CVS has announced the official opening of Lumbry Park Veterinary Specialists, a new small animal referral hospital in Alton, Hampshire.
The hospital was officially opened last Saturday by the Town Mayor of Alton during an open day attended by local dignitaries, about a hundred vets and representatives from the veterinary industry and various animal charities. Dr Caner Salih, a consultant cardiac surgeon at the Evelina London Children's Hospital was a special guest.
CVS says it has invested more than £4.3 million to create one of the most advanced, multi-disciplinary specialist veterinary hospitals in the UK. It occupies 1,300 square metres and employs forty people, including nine referral clinicians (seven of whom are boarded specialists), support and admin staff.
Lumbry Park offers a range of advanced diagnostics and treatments for dogs and cats across a range of specialties, including high-field MRI and CT scanning, key-hole surgery, interventional cardiac procedures, and joint replacements. Cardiology specialist Dr Luca Ferasin is Lumbry Park's Clinical Director, reporting to Professor John Innes, CVS' Referral Director.
Simon Innes, Chief Executive of CVS, pictured fifth from left, said: "The opening of Lumbry Park is a proud moment for CVS and the culmination of a huge amount of work by John, Luca and the team involved. They have worked together to create a fantastic environment in which our specialists can offer the highest standard of veterinary care to our patients and their owners and we are delighted to bring their expertise to veterinary practices and their clients right across the South East of England."
CVS Referral Director, Professor John Innes said: "The opening of Lumbry Park marks a major step for CVS in terms of investment in veterinary specialist services and we will work to ensure that it develops an international reputation for the standard of care it provides. The Hospital is easily accessible and has the space and rural setting to provide a professional and pleasant environment for our patients, their owners, and our team. Luca and his excellent team are raring to go and we look forward to welcoming our first patients next week."
Alton Town Mayor Mrs Pam Jones added: "I am delighted that Alton has been chosen as the location for such a prestigious veterinary centre and I am honoured to be asked to open it."
The International Society of Feline Medicine (ISFM), the veterinary division of International Cat Care, has published Consensus Guidelines on the Practical Management of Diabetes Mellitus in Cats to help veterinary teams deliver optimal management for the diabetic cats presented in practice.
The guidelines were produced by an expert panel of veterinary clinicians and academics who reviewed clinical research studies to collate the best available evidence. They've been published in the March 2015 issue of the Journal of Feline Medicine and Surgery (JFMS) and are available to download free from http://jfm.sagepub.com/content/17/3/235.full.pdf+html.
The guidelines focus on the most important aspects of managing diabetic cats including weight control, use of an appropriate diet, insulin therapy (highlighting the value of longer acting insulin preparations) and close monitoring of blood glucose concentrations (including in the home environment).
The ISFM says the guidelines recognise that good diabetic control requires a long-term commitment and one of the keys to success is finding a treatment protocol that best fits in with owners' daily lives. Furthermore, owners may give up on treatment, or even elect for euthanasia of the cat, if the disease impacts too negatively on them and their relationship with their cat. However, with appropriate support and guidance from their veterinary practice, an owner can play an invaluable role in managing diabetes. A well-regulated cat will have a better prognosis and may also be more likely to go into diabetic remission, no longer requiring ongoing insulin therapy.
Among the resources available to assist owners of diabetic cats is a series of short videos produced by International Cat Care (available at http://www.youtube.com/iCatCare) demonstrating blood glucose sampling, insulin injection, and urine collection and testing.
Reference
The WikiQuiz project - a free online question and answer tool which enables vets, vet students and vet nurses to test their knowledge - is now online thanks to £4,770 of funding from the RCVS Trust.
WikiQuiz is a new resource to enable vets and students to structure and direct their learning, and links directly to information on WikiVet, the free research and academic collaboration resource put together by over 40 academics, veterinary surgeons and students from the Universities of Cambridge, Edinburgh and Nottingham, and the Royal Veterinary College (RVC). However, unlike its namesake Wikipedia, WikiVet is designed to be an accurate, peer-reviewed source of information for the veterinary profession and tailored to the undergraduate veterinary curriculum. Some of the material is also of interest to veterinary nurses, in particular those pursuing advanced professional qualifications.
Nick Short, Head of E-Media at the RVC said: "WikiQuiz is purpose-built for vets and students to structure and direct their learning. The questions and answers in WikiQuiz will help vets and veterinary students and work out what topics they might need to study, and link them directly to relevant information published on WikiVet.
"The Wikipedia concept is familiar and popular with students and vets; however, the information on the site can lack quality and relevance", he continued. "In creating WikiVet, we've used the look and feel of Wikipedia - but by making WikiVet available only to veterinary students, surgeons and nurses, introducing a peer-review system and appointing an editorial board to oversee the site, we can ensure the information published is relevant and accurate.
"We are hugely grateful to the RCVS Trust for supporting this project."
Cherry Bushell, RCVS Trust Director said: "Veterinary undergraduates and veterinary surgeons alike need to be able to assess where there are any gaps in their knowledge as part of planning their learning and development. The WikiQuiz resource helps them to do this.
"Using good quality online tools and information can save vets and students valuable time - which is one reason why we chose to support WikiQuiz. The WikiVet project also fits very well with the online Library services provided to vets, veterinary nurses and students by the Trust."
Veterinary surgeons, students and nurses can apply for a free log-in to WikiVet at http://www.wikivet.net/.
Matthew, who holds a European Certificate in Small Animal Surgery, is one of a small group of veterinary dentists in the UK. He has a special interest in the endodontic (root canal) treatment of teeth.
Ray Girotti, Hospital Director at Lumbry Park, said: "The increasing prevalence of oral and dental disease among dogs and cats and its potential to cause significant pain and infection, not just in the oral cavity but within the whole body, highlights the importance of advanced dental care.
"We are delighted to be working with Matthew. He will be accepting referrals for a range of dental problems, including fractured teeth, root canal treatment, prosthetic crowns, fractured jaws, oral tumours and orthodontics.
"In leading our dental referral service, he will work alongside our specialist teams in cardiology, internal medicine, orthopaedics, neurology, diagnostic imaging and anaesthesia to ensure that we are providing a full service and comprehensive approach to the care of our patients."
Matthew added: "I’m excited to be launching a new dental referral service at Lumbry Park. The advanced facilities it offers, including the capability to work with specialist anaesthetists and to utilise the latest in-house 3D CT and MRI imaging equipment, make it a fantastic opportunity and I’m looking forward to working closely with my colleagues to deliver an outstanding dental referral service."
The company has published data from its 2021 Assure Ewe subsidised testing scheme, which found that 48% of farms that submitted samples after last year’s lambing season tested positive for EAE1 caused by Chlamydia abortus.
This, Ceva says, mirrors the results from the 2020 testing initiative, demonstrating that EAE remains a significant issue on UK farms.
Katherine Timms BVetMed (Hons) MRCVS, ruminant veterinary advisor at Ceva Animal Health said: “EAE is a significant problem on UK farms, and it can be exceptionally expensive and frustrating to deal with, as infected sheep aborting and shedding have the potential to cause an abortion storm the following year.
“Any abortion outbreak should therefore be identified and managed as quickly and effectively as possible to help prevent the rest of the ewes in the flock from becoming infected.
"Vaccination and strict biosecurity provide the best protection against EAE and farmers can vaccinate their ewes from five months of age until four weeks prior to tupping, as long as the ewe is not in lamb.”
For further information, contact your local Ceva Animal Health account manager or visit www.enzooticabortion.co.uk.
The device emits low dose 265 nanometre (nm) ultraviolet C light at a targeted area.
In a 2022 in vitro / ex vivo study to evaluate the therapeutic potential of 265nm UVC for infectious keratitis1, UVC was found to inhibit all tested bacteria and fungi, including mixed culture and strains linked to antibiotic resistance.
In the study, no evidence of infection was found from 4 hours onwards, ulcers responded significantly in under 24 hours, and at the end point, those treated with UVC performed as as well as those treated with ciprofloxacin.
Photon Therapeutics says that in simple cases, one five-second treatment will suffice, but more complex cases can be re-treated after 24 hours.
Currently, there are two main barriers to the successful treatment of eye infections in dogs.
The first is the difficulty diagnosing the infection and identifying the right antimicrobial to use, highlighted by a 2017 study: Bacterial Isolates from Canine External Ocular Disease and their Antimicrobial Sensitivities 2.
The second is whether the owner is able or willing to administer a topical treatment.
Here the evidence suggests that even when treatment is possible, people do not comply with clinical advice anything like as much as they claim.
Photon Therapeutics points to what it says is the nearest study there is, in which carers of young children with uveitis did not give the correct treatment in 75% of cases3.
If the device is as effective as claimed, then both these issues simply evaporate.
PhotonUVC costs £4,995.
https://photon-therapeutics.com
VetSurgeon.org product briefing: https://www.vetsurgeon.org/m/veterinary-product-briefing/138134
References
The practical, wet lab, small group and 'Breakfast with a Specialist' programme has expanded to enhance the CPD experience and to meet rising demand, alongside more than 450 lectures for delegates to choose from.
Wet lab sessions, introduced at Congress 2017, will again be held at the University of Birmingham’s Medical School and include topics on cytology, haematology, basic eye surgery, rabbit dentistry and dental radiography for dogs and cats.
'Breakfast with a Specialist' sessions give delegates exclusive access to world-renowned experts to discuss challenging cases informally, in a small group setting: endocrinology cases with David Church on Friday, epilepsy cases with Holger Volk on Saturday and jaw fracture fixation in the dog and cat with Peter Southerden on Sunday.
BSAVA Congress Programme Committee Chair Sue Murphy said: "Responding to the excellent delegate feedback from 2017’s programme, we are increasing the number of practical and small group sessions to enable more delegates to benefit in 2018. These sessions represent excellent, value for money education and a unique opportunity for delegates to practice vital skills with guidance from experts in their respective disciplines.’"
Each workshop or small group is available to purchase when registering for Congress and a full summary of each practical and small group session is available at: http://www.bsavacongress.com/programme
The 61st annual BSAVA Congress takes place at the Birmingham ICC and Arena Birmingham from 5-8 April, including a new non-clinical stream on Sunday – Beyond the Clinics.
Willows' Head of Imaging Andrew Parry, an RCVS and European Specialist in Diagnostic Imaging (pictured on the left with Clinical Director, Toby Gemmill), said: "There are very few veterinary hospitals anywhere in the country which would have the case-load or the complexity of cases to justify such a sizeable investment. Additionally, this magnet will bring multiple opportunities for clinical research which could ultimately lead to improvements in animal health."
Andrew added: “To my knowledge, we are the only centre in the UK that has fully replaced a high-field magnet MRI with a complete new solution.
"This is very unusual as scanners tend to be upgraded from a high field to higher field, rather than replaced altogether.
"However, our aim wasn’t to purely upgrade the equipment, it was to have access to the best diagnostic imaging equipment available, in order to ensure high quality images are obtained and interpreted, providing the most accurate and rapid diagnosis for our patients. This can make a significant difference to the level of care we are able to provide for pets."
For more information, visit: willows.uk.net
The 2016 PAW Report, in which 4252 dog, cat and rabbit owners were surveyed by YouGov, found that 24% (an estimated 5.2M) of owners did no research at all before buying a pet.
Only 5% of prospective owners spoke with a veterinary professional before buying an animal.
This raises the question of whether practices could be doing more to engage with prospective pet owners, by offering free or low-cost pre-purchase consultations with a veterinary nurse which offer advice about suitable pets and breeds to fit with the buyer's lifestyle.
The PAW Report also discovered that 65% of prospective pet owners were unaware of the five welfare needs. Many also dramatically underestimate the financial implications of owning a pet with 12% of owners believing their pet would only cost up to £500 over their entire lifetime. Overall, 98% of respondents underestimated the lifetime cost of owning their pet to some degree.
Buying pets from inappropriate sources was another major concern, with 23% of veterinary professionals identifying this as one of most critical issues which they would choose to resolve tomorrow. 50% of owners said they would consider getting a pet from a private, classified online advert. 18% of owners said they would still consider getting a puppy from a puppy farm, while others would consider getting a pet from an advert posted on social media (37%), from a pet supermarket (41%), or a pet that has been imported from abroad (28%).
A pre-purchase consultation could help address all of these issues, helping to set the owner's expectations about costs, educate them about the five welfare needs and steer them in the direction of reputable source to buy their new pet.
Such consultations would obviously need to be marketed beyond existing clients in the waiting room, but could be added to existing marketing materials used in the local media and added to the practice website ('Thinking of buying a pet, talk to us first').
To help practices that want to engage with potential pet owners in this way, the PDSA has launched a free ‘Which Pet?’ consultation framework for veterinary teams. The materials include client and explanatory vet team booklets, marketing materials and an e-learning CPD module. They can all be accessed free of charge on PDSA’s website at: pdsa.org.uk/whichpet
Commenting on the PAW Report findings, Sean Wensley, PDSA senior veterinary surgeon, said: "There is little doubt that we’re a nation of animal-lovers. But the PAW Report highlights that impulse-buying pets is still an issue of great concern, and shows no signs of improving. Little or no research before getting a pet means owners have limited understanding of what their pets require throughout their lives, which is undoubtedly leading to an array of other troubling pet welfare problems."
Other key findings:
The new website explains what Veterinary Specialists are, how they may be able to help, and how the referral process works. The BCVSp says it has been designed to be a useful resource which primary practices can direct their clients to if a referral is being considered.
As well as being able to search for a Specialist by location and by discipline, owners can also read some real life patient case studies following the referral, treatment journeys and outcomes of animals that have benefited from Specialist care and meet some of the Specialists via podcast links.
BCVSp Trustee Celia Marr said: "While most happy healthy animals will never need Specialist veterinary care, if they do we want their owners to know that we are here to help.
"There are many hundreds of Specialists working at the forefront of veterinary care and also those working in research, pathology and academia, helping to advance animal health and welfare, every day. We believe our new website should help to spread the word and make referral more understandable and accessible."
Visit the new website at www.yourvetspecialist.org
Mr Wilson faced two charges. The first was that in October 2017, he provided inaccurate information to an insurer in respect of a Labrador he treated by saying that the dog was presented to him with a lame left foreleg on 13 June 2017, when in fact the dog was presented for treatment on 7 June 2017 and that his conduct was therefore dishonest and misleading.
The second charge was that between 17 January 2017 and 17 January 2018 he failed to have any arrangements in place for Professional Indemnity Insurance (a requirement of the Code of Professional Conduct) and then, that between 8 January and 5 December 2019, he failed to respond to reasonable requests from the RCVS regarding his Professional Indemnity Insurance.
Prior to the hearing, Mr Wilson made an application to the Committee to adjourn the hearing subject to the Committee accepting his undertakings to remove himself from the Register and never to apply to be restored.
Mr Wilson’s legal representative at the hearing submitted to the Disciplinary Committee that granting the application would be in the public interest on the basis that Mr Wilson was 68 years of age and had now retired from the profession and closed his practice, that he had dedicated his entire working life to veterinary practice, had a previously long and unblemished career with no other complaints, and that he was well-regarded by clients and professional colleagues.
The application was not opposed by the RCVS whose representative informed the Committee that, relating to the charge of dishonesty, the College had taken into account that the insurance claim form was not submitted by Mr Wilson himself, and that there is no evidence of any financial motivation behind the charge nor any allegation of harm to an animal.
Taking into account the submissions from Mr Wilson’s representatives and from the RCVS, as well as precedent cases for such applications, the Committee decided that Mr Wilson’s voluntary undertakings went well beyond any sanction that could be imposed by the Committee and considered that the application would protect the public interest, confidence in the profession, and the welfare of animals.
Professor Alistair Barr FRCVS, chairing the Disciplinary Committee and speaking on its behalf, said: “The Committee decided that this is not a case in which the public interest or the welfare of animals demands that there be a full hearing, with determinations made by the Disciplinary Committee. Taking into account proportionality, and weighing in the balance the public interest, the interests of justice, the need to protect the welfare of animals, as well as the interests of both parties, the Committee decided to accede to the respondent’s application.”
The full findings of the Disciplinary Committee can be found at www.rcvs.org.uk/disciplinary
Merial Territory Managers have taken the first three places at the British Excellence in Sales & Marketing Awards, beating off competition from over 100 other entries, including those from household names such as Virgin, npower and DHL.
Merial's Andi Collins was named Sales Professional of the Year (companies over 50 employees), while her colleagues Emma McAnally and Stephen Booth came second and third respectively. In the eyes of the judges it was their ability to listen, ask questions and then develop insightful business proposals that set them apart.
Merial National Sales Training Manager, Tony Jones said: "At Merial we believe our responsive, well-trained Territory Managers are a great resource for vets. A resource that we are only too happy to see practices use to the fullest extent. We expect our people to do their utmost to find out what a practice's needs really are and then work to deliver the requirements."
The judges recognised the quality of the Merial candidates and their training and also the value this brings to veterinary customers. Andi's commendation said: "Her questioning was very strong, undertaking a fact-find in a relaxed manner which gained empathy and importantly she did not try and propose a solution until she had completed her questioning, to gain a full background of the situation in hand."
Nigel Slater, Head of Companion Animal Sales at Merial said: "I am delighted for Andi, Emma and Stephen. These awards are also a huge endorsement of the training investment we make here at Merial. An investment that independent surveys show is highly regarded by successful veterinary practices."
The Veterinary Medicines Directorate (VMD) has launched the Accredited Internet Retailer Scheme, through which veterinary medicines retailers can now be accredited by the regulator.
The scheme, which is voluntary, involves an application process and site inspection to check ongoing compliance with the Veterinary Medicines Regulations.
The British Veterinary Association has supported the move, but called for the scheme to become compulsory. The BVA says it is also calling for more robust measures to stop prescription fraud and is in discussions with the VMD.
Harvey Locke, Past President of the BVA, said: "Our biggest concern with online medicines retailers has been that animal owners didn't know whether they were buying genuine, safe medicines that comply with UK regulations.
"This simple scheme launched by the VMD will allow customers to know within seconds whether the company they are using complies with the high standards set by UK legislation and the regulator.
"The scheme is a very welcome positive step in protecting the public from illegal sites, but in future we would like to see it becoming compulsory so that everyone can be confident that they are buying products that are safe for their animals and themselves."
Mark Bowen, Associate Professor at The University of Nottingham, has been appointed as President of the British Equine Veterinary Association (BEVA) for 2015/16.
Mark will take over the role from Andrew Harrison at the end of BEVA Congress on 12th September. Vicki Nicholls, Veterinary Assistant at Wright and Morten Vets, Cheshire becomes President Elect.
He said: "BEVA’s strengths lie in its members, who are committed to the welfare of the horse and the advancement of clinical practice. With new benefits for members, a new website, a new role for the BEVA Trust and the highest quality of education, BEVA is now an even more forceful and effective voice for the equine profession, both internally and externally.
"Whilst the profession attempts to shape its future for the next 15 years, we must continue to support the innovative individuals in the profession who look ‘outside the box’ and make sure that the future of our profession, the next generation of veterinary surgeons, does not become restricted by dogma and tradition; that they too can replicate the level of innovation seen in equine practice over the last 50 years.
"It is vital that we continue to strengthen our relationships with the British Horseracing Authority and contribute to the development of a funding body to replace the Horserace Betting Levy Board. Our relationship with the BVA, the regulation of allied professionals, the rescheduling of ketamine, the new EU animal health regulations and EU medicines regulations, even the role of Europe, are key areas where BEVA will make veterinary voices heard for the benefit of equine welfare.
"Lastly, employment and retention of veterinary graduates in the profession is a cause of concern to us all. Over the next year we will enhance the Internship Awareness Programme and provide support and mentoring for the younger members of the profession. BEVA council is full of individuals committed to working on your behalf and I am looking forward to working alongside them all for the benefit of us all."
Royal Canin has launched NATOM Explorer, an interactive online tool designed to help the entire practice team visualise and explain the cat and dog anatomy and disease conditions to their clients.
NATOM (‘aNATOMical map’) hosts a library that supports explanations given by the veterinary surgeon or nurse to the owner during or after the consultation. The tool acts as an interactive reference for vets and vet nurses, boasting a 360 degree navigation of the anatomy, three levels of zoom, full image annotation and the ability to print and share bespoke images and save them for future reference.
Users of the charts are able to study the skeletal, nervous, circulatory, muscular, visceral and more superficial layers of the anatomy. In addition, there are ‘special views’ of over 100 common disease processes which graphically describe illness presentation, clinical signs, diagnosis and treatment as well as giving pointers on long-term management.
Marianne Lomberg, Veterinary Marketing Manager at Royal Canin, said: "The tool was initially launched to vet students in early 2015 and, excitingly, following its highly successful introduction, we have now rolled it out to vet practices. NATOM Explorer™ is an easy to use, time-saving tool which can help explain all disease conditions in a simplified way, which is particularly key when presenting complex health topics and diseases to clients. We believe the tool will be highly beneficial to practices and look forward to seeing it going on to benefit owners and their pets across the country."
All information on NATOM can be personalised by the user by adding comments, sketches and uploading other files before saving and sharing the information. All the available content is written and verified by experts in anatomy and small animal practice, with significant contributions from Dr Alex German, Professor Tim Gruffydd-Jones and Dr. Kit Sturgess.
Practices interested in the tool can visit www.vetportal.royalcanin.co.uk for further information
The practice has been leading research into the devastating disease since 2012 and has collated information on all confirmed cases across the country.
The disease, which originally appeared in the late 1980s, was first detected in the UK in 2012.
When it affects the kidneys, it has a 90% mortality rate.
The new site offers advice and information, including a live map of confirmed cases across the UK, for both vets and pet owners.
David Walker, American, RCVS and EBVS European specialist in small animal internal medicine, leads the team at Anderson Moores and is the UK’s foremost authority on the disease.
He said: “We have been at the forefront of research into CRGV for almost a decade now and have witnessed first-hand the often-devastating effects of the disease.
“In launching this new website, we aim to inform pet owners and colleagues in the veterinary industry about CRGV.
“We hope the confirmed case map will prove useful.
"Although an environmental trigger has not been definitively proven, the seasonality of the disease makes it eminently possible and the map allows everyone to see the location of confirmed cases.”
So far this year, Anderson Moores has recorded a total of 26 confirmed cases of CRGV.
This number comes on the back of 47 confirmed cases during 2020, 19 cases in 2019 and 18 in 2018.
277 cases have been confirmed since the disease was first recognised in the UK in 2012.
David said: “As we enter the winter months, we want to advise dog owners around the country to remain calm but vigilant and seek advice from their local vets if their dog develops an unexplained skin lesion(s), especially on the leg.
“Unfortunately, we find ourselves in the time of year when cases are most commonly identified – 92% of dogs with the disease are seen between November and May.
"This is understandably a concern for dog owners; however, the disease remains rare.
“If a dog is suspected to be suffering from CRGV, the best chance of recovery probably lies with early and intensive management which may be best provided at a specialist facility.
“Treatment primarily revolves around intensive management of the acute kidney injury and is sadly only successful in around 10% cent of cases.”
Visit https://www.alabama-rot.co.uk .
Melissa, who was invested at the RCVS AGM last week, graduated from the University of Glasgow School of Veterinary Medicine in 1987, starting her career as a food animal intern at Iowa State University in the United States before moving into mixed veterinary practice in Ayrshire in 1990.
Over the next 25 years, she and her husband Kenny developed Oaks Veterinary Centre into a small animal practice with a focus on dentistry.
Melissa was first elected to Council in 2016, was re-elected in 2020 and has served on a number of committees including the Education Committee and Finance & Resources Committee.
Since 2019, she has served as Chair of the Standards Committee, leading the development of proposed new guidance on under care and out-of-hours emergency care and pain relief.
Melissa has also been President of the British Veterinary Association’s Scottish branch and the Ayrshire Veterinary Association and, outside of work, enjoys running, and caring for her dogs, cats and sheep.
In her opening speech as RCVS President, Melissa outlined her sense of community with her fellow vets, as a relatively small but prominent profession that punches above its weight, and how she intended to strengthen this as President.
Melissa said: “When I looked this up in June, there were over 300,000 doctors registered with the General Medical Council.
"We, the veterinary profession, have around 30,000 registered with the RCVS to look after farmed, pet, lab animal, exotic, zoo and wildlife species.
"In other words, all animals EXCEPT the human, and we protect humans too, with public health work!
“Even excluding farmed fish, over 300 million animals are being cared for by 30,000 professional veterinary surgeons and their teams.
"That is the scale of our small but mighty community.
"Being part of a community doesn’t mean we all have to be clones of each other, but a group that can agree to disagree, and is there for each other in times of need.
“With this close proximity to each other, communication is key.
"My mother has offered me many wise words over the years, most frequently being ‘engage brain before opening mouth’ but just as important as speaking is listening and actually hearing what is being said.
"So, over this year I will try to get out and about as much as possible, focus on hearing what our community is saying and engage in many conversations as we work together."
The CVS practice aimed to change its prescribing culture by adopting an evidence-based, case-by-case approach and supporting its vets in only using antibiotics where absolutely necessary.
The practice identified the use of antibiotics in the treatment of cat bite abscesses (CBAs) as worthy of investigation.
Cefovecin, a third-generation cephalosporin and critically important antibiotic, is often used in the treatment of CBAs.
The practice first sought guidance from a dermatology specialist with an active research programme involving the study of antimicrobial resistance (AMR).
It then developed a clinical guideline advising that if a cat has a discrete abscess, with no pyrexia (raised temperature) and no cellulitis, antibiotics are not required.
White Lodge then conducted an eight-month clinical audit across its Exmouth Hub, with the aim of measuring the effect of the new guideline.
The practice treated patients with CBA’s with NSAIDS, lancing and flushing (if necessary), and cleaning of the abscess.
Owners were advised to flush the affected area at home once daily.
An antibiotic awareness leaflet was given to clients with an explanation of the reasoning behind not prescribing antibiotics.
Cats presented 5-7 days after treatment for a nurse re-examination.
A consultation template was created for both the vet at initial presentation and another for the nurse’s post treatment check, to gather standardised information.
The measure of successful treatment was whether, on re-examination, the CBA site appeared free from infection and wound healing was evident.
If the wound had not started to heal or if there was infection or pyrexia, the treatment was deemed to have failed and further treatment was provided.
Analysis of the results showed that of the 22 cats included in the audit, 19 (86%) did not need antibiotics to successfully treat the abscess.
There was also a 32.6% reduction in the number of times cefovecin was dispensed in the eight-month period after the audit started, compared with the previous eight months.
Emily Parr, Head Veterinary Surgeon at White Lodge, said: “We think, due to lack of confidence in treatment without antibiotics as well as client pressure or expectation, the profession tends to default to the prescribing of antibiotics.
“However, this clinical audit has given our veterinary colleagues increased confidence in treating CBA’s without antibiotics.
"There has also been an improved client understanding in accepting treatment without antibiotics.
"Clients have also been positive when minimal intervention has been required, particularly as it eliminates the cost of antibiotics.
"This has had a positive impact on the vet-client relationship and trust in our practice.
“Antimicrobial resistance is continuing to threaten the efficacy and treatment of an ever-increasing range of infections.
"So we hope that our CBA clinical audit outcome results will help to set a benchmark and shape clinical guidelines for the wider veterinary profession in this area.”
SPVS is leading a ground-breaking new project which aims to find out how veterinary surgeons are treating a range of clinical conditions.
Two hundred practitioners are being sought to provide details of how they address clinical conditions in three study areas: small animal, equine and farm animal, on a new website: www.howdoido.org. The findings, which will be made anonymous, will eventually form the basis of a clinical benchmarking process, which will tie in with the growing trend towards evidence-based medicine.
SPVS's objective is to understand and support how clinicians work in practice and approach particular clinical cases. The Society is working alongside Dr Mark Johnson who carried out the Confidential Enquiry into Perioperative Equine Fatalities.
SPVS Junior Vice President Jacqui Molyneux said: "This is an exciting new study which will shed a lot of light on what we as clinicians are doing in practice with the eventual aim of developing a clinical benchmarking process.
"The project however will only be worthwhile if a significant number of practitioners take part, so we're encouraging vets to visit the website and find out more. It will take no longer than ten minutes to fill in each clinical case."
Kate said: "In recent days we have watched the unfolding events in Ukraine in horror, shock and with tremendous sadness.
"We are determined to offer as much help and support as we can to our Ukrainian veterinary colleagues fleeing this crisis and seeking refuge in the UK.
To that end, the College offers a financial support scheme for refugees which is immediately available for Ukrainian veterinary surgeons with refugee status.
The scheme enables refugee vets to take the RCVS Statutory Examination for free, offers financial support to attend exams, free access to the RCVS library and free membership of BSAVA, BVA, BEVA, BCVA and VMG.
In addition, whilst Russian-based business interests comprise less than 0.1% of the College's investment portfolio, it has instructed its fund managers to get rid of all Russian investments at the very earliest opportunity.
Meanwhile, veterinary dentist Bob Partridge has donated a day's takings from his Harrogate-based, Specialist-led small animal dental referral practice, VetDentist, to the British Red Cross Ukraine.
He said: "I got home late and exhausted, turned on the news, and knew that my “tough day” was as nothing compared to the troubles, the fear and the pain experienced by the people of Ukraine."
Other members of Bob's team followed suit, as did the team at Training-Progress, and they hope others will do the same.
Bob said: "Please put your money where your mouth (or keyboard) is!"
https://donate.redcross.org.uk/appeal/ukraine-crisis-appeal
Photo: CC BY-SA 2.0 Aleksej Leonov
The award, funded by the Economic and Social Research Council (ESRC) working in partnership with the Department of Health and the Arts and Humanities Research Council (AHRC), is part of the cross-council 'Tackling antimicrobial resistance: behaviour within and beyond the healthcare setting’ call, part of the antimicrobial resistance cross-council initiative supported by the seven research councils in partnership with other UK funders including the Medical Research Council (MRC).
The research team will be led by social scientists at the University of Exeter and includes two veterinary surgeons from the University of Bristol’s School of Veterinary Sciences, together with colleagues at the Innogen Institute of the University of Edinburgh, the British Veterinary Association and leading farm animal veterinary surgeons across the UK.
The researchers say that better, smarter, more rapid and more accessible diagnoses - driving shifts in behaviour associated with diagnostic decision making - represent a critical step to delivering more effective uses of antibiotics in animal health. But improvements in diagnostic development and their relationship to prescription and treatment requires social, governance and technical innovations.
Professor Henry Buller, project lead from the University of Exeter’s School of Geography, said: "This is an exciting opportunity to provide a current assessment of diagnostic and treatment decision practices in the livestock sectors of the UK. Novel and innovative diagnostic tools are currently in development, and our research will generate better understanding of their development as well as the marketing and regulation of these new technologies."
Dr Kristen Reyher, Senior Lecturer in Farm Animal Science, who is the lead on the project at the University of Bristol’s School of Veterinary Sciences, added: "Our research team – the AMR Force – has a track record of working closely with farmers, veterinarians, retailers and government bodies to encourage responsible use of antibiotics. We are excited to have this amazing opportunity to collaboratively generate, evaluate and analyse behaviours and strategies around animal disease diagnosis and to show how innovation in the development of diagnostic tools along with diagnostic regulation and governance can lead to more sensible use of antibiotics across farming systems.
"Working with our partners, we will identify pathways and possibilities for improved diagnostic practice and will trial new diagnostic tools on a series of farms. We are very excited to take our ideas beyond the UK as well, and will conduct pilot and capacity-building research in Tanzania and also partner with a project working in Bangladesh that is co-funded by ESRC and the Centre for Environment Fisheries and Aquaculture Science."
Professor Buller added: "Employment of new diagnostics doesn’t occur in a vacuum. Our team will evaluate the implications these innovations will have for the organisation, cost-effectiveness and efficiency of veterinary practice, as well as for veterinary training. We will identify the changes in behaviour, practice and knowledge necessary to accompany the more widespread adoption of practices that are deemed effective and will assess the regulatory and governance support necessary to encourage use of beneficial practices."
The interdisciplinary team will work alongside diagnostic tool developers and regulators, veterinary practices and professional bodies, farmers and treatment decision makers, veterinary laboratories, the food industry and government regulatory authorities to develop durable and innovative strategies for facilitating and advancing smarter approaches to the use of antibiotics in agriculture.
The work will cover the major livestock species, and will involve seeking opinions from veterinary surgeons across the country, through collaboration with the BVA.
David Barrett, Professor of Bovine Medicine, Production and Reproduction at the University of Bristol’s School of Veterinary Sciences, said: "This is a fantastic opportunity to assess the adaptability and responsiveness of the different animal production sectors - poultry, pigs and cattle - along with a variety of veterinary structures to the trialled innovations in diagnosis and diagnostics, and will determine the likely benefits of these innovations for prescription practice, for animal health and for sustainable livestock production."
Photo: University of Bristol
The company says it wanted to give vets a chance to kick back and relax with some first-rate comedy talent at the end of what has been an incredibly challenging year.
The Christmas Comedy Cracker is being hosted by stand-up comedian, Rhys James, who regularly appears on Mock the Week and Russell Howard’s Stand Up Central.
The line-up also includes the actress, comedian, ventriloquist and British Comedy Award winner, Nina Conti.
Nina will be joined by special guest comedian, Zoe Lyons, whose TV credits include Mock the Week, Michael McIntyre’s Comedy Roadshow, The Paul O’Grady Show and The Wright Stuff.
The final act is The Noise Next Door, a musical comedy troupe which has performed alongside the likes of Michael McIntyre, Al Murray and Harry Hill.
Jemima Mead, marketing lead at Boehringer Ingelheim said: "There’s no doubt that 2020 has been an incredibly challenging year for the whole profession. We know that COVID-19 has also meant work Christmas celebrations have been cancelled. So, as part of our ongoing support for the profession we are bringing festive cheer direct to the homes of veterinary professionals to help round off the year with first-rate comedy talent and enable them to kick back, relax and hopefully laugh their festive socks off.”
To register for your free place at BI Animal Health’s Christmas Comedy Cracker online event, visit www.christmascomedycracker.co.uk.
Under the new policy, introduced this month, women who joined the company more than two years ago are entitled to six month's maternity leave on full pay, while those who have been with the company for less than that are entitled to three months at full pay and three months at half pay.
After six months, statutory rates will be paid.
Meanwhile, new fathers are now entitled to four week's paternity leave on full pay.
Mark Ross (pictured right), CEO of Vets Now, said: “Several staff wrote to me about this issue and I agreed to look into it.
"Our previous maternity policy was six weeks full pay, six weeks half pay, followed by statutory rates, while men received 1.5 weeks of full paternity pay, so this is a huge leap forward. The changes cover maternity leave, shared parental leave, adoption and surrogacy.
"Our business has been tremendously successful in the past few years, thanks to the incredible hard work of our people, and we’re always looking at innovative ways of reinvesting our profits back into the business so it’s our people who benefit most.
"We’re also hoping to put in place other improvements and among the initiatives we’re looking at are providing better support for staff returning to work after a period of leave, better provisions for nursing mums, a dedicated resource for parents who are struggling, and additional leave during the first year of returning to work.
"We want to make Vets Now a great place to work for all of our staff, no matter what stage they’re at in life."
The 2009 Petplan Veterinary Awards are now underway, and you may now nominate those exceptional colleagues in the veterinary profession who you feel deserve to be officially recognised for all their hard work.
This year will be a double celebration as Petplan celebrates its 10-year anniversary of the awards. The company invites you to nominate a colleague (or your entire team) for an award in one of four different categories.
Nomination forms, posters, and leaflet dispensers are now available in practices. Forms are also available online at www.petplan.co.uk/vetawards. You may order more nomination forms by emailing vetawards@petplan.co.uk or calling 0845 678 1063.
Simon Wheeler, head of marketing for Petplan, said: "Nominating your colleagues for an award is a fantastic way of expressing your appreciation. Veterinary practices are dedicated to animal welfare and at Petplan we believe that their invaluable care and support deserves to be recognised. The 10th annual Petplan Veterinary Awards will recognise this and celebrate those exceptional professionals."
Nominations close February 6th 2009.
Davies Veterinary Specialists (DVS) has confirmed its programme of free CPD for vets over the next 10 months, including a special Orthopaedics Roadshow this autumn.
The evening CPD sessions will be held in the practice's purpose-built lecture theatre and will run monthly from October 2010 until July 2011. Meanwhile the roadshows will run throughout October and November, visiting four venues in London and the Home Counties north of the city.
The CPD meetings are all free of charge. They will cover a broad range of topics including anaesthesia (21st July 2011), cardiology (21st April 2011), cytology/oncology (19th May 2011), diagnostic imaging (24th March 2011), ophthalmology (23rd June 2011), orthopaedics (21st & 28th Oct, 4th & 11th Nov 2010), medicine (20th Jan 2011), neurology (25th Nov 2010) and soft tissue surgery (24th Feb 2011), presented by leading specialists from DVS. They will be held on the evening of the third Thursday of every month, with registration commencing at 7pm.
Complimentary drinks and a finger buffet are included. The evenings will close at 9pm, including time for questions and informal discussion. CPD certificates will be provided on request. For further details please contact Marion Kitchener on 01582 883950 or email marion.kitchener@vetspecialists.co.uk
The Orthopaedics Roadshow will kick off at DVS in Hertfordshire on 21 October. DVS's veterinary orthopaedics experts Richard Whitelock, David Thomson, Rob Rayward, Manuel Jiménez Peláez and Mark Morton will then take to the road to visit Aylesbury, Northampton and North London, to share knowledge on common orthopaedic conditions.
Veterinary nurses are invited to attend DVS's in-house nurses CPD programme, free of charge, by prior arrangement. Seminars are being run monthly from 20 September until 22 November 2010. A programme for 2011 will be available in the near future, for further information contact DVS Training Manager Liz Branscombe on 01582 883950 or email lbranscombe@vetspecialists.co.uk
Dr David Gould, who organises DVS's veterinary CPD, said: "The last CPD series sparked some excellent questions and discussion. With the new programme we have decided to stick to one discipline per session rather than two, to make sure we have plenty of time to accommodate as many questions and view points as possible. The orthopaedics roadshow is a new venture, motivated by a desire to make our experience of the wide variety of interesting orthopaedics cases we have received as accessible as possible to small animal practitioners."
For further details on DVS visit the website at http://www.vetspecialists.co.uk/