**6.1.2 Specific measures for horses**

The options of control for colonized horses, as well as livestock animals, include the nonantimicrobial management and the antimicrobial treatment of colonized or infected horses. In a Canadian study, two farms with horses colonized by MRSA drastically reduced the number of affected animals with active screening and strict implementation of control protocols of infection, without the use of antimicrobial therapy. Antimicrobial treatment must be applied only if the colonization is persistent or in cases in which control measures are impossible.

Preventive measures for the infected animals are the same for the previously mentioned livestock animals. In equine hospitals, MRSA management for veterinary practices, guidelines stipulated by the British Small Animal Veterinary Association (BSAVA), for example, can also be applicable. In the confirmed or suspected cases of infection by MRSA, horses must be isolated and treated as if disseminating a nosocomial and zoonotic agent. It is necessary to take precautions with staff hygiene as well, using protective barriers, such as gloves, aprons, and boots. Moreover, the entire animal must be evaluated before being admitted to the hospital to ensure prevention of MRSA dissemination.
