CVS says the use of ear cytology in OE is beneficial, both as a diagnostic and to evaluate the response to therapy.
However, in 2019 the company looked at 26,269 of its patients and found that ear cytology was only being used in 19.2% of cases, in line with the rest of the profession.
Only 11% of cases were being provided with in-house point-of-care cytology, whilst 8.2% had it performed externally.
80.8% of patients with OE were being prescribed antibiotics without cytological support, with 5% of these the highest priority critically important antibiotics (HPCIAs).
This low level of cytology use in primary care was suspected to be a major contributory factor to the significant use of unnecessary antibiotics.
To support its practices, CVS first looked at the barriers to performing ear cytology interventions, which were identified as a lack of confidence in using the microscope (particularly focusing on x100 and identification of pathological events), a perceived lack of time, insufficient or poorly working equipment, a lack of access to equipment, and the perception that cytology does not change the treatment choice or outcome.
As a second step, a minimal list of cytology equipment was developed to ensure that all sites had the right kit.
New equipment was then supplied to a practice if it did not meet minimum standards.
The company then produced education and resource materials, including new guidelines, imagery and video guides, to upskill both its vets and nurses.
The training focused on: equipment maintenance, cleaning and troubleshooting, how to use the microscope – including x100 magnification and the slide oil immersion technique, how to identify pathological changes, and time management to get a consultation done – including swabbing, microscope analysis, diagnosis and client consultation.
Each site was then provided with its own data, so that it could monitor progress.
Elizabeth McLennan Green, CVS Clinical Director for the North, said: “One of our goals with this project was to minimise the number of antibiotics prescribed without associated diagnostics, and to use ear cytology to guide therapy and response to treatment for the benefit of our patients and clients.”
“We know that low ear cytology interventions are an issue across the profession. We wanted to do better. So ear cytology has been our first and longest running clinical improvement project.
"We’re thrilled with the brilliant results our colleagues are now achieving.”
There's a video presentation about the project here: https://vimeo.com/875515008/bdc3ee5920
Photo: Emily Spencer, Head Vet at Castle Vets
The Royal College of Veterinary Surgeons is stressing the need for employers to check the registration status of the veterinary surgeons and veterinary nurses they recruit.
This comes following several incidences where veterinary surgeons have been found to be either not registered or registered in the wrong category. For example, foreign nationals wishing to work in the UK must be registered as home-practising members, not overseas-practising members. The latter category is for those practising overseas who wish to retain their MRCVS status.
Furthermore, there have been some cases of veterinary surgeons registering as ‘non-practising' and going on to carry out veterinary nursing roles, in the absence of relevant qualifications or being listed/registered as a veterinary nurse. This may be happening in cases where overseas veterinary surgeons are struggling to find work in the UK, possibly due to language difficulties.
RCVS President Jill Nute said: "Vets and veterinary nurses have complementary roles within the practice team. If someone wishes to undertake a veterinary nursing role, they should be qualified and registered as such. Many skills are taught in the veterinary nursing training that are not included in the veterinary degree. Although some veterinary nursing tasks can be carried out by veterinary surgeons, they certainly must not be undertaken by those who are not on the RCVS Register of Veterinary Surgeons".
She added: "Ours is a self-regulated profession and it is important that employers play their part by ensuring that practice employees are appropriately qualified and registered".
The registration status of vets and veterinary nurses can be checked on RCVSonline at: www.rcvs.org.uk/checkregister or www.rcvs.org.uk/vnlist respectively.
National charity Canine Partners, which provide specially trained assistance dogs to people with disabilities, will benefit from an Eastbourne vet's efforts to run the Brighton Marathon on Sunday 10th April in less than 3.5 hours.
Simon DeVile is undertaking a gruelling training scheme, covering up to 50 miles a week, to ensure peak performance when he takes to the streets to raise money for Canine Partners - a charity close to his heart.Simon, 44, is one of the partners at St. Anne's Veterinary Group in Eastbourne. He started running to keep fit in 2006 and has since run the London Marathon twice and the Beachy Head Marathon three times. Simon regularly comes into contact with canine partner puppies because a local fundraiser and puppy parent is one of his clients. His own dog is also part of a locally bred litter, five of which went on to train as canine partners.Simon said: "I wanted to enjoy a new marathon experience this Spring and Brighton proved very popular last year. My aim is to enjoy the race but hopefully get below 3hrs 30 mins and raise money for Canine Partners. I am very aware what an important role these dogs play in the lives of a person with disabilities. I am also continually impressed with the way Canine Partners look after the dogs in their care so well."
If you would like to support Simon's efforts, visit: http://www.justgiving.com/Simon-DeVileCanine Partners still has charity places available for The Brighton Marathon. If you would like to take up the challenge, please contact Jill Green on 01730 716014.
Ceva Animal Health has launched Vectra 3D, a broad spectrum topical ectoparasiticide for dogs which is effective against fleas, ticks and flies.
Vectra 3D contains a formulation of a brand new active called dinotefuran, pyriproxyfen and permethrin.
According to the company, Vectra 3D provides a rapid flea kill within two hours for dogs on current treatment and complete protection against the major vectors: fleas, ticks, sand flies, mosquitoes and stable flies1. Additionally, because dinotefuran kills on contact, it is claimed to reduce the incidence of flea feeding1.
Vectra 3D is applied in a line from the base of the tail to the neck using a patented applicator with an elongated tip, designed to make it easy to apply the product through the hair directly onto the skin. The applicator is also designed to provide accurate dosing without making any mess, as nothing comes out until the tube is squeezed.
Ceva highlights that the number of people travelling with their pets has increased by 61% since 20122, and that Vectra 3D is the only topical ectoparasiticide that offers repellent action against sand flies for one month, together with protection against mosquitoes and stable flies.
Julia Wood, product manager at Ceva Animal Health said: "Vectra 3D is an innovative formulation which uses a unique, easy-to-administer applicator to provide complete protection against fleas, ticks and flies. And with spring nearly upon us, it's time to start talking to clients about flea treatments, such as Vectra 3D."
To support the launch of Vectra 3D, Ceva is hosting a series of CPD meetings at venues across the UK. Accounting for two hours CPD, the afternoon meetings will cover vector-borne diseases, the importance of ticks in the UK and product information on Vectra 3D. They will be presented by Ian Wright BVMS BSc MSc MRCVS and Richard Wall BSc MBA PhD FRES and take place at:
For further information, contact your Ceva Animal Health territory manager or email Ceva Animal Health on customerservicesuk@ceva.com.
The RCVS and the BVA have announced the launch of Vet Futures, a jointly funded initiative designed to stimulate discussion about the future of the profession, and help its members prepare for and shape it.
The initiative will draw on the experience and insight of a wide range of individuals and organisations, including veterinary surgeons and nurses, veterinary bodies, farmers, pet owners and other key stakeholders.
The objective is to understand where the provision of veterinary services is currently heading, whether this is in the best interests of the profession, animal owners and the public at large, and what might be done to shape an optimal future for the veterinary team, keeping animal health and welfare at its heart.
In the project's first phase, independent researchers will gather evidence via focus groups, phone interviews and desk-based research, in addition to the gauging of opinion through events, the internet and social media.
This evidence gathering will be followed by an engagement phase, where the profession will be asked for their feedback on initial thoughts; a period of analysis, where a report will be written by the independent researchers; and, finally, there will be an action phase, where key strategic issues will be identified, together with a clear plan for action from the BVA and the RCVS, as well as other organisations and individuals.
Professor Stuart Reid, RCVS President. said: "The RCVS is implementing a programme of reform to make it a first-rate regulator, but how do we also make ours a first-rate profession, that is resilient and agile enough to meet future demands?
"The Vet Futures project will not just be about horizon-scanning, but getting a fix on those issues over the horizon that we may not yet have considered, such as the use of emerging technologies.
"It's an exciting challenge and I am looking forward to members of the veterinary team getting involved so that, together, we can develop an action plan that will deliver a sustainable future for the profession."
John Blackwell, BVA President, said: "It is no secret that the veterinary profession is changing rapidly and that is why the theme for my presidential year is 'driving change and shaping the future'. It is essential that we come together to map out where we want to be as a strong and trusted profession and identify how we can make that happen.
"On such cross-cutting issues it is appropriate that the two leading professional bodies come together to provide joint leadership for the profession, but we are keen to engage as many individuals and stakeholders as possible. It is designed to be a hugely collaborative project and we want to hear voices from across the whole profession and the whole veterinary team."
The project has a dedicated website www.vetfutures.org.uk where the latest events, reports and publications will be found. There will also be a 'topic of the month' for the duration of the project, with controversial opinion-pieces being posted to stimulate debate from within the profession and amongst animal owners and other stakeholders.
For those new to the club, the idea is that every two weeks, we pick an article in Veterinary Practice and invite the author to join us on VetSurgeon.org, so that you can ask questions and discuss the subject with one another.
As a bonus, you can claim time spent reading or participating in the discussion towards your annual CPD requirement (press the claim CPD button at the top right of the discussion thread).
For this first discussion of 2023, author Andy Yale, an RCVS and European Veterinary Specialist in Small Animal Oncology and Lecturer in Veterinary Oncology at the RVC, will be joining us for a week to answer questions about 'Diagnosis and treatment of common canine oral tumours'.
To take part, first read Andy's article here: https://www.veterinary-practice.com/article/common-canine-oral-tumours.
Then come and join the VetSurgeon Clinical Article Club and post your questions or discussion points here: https://www.vetsurgeon.org/associations/vetsurgeon-clinical-article-club/
VetSurgeon.org Editor, Arlo Guthrie said: "I hope lots of you will come and join in. It really is a great opportunity to learn from specialists and from each other in a professional, moderated forum, where you can be confident of a friendly welcome.”
To find out about the RVC’s internationally recognised veterinary oncology team and the services it offers, visit: https://www.rvc.ac.uk/small-animal-vet/specialist-referrals/clinical-services/veterinary-oncology
A special interest group has been established for vets, veterinary nurses and chartered physiotherapists interested in the rehabilitation of diseased and injured animals. 'Physiovet UK' aims to provide practical training in the field of veterinary rehabilitation and pain management.
The group's inaugural CPD meeting takes place on Wednesday 20th May this year in Cardiff and will be led by specialist in small animal surgery (orthopedics) Steve Butterworth and veterinary rehabilitation specialist Lowri Davies. Sponsored by Hill's Pet Nutrition and Merial Animal Health, the meeting will cost £80 for members or £100 for non-members (ex VAT) for the day long event. Membership of the group costs £50.
Lowri Davies, a founder member of Physiovet said: "At this first meeting, the focus is on helping to develop a protocol for diagnosis and management strategies for conditions of the hock, shoulder and lumbosacral cases. Practitioners will recognise that these are commonly occurring conditions that are often managed conservatively but treatment need not stop with a prescription of 'rest'. We will be describing a range of active interventions that build strength, flexibility and general fitness appropriate to lame animals to help restore function and mobility."
For a downloadable registration form for the event, to join as a member or for further information about the group visit http://www.physiovet.co.uk/. Places at the meeting can also be booked by calling 01626 867614 or by contacting kathrin@linhayvet.co.uk.
Zoetis has announced that a batch of the bluetongue vaccines, Zulvac® 8 Bovis and Zulvac® 8 Ovis, is expected to become available to veterinary practices in mid-July, in time to manage the risk of an outbreak predicted by Defra to reach mainland UK by the late summer.
The company says the quantity of vaccine will not be unlimited and that it will strive to achieve as widespread availability as possible.
The two vaccines (Bovis for cattle and Ovis for sheep) are licensed to “prevent viraemia” caused by bluetongue virus serotype 8 (BTV-8). Prevention of viraemia, the presence of bluetongue virus in the blood, ensures no onward spread of infection via the blood sucking Culicoides midge.
The vaccines can be used in cattle from three months of age, or six weeks in sheep, requiring two doses three weeks apart in either species. Each dose is 2ml administered intramuscularly in cattle or subcutaneously in sheep, and onset of immunity is 25 days after the second dose. The vaccine provides immunity for a full 12 months.
The British Veterinary Association (BVA), British Cattle Veterinary Association (BCVA), Goat Veterinary Society (GVS), and Sheep Veterinary Society (SVS) welcomed the announcement from Zoetis, and another from MSD, but sought clarification about the cost and the amount of vaccine likely to be available in July and thereafter.
BVA President Sean Wensley said: "We welcome the announcement that vaccine will be available in time to meet potential demand. This disease seriously affects animal health and welfare as well as the productivity of livestock, and vaccination is the key control. While it is good news that vaccine will be available, we know that both farmers and vets will have questions about cost and whether there will a limit to the amount of vaccine available in July. It would be helpful to have these questions clarified as soon as possible."
Photo by Fourrure (http://www.boulesdefourrure.fr) [CC BY-SA 2.0], via Wikimedia Commons
Dan Forster MRCVS and his wife Kirsty, a veterinary nurse, run The Mobile Vet Ltd, which offers a 24/7 mobile service to clients and their animals on the Isle of Wight. The team work out of custom-designed vehicles, as well as their fully equipped static veterinary clinic in Newport.
In launching The Mobile Vet, their vision was to create a mobile clinic which could provide all of the services normally provided in a traditional clinic rather than just some. The veterinary team uses the latest technology and veterinary software to communicate with clients and works from vehicles specifically designed by Dan and Kirsty.
The Queen’s Awards for Enterprise are awarded to businesses for outstanding achievement in International Trade, Innovation and Sustainable Development. Winners of the Innovation Awards are judged to have shown outstanding success as the result of an innovation.
Dan said: "We aim to offer a caring and professional service to Islanders and their pets while also maintaining a good work/life balance. We can do almost everything from our vehicles but, when necessary, we utilise our fully equipped static clinic. We aim to offer a highly professional veterinary service using state-of-the-art equipment, which is also convenient to our clients. We have recently introduced a CT scanning service and laparoscopic surgery to expand our clinical services further.
"We are honoured to receive this prestigious award and had a fantastic day. The Award would never have been achievable without the support of our wonderful team. We look forward to continuing to provide an exemplary level of service to our clients."
The original TATE elbow replacement was first in clinical use in the 2010s and the revised 3rd generation version is apparently a much-improved implant, something which the clinical evaluation trial should demonstrate.
Andy Moores, head of the joint replacement programme at The Moores Orthopaedic Clinic, said: “Canine elbow replacement can be a game-changer for dogs living with chronic elbow pain but up until this point the elbow replacement systems have not been as reliable as we would like.
"The third-generation TATE implant has been in use with a small number of US surgeons for several years now and the results so far have been very promising.
"We are delighted that Biomedtrix have invited us to join the evaluation trial for this implant and that the RCVS Ethics Review Panel have approved this.
"We look forward to offering this surgery as an option for some of our most painful canine patients.”
www.mooresortho.com
Ceva Animal Health has launched two iPhone Apps for veterinary professionals and cat owners.
The 'Metoclopramide' iPhone App calculates both the daily fluid requirements and the volume of metoclopramide to add to the fluid bag for a dehydrated, vomiting cat or dog.
The 'Cat Stress' App helps pet owners to measure the stress levels of cats by asking questions about their home environment; this will help evaluate the effect that modern living has on feline stress levels which may, in turn, encourage owners to take action to help prevent cats developing stress related behavioural or medical problems in later life.
The 'Metoclopramide' iPhone App is available to download from the iTunes store here.
The 'Cat Stress' iPhone Apps is available to download from the iTunes store by searching for 'Cat Stress'.
For further information, please contact your Ceva Animal Health representative or call the veterinary support team on 01494 781510.
Axiom Veterinary Laboratories and Woodley Equipment Company have announced a partnership which the companies say will mean they can offer a comprehensive solution encompassing referral laboratory services and in-house diagnostic testing, with significant cost savings for practices.
Steve Clarke, Business Development and Marketing Manager for Axiom said: "After an exhaustive search we believe that we have found a partner in Woodley that shares our drive and ambition in delivering a first class solution to practices along with service backup. We offer a cost-effective, quality service with flexibility, fast turnaround times including a free of charge courier service across many parts of the UK and Ireland. We believe that in the current economic climate it is an ideal time for practices to review both their referral laboratory service and their in-house equipment provision."
Mike Wickham, Managing Director of Woodley Equipment Company added: "We offer a wide range of equipment, tailored to the size of the practice, workload and specialty. In partnering with Axiom Veterinary Laboratories we are able to offer a complete package including exclusive and very competitive discount structures for practices.
Both companies with be exhibiting at the forthcoming WSAVA conference in Birmingham (Axiom stand 418 and Woodley Equipment Company stand 718).
Hand-mouldable into any shape, Hoof Repair is used to create prosthetic hoof extensions and additions that restore foot integrity.
The company says there is no exothermic reaction when the thermoplastic hardens, which eliminates issues caused by excessive heat and makes the product suitable for treating acute laminitis, cracked hooves and horses that have lost a lot of hoof.
When used with Imprint Structural Adhesive, Hoof Repair forms a bond with hoof wall which can be nailed into and rasped, and will stay in place as hoof grows. Hoof Repair is also suitable for treating foal foot deformities.
The company says Hoof Repair is often used in conjunction with Imprint shoes, which are made of the same low melt, long lasting thermoplastic. It allows extensions to be made to the shoes and together the Imprint system protects and supports the hoof allowing the foot to flex and move freely.
Andrew Poynton, Imprint’s Inventor said: "Hoof Repair forms part of a foot care system that has been developed over 20 years by farriers in association with veterinary surgeons. Hoof Repair assimilates hooves precisely to retain the foot integrity and it is particularly useful for treating acute laminitis and cracked or badly damaged hooves."
The programme covers everything from diagnostic imaging and ophthalmic emergencies to using echocardiography to help with day-to-day decision-making in practice.
SCVS says the programme has been made possible by the addition of a new lecture theatre during SCVS’s recent expansion, which was supported by the hospital's owners IVC Evidensia.
Stephen Collins, SCVS Hospital Director and IVC Evidensia’s National Cardiology Lead, said: “We’re proud to announce one of the UK’s most comprehensive CPD programmes and share the vast knowledge that our specialist team has with the rest of the veterinary community.
“Our programme is packed full of informative and practical sessions that every vet can benefit from - whether that’s specialist skill development or improving everyday advice and practices in clinic.”
A full list of CPD events is available here: https://www.ivcevidensiareferrals.com/events-and-cpd.
www.scvetspecialists.co.uk
The course has been made available after its authors, Dr Katherine Wakelin and Sarah Corthorne from the University of Surrey, received a Mind Matters Grant to conduct research which found it improved the mental wellbeing of veterinary professionals.
Katherine and Sarah will also be hosting a webinar from 7pm – 8pm on Tuesday 3rd September to discuss the importance of self-compassion, provide an overview of their research, as well as information on the course itself.
Katherine said: “Our recent randomised control trial has shown the course to significantly improve resilience and self-compassion and reduce rumination and self-criticism amongst veterinarians.
"Therefore, Sarah and I are delighted to now be disseminating the CFT course freely to the veterinary profession, so that as many people as possible are able to benefit from the evidence-based resource.
“Even though our research was conducted on veterinary surgeons, we hope that the course will be useful to all those working in the veterinary team as the content can be applied in a number of contexts.
“Our webinar will explain more about our research, as well as some of the science behind the effectiveness of the course in a veterinary context.
"So, if you are interested in learning more about how CFT may be able to help you and your team, both in a personal and professional capacity, please do come along.”
In order to access the online compassion course, individuals are invited to complete a short questionnaire before and after watching one video (10-15 minutes long) each day for 14 days. The aim of the video intervention is to develop self-compassion skills and reduce self-criticism. This will also allow Katherine and Sarah to evaluate the ongoing impact that the videos are having on those working in the sector.
https://vetmindmatters.org/resources/free-online-compassion-course-for-veterinarian-mental-wellbeing/
The broached bottle must be kept refrigerated between 20C and 80C until the next use.
Virbac says that whilst this may not seem a huge change, it significantly increases the cost-effectiveness and convenience to farmers.
The SPC changes mean that
Bovigen Scour is available in 5 and 30 dose bottles.
The five-minute survey includes questions on the number of otitis externa cases seen in practice, consultation times, common compliance issues, cytology uptake and client behaviour change frameworks.
Completed entries will be entered into a draw for a Fortnum & Mason hamper worth £100.
Charlotte Hill, brand manager at Dechra said: “The otitis externa in dogs survey will provide us with valuable insight into vets’ experiences of the condition.
"It will also allow us to identify any trends that may exist to help us improve how we as a profession approach otitis externa, while supporting owners when treating the condition which can be frustrating to manage.
https://forms.office.com/e/J7frrbL56A
Eukanuba's Longevity Council has published a new video in which the panel of experts offer their thoughts about how veterinary surgeons can educate clients about helping their pets grow old gracefully.
The video includes contributions from the following council members, discussing things like preventative medicine and the importance of good diet/body weight and exercise:
watch?v=JRjCWhnGaGY
The Vet Futures Action Plan included a series of 24 work-streams to be completed over five years (2016-2020), building on the six core themes of: animal health and welfare; veterinary professionals’ wider roles in society; the health and wellbeing of veterinary professionals; diverse and rewarding veterinary careers; sustainable businesses and user-focused services; and leadership.
Vet Futures reports that over the last twelve months, key activities have included:
VN Futures
The VN Futures project (Action X of Vet Futures) isolated six ambitions to achieve by 2020, with the shorter time-scale reflecting the faster rate of both turnover and training for veterinary nurses.
A number of development groups have been created, focusing on each of these ambitions and creating specific actions to ensure their completion. Of these:
RCVS President, Chris Tufnell said: "When we launched Vet Futures back in 2014, the scope of the project seemed daunting and some were sceptical of our ability to succeed. However, through a robust process of evidence-gathering, analysis, action planning and now taking action itself, we are starting to make an impact on some of those core areas that are so fundamental to the future of our profession, such as animal welfare, technology, veterinary skills and knowledge, and leadership.
"Our Action Plan set out a five-year timeframe and we have made some really excellent progress in year one. This will form the foundation of work yet to come – although it remains important to ensure we scan the horizon for new issues that will have an impact on the profession, navigating our way through challenges as they arise."
BVA President Gudrun Ravetz added: "The excitement was palpable at the Vet Futures Summit last year and it spurred us on to roll up our sleeves immediately to start working on the Action Plan, and so a lot has been achieved already.
"Many of the actions are interlinked and so BVA, RCVS and the VSC are working closely together to oversee their delivery, but we have been particularly pleased at the high level of engagement and enthusiasm from others. The success of Vet Futures will be in the profession coming together to bring about the changes we need for a sustainable future.”
First opinion practices can refer dogs and cats for routine echocardiography, ECG analysis and full cardiac work-up. In addition, orthopaedic and neurological cases referred with a pre-existing murmur, arrhythmia or cardiac condition will also benefit from screening at the centre.
Andrew was awarded the ECVIM-CA diploma in Small Animal Cardiology in 2013 and brings with him a wealth of experience from both referral practice and the pharmaceutical industry. He said: "I am delighted to be joining the expanding team at Hamilton Specialist Referrals. The desire for the team to provide patients, clients and staff with the best experience possible is close to my heart and I'm looking forward to being a part of that journey."
Director, orthopaedic surgery specialist Michael Hamilton, said, "We're excited to welcome Andrew to the team. His expertise and experience will be invaluable for providing a comprehensive cardiology service, not only to our referring practices, but also for our existing caseload where a cardiac problem is suspected."
For more information, visit: www.hamiltonspecialists.vet.
All MsRCVS were set an email with a voting link and a unique voter code.
The College says it will be writing to the few vets for whom it has no unique email address with further instructions.
There are 14 candidates standing this year and you can now cast your votes for up to three of them by 5pm on Friday 26 April 2024.
The candidates are:
The full biographies and statements for each candidate are available to read at www.rcvs.org.uk/vetvote24 where each candidate has also answered two questions of their choice submitted by members of the profession.
The three candidates who receive the most votes will take up their four-year terms on RCVS Council at the Annual General Meeting on Friday 5 July 2024.
Any vets who have not received their voting email should contact CES directly on support@cesvotes.com.
Royal Canin has launched a new Skin Care family of dermatological diets, designed for the nutritional support of skin function in dogs with dermatosis unrelated to food intolerance or allergy.
At the same time, Royal Canin has also launched DermAlliance, a campaign to improve skin care knowledge in general veterinary practice. The 2011/2012 DermAlliance campaign will include educational initiatives such as free CPD webinars, a training roadshow, case study collaborations and competitions to win skin disease reference materials.
Gudi Stuttard BVSc MRCVS, Royal Canin's Veterinary Support Manager, said: "The Skin Care diets (available for adult dog, adult small dog and junior small dog) offer veterinarians a proven1 option for the nutritional management of dogs with common skin problems.
She added: "The large volume of skin cases we see in general practice necessitates a certain level of expertise in small animal dermatology and we believe our new Skin Care range, coupled with the creation of our dedicated DermAlliance educational campaign, will help promote greater clarity in an often confusing clinical area."
According to Royal Canin, Skin Care diets help in the nutritional management of dogs with reactive skin; they contain a patented complex to help maintain the barrier effect of the skin and high levels of essential fatty acids to help support healthy skin reactions. They also contain a synergistic complex of antioxidants to help support natural defences, and nutrients to help maintain a healthy digestive system and contribute to good oral health.
Reference
1 In a multi-centre trial on 47 dogs, the average CADESI (canine atopic dermatitis extent and severity index) score of all dogs improved by a factor of three over three months of being fed Skin Care exclusively. Average CADESI scores increased again after dogs returned to their original diets.
International Cat Care (formerly the Feline Advisory Bureau) is once again raising the issue of cats accidentally poisoned by dog flea products containing permethrin.
The charity is undertaking a campaign to warn owners of the dangers of using dog flea products on their cats because cats are still dying unnecessarily. While the incidents outlined here occurred in the UK, previous reports have shown that this is the most common cause of poisoning of cats in many countries because products are widely and easily available.
Gary Rutland RVN DipAVN(Surgical), Head Nurse and Cat Advocate at the Cat Friendly Millennium Veterinary Practice in Essex was moved to get in contact with International Cat Care after the death of a nine-week-old kitten treated with a permethrin-containing dog spot-on bought at a local pet store. Understandably, both the owners and the practice staff were greatly distressed. The owner used it on her dog and, because it was cheap, assumed it would 'not be strong' and would be fine to use on the kitten. A video of the kitten on the ICC website (www.icatcare.org/permethrin/cat-deaths) shows the resulting seizures.
The second incident concerned two 7-year-old cats treated accidentally after Donna, their owner, bought a dog spot-on containing permethrin from a local shop without wearing her glasses. Someone had placed a dog treatment among the cat treatments and she picked it up. No advice was given to Donna in the shop. She said that the flea treatments were on the shelves, 'just like selling smarties in a children's candy store'.
Although both products had a warning on the packaging, this was either not seen or not taken seriously enough because such products are so freely available and nobody thinks that a drop of a dog product could kill their cat.
International Cat Care is demanding that dog spot-on flea products containing permethrin should not be available without verbal advice at the point of sale. Currently these products are categorised by the Veterinary Medicines Directorate (VMD) in the UK as AVM-GSL, which means that they can be bought directly off the shop shelf without the need for advice. The charity says they should be recategorised as NFA-VPS so that they can only be purchased if there is someone in the shop who is suitably qualified to speak to and advise the buyer. The shop should advise that they are only for use on dogs, and ask if there are any cats in the home which could come into contact with a recently-treated dog. The owners can then be warned to keep the dog and cat apart, or advised to use a different product. Advice must be given with some other current non-permethrin containing spot-on products sold through pet shops under the NFA-VPS authorisation and many of these products have a much safer profile if used accidentally on cats, than those containing permethrin.
Dr Andy Sparkes, Veterinary Director for International Cat Care, said: 'Many practices see permethrin poisoning in cats several times a year but do not contact the VMD because the product is not a POM or they feel that the Directorate already knows about the problem. We feel strongly that the problem is greatly under-reported. Nothing will be done unless the full extent of the problem is realised by the VMD, so please report each one by going on the website at https://www.vmd.defra.gov.uk/adversereactionreporting/. These cat deaths are totally preventable - you can sign our petition at www.icatcare.org/permethrin/petition to change the categorisation.'
The charity is also asking the pet trade to voluntarily class these dog spot-on products containing permethrin as NFA-VPS and to provide advice to their customers accordingly. Pets at Home is working with International Cat Care and the company will be adding a till prompt so that the product cannot be sold without customers being asked whether they have a cat and given appropriate advice.
Maeve Moorcroft, Head of Pets at Pets at Home which earlier this year launched its Flea Fight Force said: 'We take the risk of permethrin poisoning in cats very seriously. We are introducing prompts at our tills so that customers are asked during the checkout process if they are aware of the risk to cats in the home when purchasing a permethrin based spot-on dog flea treatment, and also advised to wait at least 72 hours after treating the dog before the dog and cat can come into close contact.'
International Cat Care is urging veterinary practices to ensure that if concentrated permethrin-containing spot-on products are prescribed and dispensed for use on dogs, adequate warnings are given, including when owners come in for repeat prescriptions. Asking if there is a cat in the house each time a product is dispensed is critical in case a cat has recently been added to the home.
Information on the veterinary treatment of permethrin poisoning cases can be found on the ICC website at www.icatcare.org/permethrin/vet-info
A survey conducted earlier this year by Novartis Animal Health1 has shown that owners of dogs diagnosed with atopic dermatitis want to learn more about the condition after their veterinary consultation.
When asked about what would help them understand and cope with their dog receiving a diagnosis of atopic dermatitis, 42% of dog owners said that they want reliable information about the condition on the Internet that they can read at their own pace. 27% said that hearing or reading about case studies of dogs that were diagnosed with atopic dermatitis would be a source of help and reassurance.
That isn't to take anything away from the importance of the relationship between owner and vet: 49% of respondents said that having enough time to discuss everything with their vet is the most important thing following a diagnosis of atopic dermatitis.
However, the reality of busy small animal practice means that some vets are apparently finding themselves short of time, with 62% saying that they would like to have more time in consultations to explain the diagnosis fully.
To support both vets and owners, Novartis has produced a range of education materials available at www.itchfreepet.co.uk. They include information about a variety of skin conditions in dogs and cats, including causes, clinical signs, diagnostics and treatment options, which can all be used to support recommendations made during consultations.
Novartis says it is also continuing to support vets with the 'Comfort Club' scheme, through which owners get the 2nd, 6th and 12th month of Atopica treatment free of charge. The club also allows clients to try other dermatology products that might help their pet's condition free of charge, including shampoo, EFA's and specialist diets.
Ricardo Garvao, category manager at Novartis said: "By providing reliable information and tools to help re-iterate and expand on the information given to owners by their vets, we hope to help both parties make the most of the face to face time that they have with each other. Ultimately this will strengthen the vet-client relationship, which can only improve long-term clinical outcomes.
"Good client education is vital, demonstrated by the fact that nearly a quarter (23 per cent) of pet owners that admit to giving up on their vet's advice claim that this is because they haven't understood it. A large part of the trust building process is being able to recommend a management strategy with proven efficacy and safety data for long-term use, such as Atopica. Atopica has been keeping dogs with atopic dermatitis comfortable for a decade due to its proven ability to safely provide long-term reduction of pruritus and skin lesions associated with the disease, as demonstrated by the recently published independent paper 'The use of ciclosporin: a decade of experience in veterinary dermatology."