Crossing boundries

Re: Crossing boundries

David Shepherd — Mon, 08 Apr 2013 16:26:25 GMT

Seems likely that with this sort of prescribing behaviour by the medics any usage by the veterinary profession is very unlikely to add to resistance pressure

Re: Crossing boundries

Bob Russell — Mon, 08 Apr 2013 14:12:09 GMT

[quote user="karen jones"]Didn't realise that it had any use for bacterial infections. We have a client who lost their 16 year old daughter during the last flu outbreak as the doctors refused to see her and gave her tamiflu when she actually a severe bacterial tonsillitis. By the time her parents got the doctor to see her she was so ill that she died in intensive care of septic pneumonia from the tonsillitis

[/quote]

The trouble is that during the last flu outbreak the medics refused to see anyone with flu like symptoms! Our GP surgery had a big sign on the door specifically telling people not to come to the surgery with flu!!

Our daughter was prescribed Tamiflu but it could only be picked up from specific pharmacies. It took so long to get it that she was starting to come back to life so we decided not to use it!

Anyone need any Tamiflu?

Re: Crossing boundries

karen jones — Mon, 08 Apr 2013 13:30:37 GMT

Didn't realise that it had any use for bacterial infections. We have a client who lost their 16 year old daughter during the last flu outbreak as the doctors refused to see her and gave her tamiflu when she actually a severe bacterial tonsillitis. By the time her parents got the doctor to see her she was so ill that she died in intensive care of septic pneumonia from the tonsillitis

Re: Crossing boundries

Mark Rowland — Sun, 07 Apr 2013 19:38:35 GMT

Some of the H5N1 strains in Asia have a single amino acid change leading to Tamiflu resistance; and the drug is excreted pretty much intact in faeces, thus making its way to waterways..... http://www.sciencenews.org/view/generic/id/47971/description/Excreted_Tamiflu_found_in_rivers

Re: Crossing boundries

Michael Woodhouse — Sun, 07 Apr 2013 19:01:10 GMT

Mark - it's only a specific virus that would develop immunity - I am unaware of us sharing influenza or paro-viruses with dogs so I don't see an issue.

Re: Crossing boundries

Mark Rowland — Sun, 07 Apr 2013 13:42:17 GMT

Noted.

Re: Crossing boundries

Andrew Kent — Sun, 07 Apr 2013 13:03:01 GMT

[quote user="Mark Rowland"]

[quote user="Andrew Kent"]I would probably add the option of parvovirus to the poll as its this that is proving popular in the USA and there has been some work to suggest that treated dogs have shorter hospitalisation and better cell counts.

[/quote]

I almost did but a VIN search suggested that this effect was likley due to the treatment of secondary bacterial infection and it seemed that its efficacy against parvovirus was speculative (but would be happy to stand corrected).

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I don't think anybody really knows the mechanism but I do think it is by far the most likely reason for a vet to use the drug.

Re: Crossing boundries

Mark Rowland — Sun, 07 Apr 2013 12:58:18 GMT

[/quote]

Re: Crossing boundries

Andrew Kent — Sun, 07 Apr 2013 12:55:13 GMT

I would probably add the option of parvovirus to the poll as its this that is proving popular in the USA and there has been some work to suggest that treated dogs have shorter hospitalisation and better cell counts.