Triz EDTA

Re: Triz EDTA

Jo Cobbett — Thu, 21 Mar 2013 12:39:20 GMT

[quote user="Martin Atkinson"]

Treating otitis externa is not rocket science it is common sense but most importantly getting the client on board.

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I agree. What I struggle with is trying to convince owners that otitis is usually on ongoing condition which will require ongoing management. Most of them that they just need "ear drops" and the dog will get better. With every case I see I try and drum this home, but I rarely seem to get anywhere!

Re: Triz EDTA

Martin Atkinson — Thu, 21 Mar 2013 10:17:27 GMT

[quote user="Jo Jones"]

[quote user="mark packer"]

Sue Paterson has a superb 1 hour webinar - archived on the Dechra website - on ear cleaners - what,when,how often - ring them up to get a password, and access Dechra CPD - they have 5 minute bite size webinars on skin cytology as well the 1 hour CPD on ear topics. Very useful, as are their posters on approaches to ear disease.

[/quote]

I second that. I watched her 1 hour OE CPD, and got loads from it. It's changed how I treat OE (using cytology much more), and I'm now finding them so much more rewarding and less frustrating as I have a better idea of what's actually going on!

[/quote]Treating otitis externa is not rocket science it is common sense but most importantly getting the client on board. I went on a conference some years ago and one of the speakers asked how many aural resections we were doing a week/a month whatever and I replied none. How come he queried when he did loads (OK he was an auro/facial surgeon in a referral hospital in the US so he was the thin edge of the web). Simple I said, I make a diagnosis from cytology on a stained smear or culture if necessary, start with the correct treatment, show the client how to install the drops and watch them do it in front of me, check them a week or so later, review the treatment if necessary (may require syringing if still full of crud or second choice of drops if culture indicated this), start ear cleaning drops (doesn't matter which - brand they all work so, it depends which rep has been most persuasive) and again explain/watch owner apply and make sure they understand that this is twice a week for life unless you are sure that is was a one-off bout of acute OE. Those that recur despite this are probably also atopic (common and require treatment for that), lack of compliance by useless owners (even more common) or resistant pseudomonas (rare). The only aural resections I perform these days are on dogs which I've inherited from other vets who have not followed this simple protocol.

Re: Triz EDTA

Jo Cobbett — Wed, 20 Mar 2013 17:17:30 GMT

[quote user="mark packer"]

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Re: Triz EDTA

Mark Frost — Thu, 14 Mar 2013 17:17:16 GMT

Thanks, I was going to get in some of the Otoprof to try as its not very expensive.

Re: Triz EDTA

Martin Atkinson — Thu, 14 Mar 2013 13:15:00 GMT

Vetruus have a limited but useful range of products mostly centered around chlorhexidine it seems. Their Otoprof foaming ear cleaner is awesome and is now my default for cleaning filthy ears rather than traditional syringing and their Zincoseb shampoo works well on itchy scurfy coats. Other than that I confess not much experience of using their products but a likeable rep, they sponsored a useful CPD evening on dermatology locally, sensible prices and the TrisEDTA ear drops are a bonus.

Re: Triz EDTA

Tanya Fielding — Thu, 14 Mar 2013 12:46:02 GMT

we have a similar case been to a dermatologist and is now on triz was every other day. Advised will try to control rather than cure this chronic spaniel

Re: Triz EDTA

Mark Frost — Thu, 14 Mar 2013 12:01:42 GMT

Haven't come across Vetruus until recently, products seem to be very useful but so far have only had information from them direct - any real life experiences would be useful to know about!

Re: Triz EDTA

mark packer — Wed, 13 Mar 2013 22:30:32 GMT

Twice weekly seems about right - the triz aural has anti pathogenic activity - if there is inflammation and no infection you could add 5-10ml of dexadreson (or colvasone) injection - always think of underlying causes - atopy,endocrine etc.

I have no link with Dechra. I use Otodine too...............

Re: Triz EDTA

Martin Atkinson — Tue, 12 Mar 2013 16:32:12 GMT

Vetruus' Otodine contains TrisEDTA and is designed for long term as well as short term treatment so it should be safe. Not certain what frequency but I would recommend twice weekly, however it might be worth having a word with the nice people at Vetruus.