Presurgical hand antisepsis: concepts and current habits of veterinary surgeons

Objective: To assess current habits for surgical hand preparation among veterinary surgical specialists and to compare data with current guidelines for hand asepsis techniques. Study design: Survey of veterinary surgical specialists. Sample Population: Diplomates of the American (ACVS) and European Colleges of Veterinary Surgeons (ECVS). Methods: An internet‐based survey of hand preparation methods before surgical procedures was conducted of 1300 listed ACVS and ECVS Diplomates. Results: A 42.6% response rate was obtained. Approximately, 80% of respondents use disinfecting soaps as a primary method for hand antisepsis. Of those, 81% use chlorhexidine‐based scrubs and 7% use a neutral soap followed by a hydroalcoholic solution. Conclusions: Contrary to current recommendations of the World Health Organization and scientific evidence supporting use of hydro‐alcoholic rubs for presurgical hand preparation, veterinary surgical specialists still use surgical scrub solutions containing disinfecting soaps.     

Comparison of an alcohol-based hand rub and water-based chlorhexidine gluconate scrub technique for hand antisepsis prior to elective surgery in horses

This prospective clinical study evaluates the effectiveness of an alcohol-based hand rub (Avagard™) for pre-surgical hand antisepsis in an equine hospital and compares it with traditional scrubbing technique using 4% chlorhexidine gluconate sponges and water. Prior to elective surgery, 3 board-certified surgeons were randomly assigned to hand antisepsis with either technique. Culture samples of each hand were taken at 4 times: before and after neutral soap hand wash, after scrub or rubbing technique, and after surgery. There was no significant difference in mean bacterial colony forming units between scrub and rub techniques over the 3 time periods (P = 0.6), controlling for initial counts. One horse from the scrub group had a skin incision infection following stifle arthroscopy; this was resolved with medical treatment. The alcohol-based hand rub is equivalent in efficacy for pre-surgical hand antisepsis to traditional water-based scrubs in an equine hospital setting.     

Prophylactic medication of feedlot calves with tilmicosin

The parenteral administration to calves of the antibiotic tilmicosin either on arrival at a feedlot or 72 hours later was evaluated in a group of 308 steer calves. The calves were allotted to 24 pens so that there were eight replicates of the two medicated groups and eight replicates of the control group. The need for veterinary treatment was reduced significantly (P less than 0.05) during the first month of the feeding period in the two medicated groups. The medicated groups had an improved average daily weight gain (P less than 0.01) over the trial period compared with the non-medicated animals. This improved average daily gain by the medicated groups was not reduced when animals with respiratory disease were excluded from the calculations. The medicated groups also had an improved feed conversion efficiency (P less than 0.01) over the first 60 days of the feeding period compared with the non-medicated animals.     

兽药使用期间稳定性研究的思考与建议

介绍了兽药使用期间稳定性试验的概念,阐述了对使用前需要重新配制和多剂量包装的制剂进行使用期间稳定性试验的重要意义,结合国外有关指导文件对药物使用期间稳定性要求及使用期间稳定性试验研究的技术要求进行了探讨,为使用期间稳定性试验的开展提供参考.     

Recovery of staphylococci from computer keyboards in a veterinary medical centre and the effect of routine cleaning

Computers play a vital role in veterinary clinics for grading, examining results, updating records, giving discharge instructions and maintaining billing information. Few studies have documented the degree of contamination or practical methods to disinfect computer equipment within the veterinary clinic setting. The intent of the present study was to characterise the frequency of recovery of Staphylococcus species from computer keyboards from a veterinary teaching hospital setting and to evaluate the effect of daily cleaning. From three keyboards in a treatment area, three in a dermatology area and one in office 70 environmental samples were cultured for Staphylococcus. As an indirect measure to assess cleanliness, samples were collected and tested using the 3M Clean-Trace Luminometer (relative light units [RLU]). Of the 25 Staphylococcus recovered 13 were Staphylococcus species, seven Staphylococcus pseudintermedius, four Staphylococcus aureus and one mixed colony of both Staphylococcus species and S pseudintermedius. The median RLU was 2098 (range 132 to 11,590). Routine cleaning decreased the recovering of Staphylococcus and the RLU values. In summary, the study results demonstrate the value of routine cleaning of keyboards and the need for on-going and regular education of staff and students about good hand hygiene.     

止痢金方注射液的临床疗效对比试验

止痢金方注射液是中西复方制剂,工艺独特。本文针对临床上常见的黄白痢、水肿病、副伤寒、胃肠炎、痢疾、流行性腹泻等病进行临床疗效对比试验。经数据统计分析,试验组有效率及治愈率均高出对照组,试验组与对照组差异极显著(P<0.01)。试验结果表明止痢金方注射液疗效确实,值得兽医临床推广。     

The problem of oral administration of antimicrobially effective substances. Experiences from Switzerland

The oral medication of sick animals is very common and a very preserve therapy. This method of therapy demands a high level of know-how for the veterinarians and also for meet-producers relating to food safety and bacterial resistance. In the new ordinance on veterinary medicine in 2004 many aspects of production and application of medicated feed are regulated in the legislation. This ordinance pretends to control all technical equipments used for production, transport and application of medicated feed by a qualified person (QP) on farms. Important criteria are defined in the ordinance on veterinary medicines.     

Veterinary drug legal situation for oral medication in animal facilities in Germany

Oral medication of animal stocks can be administered via oral ready-to-use veterinary medicinal products or by using medicated feedingstuffs. The regulations contained in the German Drug Act (Arzneimittelgesetz - AMG) and the ordinances derived from the AMG are applicable to both types of medicinal product. The legal requirements relating to the manufacture, authorisation, marketing, dispensing and proper use of these medicinal products in respect of oral medication are dealt with in detail. Pursuant to Section 13 AMG, companies that manufacture medicated feedingstuffs require a manufacturing licence. To take into account the special features of these medicinal products, specific stipulations have been laid down regarding the manufacture and dispensing of medicated feedingstuffs by these companies. The use of medicated feedingstuffs is for various reasons in steep decline, while oral ready-to-use medicinal products are, according to reports on practice in the relevant sector, increasingly being used to treat animal stocks as well. When dispensing veterinary medicinal products, the veterinarian must comply with the state of the art and make sure that the animal keeper is able to use the drugs properly. In order to react to doubts regarding compliance with these legal requirements, recommendations for use of oral medication should be developed which provide veterinarians with an aid to assist them in deciding which type of drugs are most suited for the respective case, and what is to be complied with in their use. The recommendations for use are intended to facilitate the correct application of oral medication in respect of both types of veterinary medicinal product.     

Investigation on the effects of topical therapy with 0.1% tacrolimus ointment (Protopic) on intradermal skin test reactivity in atopic dogs

Tacrolimus ointment (TAC) is an effective treatment for atopic dermatitis in humans and dogs. The purposes of the present study were to evaluate the effect of 4 weeks of TAC on intradermal skin testing (IST), and in case of suppression, to investigate if reactivity returned to baseline by 2 or 4 weeks post treatment. Intradermal skin test was performed using saline, histamine, lipopolysaccharide (LPS, 0.4 mg mL(-1)), house dust (25 PNU mL(-1)) and house dust mite (1 : 40 000 w/v) at weeks 0, 4, 6 and 8 on nine dogs enrolled in a blinded, crossover, clinical trial, using 0.1% TAC or placebo once daily for 4 weeks. Reactions were evaluated at 15 min, and at 4 and 6 h. Ointment was applied after the 15-min evaluation on weeks 0 and 4. Data were analysed using the statistical software SAS System for Windows. At week 4, TAC did not affect 15-min IST, but some reactions in the TAC group were suppressed at 6 h compared to baseline. In the TAC group, 4-h IST reactivity was reduced 2 weeks after discontinuation but returned to baseline by 4 weeks. In conclusion, TAC has no effect on immediate reactions but decreased some late-phase reactions. Therefore, no withdrawal is recommended to evaluate only immediate reactions, but a 4-week withdrawal may be necessary for evaluation of late-phase reactions.     

Prophylactic tilmicosin medication of feedlot calves at arrival

The parenteral administration of the antibiotic tilmicosin given on arrival at a feedlot was evaluated in a group of 304 steer calves. These calves were allotted to 24 pens so that there were 12 replicates of both the control and medicated groups. The treatment rate was reduced significantly during the first five days (p < 0.05) and during the first month (p < 0.01) of the feeding period in the medicated group. The average days from arrival until first treatment for respiratory disease was increased to 21 days in the medicated group compared to 9 days (p < 0.01) for the controls. The medicated group had improved average daily gain (p < 0.01) and feed efficiency (p < 0.01) over the trial period when compared to the nonmedicated animals.     

Attitudes of veterinary medical students and medical students toward collaborative learning: an experiment

This study measured the attitudes of 55 medical students and 30 veterinary medical students as they participated in an experiment of collaborative teaching and learning about basic surgical skills. Two parallel forms of an attitude questionnaire were developed, with three subscales: confidence in one's own surgical skill; collaboration with the other type of student; and inter-professional collaboration in general. These attitude scales were administered before and after an experiment involving the veterinary medical students teaching the medical students incision and exploratory laparoscopy in a laboratory setting using live rabbits. After the experiment, measures of the medical students' attitudes had increased significantly on all three subscales. Measures of the veterinary students' attitudes increased significantly on two subscales but declined on the subscale of inter-professional collaboration.     

Hydrolysis time as a factor affecting the nutritive value of feather meal and feather meal-blood meal combinations for growing calves

The objectives of this research were to determine 1) the effects of hydrolysis time on feather meal (FTH) protein digestion and ruminal escape and 2) whether adding blood meal (BM) to FTH evoked a complementary response in animal performance. A lamb digestion trial was conducted to estimate true protein digestibility of soybean meal (SBM), BM, and FTH hydrolyzed for 10, 12, 15, or 18 min. Ruminal escape was estimated in situ. Two 94-d growth trials were conducted using 60 growing calves (226 kg) per trial to evaluate urea, FTH, BM, and 87.5:12.5, 75:25, and 50:50 combinations (CP percentage basis) of FTH:BM. There were small numerical differences in estimated escape of protein from the rumen and DM and protein digestibilities due to hydrolysis time. True protein digestibility of the 10- and 18-min samples was 5% higher (P less than .05) than for the 12- or 15-min FTH samples. In the growth trial, the slope-ratio technique showed that the most efficiently used protein supplement was 100% BM (protein efficiency = 2.45 +/- .19). No differences (P = .30) in protein efficiency were observed among supplements containing various combinations of FTH:BM. There was a quadratic (P less than .01) response to the level of BM, indicating a complementary effect. The largest complementary effect occurred at the 12.5% level of the BM addition. There were no nutritionally important effects of hydrolysis time between 10 and 18 min. Furthermore, supplements can be formulated more economically using small amounts of BM with FTH without compromising biological efficiency.     

Field studies with in‐feed medication of pigs in the Netherlands using the anthelmintic thiophanate with particular reference to efficacy against Ascaris suum

Summary

Studies on the efficacy in pigs of low level in‐feed medication with the anthelmintic thiophanate at a minimum intake of 6 mg/kg/day for fourteen days are reported. A trial was conducted to compare a group of medicated fattening pigs with a similar unmedicated group on premises known to have a high challenge of Ascaris spp. Daily growth rate was improved whilst feed conversion ratio and the liver condemnation rate were reduced in the treatment group.

Routine medication of a whole herd using this regime contributed to a great improvement of the herd production when assessed by the above criteria. User studies in various geographical areas of the Netherlands involving 1500 adult pigs and 1200 fattening pigs medicated with thiophanate in‐feed for fourteen days demonstrated that the compound eliminated the faecal worm egg output and was readily accepted and tolerated by pigs.     

Veterinary service usage and animal ownership in Ohio, U.S.A.: Results of telephone surveys in 1983 and 1984

A telephone survey of three sub-populations in Ohio was conducted to compare the utilization of veterinary services in 1982 with 1983 and to characterize animal ownership. A response rate of approximately 90% was achieved for all three sub-populations namely (1) food-animal producers, (2) horse owners and (3) pet owners. There was no significant difference between the percentage of respondents using veterinary services in 1982 and 1983. In both years, over 85% of dairy producers purchased veterinary services compared with approximately 62% for beef producers, approximately 70% for swine producers, and over 97% for horse owners. In 1983, approximately 69% sheep producers, 50% of goat producers, 81% of dog owners, 67% of cat owners, 12% of bird owners and none of the fish owners used veterinary services during the previous year. The 1983 median expenditures for veterinary services per farm or household using veterinary services were $465 for horses, $450 for dairy cattle, $111 for beef cattle, $115 for swine, $66 for sheep, $0 for goats, $75 for dogs, $44 for cats and $18 for pet birds. The average number of times animals were seen by a veterinarian varied by species but did not vary much from year to year. For all three groups, preventive services were used more frequently than were treatment and surgical services.     

Evaluation of Specific Infection Control Practices Used by Companion Animal Veterinarians in Community Veterinary Practices in Southern Ontario

This study evaluated specific infection control practices in community veterinary practices in southern Ontario. Environmental disinfection, management of infectious patients and antimicrobial use in clean surgical procedures were investigated. Community companion animal veterinary practices (n = 101) in Southern Ontario were recruited, and a questionnaire was administered to one veterinarian and one veterinary technician from each practice. The veterinarian questionnaire gathered data on clinic demographics, management of infectious patients, infectious diseases of concern, environmental disinfection and antimicrobial use in surgical procedures. The veterinary technician questionnaire gathered data on environmental disinfection. None of the veterinary practices had a formal infection control programme. Sixty‐five per cent (n = 66) of the veterinary practices did not have an isolation area and 61% (n = 40) of these practices did not employ any specific infection control measures for infectious cases. The products most frequently used for environmental disinfection were hydrogen peroxide based or quaternary ammonium compounds. Bleach was the agent most commonly used for environmental disinfection of infectious body fluids; however 60% of the veterinarians and 40% of the veterinary technicians did not identify a product for environmental disinfection of infectious body fluids. Twenty‐four per cent of the veterinarians reported using antimicrobials in animals undergoing elective sterilization surgeries and 60% reported using antimicrobials in other clean surgical procedures. There is a need for community veterinary practices to develop infection control programmes specific to their individual practice. In addition, veterinarians should discontinue the common use of antimicrobials for clean elective sterilization surgical procedures.     

强效艾美耳牌鸡球虫苗的免疫效果

在实验条件下,研究了强效艾美耳牌鸡球虫苗对平养鸡群的免疫效果。实验１比较了免疫鸡群和对照鸡群在接种后１、２、３、４、５、６周的肠道病变分,结果表明免疫鸡群较自然感染建立免疫的对照鸡群的免疫整齐度高,判断依据是免疫后２周盲肠细小、内容物亦少的眼观指标。实验２比较了免疫鸡群、不免疫不用药鸡群、不免疫用药鸡群在攻虫后的三处肠道病变,结果表明免疫鸡群对大剂量卵囊攻击有很强的抵抗力。实验３比较了免疫鸡群、不     

Effects of cycloheximide treatment on in-vitro development of porcine parthenotes and somatic cell nuclear transfer embryos

This study aimed to verify the beneficial effect of cycloheximide (CHX) treatment on the development of porcine somatic cell nuclear transfer (NT) embryos, which were constructed with enucleated oocytes and cumulus cells by using a single direct current (DC) pulse. In the first experiment, a single DC pulse applied to the induction of fusion and activation of NT embryos gave a high fusion rate. However, cleavage and subsequent development of fused couplets (NT embryos) to the blastocyst stage were poor. Experiment 2 was conducted to determine whether CHX treatment could enhance metaphase II (M II) oocyte activation and improve the subsequent parthenogenetic development. After giving the DC pulse and incubation with or without CHX, M II oocytes incubated with CHX showed higher cleavage and development to blastocysts compared with those incubated without CHX (P < 0. 05). Experiment 3 was carried out to verify the beneficial effect of CHX on the development of NT embryos. The NT embryos treated with the DC pulse and CHX treatment showed higher cleavage and subsequent development compared with those treated with the DC pulse alone (P < 0.05) . The present study demonstrates that CHX treatment enhances the electrical stimulus-induced activation of oocytes and NT embryos, and improves the subsequent development of parthenotes and NT embryos. The results indicate that protein synthesis inhibition treatment required for the induction of oocyte activation promotes the development of NT embryos.     

If you build it,they will learn: A review of models in veterinary surgical education

Surgical skills are learned through deliberate practice, and veterinary educators are increasingly turning to models for teaching and assessing surgical skills. This review article sought to compile and review the literature specific to veterinary surgical skills models, and to discuss the themes of fidelity, educational outcomes, and validity evidence. Several literature searches using broad terms such as “veterinary surgery model,” “veterinary surgical model,” and “veterinary surgical simulator” were performed using PubMed, CAB abstracts, and Google scholar. All articles describing a model created and utilized for veterinary surgical training were included. Other review articles were used as a source for additional models. Commercially available models were found using review articles, internet browser searches, and communication with veterinary clinical skills educators. There has been an explosion of growth in the variety of small animal surgical task trainers published in the last several decades. These models teach orthopedic surgery, ligation and suturing, open celiotomy and abdominal surgery, sterilization surgeries, and minimally invasive surgeries. Some models were published with accompanying rubrics for learner assessment; these rubrics have been noted where present. Research in veterinary surgical models is expanding and becoming an area of focus for academic institutions. However, there is room for growth in the collection of validity evidence and in development of models for teaching large animal surgery, training surgical residents, and providing continuing education to practitioners. This review can assist with evaluation of current surgical models and trends, and provide a platform for additional studies and development of best practices.     

Therapeutic efficacy of water-soluble lincomycin-spectinomycin powder against porcine proliferation enteropathy in a European field study

Controlled clinical trials to a standardised protocol were conducted into the effect of a water-soluble antibiotic on proliferative enteropathy and its causative agent (Lawsonia intracellularis) on commercial pig farms at six sites in four European countries. Clinical signs of the disease and L intracellularis-specific polymerase chain reaction (PCR)-positive pigs were detected in pens of six- to 12-week-old pigs (weighing 5 to 55 kg) immediately before each trial. Matched pens of randomised pigs were either left unmedicated (32 to 59 pigs per trial), or medicated orally with 10 mg/kg of a water-soluble combination of lincomycin and spectinomycin powder (21 and 42 mg, respectively, of antibiotic activity per litre) for either seven days (33 to 61 pigs per trial), or 14 days (33 to 61 pigs per trial), delivered via the drinking water. Investigators did not know which pens received which treatment In most of the affected pigs in each trial, diarrhoea due to L intracellularis resolved within three to seven days after the medication began, whereas most unmedicated pigs remained diarrhoeic for at least 10 days. On average the medicated pigs gained more weight than the unmedicated pigs over the 21-day trial period (P=0.01). In two trials, the absence of L intracellularis after the treatment ended was confirmed by the PCR.