Ocular antimicrobial therapy in small animal practice

Accurate diagnosis is essential in the selection of any therapeutic regime. In this paper the common ocular infections of dogs and cats are described, and the available therapeutic agents and their pharmacokinetics and spectra of activity are discussed. Sponsored by the Association for Veterinary Clinical Pharmacology and Therapeutics     

Hand hygiene practices of veterinary support staff in small animal private practice

Objective: To evaluate the hand hygiene (HH) practices among veterinary technicians (VT) and veterinary support staff (VSS) in small animal private practice. Methods: This was a prospective questionnaire‐based study involving 182 VT and VSS from 18 small animal hospitals in the USA. Questions asked included gender, number of animals handled per work shift, frequency of hand washing, reason for not washing more frequently, most common available hand washing agent, education regarding the importance of HH and frequency of ring wearing. Results: Less than half of the respondents [76 of 182 (41·7%)] reported washing their hands regularly between handling patients and 154 of 182 (85·6%) believed they should have washed more frequently. The most commonly employed HH agent was hand soap [154 of 182 (84·6%)] and the most common reason cited for not washing more frequently was being too busy [132 of 182 (72·5%)]. Only 96 of 182 (52·7%) respondents were educated by doctors at their hospital regarding the importance of HH. Clinical Significance: The HH practices among VT and VSS in small animal private practice is poor. Hand soap was the most commonly employed agent among respondents in this study. Education of VT and VSS regarding the importance of HH requires improvement.     

Occupational health and safety in small animal veterinary practice: Part I--nonparasitic zoonotic diseases

Zoonotic diseases are an ever-present concern in small animal veterinary practice and are often overlooked. A variety of nonparasitic zoonotic diseases may be encountered in small animal practice, including cat scratch disease (bartonellosis), cat bite abscesses, rabies, leptospirosis, methicillin-resistant Staphylococcus aureus, Clostridium difficile-associated diarrhea, salmonellosis, avian chlamydiosis, campylobacteriosis, dermatophytosis, and blastomycosis. These may cause human disease ranging from mild and self-limiting to fatal. The risk of development of a zoonotic disease can be lessened by early recognition of infected animals, proper animal handling, basic biosecurity precautions, and, most importantly, personal hygiene.     

ACVIM small animal consensus statement on safe use of cytotoxic chemotherapeutics in veterinary practice

The purpose of this report is to offer a consensus opinion of ACVIM oncology diplomates and technicians on the safe use of cytotoxic chemotherapeutics in veterinary practice. The focus is on minimizing harm to the personnel exposed to the drugs: veterinary practitioners, veterinary technicians, veterinary staff, and pet owners. The safety of the patient receiving these drugs is also of paramount importance, but is not addressed in this statement. Much of the information presented is based on national recommendations by Occupational Safety and Health Administration, National Institute for Occupational Safety and Health, United States Pharmacopeia, and other published regulations. These directives reflect an abundance of caution to minimize exposure to medical personnel, but large‐scale studies about the consequences of long‐term occupational exposure are not available in veterinary medicine. Challenges in the delivery of optimal treatment safely and economically to veterinary patients in general practice without access to a veterinary oncologist or other specialist, because of costs or proximity, remain.     

Advances in wound healing in small animal practice: current status and lines of development

Abstract In the past 5 years advances in the management of wounds in dogs and cats have included the development of materials and techniques used to enhance the healing of both open and closed wounds. New topical and locally injected medications as well as new bandaging materials have been evaluated. The use of omental flaps to enhance wound healing has been found to be promising. Ultrasonography has been found useful in assessing wound tissues to guide treatment. Because tension is a major factor in dealing with wound closure, skin expanders, skin stretchers, presutures and adjustable horizontal mattress sutures have been described as means of overcoming tension. Recently completed research projects at the Scott-Ritchey Research Center studied the woundhealing effects of fibrin sealants, topical bovine collagen, omega-3 fatty acid-enriched diets and magnetic field therapy. Projects underway are evaluating the healing effects of a new biological tissue adhesive, a macrophage stimulant and a thromboxane synthestase inhibitor. Parameters for evaluating wound healing have included histopathology, tensiometry, planimetry, laser Doppler image scanning, biochemistry and immunohistochemistry. Resumen En los últimos 5 años, algunos de los avances en la curación de heridas en perros y gatos ha incluido el desarrollo de materiales y técnicas utilizados para mejorar la curación tanto de heridas cerradas como abiertas. Se han evaluado nuevas medicaciones tópicas y sistémicas asi como nuevos marteriales de vendaje. El us0 de injertos omentales para estimular la curación de heridas ha mostrado resultados prometedores. La ecografia es un método éutil en la valoración de los tejidos lesionados para guiar el tratamiento. Debido a que la tensión es un factor importante en el caso de cerramiento de heridas, se describen como métodos de evitar la tensión productos como expansores cutáneos, estiradores cutáneos, presuturas y suturas cutáneas horizontales acolchonadas ajustables. Algunos proyectos de investigación recientemente finalizados en el Centro de Investigación Scott-Ritchey estudiaron los efectos sobre la curación de heridas de selladores de fibrina, colágeno tópico bovino, dietas enriquecidas con ácido graso omega-3 y terapia de campo magnético. Otros proyectos en realización están evaluando los efectos curativos de un nuevo adhesivo tisular biológico, un estimulante de macrófagos y un inhibidor de la tromboxano-sintetasa. Los parámetros para evaluar la curación de herida han incluido la histopatología, la tensiometría, la planimetría, el scanner por imágen doppler laser, bioquímica e inmunohistoquímica. [Swaim, S.F. Advances in wound healing in small animal practice: current status and lines of development (Avances en la curcion de heridas en pequeños animales: estado actual y lineas de desarrollo). Veterinary Dermatology 1997; 8 : 249–257] Zusammenfassung In den letzten 5 Jahren wurden Fortschritte in der Wundversorgung bei Hund und Katze unter anderem durch die Entwicklung von Materialien und Techniken erzielt, die zur besseren Heilung von offenen und geschlossenen Wunden verwendet werden. Neue lokale und systemische Medikamente sowie neue Verbandsmaterialien wurden untersucht. Die Verwendung von Omentumlappen zur Verbesserung der Wundheilung scheint vielversprechend zu sein. Ultraschalluntersuchungen waren von Nutzen, um Wundgewebe zu beurteilen und die Behandlung zu lenken. Spannung ist ein wesentlicher Faktor im Wundverschluss, Hautexpander, Hautdehner, vorbereitende Nähte und regulierbare, horizontale Matratzennähte wurden zur Überwindung der Wundspannung beschrieben. Kürzlich fertiggestellte Forschungsprojekte am Scott-Ritchie Research Center erforschten die Effekte von Fibrindichtungsmitteln, lokalem bovinen Kollagen, Futtermitteln mit Omega-3 Fettsäurenzusatz und Magnetfeldtherapie. Gegenwärtige Forschungsprojekte bewerten die Heilungseffekte eines neuen, biologischen Gewebehaftmittels, eines Makrophagenstimulans und eines Thromboxansynthetasehemmers. Parameter zur Bewertung der Wundheilung waren Histopathologie, Tensiometrie, Planimetrie, Laser Doppler, physiologische Chemie und Immunhistochemie. [Swaim, S.F. Advances in wound healing in small animal practice: current status and lines of development (Fortschritte bei der Wundheilung in der Kleintierpraxis: Derzeitiger Stand und Entwicklung). Veterinary Dermatology 1997; 8: 249–257] Résumé Durant les 5 dernières années, le progrés dans le traitement des plaies chez les chiens et les chats ont inclus le développement de matériaux et de techniques utilisés pour augmenter la cicatrisation des plaies ouvertes et fermées. De nouvelles médications topiques et systémiques ainsi que de nouveaux matériaux de bandages ont étéévalués. L'utilisation de lambeaux d'éplipon s'est révélée prometteuse dans l'amélioration de la cicatrisation des plaies. L'ultrasonographie s'est montrée utile dans le traitement de guidance de l'évaluation des plaies tissulaires. La tension étant un facteur major lors de la fermeture de plaies, expansseurs cutanés, étireurs cutanés et surjets de matelassier ajustables ont tous été décrits comme moyens permettant de vaincre la tension. Récemment des projets de recherche achevés au Scott-Ritchey Research Center ont étudiés les effets des joints de fibrine, du collagène bovin topique, des régimes enrichis en acides gras omega-3 et de la thérapies de champs magnétiques sur la cicatrisation des plaies. Les projets mis en route sont l'évaluation des effets sur la cicatrisation d'un nouvel adhésif tissulaire biologique, d'un stimulant de macrophages et d'un nouvel inhibiteur de la thromboxane synthase. Les paramètres intervenant dans l'évaluation de la cicatrisation des plaies ont inclus l'histopathologie, la tensiométrie, la planimétrie, le laser Doppler, l'imagerie, la biochimie et l'immunohistochimie. [Swaim, S.F. Advances in wound healing in small animal practice: current status and lines of development (Progres de la cicatrisation en pratique des petits animaux: etat actuel et lignes de developpement). Veterinary Dermatology 1997; 8 : 249–257]     

Clinical skills and knowledge used by veterinary graduates during their first year in small animal practice

OBJECTIVE: To determine the clinical skills and areas of knowledge used by veterinarians in small animal practice during their first year after graduation and the degree of assistance and supervision they received while developing these skills. DESIGN: A postal survey was sent in December 1999 to 59 veterinarians who completed their training at Murdoch University in December 1998. PROCEDURE: The first part of the survey asked for information on veterinary work patterns since leaving university. The second part consisted of a list of diagnostic and therapeutic skills of varying complexity and the graduates were asked to indicate whether they had used these skills in practice and whether they had been assisted or supervised while doing them. The respondents were also asked if they had had the opportunity to practise these skills as undergraduates at university or during extramural experience. In the third part the areas of knowledge used in practice were assessed by analysis of a series of consecutive cases. RESULTS: Forty replies were received but since three graduates had done no small animal work the analysis of the skills section is based on 37 responses. Thirty graduates supplied information on 994 canine cases and 308 feline cases. The distribution of the mean work time was dogs and cats 69%, horses 13%, farm animals 11%, birds 3% and others 4%. Skills used by over 90% of graduates included general anaesthesia, examination of the tympanic membrane, taking and interpreting an abdominal radiograph, catheterising a male cat, fine needle aspiration of a mass, neutering dogs and cats, tooth scaling and extraction and treating an aural haematoma. The survey also identified the opportunities for undergraduates to practise some of these skills during extramural experence and the extent of assistance given to new graduates during their first year in practice. The areas of knowledge used in over 10% of the cases included vaccination, anaesthesia/sedation, skin/coat problems, general advice on pet health, neutering and musculoskeletal diseases. CONCLUSION: Veterinarians, in their first year after graduation, use a wide range of complex diagnostic and therapeutic skills. Although many of these skills are acquired during the undergraduate training, a significant contribution is made by extramural practical work undertaken during the clinical years of the undergraduate course and in the first year following graduation. Practising veterinarians play an important role in providing opportunities and supervision for clinical training.     

Clinical skills and knowledge used by veterinary graduates during their first year in small animal practice

Objective To determine the clinical skills and areas of knowledge used by veterinarians in small animal practice during their first year after graduation and the degree of assistance and supervision they received while developing these skills. Design A postal survey was sent in December 1999 to 59 veterinarians who completed their training at Murdoch University in December 1998. Procedure The first part of the survey asked for information on veterinary work patterns since leaving university. The second part consisted of a list of diagnostic and therapeutic skills of varying complexity and the graduates were asked to indicate whether they had used these skills in practice and whether they had been assisted or supervised while doing them. The respondents were also asked if they had had the opportunity to practise these skills as undergraduates at university or during extramural experience. In the third part the areas of knowledge used in practice were assessed by analysis of a series of consecutive cases. Results Forty replies were received but since three graduates had done no small animal work the analysis of the skills section is based on 37 responses. Thirty graduates supplied information on 994 canine cases and 308 feline cases. The distribution of the mean work time was dogs and cats 69%, horses 13%, farm animals 11%, birds 3% and others 4%. Skills used by over 90% of graduates included general anaesthesia, examination of the tympanic membrane, taking and interpreting an abdominal radiograph, catheterising a male cat, fine needle aspiration of a mass, neutering dogs and cats, tooth scaling and extraction and treating an aural haematoma. The survey also identified the opportunities for undergraduates to practise some of these skills during extramural experience and the extent of assistance given to new graduates during their first year in practice. The areas of knowledge used in over 10% of the cases included vaccination, anaesthesia/sedation, skin/coat problems, general advice on pet health, neutering and musculoskeletal diseases. Conclusion Veterinarians, in their first year after graduation, use a wide range of complex diagnostic and therapeutic skills. Although many of these skills are acquired during the undergraduate training, a significant contribution is made by extramural practical work undertaken during the clinical years of the undergraduate course and in the first year following graduation. Practising veterinarians play an important role in providing opportunities and supervision for clinical training.