Cosmin Horatiu Maris
Current Organizations / Institutes
The organizations/institutes from the scholar's latest article
Research Subjects
Cosmin Horatiu Maris has a total of 27 co-authors. Here are the top co-authors by number of shared publications:
- Alexandru Gligor
Department of Infectious Diseases and Preventive Medicine, Faculty of Veterinary Medicine, University of Life Sciences “King Mihai I” from Timişoara, 300645 Timisoara, Romania
10 shared publications - Ionica Iancu
Department of Infectious Diseases and Preventive Medicine, Faculty of Veterinary Medicine, University of Life Sciences “King Mihai I” from Timişoara, 300645 Timisoara, Romania
10 shared publications - Paula Nistor
Department of Infectious Diseases and Preventive Medicine, Faculty of Veterinary Medicine, University of Life Sciences “King Mihai I” from Timişoara, 300645 Timisoara, Romania
10 shared publications - Viorel Herman
Department of Infectious Diseases and Preventive Medicine, Faculty of Veterinary Medicine, University of Life Sciences “King Mihai I” from Timişoara, 300645 Timisoara, Romania
10 shared publications - Vlad Iorgoni
Department of Infectious Diseases and Preventive Medicine, Faculty of Veterinary Medicine, University of Life Sciences “King Mihai I” from Timişoara, 300645 Timisoara, Romania
10 shared publications - Bogdan Florea
Doctoral School “Veterinary Medicine”, University of Life Sciences “King Mihai I” from Timişoara, Calea Aradului 119, 300645 Timişoara, Romania
9 shared publications
Latest Publications
- Open Access
- 22 August 2026
- Published by MDPI AG in Veterinary Sciences
- Vol. 13 (9) , 846
Behavioral Presentation, Clinical Management, and Outcome of Maternal Rejection in Mares: A Retrospective Case Series of 27 Cases
Maternal rejection is an uncommon postpartum behavioral disorder in mares that may compromise colostrum intake, mare–foal successful nursing acceptance, and neonatal survival. This retrospective observational study described the clinical presentation, therapeutic management, and short-term outcome of 27 mares diagnosed with maternal rejection between September 2023 and June 2026 in western Romania. Data regarding breed, parity, parturition, behavioral presentation, treatment, supportive management, time to maternal acceptance, and outcome were extracted from medical records. Associations between categorical variables were evaluated using Fisher’s exact test, while differences in time to acceptance were assessed using the Mann–Whitney U test. Primiparous mares represented 59.3% of cases, and obstetrical complications occurred in 48.1%. Aggressive behavior was the predominant presentation. Primiparous mares exhibited aggressive forms of rejection significantly more frequently than multiparous mares (p = 0.006) and required a significantly longer interval before maternal acceptance (median: 38 h versus 21 h; U = 117.0, p = 0.010). Oxytocin was the most frequently administered medication, and behavioral management accompanied pharmacological treatment in most cases. Maternal acceptance was achieved in 24 of 27 mares (88.9%). Early recognition and individualized multimodal management may contribute to favorable short-term outcomes.
- 22 August 2026
- Published by MDPI AG in Veterinary Sciences
- Vol. 13 (9) , 846
Open AccessBehavioral Presentation, Clinical Management, and Outcome of Maternal Rejection in Mares: A Retrospective Case Series of 27 Cases
Maternal rejection is an uncommon postpartum behavioral disorder in mares that may compromise colostrum intake, mare–foal successful nursing acceptance, and neonatal survival. This retrospective observational study described the clinical presentation, therapeutic management, and short-term outcome of 27 mares diagnosed with maternal rejection between September 2023 and June 2026 in western Romania. Data regarding breed, parity, parturition, behavioral presentation, treatment, supportive management, time to maternal acceptance, and outcome were extracted from medical records. Associations between categorical variables were evaluated using Fisher’s exact test, while differences in time to acceptance were assessed using the Mann–Whitney U test. Primiparous mares represented 59.3% of cases, and obstetrical complications occurred in 48.1%. Aggressive behavior was the predominant presentation. Primiparous mares exhibited aggressive forms of rejection significantly more frequently than multiparous mares (p = 0.006) and required a significantly longer interval before maternal acceptance (median: 38 h versus 21 h; U = 117.0, p = 0.010). Oxytocin was the most frequently administered medication, and behavioral management accompanied pharmacological treatment in most cases. Maternal acceptance was achieved in 24 of 27 mares (88.9%). Early recognition and individualized multimodal management may contribute to favorable short-term outcomes.
- Open Access
- 17 July 2026
- Published by MDPI AG in Veterinary Sciences
- Vol. 13 (7) , 698
Serological Evidence of Widespread Coxiella burnetii Exposure Among Small Ruminants in Western Romania
Q fever, caused by Coxiella burnetii, remains an important zoonotic disease with significant implications for animal health, livestock production, and public health. Epidemiological data regarding the circulation of C. burnetii in Romania remain limited, particularly in the western region of the country. This study aimed to assess the observed seropositivity and geographic distribution of anti-C. burnetii antibodies among sampled small ruminants from Western Romania. A cross-sectional sero-epidemiological survey was conducted using 546 serum samples collected from sheep (n = 451) and goats (n = 95) originating from five counties (Timiș, Arad, Bihor, Caraș-Severin, and Hunedoara). Sera were tested for IgG antibodies against C. burnetii using a commercial indirect enzyme-linked immunosorbent assay (ELISA). Overall, 87 animals were seropositive, corresponding to an observed seropositivity of 15.9% (87/546). Species-specific seropositivity was significantly higher in goats (25.3%) than in sheep (14.0%) (p = 0.006). Seropositive animals were detected in all surveyed counties, with prevalence ranging from 5.1% in Arad County to 21.3% in Timiș County. Significant geographic variation in seroprevalence was also observed among the investigated counties (p = 0.040). These findings indicate widespread serological evidence of exposure to Coxiella burnetii among the sampled small-ruminant population in Western Romania and reveal heterogeneous exposure patterns associated with both host species and geographic location. Continued surveillance integrating serological and molecular approaches is warranted to better characterize the epidemiology and transmission dynamics of C. burnetii within a One Health framework.
- 17 July 2026
- Published by MDPI AG in Veterinary Sciences
- Vol. 13 (7) , 698
Open AccessSerological Evidence of Widespread Coxiella burnetii Exposure Among Small Ruminants in Western Romania
Q fever, caused by Coxiella burnetii, remains an important zoonotic disease with significant implications for animal health, livestock production, and public health. Epidemiological data regarding the circulation of C. burnetii in Romania remain limited, particularly in the western region of the country. This study aimed to assess the observed seropositivity and geographic distribution of anti-C. burnetii antibodies among sampled small ruminants from Western Romania. A cross-sectional sero-epidemiological survey was conducted using 546 serum samples collected from sheep (n = 451) and goats (n = 95) originating from five counties (Timiș, Arad, Bihor, Caraș-Severin, and Hunedoara). Sera were tested for IgG antibodies against C. burnetii using a commercial indirect enzyme-linked immunosorbent assay (ELISA). Overall, 87 animals were seropositive, corresponding to an observed seropositivity of 15.9% (87/546). Species-specific seropositivity was significantly higher in goats (25.3%) than in sheep (14.0%) (p = 0.006). Seropositive animals were detected in all surveyed counties, with prevalence ranging from 5.1% in Arad County to 21.3% in Timiș County. Significant geographic variation in seroprevalence was also observed among the investigated counties (p = 0.040). These findings indicate widespread serological evidence of exposure to Coxiella burnetii among the sampled small-ruminant population in Western Romania and reveal heterogeneous exposure patterns associated with both host species and geographic location. Continued surveillance integrating serological and molecular approaches is warranted to better characterize the epidemiology and transmission dynamics of C. burnetii within a One Health framework.
- Open Access
- 3 June 2026
- Published by MDPI AG in Antibiotics
- Vol. 15 (6) , 572
Fatal Systemic Infection Caused by Multidrug-Resistant Clostridioides difficile in a Domestic Rabbit: A Comprehensive Case Analysis
Background/Objectives: Rabbit farming in Romania is increasingly important for providing high-quality meat, yet productivity is frequently threatened by enteric diseases, particularly in young animals. Among bacterial etiologies, Clostridioides difficile (C. difficile) has emerged as a significant gastrointestinal pathogen, with findings suggestive of systemic dissemination and public health implications. This study aimed to investigate a fatal case of C. difficile infection in a farmed rabbit and to characterize the pathogen’s microbiological, toxigenic, and antimicrobial profile. Methods: An 11-month-old male German Giant Spotted rabbit presenting acute diarrhea, anorexia, and rapid deterioration after unsupervised administration of enrofloxacin and sulfaquinoxaline was submitted postmortem. Necropsy was performed, and samples from cecum, colon, liver, spleen, mesenteric lymph nodes, lungs, and femoral bone marrow were collected. Microbiological analysis included selective culture on CCFA medium, ELISA for toxin A and B detection, MALDI-TOF MS identification, PCR confirmation, and antimicrobial susceptibility testing with the VITEK 2 system. Histopathological examination was conducted on intestinal and parenchymal tissues. Results: Necropsy revealed severe congestion and necrosis of the cecal and colonic mucosa, hepatomegaly, splenic congestion, and petechial hemorrhages. C. difficile was isolated from intestinal sites, confirmed as toxigenic by ELISA and PCR. Histopathology showed necrotizing colitis with epithelial desquamation, fibrin deposition, and heterophilic infiltration. The strain exhibited resistance to clindamycin, ampicillin, and tetracycline, with susceptibility to vancomycin, linezolid, and tigecycline. Conclusions: This case demonstrates that C. difficile can cause severe disease in rabbits, particularly following antimicrobial-induced dysbiosis. The findings underscore the importance of prudent antibiotic use, monitoring of toxigenic strains in rabbit populations, and implementation of preventive strategies to mitigate health risks in both animals and potentially humans.
- 3 June 2026
- Published by MDPI AG in Antibiotics
- Vol. 15 (6) , 572
Open AccessFatal Systemic Infection Caused by Multidrug-Resistant Clostridioides difficile in a Domestic Rabbit: A Comprehensive Case Analysis
Background/Objectives: Rabbit farming in Romania is increasingly important for providing high-quality meat, yet productivity is frequently threatened by enteric diseases, particularly in young animals. Among bacterial etiologies, Clostridioides difficile (C. difficile) has emerged as a significant gastrointestinal pathogen, with findings suggestive of systemic dissemination and public health implications. This study aimed to investigate a fatal case of C. difficile infection in a farmed rabbit and to characterize the pathogen’s microbiological, toxigenic, and antimicrobial profile. Methods: An 11-month-old male German Giant Spotted rabbit presenting acute diarrhea, anorexia, and rapid deterioration after unsupervised administration of enrofloxacin and sulfaquinoxaline was submitted postmortem. Necropsy was performed, and samples from cecum, colon, liver, spleen, mesenteric lymph nodes, lungs, and femoral bone marrow were collected. Microbiological analysis included selective culture on CCFA medium, ELISA for toxin A and B detection, MALDI-TOF MS identification, PCR confirmation, and antimicrobial susceptibility testing with the VITEK 2 system. Histopathological examination was conducted on intestinal and parenchymal tissues. Results: Necropsy revealed severe congestion and necrosis of the cecal and colonic mucosa, hepatomegaly, splenic congestion, and petechial hemorrhages. C. difficile was isolated from intestinal sites, confirmed as toxigenic by ELISA and PCR. Histopathology showed necrotizing colitis with epithelial desquamation, fibrin deposition, and heterophilic infiltration. The strain exhibited resistance to clindamycin, ampicillin, and tetracycline, with susceptibility to vancomycin, linezolid, and tigecycline. Conclusions: This case demonstrates that C. difficile can cause severe disease in rabbits, particularly following antimicrobial-induced dysbiosis. The findings underscore the importance of prudent antibiotic use, monitoring of toxigenic strains in rabbit populations, and implementation of preventive strategies to mitigate health risks in both animals and potentially humans.
- Open Access
- 3 June 2026
- Published by MDPI AG in Microorganisms
- Vol. 14 (6) , 1263
West Nile Virus in Horses as a Sentinel Host in One Health Surveillance: Epidemiological Insights and Future Perspectives
West Nile virus (WNV) is a globally distributed mosquito-borne flavivirus with significant implications for both veterinary and public health. While horses are incidental dead-end hosts, their epidemiological role extends beyond clinical disease, as they can serve as effective sentinel hosts for detecting local viral circulation. Their frequent exposure to mosquito vectors, ability to mount measurable antibody responses, geographic stability, accessibility for monitoring, and the possibility of observation within managed owner–veterinarian systems make them particularly suitable for surveillance within a One Health framework. Evidence from Europe and the Americas demonstrates that equine seroprevalence and field surveillance can identify transmission hotspots, reveal silent circulation, and contribute to the understanding of spatial and temporal risk patterns. The review also addresses key limitations, including vaccination effects, flavivirus cross-reactivity, methodological heterogeneity, and challenges in interpreting serological data across different ecological contexts. Strengthening equine sentinel surveillance through standardized methodologies and integration with predictive and geospatial approaches may improve early warning capacity and support more effective control of WNV and other emerging arboviral diseases.
- 3 June 2026
- Published by MDPI AG in Microorganisms
- Vol. 14 (6) , 1263
Open AccessWest Nile Virus in Horses as a Sentinel Host in One Health Surveillance: Epidemiological Insights and Future Perspectives
West Nile virus (WNV) is a globally distributed mosquito-borne flavivirus with significant implications for both veterinary and public health. While horses are incidental dead-end hosts, their epidemiological role extends beyond clinical disease, as they can serve as effective sentinel hosts for detecting local viral circulation. Their frequent exposure to mosquito vectors, ability to mount measurable antibody responses, geographic stability, accessibility for monitoring, and the possibility of observation within managed owner–veterinarian systems make them particularly suitable for surveillance within a One Health framework. Evidence from Europe and the Americas demonstrates that equine seroprevalence and field surveillance can identify transmission hotspots, reveal silent circulation, and contribute to the understanding of spatial and temporal risk patterns. The review also addresses key limitations, including vaccination effects, flavivirus cross-reactivity, methodological heterogeneity, and challenges in interpreting serological data across different ecological contexts. Strengthening equine sentinel surveillance through standardized methodologies and integration with predictive and geospatial approaches may improve early warning capacity and support more effective control of WNV and other emerging arboviral diseases.
- Open Access
- 17 May 2026
- Published by MDPI AG in Veterinary Sciences
- Vol. 13 (5) , 485
Clinical, Pathological, and Antimicrobial Characteristics of Pasteurella multocida Infections in Extensively Reared Rabbits in Western Romania
Pasteurellosis is a major bacterial disease of domestic rabbits, commonly associated with respiratory disorders, abscesses, reproductive pathology, and systemic infections. This study investigated the occurrence, clinical manifestations, pathological lesions, and antimicrobial susceptibility of bacterial isolates obtained from rabbits raised in traditional extensive systems in western Romania, with identification of Pasteurella multocida performed using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS). A total of 308 rabbits from 23 holdings were clinically examined, necropsied when applicable, and subjected to bacteriological analysis. Clinical signs compatible with pasteurellosis were observed in 132 rabbits (42.9%), including respiratory diseases, abscess formation, otitis, and reproductive disorders. Samples collected from affected and deceased rabbits were cultured and analyzed using MALDI-TOF MS, confirming 87 isolates as P. multocida. Antimicrobial susceptibility testing using the VITEK 2 system revealed high resistance to tetracyclines (63.22%) and beta-lactams (55.17%), while higher susceptibility was observed for enrofloxacin (91.95%), gentamicin (89.66%), ciprofloxacin (86.21%), and florfenicol (80.46%). The presence of multidrug-resistant isolates highlights the need for laboratory-guided antimicrobial therapy and improved biosecurity measures in traditional rabbit holdings.
- 17 May 2026
- Published by MDPI AG in Veterinary Sciences
- Vol. 13 (5) , 485
Open AccessClinical, Pathological, and Antimicrobial Characteristics of Pasteurella multocida Infections in Extensively Reared Rabbits in Western Romania
Pasteurellosis is a major bacterial disease of domestic rabbits, commonly associated with respiratory disorders, abscesses, reproductive pathology, and systemic infections. This study investigated the occurrence, clinical manifestations, pathological lesions, and antimicrobial susceptibility of bacterial isolates obtained from rabbits raised in traditional extensive systems in western Romania, with identification of Pasteurella multocida performed using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS). A total of 308 rabbits from 23 holdings were clinically examined, necropsied when applicable, and subjected to bacteriological analysis. Clinical signs compatible with pasteurellosis were observed in 132 rabbits (42.9%), including respiratory diseases, abscess formation, otitis, and reproductive disorders. Samples collected from affected and deceased rabbits were cultured and analyzed using MALDI-TOF MS, confirming 87 isolates as P. multocida. Antimicrobial susceptibility testing using the VITEK 2 system revealed high resistance to tetracyclines (63.22%) and beta-lactams (55.17%), while higher susceptibility was observed for enrofloxacin (91.95%), gentamicin (89.66%), ciprofloxacin (86.21%), and florfenicol (80.46%). The presence of multidrug-resistant isolates highlights the need for laboratory-guided antimicrobial therapy and improved biosecurity measures in traditional rabbit holdings.
- Open Access
- 11 May 2026
- Published by MDPI AG in Veterinary Sciences
- Vol. 13 (5) , 466
Clinical, Pathological, and Antimicrobial Resistance Features of Staphylococcus aureus Infections in Rabbits Raised Under Extensive Traditional Systems in Western Romania
Staphylococcus aureus is a common opportunistic pathogen in rabbits and may cause localized or systemic infections that affect animal health and farm productivity. The present study aimed to investigate the clinical evolution, pathological lesions, and antimicrobial susceptibility profile of S. aureus infections in rabbits raised under traditional extensive systems in Western Romania. A total of 251 rabbits from 11 holdings located in Arad, Timiș, and Caraș-Severin counties were evaluated through epidemiological investigation, clinical examination, necropsy, and bacteriological analysis. Samples were cultured on Brain Heart Infusion medium and 5% sheep blood agar, and isolates were identified using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS). Antimicrobial susceptibility testing was performed using an automated system (VITEK 2, bioMérieux) and interpreted according to EUCAST guidelines. Among the examined animals, 68 rabbits (27.1%) showed clinical lesions compatible with S. aureus infection. The most common manifestations included subcutaneous abscesses, otitis externa, rhinitis, mammary abscesses, pyometra, and dental abscesses. Necropsy revealed suppurative and septicemic lesions affecting multiple organs. Antimicrobial susceptibility testing indicated high resistance to penicillin (100%), tetracycline (76.5%), doxycycline (67.6%), and amoxicillin (63.2%). In contrast, florfenicol (69.1% susceptible), ciprofloxacin (61.8%), gentamicin (54.4%), and enrofloxacin (52.9%) showed better antimicrobial activity. The results confirm the clinical and microbiological relevance of S. aureus infections in rabbits raised under traditional conditions and highlight the need for improved biosecurity measures and rational antimicrobial use.
- 11 May 2026
- Published by MDPI AG in Veterinary Sciences
- Vol. 13 (5) , 466
Open AccessClinical, Pathological, and Antimicrobial Resistance Features of Staphylococcus aureus Infections in Rabbits Raised Under Extensive Traditional Systems in Western Romania
Staphylococcus aureus is a common opportunistic pathogen in rabbits and may cause localized or systemic infections that affect animal health and farm productivity. The present study aimed to investigate the clinical evolution, pathological lesions, and antimicrobial susceptibility profile of S. aureus infections in rabbits raised under traditional extensive systems in Western Romania. A total of 251 rabbits from 11 holdings located in Arad, Timiș, and Caraș-Severin counties were evaluated through epidemiological investigation, clinical examination, necropsy, and bacteriological analysis. Samples were cultured on Brain Heart Infusion medium and 5% sheep blood agar, and isolates were identified using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS). Antimicrobial susceptibility testing was performed using an automated system (VITEK 2, bioMérieux) and interpreted according to EUCAST guidelines. Among the examined animals, 68 rabbits (27.1%) showed clinical lesions compatible with S. aureus infection. The most common manifestations included subcutaneous abscesses, otitis externa, rhinitis, mammary abscesses, pyometra, and dental abscesses. Necropsy revealed suppurative and septicemic lesions affecting multiple organs. Antimicrobial susceptibility testing indicated high resistance to penicillin (100%), tetracycline (76.5%), doxycycline (67.6%), and amoxicillin (63.2%). In contrast, florfenicol (69.1% susceptible), ciprofloxacin (61.8%), gentamicin (54.4%), and enrofloxacin (52.9%) showed better antimicrobial activity. The results confirm the clinical and microbiological relevance of S. aureus infections in rabbits raised under traditional conditions and highlight the need for improved biosecurity measures and rational antimicrobial use.
- Open Access
- 30 March 2026
- Published by MDPI AG in Veterinary Sciences
- Vol. 13 (4) , 332
Diagnosis and Surveillance of West Nile Virus Infection in Horses: Current Methods, Challenges, and Future Directions
West Nile virus (WNV) is a mosquito-borne flavivirus of growing importance for both human and equine health in Europe. Horses are highly susceptible to neurological disease and, because they share ecological exposure with humans, they represent valuable sentinels for detecting local viral circulation within a One Health framework. However, diagnosis of WNV infection in equines is complicated by the short and low-level viraemia, which limits the sensitivity of molecular assays, and by serological cross-reactivity with related flaviviruses and the confounding effects of vaccination. In this narrative review, we summarise the current diagnostic tools for WNV in horses, including direct detection methods (RT-qPCR, virus isolation, antigen detection) and indirect serological approaches (IgM and IgG ELISA, virus neutralisation tests), and discuss their practical performance and constraints in clinical and surveillance settings. We further examine equine surveillance systems, passive clinical reporting, active serosurveys and sentinel cohorts, and their integration with vector, avian and environmental monitoring. Key challenges include methodological heterogeneity, limited access to confirmatory testing and variable cross-sector data sharing. Finally, we outline future directions, highlighting the need for harmonised laboratory protocols, innovative field-deployable diagnostics, genomic surveillance and integrated, multi-source monitoring systems to strengthen early warning capacity and improve preparedness for WNV outbreaks in equine populations.
- 30 March 2026
- Published by MDPI AG in Veterinary Sciences
- Vol. 13 (4) , 332
Open AccessDiagnosis and Surveillance of West Nile Virus Infection in Horses: Current Methods, Challenges, and Future Directions
West Nile virus (WNV) is a mosquito-borne flavivirus of growing importance for both human and equine health in Europe. Horses are highly susceptible to neurological disease and, because they share ecological exposure with humans, they represent valuable sentinels for detecting local viral circulation within a One Health framework. However, diagnosis of WNV infection in equines is complicated by the short and low-level viraemia, which limits the sensitivity of molecular assays, and by serological cross-reactivity with related flaviviruses and the confounding effects of vaccination. In this narrative review, we summarise the current diagnostic tools for WNV in horses, including direct detection methods (RT-qPCR, virus isolation, antigen detection) and indirect serological approaches (IgM and IgG ELISA, virus neutralisation tests), and discuss their practical performance and constraints in clinical and surveillance settings. We further examine equine surveillance systems, passive clinical reporting, active serosurveys and sentinel cohorts, and their integration with vector, avian and environmental monitoring. Key challenges include methodological heterogeneity, limited access to confirmatory testing and variable cross-sector data sharing. Finally, we outline future directions, highlighting the need for harmonised laboratory protocols, innovative field-deployable diagnostics, genomic surveillance and integrated, multi-source monitoring systems to strengthen early warning capacity and improve preparedness for WNV outbreaks in equine populations.
- Open Access
West Nile Virus in Europe: Epidemiology, Vector Ecology, Environmental Drivers, and the Role of Equine Sentinel Surveillance in a One Health Framework
West Nile virus (WNV) is a mosquito-borne flavivirus that remains an important public and veterinary health concern across Europe. Periodic outbreaks affecting humans, horses, and wildlife highlight the complex ecological interactions underlying viral circulation. This narrative review aims to synthesize current knowledge regarding WNV epidemiology, transmission dynamics, and surveillance strategies in Europe, with particular attention to the Romanian context. Available surveillance data indicate recurrent seasonal transmission in several European regions; however, reported case numbers may be influenced by differences in diagnostic capacity, reporting practices, and surveillance intensity among countries. Recent studies suggest that environmental variability, vector adaptation, and host community composition play important roles in shaping regional transmission risk, although the relative contribution of these factors remains incompletely quantified. Despite expanding surveillance networks and One Health initiatives, important knowledge gaps persist regarding the integration of environmental risk indicators, vector ecology, and operational preparedness into coherent risk-assessment frameworks. This review therefore examines current epidemiological patterns, evaluates surveillance approaches, and discusses emerging drivers of WNV transmission in Europe. As a narrative synthesis based on published literature and surveillance reports, this review is subject to limitations related to heterogeneity in available data and differences in national reporting systems. Nevertheless, a clearer understanding of these interacting factors may support improved surveillance strategies and more adaptive public health responses to future WNV transmission events. Reported surveillance data should be interpreted cautiously, as differences in national surveillance intensity, diagnostic capacity, and reporting frameworks across Europe may influence notified case numbers. Consequently, reported outbreaks do not necessarily reflect proportional differences in transmission intensity.
Open AccessWest Nile Virus in Europe: Epidemiology, Vector Ecology, Environmental Drivers, and the Role of Equine Sentinel Surveillance in a One Health Framework
West Nile virus (WNV) is a mosquito-borne flavivirus that remains an important public and veterinary health concern across Europe. Periodic outbreaks affecting humans, horses, and wildlife highlight the complex ecological interactions underlying viral circulation. This narrative review aims to synthesize current knowledge regarding WNV epidemiology, transmission dynamics, and surveillance strategies in Europe, with particular attention to the Romanian context. Available surveillance data indicate recurrent seasonal transmission in several European regions; however, reported case numbers may be influenced by differences in diagnostic capacity, reporting practices, and surveillance intensity among countries. Recent studies suggest that environmental variability, vector adaptation, and host community composition play important roles in shaping regional transmission risk, although the relative contribution of these factors remains incompletely quantified. Despite expanding surveillance networks and One Health initiatives, important knowledge gaps persist regarding the integration of environmental risk indicators, vector ecology, and operational preparedness into coherent risk-assessment frameworks. This review therefore examines current epidemiological patterns, evaluates surveillance approaches, and discusses emerging drivers of WNV transmission in Europe. As a narrative synthesis based on published literature and surveillance reports, this review is subject to limitations related to heterogeneity in available data and differences in national reporting systems. Nevertheless, a clearer understanding of these interacting factors may support improved surveillance strategies and more adaptive public health responses to future WNV transmission events. Reported surveillance data should be interpreted cautiously, as differences in national surveillance intensity, diagnostic capacity, and reporting frameworks across Europe may influence notified case numbers. Consequently, reported outbreaks do not necessarily reflect proportional differences in transmission intensity.
- Open Access
- 1 March 2026
- Published by MDPI AG in Veterinary Sciences
- Vol. 13 (3) , 239
Gaps Between Awareness and Prevention of West Nile Virus Among Horse Owners in an Endemic Country: A Cross-Sectional Study from Romania
West Nile virus (WNV) circulates endemically in Romania, yet prevention of WNV infection in horses largely depends on owner-driven decisions that require accurate risk perception and veterinary guidance. A cross-sectional online survey was carried out between May and November 2025 to evaluate the knowledge, attitudes, and preventive practices (KAP) regarding WNV among 227 horse owners from various Romanian regions. In total, 67.4% of respondents had previously heard of WNV. The main transmission route was correctly identified as mosquito bites by 49.8% of participants, while 32.2% answered “don’t know” or presented misconceptions: horse-to-horse contact (9.3%), tick bites (10.6%) and blood transfusion (0.4%). Recognition of clinical signs was limited, with fever (31.3% of respondents) and gait abnormalities or ataxia (24.7% of respondents) being most frequently mentioned, followed by inappetence (19.4% of respondents), seizures (18.1% of respondents), coughing (8.8% of respondents), and abortions (10.6% of respondents); 47.6% of respondents were unable to identify any specific signs. Awareness of the existence of an equine WNV vaccine was reported by 23.8% of respondents, while only 4.0% indicated that their horses had been vaccinated. The most common preventive measures included the use of insecticides in stables (61.2%) and topical repellents on horses (55.5%), whereas environmental control actions such as removing standing water (14.1%) or avoiding swampy areas (11.9%) were less frequent; 19.4% reported taking no preventive measures. Veterinary communication was limited, with only 17.2% of respondents having received information about WNV from a veterinarian, and 21.6% perceiving a real risk of infection in Romania. Overall, the data show a marked disconnect between awareness and actionable prevention (particularly vaccination and environmental mosquito control), indicating that targeted owner education must be paired with structured veterinary communication to translate knowledge into preventive uptake in endemic settings.
- 1 March 2026
- Published by MDPI AG in Veterinary Sciences
- Vol. 13 (3) , 239
Open AccessGaps Between Awareness and Prevention of West Nile Virus Among Horse Owners in an Endemic Country: A Cross-Sectional Study from Romania
West Nile virus (WNV) circulates endemically in Romania, yet prevention of WNV infection in horses largely depends on owner-driven decisions that require accurate risk perception and veterinary guidance. A cross-sectional online survey was carried out between May and November 2025 to evaluate the knowledge, attitudes, and preventive practices (KAP) regarding WNV among 227 horse owners from various Romanian regions. In total, 67.4% of respondents had previously heard of WNV. The main transmission route was correctly identified as mosquito bites by 49.8% of participants, while 32.2% answered “don’t know” or presented misconceptions: horse-to-horse contact (9.3%), tick bites (10.6%) and blood transfusion (0.4%). Recognition of clinical signs was limited, with fever (31.3% of respondents) and gait abnormalities or ataxia (24.7% of respondents) being most frequently mentioned, followed by inappetence (19.4% of respondents), seizures (18.1% of respondents), coughing (8.8% of respondents), and abortions (10.6% of respondents); 47.6% of respondents were unable to identify any specific signs. Awareness of the existence of an equine WNV vaccine was reported by 23.8% of respondents, while only 4.0% indicated that their horses had been vaccinated. The most common preventive measures included the use of insecticides in stables (61.2%) and topical repellents on horses (55.5%), whereas environmental control actions such as removing standing water (14.1%) or avoiding swampy areas (11.9%) were less frequent; 19.4% reported taking no preventive measures. Veterinary communication was limited, with only 17.2% of respondents having received information about WNV from a veterinarian, and 21.6% perceiving a real risk of infection in Romania. Overall, the data show a marked disconnect between awareness and actionable prevention (particularly vaccination and environmental mosquito control), indicating that targeted owner education must be paired with structured veterinary communication to translate knowledge into preventive uptake in endemic settings.
- Open Access
- 20 November 2025
- Published by MDPI AG in Microorganisms
- Vol. 13 (11) , 2637
Mosquito Exposure Risks in Equine Facilities: An Environmental–Managerial Assessment in Western Romania
West Nile Virus (WNV) is a mosquito-borne zoonosis with recurrent equine and human cases in Romania. Horses, although dead-end hosts, act as sentinels for local viral circulation. Farm-level risk conditions remain under-characterized. This pilot, exploratory cross-sectional study assessed 42 equine facilities in western Romania (2024). A standardized 10-item checklist was applied and a Composite Environmental Risk Score (CERS) (0–10, unweighted) was computed per facility. Spatial analysis in QGIS included distances to nearby water bodies. No serological or entomological data were collected; these are recommended for future validation. Stagnant water occurred at 71.4% (30/42) of facilities, uncovered rain-collecting containers at 64.3% (27/42), and outdoor housing of horses at 81.0% (34/42). Insect screens were present at 21.4% (9/42) and chemical/biological control at 33.3% (14/42). By design, the CERS ranged from 0 to 10; in our sample the observed range was 0–8 because not all assessed risk conditions co-occurred across sites. Overall, 42.9% (18/42) were classified as high risk (≥6). Neurological signs were reported anecdotally by some managers but were not analyzed. Mosquito-favorable conditions are widespread in Romanian equine facilities. CERS shows promise as a low-cost, rapid tool for routine facility-level assessment of environmental conditions favoring mosquito presence and prioritization of preventive actions. Integrating environmental risk scoring with entomological and serological surveillance could strengthen One Health early-warning systems. Such integration would support prevention of WNV and other mosquito-borne zoonotic pathogens in endemic European settings.
- 20 November 2025
- Published by MDPI AG in Microorganisms
- Vol. 13 (11) , 2637
Open AccessMosquito Exposure Risks in Equine Facilities: An Environmental–Managerial Assessment in Western Romania
West Nile Virus (WNV) is a mosquito-borne zoonosis with recurrent equine and human cases in Romania. Horses, although dead-end hosts, act as sentinels for local viral circulation. Farm-level risk conditions remain under-characterized. This pilot, exploratory cross-sectional study assessed 42 equine facilities in western Romania (2024). A standardized 10-item checklist was applied and a Composite Environmental Risk Score (CERS) (0–10, unweighted) was computed per facility. Spatial analysis in QGIS included distances to nearby water bodies. No serological or entomological data were collected; these are recommended for future validation. Stagnant water occurred at 71.4% (30/42) of facilities, uncovered rain-collecting containers at 64.3% (27/42), and outdoor housing of horses at 81.0% (34/42). Insect screens were present at 21.4% (9/42) and chemical/biological control at 33.3% (14/42). By design, the CERS ranged from 0 to 10; in our sample the observed range was 0–8 because not all assessed risk conditions co-occurred across sites. Overall, 42.9% (18/42) were classified as high risk (≥6). Neurological signs were reported anecdotally by some managers but were not analyzed. Mosquito-favorable conditions are widespread in Romanian equine facilities. CERS shows promise as a low-cost, rapid tool for routine facility-level assessment of environmental conditions favoring mosquito presence and prioritization of preventive actions. Integrating environmental risk scoring with entomological and serological surveillance could strengthen One Health early-warning systems. Such integration would support prevention of WNV and other mosquito-borne zoonotic pathogens in endemic European settings.