Evaluation of the effects of footwear hygiene protocols on nonspecific bacterial contamination of floor surfaces in an equine hospital

OBJECTIVE: To evaluate the effects of footwear hygiene protocols on bacterial contamination of floor surfaces in an equine hospital. DESIGN: Field trial. PROCEDURES: Footwear hygiene protocols evaluated included use of rubber overboots with footbaths and footmats containing a quaternary ammonium disinfectant, rubber overboots with footbaths and footmats containing a peroxygen disinfectant, and no restrictions on footwear type but mandatory use of footbaths and footmats containing a peroxygen disinfectant. Nonspecific aerobic bacterial counts were determined via 2 procedures for sample collection and bacterial enumeration (contact plates vs swabbing combined with use of spread plates), and the effects of each footwear hygiene protocol were compared. RESULTS: There were no consistent findings suggesting that any of the protocols were associated with differences in numbers of bacteria recovered from floor surfaces. Although there were detectable differences in numbers of bacteria recovered in association with different footwear hygiene protocols, differences in least square mean bacterial counts did not appear to be clinically relevant (ie, were < 1 log10). CONCLUSIONS AND CLINICAL RELEVANCE: Although cleaning and disinfection of footwear are important aids in reducing the risk of nosocomial transmission of infectious agents in veterinary hospitals, the numbers of aerobic bacteria recovered from floor surfaces were not affected by use of rubber overboots or the types of disinfectant used in this study. Further study is warranted to evaluate the usefulness of footwear hygiene practices relative to their efficacy for reducing transmission of specific pathogens or decreasing nosocomial disease risk.     

Effectiveness of using a mat filled with a peroxygen disinfectant to minimize shoe sole contamination in a veterinary hospital

OBJECTIVE: To determine the effectiveness of using a disinfectant mat filled with a peroxygen compound to prevent mechanical transmission of bacteria via contaminated footwear between the food animal ward and common breezeway of a veterinary teaching hospital. DESIGN: Observational study. SAMPLE POPULATION: Shoe soles of individuals entering and exiting from the ward. PROCEDURES: A mat filled with peroxygen disinfectant was placed at the entrance to the food animal ward, and participants wiped each shoe twice on the mat surface (n = 16) or walked on the mat surface but did not wipe their shoes (17) before entering and exiting from the ward. Swab specimens were collected from the shoe soles of participants before and after mat use and submitted for bacterial culture. RESULTS: For both study days, as participants entered the ward, median number of aerobic bacteria isolated from shoe swab specimens collected prior to use of the disinfectant mat was not significantly different from median number isolated after use of the disinfectant mat. However, as participants exited the ward, median number of aerobic bacteria isolated from shoe swab specimens collected prior to use of the disinfectant mat was significantly higher than median number isolated after use of the disinfectant mat. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggest that placing a mat filled with a peroxygen disinfectant at the exit from the food animal ward of a veterinary teaching hospital may help reduce mechanical transmission of bacteria on the footwear of individuals leaving the ward.     

Evaluation of the efficacy of a peroxygen disinfectant-filled footmat for reduction of bacterial load on footwear in a large animal hospital setting

OBJECTIVE-To compare the efficacy of a peroxygenbased disinfectant used in footbaths with the efficacy of the same disinfectant used in footmats for reducing bacterial contamination of footwear in a large animal hospital. DESIGN-Prospective study. SAMPLE POPULATION-Bacteria recovered from the soles of rubber boots after experimental microbial contamination and exposure to disinfectant solutions or water (water-treated control boots) or no treatment (untreated control boots). PROCEDURES-Investigators contaminated boots by walking through soiled animal bedding. Swab samples were collected from the sole of 1 untreated boot (right or left); the other boot was treated as investigators stepped through a disinfectant-filled footbath, a disinfectant-filled footmat, or water-filled footmat. Samples were collected 10 minutes after each treatment. Differences in numbers of bacteria recovered from treated and untreated boots were analyzed. RESULTS-Mean bacterial counts from peroxygentreated boots were 1.3 to 1.4 log(10) lower (95.4% to 99.8%) than the counts from untreated boots. Results were similar for footmat- and footbath-treated boots. In contrast, there were no statistically detectable differences in mean bacterial counts in samples collected from water-treated or untreated boots. CONCLUSIONS AND CLINICAL RELEVANCE-Results suggest that footmats and footbaths containing peroxygenbased disinfectant are effective in reducing bacterial contamination on the soles of boots when used in conditions representative of large animal hospitals. Similar results were achieved with use of either footmats or footbaths. The use of footbaths and footmats containing effective disinfectants may help decrease the risk for spread of nosocomial infection but should not be expected to sterilize footwear.     

The effect of Virkon S fogging on survival of Salmonella enterica and Staphylococcus aureus on surfaces in a veterinary teaching hospital

The objective of the study was to determine the disinfection efficacy of aerosolizing (cold fogging) Virkon S on survival of Stahpylococcus aureus and Salmonella enterica on different surfaces. Two experiments were conducted in different locations. Salmonella enterica and S. aureus were grown in broth culture and then seeded into pre-marked areas in each location and allowed to dry. Virkon S (1%) was aerosolized into the rooms (approximately 1L of per 30 m(3)). Samples were collected pre- and post-fogging for quantitative cultures to evaluate the efficacy of aerial disinfection. The reduction of S. enterica or S. aureus counts ranged from 3.40 to 0.95 log(10) (Salmonella) or 4.92 to 0.02 log(10) (Staphylococcus). The greatest reduction was evident in samples collected from non-porous horizontal surfaces, which were not obstructed from the air flow. These results indicate that fogging with Virkon S could be beneficial in routine disinfection of pre-cleaned surfaces. The benefits of routine use of cold fogging with Virkon S in veterinary hospital settings would include its wide-range antimicrobial action and minimal working-men power required to disinfect large areas. Also, fogging would potentially minimize microbial contamination in the hard to reach areas.     

A Microbiological Assessment of On-Farm Food Safety Cleaning Methods in Broiler Barns

Little is known about the effectiveness of current poultry industry cleaning and disinfection procedures in broiler barns. Surface swabs were taken from a commercial broiler barn and a research broiler barn. The swabs were analyzed to determine if cleaning and disinfectant processes used would reduce the numbers of total aerobic bacteria and the total Enterobacteriaceae on the walls of the commercial barn (Experiment 1) and on the walls and floor of the research barn (Experiment 2). Microbiological analyses were used to assess bacterial loads within each barn. In Experiment 1 the mean of total aerobic bacterial counts were not affected by the cleaning and disinfectant process. However, the means of total Enterobacteriaceae counts were significantly reduced by the washing process. Disinfection with Virkon did not further reduce the numbers of Enterobacteriaceae. In general, the cleaning processes used in wood and metal barns were effective in reducing Enterobacteriaceae counts. In Experiment 2, neither the mean of total aerobic bacterial counts nor Enterobacteriaceae counts were affected by the washing process. However, disinfection with Virkon did result in a significant reduction of bacterial numbers. In summary, the disinfectant step performed in the research barn was effective in decreasing both total aerobic and Enterobacteriaceae counts.     

Enhanced inactivation of avian influenza virus at ?20°C by disinfectants supplemented with calcium chloride or other antifreeze agents

Avian influenza outbreaks have occurred during winter months, and effective disinfection of poultry premises at freezing temperatures is needed. The commercial disinfectants Virkon and Accel, supplemented with an antifreeze agent [propylene glycol (PG), methanol (MeOH), or calcium chloride (CaCl₂)], were evaluated for their effectiveness in killing avian influenza virus (AIV) at −20°C or 21°C. An AIV suspension was applied to stainless steel disks, air-dried, and covered with a disinfectant or antifreeze agent for 5 to 30 min. Virkon (2%) and Accel (6.25%) with 30% PG, 20% MeOH, or 20% CaCl₂ inactivated 6 log₁₀ AIV within 5 min at −20°C and 21°C. At these temperatures PG and MeOH alone did not kill AIV, but the 20% CaCl₂ solution alone inactivated 5 log₁₀ AIV within 10 min. The results suggested that CaCl₂ is potentially useful to enhance the effectiveness of disinfection of poultry facilities after outbreaks of AIV infection in warm and cold seasons.     

Comparison of bandaging and elevation of the claw for the treatment of foot lameness in dairy cows

Objective
To compare the effectiveness of three treatments for sole injuries in dairy cows and to evaluate the ease and speed of applying the treatments.
Design
A randomised clinical trial.
Procedure
The three forms of treatment were elevating the affected claw of a lame cow with a wooden block glued to the unaffected claw (39 cows), elevating the affected claw with a rubberised shoe glued to the unaffected claw (42 cows) or applying a padded bandage to the whole foot of a lame cow (31 cows).
Results
the percentages of cows that recovered from lameness at 3 and 7 days after treatment were significantly higher for cows treated with wooden blocks (P = 0.013 and P = 0.008) or rubberised shoes (P = 0.026 and P = 0.0003) than padded bandages. Cows treated with blocks had a recovery rate of 48.7% at day three and 65.8% at day seven, and cows treated with rubberised shoes, rates of 45.2% and 76.2%, respectively. Cows which had a bandage applied to the foot had recovery rates of 19.4% at day three and 32.3% at day seven. However, by day 14, there was no significant difference in recovery rate between the three treatments. Rubberised shoes were shown to offer a number of advantages over wooden blocks. The shoes were significantly quicker to attach than blocks (median of 9.5 minutes compared with 14.0 minutes, P < 0.0001) and remained on the claw longer (57.1% of rubberised shoes remained at 30 days compared to 30.8% of blocks, P = 0.025). The rubberised shoes also offered an advantage over wooden blocks for operator safety and health by reduing contact between the potantially hazardous adhesive used to attach both devices and the skin of the person applying the device.
Conclusions
Rubberised shoes are a superior method of elevating an affected claw in conditions of lameness likely to respond to removal of weightbearing forces.     

Evaluation of 4 intervention strategies to prevent the mechanical transmission of porcine reproductive and respiratory syndrome virus

Four intervention strategies were tested for their ability to prevent the mechanical transmission of porcine reproductive and respiratory syndrome virus (PRRSV): the use of disposable plastic boots to prevent contamination of personal footwear, the use of boot baths to disinfect PRRSV-contaminated plastic boots, the use of plastic slatted (Polygrate) flooring in the anteroom to prevent PRRSV contamination of incoming personal footwear, and the use of bag-in-a-box shipping methods to prevent PRRSV contamination of the contents of a container destined for a swine farm. Ten PRRSV-positive replicates and 10 PRRSV-negative (sham-inoculated) replicates were used for each strategy. Swabs were collected from selected sites and tested by TaqMan polymerase chain reaction for PRRSV RNA and by swine bioassay to confirm the presence of infectious PRRSV. Results indicated that the use of disposable boots, bleach boot baths or bag-in-a-box shipping methods was highly efficacious in preventing mechanical transmission of PRRSV. In contrast, the use of Polygrate flooring in the anteroom did not prevent contamination of personal footwear. The numbers of PRRSV-positive samples from the Polygrate surface and the soles of incoming footwear placed directly on the Polygrate surface were not significantly different (P = 0.24) from those of footwear that directly contacted the floor of the contaminated anteroom. Although these results are promising, this study should be considered a pilot project and the intervention strategies not considered biosecurity protocols. The model used may or may not represent field conditions. Therefore, the information should be used to develop larger experimental studies, with sufficient statistical power, in combination with field-based epidemiologic studies to better assess the role of mechanical transmission of PRRSV under field conditions.     

Resynchronization with the G6G protocol: A retrospective,observational study of second and later timed artificial inseminations on commercial dairy farms

We recorded conception rates and estimated pregnancy rates following second and later timed artificial inseminations (TAIs) after hormonal resynchronization on commercial dairy farms, using the so‐called G6G protocol (PGF day‐0; GnRH 2, 8 days; PGF 15, 16 days, GnRH 17 days; TAI 18 days), and the 5‐day Ovsynch protocol or 5DO (GnRH day 0; PGF 5, 6 days; GnRH 7 days; TAI 8 days). In four farms, both protocols were implemented in parallel, and these 1,368 s and later TAIs were used for the protocols’ comparison based on logistic regression (544 TAIs in primiparous; 824 in multiparous cows; 1,024 TAIs after G6G [600 TAIs in multiparous and 424 in primiparous]; 344 TAIs after 5DO [224 TAIs in multiparous and 120 in primiparous]; 280 TAIs during the hot season; 1,088 during the cool season). Conception rate (CR) was 31.7% ± 12.0% among all cows, 35.1% ± 10.7% among cows resynchronized with the G6G protocol and 21.8% ± 9.7% among cows resynchronized with the 5DO protocol (p < 0.0001). CR among all cows was lower during the hot season (19.3% ± 8.4%) than during the cool season (34.9% ± 10.6%; p < 0.0001), and similar seasonal results were observed with G6G protocols. Logistic regression showed significant effects on CR in second and later TAIs by protocol (OR = 0.514; 95% CI 0.385–0.686; p < 0.0001) and season (OR = 0.486; 95% CI 0.350–0.676; p < 0.0001). Parity did not influence CR after second and later TAIs (p > 0.1), and no interaction with season or resynchronization protocol was found. Estimated pregnancy rates based on these CR data from both hormonal protocols suggest that G6G can be effectively used for second and later TAIs and highlight the importance of considering protocol and season when designing strategies for second and later timed AIs on dairy farms.     

PALLIATIVE RADIATION THERAPY OUTCOMES FOR CATS WITH ORAL SQUAMOUS CELL CARCINOMA (1999–2005)

Squamous cell carcinoma (SCC) accounts for approximately 10% of all feline tumors. The purpose of this retrospective study was to describe outcomes for a group of cats with oral SCC that were treated with palliative radiation therapy. Fifty‐four cats met the inclusion criteria of nonresectable, oral SCC treated with coarse fractionated megavoltage (MeV) radiation therapy. Radiation therapy for all cats was delivered with a 6 MeV linear accelerator. Total radiation doses of 24 Gray to 40 Gray were administered in three to four fractions, once‐per‐week over 4 to 5 weeks. Concurrent chemotherapy protocols varied and were administered at the discretion of the clinician and client. Forty‐nine patients completed the planned treatment protocols. Overall mean and median survival times for cats completing the planned treatment protocols were 127 and 92 days (n = 49). Mean and median survival times of cats receiving palliative radiation therapy alone were 157 and 113 days (n = 12). Mean and median survival times of patients receiving both radiation therapy and chemotherapy were 116 and 80 days (n = 37). Patients with sublingual tumors had a median survival time of 135 days (n = 15), compared to mandibular tumors that had a median survival time of 80 days (n = 26). For the majority of patients that completed the planned treatment protocol (65%), owners reported a subjectively improved quality of life. Findings from this uncontrolled study supported the use of palliative radiation therapy for cats with nonresectable oral squamous cell carcinoma.     

Hypofractionated radiation therapy for the treatment of microscopic canine soft tissue sarcoma

Soft tissue sarcomas (STSs) are locally invasive and surgery with or without radiation therapy is the current standard of care in dogs. Typical protocols for treating incompletely excised STSs involve curative intent radiation with total dose in excess of 50 Gy. Forty‐eight dogs with histologically confirmed incomplete or closely excised STSs were treated with a hypofractionated protocol that is typically reserved for palliative radiation therapy (RT) (6–8 Gy/weekly fractions to a total dose of 24–32 Gy). Ten dogs (21%) developed local recurrence, 11 dogs (23%) developed metastasis, and 3 dogs developed both (included in each group). The median progression free survival was 698 days. The local failure‐free probability at 1 and 3 years was 81 and 73%. The 1 and 3 years tumour‐specific overall survival was 81 and 61%. Long‐term local tumour control was achieved in the majority of dogs. This protocol is reasonable to prescribe in older patients or when financial limitations exist.     

Comparison between L-CHOP and an L-CHOP protocol with interposed treatments of CCNU and MOPP (L-CHOP-CCNU-MOPP) for lymphoma in dogs

An L-CHOP protocol with interposed treatments of CCNU and MOPP (L-CHOP-CCNU-MOPP) was evaluated in 66 dogs with stages III-V lymphoma. Results were compared with a historical group of 71 dogs treated with an L-CHOP protocol. Complete remission (CR) rates (85 and 80%, respectively) did not differ significantly between protocols (P = 0.48). First CR duration for dogs treated with L-CHOP-CCNU-MOPP was significantly longer: median, 317 days; 2-year CR rate, 35% versus median, 298 days; 2-year CR rate, 13%, P = 0.05). For the L-CHOP-CCNU-MOPP protocol, dogs in substage-b had a 4.3 times greater hazard of having a relapse than dogs in substage-a (P = 0.002). Frequency of adverse chemotherapy-associated gastrointestinal effects did not differ between protocols (P = 0.77). Neutropenia (primarily after CCNU) occurred more frequently in dogs treated with L-CHOP-CCNU-MOPP (P < 0.001). In summary, the L-CHOP-CCNU-MOPP protocol showed an improved duration of first CR as compared with an L-CHOP protocol, but the relevance of this finding might be subject to clinical judgement.     

市售5种消毒剂对舍饲鸭场的杀菌效果评价

为了解贵州省某舍饲鸭场环境中菌落分布情况以及市售五种常用消毒剂(苯扎溴铵、月苄三甲氯铵、复方戊二醛、戊二醛癸甲溴铵、聚维酮碘)的灭菌效果。通过采集鸭场空气、粪便、垫料、饮水样本进行菌落总数测定;分别配制最小杀菌浓度的苯扎溴铵、月卞三甲氯铵、复方戊二醛及戊二醛癸甲溴铵4种消毒剂,采用雾线、喷洒消毒方式对舍饲鸭场空气、漏缝地板、料槽、蛋框及运输车车轮进行现场消毒;配制最小杀菌浓度的聚维酮碘,采用涂抹方式对鸭蹼部皮肤进行涂抹消毒;最后分别测定鸭场空气、漏缝地板、料槽、蛋框、运输车车轮及鸭蹼样本消毒前后的菌落总数并计算5种消毒剂对细菌的杀菌率。结果显示：舍饲鸭场空气菌落总数为3.79×10⁴ CFU/m³,超出NY/T 388-1999畜禽场环境质量标准规定数值(25000 CFU/m³);粪便菌落总数为2.67×10⁷ CFU/g,超出GB18596-2001畜禽养殖业污染物排放标准规定数值(1.03×10⁶CFU/g);垫料菌落总数为3.7×10⁶CFU/g,超出NY/T1167-2006畜禽场环境质量及卫生控制规范规定的清洁土壤数值(5×10⁴CFU/g);饮水菌落总数为12 CFU/mL,符合GB 5749-2006生活饮用水卫生标准(100CFU/mL)。5种消毒剂对鸭场进行现场消毒试验,复方戊二醛对漏缝地板、蛋框、运输车车轮的细菌杀菌率最高,分别为96.78%、81.31%、87.5%;戊二醛癸甲溴铵对鸭舍空气、料槽的细菌杀菌率最高,分别为34.85%、74.35%;聚维酮碘对鸭蹼部皮肤细菌杀菌率为72.45%;4种消毒剂对漏缝地板、料槽、蛋框、运输车车轮消毒效果良好,对空气的消毒效果不理想;聚维酮碘对鸭蹼部皮肤消毒效果不理想。结果表明：该舍饲鸭场存在大量超过国标菌落总数的安全隐患,通过对该鸭场微生物菌落计数及现场消杀试验,在一定程度将菌落总数控制在了合理范围。研究结果旨在为掌握舍饲鸭场微生物菌落分布情况,制定舍饲鸭场消毒程序以及科学防控养鸭场细菌性疾病提供参考依据。     

An investigation into the bacterial contamination of goniolenses in use in clinical practice

Objectives To report the incidence and evaluate the clinical significance of goniolens bacterial contamination in clinical use in dogs with three different usage protocols and one with an added cleaning protocol. Animals Studied and Methods Three groups of twenty dogs undergoing gonioscopy at a private practice in the UK had the goniolenses swabbed for bacteriology culture and identification prior to placement on the cornea. Three protocols of lens use, with 2 different types of goniolens, were studied. One protocol was then repeated with 21 dogs with a lens cleaning protocol prior to storage. Results Low levels of bacterial contamination were found in all 3 initial groups (10‐15%). No correlation was found between usage protocol used and rate of contamination and no correlation was found between length of storage between use and contamination. All bacteria cultured were considered naturally occurring commensals for the canine eye and environment. The group with a cleaning protocol had a 4.7% contamination rate. This was not statistically different from the non‐cleaning groups. Conclusions The rate of bacterial contamination of goniolenses in clinical practice is low and the bacterial contaminants consist of commensal bacteria, unlikely to be of detriment to the eye. Minimal contamination of the goniolenses was found and this did not appear to be of clinical significance. The introduction of a simple cleaning protocol did not produce a statistically significant reduction in bacterial contamination.     

Evaluation of the efficacy of disinfectant footbaths as used in veterinary hospitals

OBJECTIVE: To evaluate efficacy of 2 disinfectants as used in footbaths in veterinary hospitals for reducing bacterial contamination of footwear. DESIGN: Prospective study. SAMPLE POPULATION: Bacteria collected from the soles of rubber boots after experimental contamination and exposure to disinfectant solutions or control conditions. PROCEDURES: Investigators contaminated boots by walking through soiled straw animal bedding. Swab samples were collected from the sole of 1 boot (right or left) without treatment. The other boot was briefly immersed in a disinfectant solution (either a quaternary ammonium compound [QAC] or a peroxygen compound) or water, and samples were collected after 7 minutes. Differences associated with the experimental treatments were analyzed statistically. Veterinary teaching hospitals (VTHs) in the United States and Canada were contacted to obtain information about the use of footbaths. RESULTS: Mean bacterial concentrations from peroxygen-treated boots were 67% to 78% lower, compared with samples taken from untreated boots. In contrast, there were no statistically detectable differences in mean bacterial concentrations in samples taken from QAC- or water-treated boots, compared with control boots. Disinfectant footbaths were reportedly used in 30 of 31 VTHs. CONCLUSIONS AND CLINICAL RELEVANCE: Disinfectant solution containing peroxygen applied in a footbath reduced bacterial concentrations on rubber boots under conditions representative of those found in VTHs. Footbaths are commonly used as a method to control infectious diseases in veterinary hospitals. Disinfectant footbaths should not be expected to sterilize footwear, but they may help in reducing the risk for nosocomial infection when used with effective disinfectants.     

分支杆菌DNA的不同提取方法在PCR反应中的定性评价

采用已报道过的分支杆菌DNA7种不同提取方法分别对标准BCG菌株和结核病鹿肺样本DNA提取后比较并进行聚合酶链反应(PCR)扩增,通过PCR反应对几种DNA提取方法做出定性评价。结果表明:方法5和7有100%临床样本检测率,方法7所得DNA浓度和纯度最高。说明临床样本分支杆菌DNA提取过程中使用物理和化学方法裂解细胞,使用蛋白酶K和氯仿纯化、异丙醇沉淀DNA是十分必要的。     

Tooth brushing inhibits oral bacteria in dogs

In this study, scaling, polishing and daily tooth brushing were performed in 20 beagle dogs, and the number of oral bacteria was determined using a bacterial counter. The dogs were randomized into the scaling (S), scaling + polishing (SP), scaling + tooth daily brushing (SB) and scaling + polishing + tooth daily brushing (SPB) groups. Samples were collected from the buccal surface of the maxillary fourth premolars of the dogs immediately after scaling and every week thereafter from weeks 1 to 8. Throughout the study, the number of bacteria was significantly lower in the SB and SPB groups compared with the S group. The findings suggest that daily tooth brushing inhibited oral bacterial growth in the dogs.     

Cyclical 10-day dosing of melphalan for canine multiple myeloma

Canine multiple myeloma (MM) is typically treated with melphalan chemotherapy. A protocol with repeated 10-day cyclical dosing of melphalan has been used at our institution but has not been described in the literature. Our objectives were to describe the outcome and adverse events of this protocol in a retrospective case series. We hypothesised the cyclical 10-day protocol would have similar outcomes compared to other reported chemotherapy protocols. Dogs diagnosed with MM that received melphalan treatment at Cornell University Hospital for Animals were identified through a database search. Records were retrospectively reviewed. Seventeen dogs met inclusion criteria. Lethargy was the most common presenting complaint. The median duration of clinical signs was 53 days (range, 2–150 days). Seventeen dogs had hyperglobulinemia with 16/17 having monoclonal gammopathies. Sixteen dogs had bone marrow aspiration and cytology performed at initial diagnosis and plasmacytosis was diagnosed in all. Based on serum globulin concentrations, 10 of 17 dogs (59%) achieved complete response (CR), and 3 dogs (18%) achieved partial response (PR), for an overall response rate of 76%. The median overall survival time was 512 days (range, 39–1065). Retinal detachment (n = 3) and maximum response of CR/PR (n = 13) were associated with overall survival on multivariate analysis (p = .045 and .046, respectively). Adverse events were minimal with diarrhoea being the most reported (n = 6). This cyclical 10-day protocol was better-tolerated with fewer adverse events than with other reported chemotherapy protocols, but response rate was also lower, likely due to a lower dosing intensity.     

TOLERABILITY AND TUMOR RESPONSE OF A NOVEL LOW‐DOSE PALLIATIVE RADIATION THERAPY PROTOCOL IN DOGS WITH TRANSITIONAL CELL CARCINOMA OF THE BLADDER AND URETHRA

Previously reported radiation protocols for transitional cell carcinoma of the canine lower urinary tract have been ineffective or associated with increased side effects. Objectives of this retrospective, cross‐sectional study were to describe safety of and tumor responses for a novel palliative radiation protocol for transitional cell carcinoma in dogs. Included dogs had cytologically or histologically confirmed transitional cell carcinoma of the bladder or urethra, and were treated with 10 once‐daily fractions (Monday–Friday) of 2.7 Gy. Thirteen dogs were sampled, with six treated using radiation as first‐line (induction) therapy and seven treated using radiation as rescue therapy after failing previous chemotherapy. Within 6 weeks of radiation, 7.6% (1/13) dogs had a complete response, 53.8% (7/13) partial response, 38.5% (5/13) stable disease, and none had progressive disease. Three patients presenting with urethral obstruction had spontaneous micturition restored during the treatment protocol. A single patient with unilateral ureteral obstruction was patent at recheck examination. Median survival time from time of initial diagnosis was 179 days. Median survival time from start of radiation was 150 days. Acute radiation side effects occurred in 31% (4/13) patients and were classified as grade 1 or 2. No significant late side radiation side effects were reported. No variables examined were identified as prognostic factors. Findings indicated that the reported radiation protocol was safe in this sample of dogs with bladder and urethral transitional cell carcinoma. Future prospective studies are needed to determine utility of this treatment as a rescue therapy in patients with complete urinary tract obstruction.