foundation, Hannover, Lower Saxony, Germany.ORCID https://orcid.org/0009-0003-2726-3564
Bernhard OhnesorgeClinic for Horses, University of Veterinary Medicine Hannover, Foundation, Hannover, Lower Saxony, Germany.
Claudia BusseDepartment of Ophthalmology, Clinic for Small Animals, University of Veterinary Medicine Hannover, Foundation, Hannover, Lower Saxony, Germany.ORCID https://orcid.org/0000-0002-6230-4195

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the in vitro antimicrobial activity of specific antiseptics against common equine ocular surface pathogens.

methodsStaphylococcus aureus (S. aureus) (n = 12), Streptococcus equi subspecies zooepidemicus (S. zooepidemicus) (n = 9), Enterobacter hormaechei (E. hormaechei) (n = 6), and Bacillus cereus (B. cereus) (n = 5) were collected from corneal samples of horses with ulcerative keratitis. Reference strains were included. Minimum bactericidal concentrations (MBC) of polyhexanide, povidone-iodine, and hypochlorous acid were tested using the microdilution method. After incubation with the antimicrobial agent, the inocula were subcultured according to the Clinical and Laboratory Standards Institute guidelines. Colony growth was manually counted and photographically documented.

resultsThe MBC values of polyhexanide were 0.8-3.2 ppm for S. aureus, 0.8-1.6 ppm for S. zooepidemicus, 1.6-3.2 ppm for E. hormaechei, and 1.6-6.4 ppm for B. cereus. For povidone-iodine, values were 8-32 ppm for S. aureus, 4-16 ppm for S. zooepidemicus, 8-16 ppm for E. hormaechei, and 8-16 ppm for B. cereus. For hypochlorous acid, values were 0.4-6.4 ppm for S. aureus, 0.4-3.2 ppm for S. zooepidemicus, 0.8-1.6 ppm for E. hormaechei, and 1.6-6.4 ppm for B. cereus. The MBC values of methicillin-resistant S. aureus isolates were comparable to those of methicillin-susceptible isolates.

conclusionAll antiseptics are highly efficient against common equine ocular bacterial surface pathogens, in concentrations that are well below those of commercially available products. In accordance with the One Health approach, these findings highlight their potential in treating infectious ocular surface disease either as an alternative or alongside topical antibiotics. Further in vivo and clinical studies are required to investigate the translatability of their in vitro effectiveness to clinic cases.

Indexed as

Anti-Infective Agents, LocalBiguanidesHorse DiseasesHypochlorous AcidKeratitisPovidone-IodineAnimalsBacillus cereusEnterobacterHorsesMicrobial Sensitivity TestsStaphylococcus aureusStreptococcus equiAnti-Infective Agents, LocalBiguanidesHypochlorous AcidpolihexanidePovidone-Iodineantisepticsbacteriacorneaeyehorseophthalmic infection

Identifiers

PMID41552904
PMCPMC12814315

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.