A new study1 published in the Equine Veterinary Journal's (EVJ) special American Association of Equine Practitioners supplement has concluded that maggots can play an integral role in modern veterinary care for a variety of wounds in horses.
The study assessed the efficacy of maggot debridement therapy in a diversity of equine lesions and found that the method was beneficial in 93% of cases.
Maggots have been used for the treatment of wounds for hundreds of years. Freshly emerged, germ-free larvae of the common green bottle fly are usually used for the purpose. Their wound-healing action is attributed to a debridement effect, an antiseptic effect, a direct effect on cytokine and cell proliferation involved in wound healing and breakdown of biofilm formation. Maggots also destroy and digest bacteria and may also be beneficial in the fight against multi-drug-resistant bacteria such as MRSA.
The study involved the retrospective analysis of 41 horses with various lesions including foot injury, limb laceration, soft tissue abscesses and musculoskeletal infection. Depending on the type, size and location of the wound the maggots were applied either in direct or indirect contact. In some cases a second maggot application was necessary to reach the desired level of healing. Debridement, disinfection and healing occurred in all but three cases, in less than a week. Of the three that did not respond two were complicated by the presence of tumours and one by pre-existing damage to the underlying bone.
Olivier Lepage of the University of Lyon, who led the study, said: "These results show that maggot debridement therapy potentially has an integral place in modern veterinary wound care. It can be used to treat many types of lesions, although not those involving tumours or bone sequestration. Associated high costs present a limiting factor but maggot debridement therapy should certainly be considered for lesions that fail to respond to conventional methods."
Professor Celia Marr, Editor of the EVJ, said: "Horses often suffer from non-healing wounds, particularly in the limbs where the skin is under continuous movement and there is very little subcutaneous tissue. Although at first glance this study might seem counter-intuitive and we might think of maggots as being the last thing one would want on a clean wound, it shows that maggots can be an effective way to clear damaged tissue and this is an important adjunctive approach in equine wound management."
1The use of maggot debridement therapy in 41 equids OM Lepage, A Doumbia, MF Perron-Lepage and M Gangl. EVJ ISSN 0425-1644 DOI: 10.1111/j.2042-3306.2012.00609.x
The study is published by Wiley-Blackwell and can be accessed at http://onlinelibrary.wiley.com/doi/10.1111/j.2042-3306.2012.00609.x/abstract
Feline charity International Cat Care (the charity formerly known as FAB) has teamed up with Digital Photographer and Your Cat magazine to launch a photography competition, 'Picture Purrfect Cats', which they are asking veterinary surgeons and nurses to help spread the word about.
The charity, which undertakes feline welfare projects across the globe, is looking for exceptional images of cats, celebrating their unique appeal under the following categories:
The winner will be chosen by a panel of judges including International Cat Care CEO Claire Bessant, Digital Photographer editor, April Madden, and Your Cat magazine editor Sue Parslow.
The first prize is a weekend safari break for two at Port Lympne Wild Animal Park, Kent, which includes tented accommodation overlooking a watering hole where a variety of African animals, such as zebras, giraffes and rhinos drink - offering plenty of magical photo opportunities. The winner also will be invited to attend International Cat Care's annual event at Altitude 360 in London, where their photograph will be exhibited and they will be presented with their prize.
International Cat Care CEO, Claire Bessant, said: "They say a picture conveys a 1,000 words, so we are hoping for some high quality images which shout to the world about the beauty of cats, and therefore why it's important to ensure they are looked after properly. Our welfare projects are international, working with both owned and unowned cats, pedigrees and moggies. We've reflected this in our categories and are hoping for some very varied entries. Please visit our Facebook page and enter or have a look at our growing gallery of feline photographs and vote for your favourite."
Runners up from each category will receive a framed A3 print of their winning photograph, along with official merchandise from the charity. Young photographers, ages 12 - 17 years, can win a Samsung Galaxy Smart WiFi Compact Digital Camera.
You can help support the competition by tweeting or e-mailing this link to your clients: www.facebook.com/internationalcatcare. Alternatively, add it to your practice website or your newsletter. It'll be fun if one of your clients wins.
The deadline for the competition is 16th August 2013.
In the 15 minute podcast, Carolyn Kyte, a vet in general practice, talks to Natalie Barnard, a veterinary dermatology specialist from Highcroft Referrals, and together they share their experience of the challenges of treating animals with otitis and explain why owners play a important role in successful treatment of the condition.
Dechra Brand Manager Carol Morgan said: “Otitis is very common, particularly in dogs, but there is no ‘quick fix’ when some underlying factors are causing the problem. This can lead to frustration for the pet’s owners and animals not getting the consistent treatment they need to get better.
“What Carolyn and Natalie bring to the table with their new podcast for the Dechra Academy is a light and insightful discussion about communication and education being the keystone for better otitis outcomes and how vets can improve on their consultation skills to handle cases better.”
The otitis podcast is here: https://academy.dechra.com/learn/course/internal/view/elearning/1034/think-differently-about-otitis
Veterinary surgeons Lewis Grant and Professor Quintin McKellar have joined Dr Lydia Brown in the New Year's Honours List.
Mr Grant, former veterinary manager in the Meat Hygiene Service, Food Standards Agency and animal welfare representative of the Veterinary Public Health Association (VPHA) was awarded an MBE. Professor Quintin McKellar, Principal of the Royal Veterinary College has been awarded a CBE for services to science.
BVA Honorary Member the Earl of Selborne was also recognised with a GBE for services to science.
Harvey Locke, President of the BVA, said: "On behalf of the BVA I would like to congratulate Dr Brown, Lewis Grant, Professor McKellar and Lord Selborne on their fantastic achievements. These national honours underline the importance of veterinary medicine."
The RCVS has announced that those veterinary surgeons who wish to gain the middle tier RCVS Advanced Practitioner status will have extra time to do so this year.
The status, which was launched last August, recognises those veterinary surgeons who can demonstrate knowledge and skills beyond their initial degree in a designated field of veterinary practice. This year the application process, which opens today, will end on Friday 30 October, meaning that veterinary surgeons will have over four months to submit their application, compared to less than three months last year.
Christine Warman, Head of Education at the College, said: "Following on from the great success of our first ever application process last year, in which some 640 vets applied of whom 575 were successful, we have decided to lengthen this year's application window. We hope that this will allow prospective applicants extra time to consider and make an application."
Applications received in June and July will be considered by the Advanced Practitioner Panel and, where successful, ratified by the RCVS Education Committee in October this year, which may result in an earlier listing for successful applicants. Successful applications received in August, September and October will be ratified at the Education Committee's February 2016 meeting.
This year veterinary surgeons will be able to make an application for Advanced Practitioner status through the online 'My Account' area on the RCVS website (www.rcvs.org.uk/login). The fee payable on application is £80 and the RCVS can also now take payment online.
Details of the application process, eligibility criteria, eligible qualifications and fee information, as well as a list of designations, can be found in the Advanced Practitioner Applicant Guidance Notes document which is available to download from www.rcvs.org.uk/advanced
Those who are interested in applying can also contact Duncan Ash, RCVS Education Officer, for an initial discussion on 020 7202 0703 or d.ash@rcvs.org.uk
Kruuse has announced that it has entered into an agreement with Henry Schein Inc., under which the American supplier of veterinary, dental and medical healthcare products and services will acquire a majority shareholding in the company.
Under the agreement - the financial details of which are not being disclosed - the Kruuse family will retain the remaining shareholding and work with Henry Schein to accelerate global expansion of the company.
Kruuse and Henry Schein have already been business partners in the marketing and distribution of animal healthcare products. Kruuse says it expects the deal to create significant growth prospects, particularly for its own products and brands which will in the future be included in Henry Schein's offering to its animal health customers.
Chairman of the Board of Kruuse, Peter Eriksen Jensen said: "We are very pleased with the agreement with Henry Schein, which fulfills our wish to find a strong investor to support our efforts of creating an attractive future for our company. We complement each other extremely well - and the partnership provides us with a much broader platform to market our products. In Henry Schein, we will get an ideal partner to realize our ambitious growth strategy."
Kruuse's CEO, Jesper Smith said: "It is very important to us, that we and our new owner have a mutual understanding of the values and customer-centric focus on quality and services which have guided us throughout Kruuse's 119 years' history. We will continue this approach under our new ownership, making sure that our employees, customers, and suppliers continue to experience all the benefits of Kruuse - now in an even stronger set-up and with new, exciting prospects for the future."
The collection draws together a selection of materials, including chapters from BSAVA Manuals, articles from Companion, webinars and Congress lectures.
The collection is divided into four areas: general information, client communication, client support and practitioner support. It includes things like:
Julian Hoad, Chair of the BSAVA Publications Committee said: “Death and taxes are the only two certainties of life, according to Benjamin Franklin! Our pets don’t have the worry of taxation but managing the end of life for them is something that all owners must face. It is probably the most challenging part of our veterinary work also – managing the emotional, sometimes highly charged, aspect of the situation, whilst maintaining an objective focus on the patient.
"This new collection provides a handy resource for this important area of veterinary practice. The collection will enable the recent graduate to gain confidence in dealing with these cases; tips for improvement that even the more experienced clinician will find useful are also included.”
The collection can be accessed via the BSAVA Library https://www.bsavalibrary.com/content/end-of-life---introduction at a cost of £20.00 for BSAVA members or £45.00 for non-members.
Following two postponed hearings and a stayed Judicial Review, the Disciplinary Committee of the Royal College of Veterinary Surgeons last week accepted a wide-ranging 18-month programme of undertakings from a veterinary surgeon found guilty of serious professional misconduct, to address his "serious deficiencies" and "practice failings".
In October 2006, Mr Joseph Holmes MRCVS, of the Waltham Veterinary Clinic near Grimsby, was found guilty of serious professional misconduct for performing inappropriate and out-of-date veterinary treatment. Judgment was postponed for a period of two years subject to conditions that were put in writing and agreed by Mr Holmes.
The hearing resumed early, in February 2008, as Mr Holmes had deliberately ceased to comply with these conditions in the hope of forcing an appeal against the Committee's original finding of serious professional misconduct.
At the resumed hearing, Mr Holmes was told there was no legal framework for such an appeal (only against a sanction of suspension or removal from the Register) and that he would be subject to an 18-month period of compliance with the conditions set out at the original hearing; he was also invited to propose a programme of continuing professional development (CPD) and other undertakings for that period.
As Mr Holmes then applied for a Judicial Review of the Committee's decisions, this programme was never proposed. However, at the Royal Courts of Justice in October 2008, Mr Holmes' application for Judicial Review was stayed, by mutual consent, allowing for the DC hearing to be resumed and for him to offer undertakings for the Committee's consideration.
At last week's hearing, the Committee reminded itself of the original four findings of serious professional misconduct against Mr Holmes, which, in each case, it had stated would "be viewed by reasonable and competent members of the veterinary profession to be deplorable...and far below the standards that members of the public were entitled to expect."
In relation to these findings, the Committee was particularly concerned about his deficiencies in the fields of orthopaedics, oncology, radiology and therapeutics and considered that his future CPD should specifically address these areas.
Consequently, Mr Holmes agreed to an extensive range of undertakings over an 18-month period, including: participation in the RCVS Practice Standards Scheme (including two inspections); keeping abreast of changes to the RCVS Guide to Professional Conduct; 105 hours of standard and additional CPD; proofs of purchase of up-to-date text books and journal subscriptions; and six-monthly progress reports to the Chairman of the Committee.
Brian Jennings, Chairman of the Committee, said: "The Committee considers that the undertakings in the form that you have offered to it, if fulfilled by you, will serve to ensure that there will be no repetition of the conduct which resulted in our original findings and serve to ensure that animals and the public will not be put at risk.
"We trust that you will enter into these courses with the right mind-set and find that at their conclusion, these tasks have been of advantage to your practice."
Pedigree® has announced the launch of national Oral Care Month, which will take place during March 2010.
Recognising that canine periodontal disease affects over 80% of dogs in the UK, yet with only 2% of owners following a regular oral care regime for their dog, Oral Care Month will seek to encourage owners to visit their veterinary practice for free dental check-ups.
The company says the initiative will be supported with a wide range of marketing material for practices, including striking waiting room posters, leaflets and free Pedigree DentaStix samples. A far-reaching national press and TV advertising campaign will also take place leading up to the campaign to encourage existing and potentially new clients to seek advice from their vet.
Pedigree's oral care expert, Dr Marie-Louise Baillon says that most owners simply aren't aware that four out of five dogs over the age of three are likely to have gum disease. "We've found that around 90% of owners rate their own dog's teeth and gums as being either good or perfect. What our campaign is aiming to do is educate owners to look out for the telltale signs, such as bad breath, which many will often wrongly accept as being normal, or bleeding and inflamed gums."
Practices can sign up to Oral Care Month from 1st January at: http://www.oralcaremonth.co.uk/.
Promotional materials will be sent to registered surgeries in the New Year. All practices that sign up will be listed on the campaign's consumer website so that dog owners can easily find their nearest participating vet.
All registered Oral Care Month practices will also be entered into a free prize draw. Prizes include a dental X-ray system worth £2,500, 25 free places on next year's 'Improving Periodontal Health' autumn lecture tour and 50 periodontal probes.
Novartis Animal Health's year long campaign to drive pet-owner awareness of the importance of worming pets regularly got off to a rather damp start in London today, with 63 people in doggy suits - mostly company employees I gather - running around the capital accompanied by two 'pooch vans'.
The 'Worm Patrol' team will be visiting veterinary practices over the summer to help promote, set up and run Pet Worming Awareness Days and attend practice open days. Veterinary practitioners will have access to the Worm Patrol support kit including the branded pooch van, Chewy the dog mascot and a worm patrol ambassador. Additional support will include educational leaflets for owners, giveaways and waiting room materials.
Maggie Fisher, Chairperson of the European Scientific Counsel for Companion Animal Parasites is backing the campaign. She said: "Raising awareness of worm control throughout the life of cats and dogs is important, particularly when it is reported that 80 percent of children kiss their pet and 21 percent let them lick their fingers after sharing food. While the risk may be relatively low, the consequences can be serious, especially in children.
"It's important that pet owners take responsibility for their animals and we are pleased that initiatives such as the Worm Patrol and 'Pet Worming Awareness Days' will help practices highlight the risk that endoparasites pose to humans and companion animals in a novel and light-hearted way."
To arrange for the Worm Patrol to visit to your practice, or for further information about setting up a Pet Awareness Worming Day, please contact your Novartis Animal Health Territory Manager or Novartis Animal Health UK Ltd on +44 (0)1276 694402.
The Animal Health Trust has cut the first sod of a new cancer centre for animals in Suffolk.
The AHT's Cancer Centre will provide all three treatment options: surgery, chemotherapy and radiotherapy, on one site. The cancer facility is being purpose-built to treat horses, dogs and cats.
Sue Murphy, Head of Clinical Cancer Treatment at the AHT, said: "Having all three treatment options on one site means that whatever the diagnosis, we will be able to offer each and every patient the very best options for their specific case. With one in four dogs and one in six cats developing cancer at some time in their life this new centre will help many more animals - from Suffolk, East Anglia and all across the UK."
The new centre will also further research into cancer. Treating animals with all types of the disease will enable the AHT's vets and scientists to expand current knowledge about cancer. This will help with the development of new ways to diagnose and treat the disease.
Vets and scientists at the AHT already work collaboratively with cancer researchers looking at the disease in humans. There are a number of links between human and animal cancers which have already been identified. It is hoped that knowledge gained from the AHT Cancer Centre may also help in the understanding of cancer in people.
The AHT hopes the building will open in summer 2012 . It is launching an appeal to raise much needed funds to equip the centre with a linear accelerator. This piece of specialist equipment works by delivering high-energy radiation beams to break cancerous tumours down while sparing the surrounding normal tissue.
The AHT Cancer Centre will be one of only six veterinary facilities in the UK to house a linear accelerator.
Sue Murphy added: "Currently, there is no way to tell which animals will, and which animals won't, develop cancer. It could happen to any animal at any time. This new centre will give more animals a fighting chance of beating the disease, enabling them to lead long and healthy lives. The fact that treatments developed to benefit our pets may also lead to improvements in the prevention and treatment of cancer in humans makes this centre all the more important.
"I would urge you to donate whatever you can to help equip the centre. Your donation, however large or small, will help many more animals beat cancer and it may also help in the fight against cancer in people."
If you would like to make a donation to the AHT Cancer Centre please visit www.aht.org.uk or telephone 01638 555648.
Alternatively you can make a £5 donation by textingVETS24 £5 to 70070
The BSAVA has released a statement in support of the television programme Pedigree Dogs Exposed - three years on, made by Jemima Harrison. The programme was broadcast earlier this week on BBC4 as a follow up to a documentary which was first shown in 2008.
BSAVA President Andrew Ash said: "Jemima Harrison has highlighted an important issue. It is essential that veterinary surgeons, dog breeders and the general public no longer accept that breeding for extremes of conformation or knowingly from animals with inherited disease is an acceptable practice. The programme highlighted two main areas of concern, firstly the small genetic pool that exists in many breeds and secondly continued breeding for extremes of body shape. Both these areas must be addressed urgently. A civilised nation must agree that it is not acceptable to breed dogs that cannot function as dogs."
He went on to say that: "BSAVA supports the health schemes that are now available to owners as steps in the right direction. However it is difficult to believe that health schemes are going to be sufficient in themselves to tackle these problems rapidly and effectively. It is particularly perverse to be promoting health schemes and yet continuing to allow the registration and showing of progeny with Coefficients of Inbreeding as high as 47.5% or where the animal concerned is known to have failed a screening test (significant in that breed)."
Vice President Mark Johnson said: "We are supportive of the changes that the Kennel Club has made so far, and applaud them in allowing the introduction of new genes into certain breeds as demonstrated by the registration of the LUA Dalmatian. I support the introduction of the "Mate Select" scheme (link) but believe that the Kennel Club should adopt the Advisory Council on Welfare in Dog Breeding recommendation and not register puppies with a coefficient of breeding (over 5 generations) greater than 12.5%."
The BSAVA says it supports the BVA in its call for a radical review of all breed standards to ensure that they actively protect the health and welfare of the dog. However it is important to remember that inherited disease is not just a problem of purebred dogs and BSAVA supports the introduction of legislation that seeks to improve the health and welfare of all dogs.
Northumberland vet Rory Thomson from the St Clair veterinary practice in Blyth reports that he's been able to release an injured seal back into the North Sea, thanks in part to donations of fresh fish from Tesco and Asda which kept her well-fed during her recovery.
Rory is a volunteer Marine Mammal medic for the British Diver and Marine Life Rescue (BDMLR) charity and was called to help the seal, named Primrose Possum, when she was found lying on Blyth beach on 3 April. A volunteer medic called to check her noted that there was something wrong with her right eye and arranged for her to be taken to a vet in North Shields for initial treatment. She was then transported to St Clair in Blyth on 8 April.
Rory said: "When I examined her, I could see that her right eye was enlarged and cloudy. I began a course of treatment and arranged for a veterinary ophthalmologist to exam it. Sadly he determined that it was blind but seals can manage perfectly well with one eye and, once I'd treated the infection, it was no longer causing her pain. We released her back into the sea on 15 April at St Mary's Lighthouse where BDMLR volunteer medics can watch over her for the first few weeks."
He added: "Seals can be aggressive when on land so we had to be careful but Primrose was generally very well behaved and enjoyed free run of our isolation facility. During her stay she devoured more than 2.5 kg of fresh fish every day - with whole fresh herring and mackerel her favourite. We are grateful to Asda and Tesco for providing much of this for us free of charge. Now that she's recovered, we hope she'll live a long and happy life, most of it under the sea!"
More information on the work of British Diver and Marine Life Rescue is available at www.bdmlr.org.uk.
Guidelines on the examination of rams for breeding have now been officially updated, thanks to the pooled expertise of delegates at a recent Sheep Fertility Workshop, sponsored by Ceva Animal Health, the Sheep Veterinary Society and EBLEX-AHDB.The previous Sheep Veterinary Society guidelines on the examination of rams for breeding were drawn up in 2007. However, the society says that to date, there has been considerable variation in the practice of ram fertility testing amongst sheep vets across the country.
The Sheep Fertility Workshop, which was held in Edinburgh in June 1014, brought together veterinary experts and scientists to discuss the provision of a comprehensive, evidence-based, best practice protocol, with clear recommendations for practitioners on the assessment of rams.Dr Fiona Lovatt, senior vice president of the Sheep Veterinary Society and director of Flock Health Ltd, who coordinated the workshop, said: "The outcome of some active debating was the recognition that various elements of the guidelines needed to be updated in line with currently recognised best practice. One thing that is really essential is that the practising vet is clear as to the reason for the ram PBE and carefully considers how to communicate the findings and their limitations to the ram's owner."
The updated guidelines cover three levels of ram pre-breeding examinations (PBE):
Carol Atkinson, Ceva's reprodAction range marketing manager, said: "We are proud to have supported the workshop, the outcome of which has been some valuable modifications to the guidelines. We now have a robust, practical benchmarking system in place to help ensure consistency of ram fertility and flock health and development."
The workshop was funded by the Sheep Veterinary Society, Ceva Animal Health and EBLEX-AHDB, with contributions in kind from Innovis, Zoetis and Novartis Animal Health.
The guidelines are available to all members of the Sheep Veterinary Society and can be downloaded from www.sheepvetsoc.org.uk, together with two further forms that are available following appropriate training: SVS Ram PBE data collection and SVS Ram certificate. The Sheep Veterinary Society will be holding a series of CPD days for practitioners in advance of next year's breeding season. Further details will be posted on the website shortly.
Compassion Understood, a new company set up to provide veterinary staff with training in how to help clients deal with pet loss, and provide owners with a new information resource on the subject, launched at BSAVA this week.
The new service has been set up partly in response to a survey which showed a disparity between what veterinary professionals think clients need in relation to euthanasia and what they actually want.
The research1 showed that 60% of owners felt their vet handled the euthanasia of their pet very well, leaving 40% who had a clear desire for veterinary staff to understand more, to help prepare them better for their loss, and to signpost where they can access more support if required.
Compassion Understood Managing Director Douglas Muir said: "Our research showed that 70% of veterinary professionals felt that further training in supporting clients through pet loss would be beneficial, and only 35% of vets felt well-equipped to answer questions from pet owners about the right time to say goodbye.
"This, coupled with a very clear need for more support expressed by the owners in our surveys, led me to see that there was a double need: more training was needed in end-of-life for the practice team, on communication as well as clinical aspects of end-of-life; also some kind of resource was needed for pet owners, so they could access clear and helpful information.
"There are some very good support sites out there, but the information is quite fragmented and not easy to find. We wanted to pull everything together in one place and from there we could signpost them to where to get further help if needed. And so Compassion Understood was born, to help veterinary practices, and pet owners."
The new Compassion Understood Pet Loss Support Training programme has been put together with the help of end-of-life and hospice vet Dr Susan Gregersen. She said: "Speaking to colleagues in the many practices we collaborate with, I’ve learned just how many feel inadequately prepared. They’re unhappy that they’re short of time – and sometimes skills – to do a good job when an often-distraught client needs them most. But if a client is left with bad memories at the end of life, they may not return to the same practice with another pet; as we know, about 1 in 5 do not¹."
The programme includes modules covering the clinical aspects of assessing quality of life, decision-making around end-of-life, pre-euthanasia preparation, and palliative and animal hospice care. Other aspects covered are the emotional and psychological aspects of losing a pet, as well as how to protect the practice team from compassion fatigue or emotional depletion.
The training programme is fully online, and can be completed at the learner’s own pace. The learning approaches and delivery have been overseen by educational expert, Dr Jenny Moffett previously of the University of Surrey, herself a veterinarian with a keen interest in communication and pet loss support.
Susan said: "Vet school training on end of life and euthanasia is still sparse, as many vets will agree. I see the online course as being about learning to care rather than to cure, giving vets the confidence and skill to show real compassion while remaining professional."
Reference
Pet Loss Survey, 2015. Compassion Understood. Data on file.
The statement, which can be downloaded here, is supported by a number of people and organisations in both the human and animal sector, including the BVA, Lyme Disease Action, the Blue Cross, Bristol, Nottingham and Surrey Universities.
The guidelines cover:
The statement was coordinated by MSD Animal Health and ESCCAP UK and Ireland in the run up to Tick Awareness Month, MSD's annual campaign coming up in September.
Amanda Melvin, Senior Product Manager, MSD Animal Health said: "The approval of this statement is very timely as we approach Tick Awareness Month. It is a major step forward for the industry by giving all the organisations involved a clear position on the subject. This will allow us to move forward together and tackle some of the issues related to ticks and tick borne diseases, including providing vets with clear practical guidelines for tick control.”
For further information about Tick Awareness Month, contact your MSD Animal Health representative.
Investigation of the relationship between ionised and total calcium in dogs with ionised hypercalcaemia1 was undertaken by Tørnqvist-Johnsen et al. at the Hospital for Small Animals, University of Edinburgh, UK.
Initially, a normal reference interval for ionised calcium, total calcium and albumin, serum and plasma biochemistry was established by analysing samples from 351 healthy adult dogs.
After establishing a reference interval for ionised calcium, the laboratory’s database was searched for adult dogs with ionised hypercalcaemia that had attended the university small animal hospital between 2012 and 2017, a time frame when the same sample handling protocols and instrumentation was in use. The hospital records were searched for patient information and the biochemical parameters statistically analysed.
Of 63 dogs identified with ionised hypercalcaemia, 23 did not have a total hypercalcaemia (37%). 16 of these 23 dogs (70%) had albumin within the reference interval. To summarise the key findings; using total calcium, one third of patients with ionised hypercalcaemia were not identified. There was also no significant relationship between albumin and total calcium in these cases.
Camilla Tørnqvist-Johnsen, lead author of the paper, said: "Hypercalcaemia is a very important clinical abnormality, often revealing severe underlying disease in dogs who do not get idiopathic hypercalcaemia. This study reveals the true importance of doing an ionised calcium measurement when evaluating calcaemic status."
Nick Jeffery, Editor of JSAP said: "This study demonstrates that, if relying on total calcium alone, more than one third of dogs with ionised hypercalcaemia will be classified as normocalcaemic. Furthermore, the study demonstrates that the discordance between ionised and total calcium cannot be routinely explained by a low protein-bound component.
"Whilst reference intervals are key in clinical practice to determine whether a result is an outlier from 95% of a healthy population, it is not inevitable that a patient with an outlying biochemical test result has a clinically relevant disease."
The full article can be found in the April issue of the Journal of Small Animal Practice which is free for BSAVA members. It can also be read online here: https://onlinelibrary.wiley.com/doi/10.1111/jsap.13109
The practice will offer 24/7 care with the same team managing both daytime and out-of-hours emergencies to offer continuity and familiarity for clients and their pets.
Facilities at the practice include heated hospital cages for small mammals such as rabbits and rodents, custom-built vivaria with species-appropriate UV lighting tailored to different reptile requirements and advanced diagnostic and surgical equipment specifically designed for exotic animal care.
Molly said: "We know that exotic pets require highly specialised care and our mission is to provide that expertise with compassion.
"Our entire team is trained and experienced in handling, treating, and advising on a diverse range of exotic species.
"We are committed to providing the highest standard of care for every animal that comes through our doors.”
The practice is now open for new client registrations.
www.theexoticanimalvets.co.uk
With dysentery apparently at its highest level for many years, Pfizer Animal Health has launched a new campaign to help increase awareness of the benefits of selecting the best prevention and treatment options.
Nigel Lodge MRCVS, Pfizer technical manager said: "The increase in dysentery can be attributed to a combination of factors including more frequent movement of weaners and a reduction in the level of feed medication resulting from the increasing use of more vaccines against other disease.
"With the early onset of winter, we know that dysentery will survive outside the pig for up to seven weeks in cold moist conditions and other pathogens for considerably longer."
The campaign is headed by a new guide, 'Enteric Disease Management', which looks at prevention and treatment of the problem, one of the most costly to the producer. Dysentery alone is estimated to cost more than £10 / pig finished considering higher mortality, increased feed costs and non-marketable animals.
The guide says that according to the housing system some of the pathogens have extremely long survival times - three months for E coli, nine months for salmonella and one year for coronavirus (transmissible gastroenteritis). It provides advice on limiting infection and reducing stress on the pigs.
Mr Lodge says that the incidence of dysentery fluctuates in different areas of the country with varying antibiotic sensitivity. Hence, a sensitivity test is essential when deciding on a particular medication.
With enteric diseases in general, there are a wide range of causes - including bacteria, viruses, parasites, management or nutrition. Mr Lodge said: "The causal agent can sometimes be diagnosed from clinical signs, such as dysentery, but generally post mortem and laboratory diagnosis is required.
"There are various antibiotic products which can be used but all should only be used after management issues such as bio security, pen management and rodent control have been addressed.
"Some products are specific in their activity, such as Lincocin Premix and swine dysentery. Others have a broad spectrum of activity and should be used where mixed infections are diagnosed. Linco-Spectin Premix, for instance, is active against E coli, Salmonella, ileitis, swine dysentery and other enteric bacteria."
Copies of the new publication - including a competition to win two prizes of one tonne of pig feed - are available from Pfizer Animal Health via Scott Wheway Tel: 01737 330941 or scott.a.wheway@pfizer.com
Carl Padgett has been elected President of the British Veterinary Association for 2011/2012.
Carl graduated from Glasgow University in 1989 and spent most of his career as a large animal practitioner. He is now a director of Bay Vets Ltd in Lancaster, and has particular interests in cattle health, production and welfare, veterinary politics and the role the profession has to play in the wider livestock industry and the companion animal world.
A former president of the British Cattle Veterinary Association (BCVA) and recent Chairman of Trustees of the BVA Animal Welfare Foundation, Carl has been involved in veterinary politics for over 15 years.
Carl said: "My representative roles for BVA, and prior to that BCVA, have enabled me to understand and realise my interest in the veterinary profession: ensuring the profession has a voice and our place in society is valued.
"Our multi-disciplinary education and training places the profession in a unique position to deliver a healthy future at many levels: representing the health and welfare of animals committed to our care, protecting the consumer by ensuring food safety and security at national and international levels by working within the agricultural world and ensuring public health in a variety of ways. Vets are not just part of the leisure industry making animals better; we fill a much wider role in underpinning society and its contact with animals at all levels."And so to the future. Although we do indeed live in a changing world, many of the challenges we face as a profession continue through from one President to the next, as they span beyond the year-long term of office. Over the last couple of years BVA has made a lot of progress on a number of policy issues and, in some instances, our lobbying efforts have paid off with Government announcements and new legislation reflecting our endeavours. Looking ahead, much of the coming year will be about putting those policies into practice, and that's why the theme of my presidential year will be 'Delivering a healthy future'.
"I am proud and honoured to be elected BVA President to continue serving the membership as part of the BVA Officer team."
Peter Harlech Jones was elected BVA President-elect for 2011/2012 at the same time.
Bayer Animal Health, maker of Tracer microchips, has produced a new video in which Emma Milne and Petlog Executive Celia Walsom consider the implications for practices of the change in the law which will make it compulsory for all dogs to be microchipped from April 2016.
The 15-minute video considers various issues, such as:
The RCVS Charitable Trust, has announced a complete rebranding that includes a change of name - RCVS Knowledge - and the refocus of its mission on supporting the flourishing evidence based veterinary medicine (EBVM) movement across the globe.
For the past 50 years, the charity has been known as a small funder of veterinary research and the home of the only freely-accessible library for the practising veterinary community in the UK.
Nick Royle, Executive Director of RCVS Knowledge said: "RCVS Knowledge is a name that encompasses our three core offerings: historical knowledge represented by our valuable Historical Collection, present knowledge, represented by our library, and future knowledge, represented by the new evidence based veterinary medicine project, which is underpinned by our grants programme."
The RCVS Knowledge re-launch goes further than a mere name change, and comes as the charity refocuses its efforts to become a global intermediary for EBVM, a direction reached following a period of consultation, and on the back of a successful symposium on the subject held at the end of 2012.
Nick, a former CEO of the human evidence based medicine resource, The Cochrane Collaboration, said: "Today, veterinary surgeons and nurses are required to take account of an ever-increasing pool of scientific data, the owners' values and preferences, and their own clinical expertise when making clinical decisions. RCVS Knowledge is ideally placed to generate, collate and distribute this information to support evidence based practices. We aim to develop tools to assist practitioners to quickly make well-informed treatment decisions."
As part of the new direction, the Historical Collection will be made accessible and available online, following a start-up grant from the Wellcome Trust. Clare Boulton, Head of Library and Information Services, said: "The Collection contains priceless and fascinating material, covering topics such as early horse-care and management, veterinary expeditions of discovery through Africa, and research that made the British Cavalry horses of 1914 the finest in the world. But this is just the beginning. If you have relevant experience or some funds that could help us, please get in touch."
Meanwhile, RCVS Knowledge's Library and Information Service will be re-designed to make it much more than shelves of journals, but rather a resource with the capacity to steer first-rate care and innovation, and an information engine capable of driving evidence based veterinary medicine at a global level.
The Grants and Awards program, for which the former RCVS Charitable Trust has been known, will be redesigned to celebrate professional excellence, and to address gaps in veterinary knowledge. Nick said: "We are aware of the responsibilities that veterinary surgeons and nurses face every day and feel we are in a position to support their decision making. We would like to urge every veterinary professional with an interest in EBVM, a curiosity about the history of their profession or a need to access up-to-date research to get in touch, so that we can keep you up to date with developments."
The survey, which was designed to give veterinary surgeons and employers a greater insight in order to be able to attract the highest calibre applicants, was completed by 206 veterinary nurses who described themselves as having recently looked for a job, or actively looking for a job, or could imagine looking for a job in the foreseeable future.
The second most important job attribute cited by veterinary nurses - out of 13 - was ‘pay’, with ‘work-life balance’ in third.
Interestingly, when asked a similar question, veterinary surgeons said ‘pay’ was only the 6th most important factor, perhaps a reflection of the fact that a reasonable salary is more of a given amongst veterinary surgeons than nurses.
The survey also found that only slightly more veterinary nurses are prepared to do out-of-hours work than veterinary surgeons: 58% versus 52%.
Lastly, the survey showed that nurses may be more internet-savvy than veterinary surgeons, with an overwhelming majority (85%) said they were likely to spend most time browsing jobs online, as opposed to traditional magazines (compared to nearly 70% of veterinary surgeons that said the same).
VetSurgeon.org/VetNurse.co.uk Editor Arlo Guthrie said: "The survey was carried out primarily to help practices create recruitment adverts that better meet the hopes and aspirations of candidates, thereby improving response rates.
"I think it provides clear evidence of the need for advertisements to give examples of how you show you value your nurses, such as support for further education, a system which allows their voices to be heard and good ideas implemented, and team-building events.
"And if you pay well, don’t be shy about staying so."
The full survey results can be downloaded here.
Each year, the company invites veterinary surgeons, practice managers and practice principals to enter the competition by telling them what makes their nurse or nursing team outstanding, and deserving of special thanks, at: http://www.glvets.com/thank-a-nurse.asp
In 2016, the winning nomination for an outstanding nurse was Louise Cornford (pictured right) from Withy Grove Veterinary clinic. Her manager said: "Louise works tirelessly in the practice promoting better standards for all our patients and is always around helping the students and advising them on inpatient care. She gives up her own time to come back and nurse overnight patients when clients have difficulty finding out-of-hours care for their pets. She is also a full-time mum to three children. She became a vet nurse as a career change studying whilst caring for the family and then went on to get an additional qualification in critical care."
The winning nurse team last year was from Ribble Vets. Their nomination read: "I would like to nominate my team of hard-working nurses for all the support they give to their colleagues, clients and especially the patients in their care. We have a wide age and experience range within the team and there is interest and expertise in surgical, medical, behavioural, rehabilitation and emergency nursing. Every patient counts and every nurse goes the extra mile on a daily basis. I am so proud of the team and they deserve a little thank you for all those bleary- eyed moments in the early hours dealing with an RTA, GDV, whelping or other emergency. They take it all in their stride - even the farm animal emergencies!"
Is your team, or a member of your team, deserving of a special thanks? If so, nominate them here: http://www.glvets.com/thank-a-nurse.asp
Since 2014 the RCVS has trialled two different ADR services with the aim of helping resolve complaints between animal owners and veterinary practices that do not meet its threshold for serious professional misconduct.
Since October 2016, this has been in the form of the Veterinary Client Mediation Service (VCMS), administered by Nockolds Solicitors. The VCMS is free for both animal owners and veterinary professionals and cases will only be taken with the consent of both parties.
Eleanor Ferguson, RCVS Registrar, said: "We are very pleased that ADR in the form of mediation has received the unanimous support of RCVS Council members as part of the process for handling veterinary complaints.
"Throughout its trial period the VCMS has very much been complementary to our concerns investigation and disciplinary process. While we are bound by statute to investigate concerns, it has allowed our Professional Conduct Team to 'triage' cases, and to signpost complainants either to the College or the VCMS as appropriate. This has allowed greater time and resources to investigate concerns that could constitute serious professional misconduct.
"We also believe that the VCMS is good for both the public and the profession because it encourages both parties to communicate, find areas of agreement and come to constructive solutions, rather than being an adversarial process that assigns blame and adjudicates remedies."
Jennie Jones, a partner at Nockolds Solicitors which administers the VCMS, said: "The service is here to help veterinary clients and practices find a resolution for complaints that cannot be resolved within the practice. Complaints are referred to the VCMS by clients and practices where the relationship has become strained or communication may be difficult. Importantly the service does not look at who is right or wrong, but focuses on finding an outcome that both parties can live with and bringing an end to the complaint.
"In our experience this has ranged from reassuring clients and helping them to come to terms with what has happened, refunding fees, further explanations, apologies, small goodwill payments, securing procedural changes at the practice and agreement by the client to settle outstanding fees which have been withheld because of the complaint.
"We understand complaints are highly emotional and stressful for both parties, so the VCMS team will not ask parties to speak to one another directly. It is also not about assigning blame but is about moving forward to allow both parties to bring the complaint to a conclusion. When we hear from practices and clients alike that they can now sleep at night, or their relief that a complaint is resolved, I know ADR and the VCMS does help and make a difference."
The College says that during the trial period, 165 of the 870 enquiries received by the VCMS went to mediation. Of these, 129 were successfully mediated with the other 36 remaining unresolved. Of the other enquiries 297 resulted in the animal owner being referred back to the practice so that internal complaints processes could be exhausted first, 93 did not progress because the animal owner did not pursue the complaint, 73 were dealt with through advice, 66 did not progress as the practice declined to engage, 76 were outside the service’s remit and 100 are currently ongoing.
Taking into account the overall feedback received from both animal owners and veterinary professionals and the positive responses on the independence and fairness of the VCMS, Council agreed that Nockolds continue administering the scheme, with a review starting in 18 months’ time to take into account experience and learning as the scheme continues to evolve. During the Council meeting statements of support for the VCMS were also heard from a representative of the Veterinary Defence Society (VDS) and an independent consultant on consumer affairs.
A spokesperson for the VDS said: "The VDS assisted over 150 practices that agreed to participate in the ADR trial and developed a constructive working relationship with the VCMS staff. In the vast majority of cases mediation has resulted in a satisfactory outcome with little or no financial consequences.
"The Society considers this voluntary scheme particularly suited to the many client care complaints that are directed at the RCVS due to public misunderstanding of the College’s role, but the investigation of which creates disproportionate concern to the professionals involved. The independent nature of the VCMS has been a key feature of the trial, although access to experienced, non-judgemental, veterinary advice has provided the necessary professional expertise when necessary."
More information about the VCMS and its processes can be found on the service’s dedicated website: https://www.vetmediation.co.uk/
To contact the service directly call 0345 040 5834 or enquiries@vetmediation.co.uk