Evaluation of urine marking by cats as a model for understanding veterinary diagnostic and treatment approaches and client attitudes

OBJECTIVE: To obtain information regarding diagnostic and treatment approaches of veterinarians and attitudes and beliefs of clients about a common clinical problem, urine marking in cats. DESIGN: Cohort study. STUDY POPULATION: 70 veterinarians providing care for urine-marking cats and 500 owners of urine-marking cats. PROCEDURE: Veterinarians were interviewed via telephone regarding criteria for diagnosis of urine marking and recommended treatments. Cat owners who responded to recruitment efforts for a clinical trial for urine-marking cats were interviewed via telephone regarding whether and from what sources they sought help to resolve the marking problem. RESULTS: Almost a third of veterinarians did not seem to correctly distinguish between urine marking (spraying) and inappropriate urination. Those that did make this diagnostic distinction reported recommending environmental management and prescribing medication significantly more often that those that did not make this distinction. Seventy-four percent of cat owners sought help from their veterinarians for urine marking; other common sources of information were the Internet and friends. Among those who did not consult a veterinarian, the most frequently cited reason was that they did not think their veterinarian could help. Among cat owners who consulted their veterinarians, 8% reported receiving advice on environmental hygiene and 4% on environmental management (limiting intercat interactions), although veterinarians who correctly diagnosed urine marking reported giving such advice 100 and 83% of the time, respectively. CONCLUSIONS AND CLINICAL RELEVANCE: Results may serve as a model for obtaining information critical to developing veterinary continuing education and public outreach programs for animal owners for various diseases.     

Advances in understanding and treatment of feline inappropriate elimination

Feline inappropriate elimination is the number one behavioral reason for relinquishment of cats to shelters and has historically been the most commonly reported feline problem addressed by behavior professionals. Veterinarians are hence challenged to uncover the underlying motivation for this behavior so that an accurate diagnosis can be made and an effective treatment plan implemented. Before a behavioral diagnosis can be made, underlying medical disease must be addressed, making a comprehensive physical evaluation imperative. After all medical issues have been addressed, a behavior diagnoses list is made based on detailed historical information obtained from the cat owner. A distinction is first established between marking and inappropriate toileting, according to elimination postures described by the owner and the social relevance of the sites of inappropriate eliminations. Next, inadequacies of the litter box management are identified and subsequent aversions and preferences, including litter box aversion, substrate aversion, location aversion, substrate preference, and location preference, can be diagnosed. The practitioner should be cognizant of the fact that anxiety from the environment and social conflict may play a major role in both marking and inappropriate toileting behaviors. Once both the medical and behavioral diagnoses are established, a treatment plan catered to the individual cat, owner, and household environment can be formulated. This should include acceptable forms of marking when indicated, appropriate litter box management and hygiene, reduction of environmental stressors, including resolution of social conflict in multicat households, proper treatment and restricted access to soiled areas, pheromone application, and, when indicated, anxiolytic drug therapy.     

Litterbox size preference in domestic cats (Felis catus)

The objective of this study was to evaluate the response of healthy housebound domestic cats to the simultaneous provision of 2 litterboxes of differing sizes by recording the average daily frequency of urination and defecation in each box. Forty-three households with 74 privately owned cats were each provided with 2 different-sized plastic containers, with the larger box being 86 cm in length, exceeding the size of commercially available litterboxes. Owners were also provided with an unlimited supply of clumping cat litter and a logbook to record daily urine and fecal deposits in the boxes as they were scooped over a 4-week period. The 2 litterboxes were initially placed at opposite sides of the same room in the owner's home. After 2 weeks, the boxes were emptied completely, refilled with clean clumping litter, and replaced in the opposite location. Results were recorded as simple counts of urine and fecal deposits for each day and each household. Over the 28-day period, there were a total of 5031 urine and fecal deposits in the larger boxes and 3239 urine and fecal deposits in the regular boxes. The effects of phase (days 1-14 vs. 15-28) and box size (regular vs. large) on the number of deposits per cat were evaluated using a linear mixed model. In addition to evaluating phase and box size, the effects of number of cats in the house, their average age, and gender were also evaluated. Urine deposits were significantly more frequent than fecal deposits. Large boxes were preferentially selected over regular boxes in both phases, but this difference was greater in phase 1 than phase 2. Further analysis indicated that there was a location preference during the first 2 days in phase 2, and this effect decreased as the study progressed. Results indicate that most cats show a definite preference for a larger litterbox than is typically available to them in homes and that other factors such as box cleanliness and location may have a compounding influence on this choice.     

Effects of clomipramine on cats presented for urine marking

Twenty-five cats exhibiting at least four episodes of vertical urine marking per week were assessed. Following a medical workup, a 4-week clomipramine trial was instituted, using a mean dose of 0.54 mg/kg per os q 24 hours. No concurrent behavioral or environmental modifications were applied. There was a statistically significant (P<0.0001) decrease in urine spraying when the cats were on clomipramine, with 20 of 25 cats having a > or =75% reduction in spraying within 4 weeks. Side effects were mild. Twenty cats were followed for an additional 5 months. Fifteen cats required medication to control the spraying, often at a reduced dose.     

Update on pathogenesis, diagnosis, and treatment of feline herpesvirus type 1

Feline herpesvirus type 1 (FHV-1) infection, but not necessarily chronic or recurrent disease, is common throughout domestic cat populations worldwide. Knowledge of a few essential virological facts permits practitioners to provide appropriate advice to owners of individual pet cats infected with this virus and to assist in the management of shelters and other multicat households in which the virus is enzootic. This article discusses pathogenesis, diagnostic techniques, and clinical signs considered characteristic of infection with FHV-1. Treatment options are considered under the broad categories of supportive care, antiviral agents, and adjunctive therapies.     

Effects of a selective serotonin reuptake inhibitor on urine spraying behavior in cats.

OBJECTIVE: To determine the effectiveness of a readily available selective serotonin reuptake inhibitor (SSRI), fluoxetine hydrochloride, on reducing problem urine spraying in cats. DESIGN: Randomized placebo-controlled double-blind clinical trial. ANIMALS: 17 neutered cats > 1 year old with objectionable urine spraying behavior. Procedure-Owners recorded urine-spraying events for 2 weeks (baseline). Cats that vertically marked a mean of > or = 3 times per week were treated for 8 weeks with fluoxetine or fish-flavored liquid placebo. If urine spraying was not reduced by 70% by weeks 4 through 5, the dosage was increased by 50% for weeks 7 and 8. After discontinuation of treatment at the end of 8 weeks, owners recorded daily urine marks for another 4 weeks. RESULTS: The mean (+/- SE) weekly rate of spraying episodes in treated cats was 8.6 (+/- 2.0) at baseline, decreased significantly by week 2 (1.7 +/- 0.6), and continued to decrease by weeks 7 and 8 (0.4 +/- 0.2). The mean weekly spraying rate of cats receiving placebo was 7.8 (+/- 1.5) at baseline, decreased only slightly during week 1 (5.5 +/- 1.8), and did not decline further. When treatment was discontinued after 8 weeks, the spraying rate of cats that had received treatment varied. The main adverse reaction to the drug was a reduction in food intake, which was observed in 4 of 9 treated cats. CONCLUSIONS AND CLINICAL RELEVANCE: Administration of fluoxetine hydrochloride for treatment of urine spraying in cats can be expected to considerably reduce the rate of urine marking. The frequency of spraying before treatment is predictive of the spraying rate when the drug is discontinued.     

Control of urine marking by use of long-term treatment with fluoxetine or clomipramine in cats

OBJECTIVES: To determine whether clomipramine differs from fluoxetine in reducing feline urine marking; whether reduction of marking continues in cats treated >8 weeks; whether recurrence of marking, after abrupt drug withdrawal, is less in cats treated >8 weeks; and whether cats that are successfully treated but resume marking after drug withdrawal can be successfully treated again with the same drug regimen. DESIGN: Positive-controlled, double-masked clinical trial. ANIMALS: 22 neutered cats (2 females, 20 males) > or =1 year old with objectionable urine marking. PROCEDURE: Cats that marked vertically > or =3 times/wk were treated with fluoxetine (1 mg/kg [0.45 mg/lb], q 24 h, PO) or clomipramine (0.5 mg/kg [0.23 mg/lb], q 24 h, PO) for 16 weeks, and efficacy was compared. Recurrence of marking was determined after abrupt withdrawal of fluoxetine at 16 or 32 weeks. Reduction in marking in cats treated with fluoxetine for 8 weeks after returning to marking following drug withdrawal was compared with the initial 8 weeks of successful treatment. RESULTS: Efficacy of fluoxetine and clomipramine was similar. Treatment >8 weeks revealed increasing efficacy in reduction of marking. Return of marking after termination of fluoxetine administration occurred in most cats. Cats successfully treated initially with fluoxetine responded similarly to repeated treatment. CONCLUSIONS AND CLINICAL RELEVANCE: Clomipramine and fluoxetine were equivalent in treating urine marking. Longer treatment increased efficacy. Most cats return to marking after abrupt drug withdrawal. A second course of treatment can be expected to be as effective as the first.     

Clinical trial of a feline pheromone analogue for feline urine marking

Thirty-six cases of feline urine marking problem were collected through the cooperation of veterinary practitioners in the Kanto, Chubu, and Kansai areas in Japan, for an assessment of the clinical effect of treatment with a synthetic analogue of a feline cheek gland pheromone-like product. The mean frequency of urine marking was 14.2 times/week (median, 10; range, 1-77) at pre-treatment week (preW), and decreased significantly from the first week of treatment, dropping to 4.2 times/week (median, 2; range, 0-44) at the fourth week of treatment. This effect continued until the fourth week after cessation of treatment. These 36 cases were divided into 3 groups based on the effectiveness of treatment as demonstrated in the fourth week of treatment; 37% was categorized as the totally eliminated group (urine marking was not seen), 40% as the reduced group (the frequency of urine marking was equal to or less than 50% that of the preW), and 23% as the unchanged group (the frequency of urine marking was more than 50% that of the preW). Effectiveness of treatment in these groups was 38%, 24%, and 38% at the fourth week after the cessation of treatment, respectively. The decreasing rate of urine marking was compared between cats with and without intercat aggression, and it was revealed that the frequency of marking was sustained at high level in cats with intercat aggression. These results suggest that this pheromone treatment is as effective in Japan as has been reported in other countries for solving feline urine marking problems.     

Effect of an odor eliminator on feline litter box behavior

Decreasing litter box odor may be an important treatment component in addressing feline inappropriate elimination. A three-phase study was conducted to determine if the use of Zero Odor litter box spray increases the preference of litter boxes to cats, presumably by its odor-eliminating quality. In the first phase, cats were given a litter box preference test between a litter box sprayed with Zero Odor and one without. In the second phase, the number of occurrences of behaviors indicative of a cat's dissatisfaction with the litter box (scratching at the sides of the box, floor or wall, hesitating when entering the litter box, balancing on the side of the box and eliminating outside of the litter box) was compared before and after the use of Zero Odor. Last, the frequency of eliminations that occurred outside the litter box was measured during a baseline phase and a test phase, in which Zero Odor was sprayed into all litter boxes in the home. Significantly fewer behaviors associated with feline litter box dissatisfaction and fewer undesirable eliminations were observed in phases 2 and 3, respectively. These findings suggest that use of Zero Odor litter box spray appears to decrease litter box odor and increases the attractiveness of litter box to cats.     

Elimination behavior patterns of domestic cats (Felis catus) with and without elimination behavior problems

OBJECTIVE: To investigate the relationship of litter box location as it relates to cats' use of space in the house, elimination problems, and certain behaviors associated with elimination. SAMPLE POPULATION: 40 cats in single-cat house-holds with or without elimination behavior problems (20 cats/group). PROCEDURES: Camcorders were used to record the cats' behaviors at the litter box and other areas in which they eliminated during a 72-hour period. Use of space in the house was recorded by direct observation during 400 minutes of the 72-hour period. Elimination behaviors and other cat- and litter box-associated variables were compared between groups; litter box location with respect to inappropriate elimination was assessed. RESULTS: Litter box location did not differ between cats with and without elimination behavior problems. An inverse correlation was found between time spent sniffing and the distance of the litter box from the central core area. Cats with elimination problems spent significantly less time digging at the litter box than cats without elimination problems. There was no significant difference in the time spent pawing in litter box, sniffing, or covering excreta after elimination between the 2 groups of cats. CONCLUSIONS AND CLINICAL RELEVANCE: Times spent digging in litter boxes by cats with and without elimination problems have been determined, and data suggest that actual digging times could be used as a means to test for litter preference and litter aversion. This information may also be used to identify cats with litter aversion prior to the development of an elimination problem.     

Attitudes toward and perceptions of free-roaming cats among individuals living in Ohio

OBJECTIVE: To characterize attitudes toward and perceptions of free-roaming cats among individuals living in Ohio. DESIGN: Cross-sectional study. SAMPLE POPULATION: Households in Ohio. PROCEDURES: A random-digit-dial telephone survey was performed, and 1,250 households were contacted. RESULTS: 703 of the 1,250 (56.2%) households completed interviews. Five hundred fifty-three (78.7%) participants reported seeing free-roaming cats at least occasionally, and 184 (26.2%) reported having fed free-roaming cats during the previous year. However, only 42 (22.8%) participants who fed free-roaming cats had ever taken one to a veterinarian, and 43 (23.4%) participants who fed free-roaming cats reported that at least one of the free-roaming cats had produced a litter in the preceding year. Differences existed between cat owners and other participants and among urban, suburban, and rural residents in regard to their attitudes toward free-roaming cats and the need for government regulations. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggested that free-roaming cats were common in Ohio, but that attitudes toward and perceptions of free-roaming cats differed between cat owners and other participants and among participants grouped on the basis of residential area. Thus, developing statewide approaches for regulating free-roaming cats may be challenging or unrealistic.     

A study of naturally occurring feline coronavirus infections in kittens.

Feline coronavirus is a common infection in cats, as indicated by the high prevalence of antibodies against the virus, especially in multicat households. Approximately 5 to 12 per cent of seropositive cats develop classical feline infectious peritonitis. A survey of kittens born into households of seropositive cats demonstrated the existence of healthy coronavirus carriers. Seronegative animals did not appear to excrete virus. No specific antibody titre could be linked to carrier status and some carrier cats subsequently became seronegative. The management of the kittens strongly influenced whether they became infected, and some degree of protection appeared to be conferred by maternally derived antibody. At present, feline infectious peritonitis virus and feline enteric coronavirus can only be differentiated by their different clinical histories in infected catteries. In this survey, cases of feline infectious peritonitis occurred in kittens from households where the initial presentation had been enteritis and vice versa. Therefore no difference in epidemiology could be found.     

Use of low molecular weight heparin in cats: 57 cases (1999-2003)

OBJECTIVE: To determine duration of administration, complications, and frequency of aortic thromboembolism associated with administration of low molecular weight heparin (dalteparin) in cats. DESIGN: Retrospective study. ANIMALS: 57 cats treated with dalteparin PROCEDURE: Data were recorded from the medical records of cats treated with dalteparin, and owners were contacted by telephone for information regarding ease of administration and possible adverse effects. RESULTS: Dalteparin was easily administered by owners. Median dose was 99 U/kg (45 U/lb) once or twice daily. Bleeding complications were infrequent. Of 43 cats with cardiomyopathy that received owner-administered dalteparin for a median follow-up time of 172 days, 8 cats developed documented or possible arterial thromboembolism. CONCLUSIONS AND CLINICAL RELEVANCE: Dalteparin was easily administered by owners and was well tolerated by cats. Whether dalteparin administration can reduce the frequency or severity of arterial thromboembolism is not yet known.     

Survey of predation by domestic cats

Objectives To calculate the proportion of house cats which were observed by their owners to have caught prey and to describe the characteristics of these cats.
Design and procedure A telephone questionnaire was administered to a randomly selected population of 458 cat owners in metropolitan Perth. Specific questions were asked about demographic characteristics, habits and diets of the cats, and whether the owners had observed their cats catch prey in the 12 month period preceding the survey.
Results The owners of 36% of 644 cats had observed their cats with prey in the 12 month period preceding the survey. Cats which spent more time outside, were neutered, cross-bred, originated from households with only one or two cats or were not fed meat were significantly more likely to be observed to predate. The body condition and diet (other than feeding meat) of cats did not influence the reported frequency of predation.
Conclusion Although cats are only one factor involved in the reduction in the numbers and diversity of Australian wildlife, restriction of the outside activities of cats is likely to diminish predation, particularly in areas close to native vegetation.     

Treatment and prevention of feline struvite urolithiasis

A diet providing less than 20 mg of magnesium per 100 kcal that maintains urine pH near 6.0 3 to 5 hours after eating, or a diet providing this amount fo magnesium (see Table 2) with 1 gm of ammonium chloride or 1.5 gm of dl-methionine added daily, should be fed for 1 to 3 months to dissolve struvite uroliths (see Fig. 1). The low-magnesium diet should be fed indefinitely to prevent recurrence, because struvite urolithiasis and all of its effects (hematuria, pollakiuria, and/or complete to partial obstruction to urinary excretion) recurs repeatedly in cats that have previously experienced the condition if they are returned to regular cat food. In contrast, if a diet low in magnesium is fed, recurrence is uncommon. For cats that have never been affected, feeding a low-magnesium ration is unnecessary. For all cats, the following measures are recommended: encourage exercise, allow frequent urination, prevent obesity, decrease confinement, keep the litter box clean, and always have palatable water readily available.     

Outdoor fecal deposition by free-roaming cats and attitudes of cat owners and nonowners toward stray pets, wildlife, and water pollution

OBJECTIVE: To estimate cat population size, management, and outside fecal deposition and evaluate attitudes of cat owners and nonowners to stray animal control, water pollution, and wildlife protection. DESIGN: Cross-sectional survey. SAMPLE POPULATION: 294 adult residents of Cayucos, Los Osos, and Morro Bay, Calif. PROCEDURES: Telephone survey. RESULTS: The region's cat population was estimated at 7,284 owned and 2,046 feral cats, and 38% of surveyed households owned a mean of 1.9 cats/household. Forty-four percent of cats defecated outside >75% of the time. Annual fecal deposition (wet weight) by owned cats in the 3 communities was estimated to be 77.6 tonnes (76.4 tons). Cat owners were more likely to oppose cat licensing and impounding stray cats and support trap-neuter-return for stray cats and less likely to be concerned about water pollution, than were noncat owners. CONCLUSIONS AND CLINICAL RELEVANCE: Feral cats represented a sizeable proportion (22%) of the free roaming cats in this area and could be contributing 30.0 tonnes (29.5 tons) of feces to the environment per year. However, feral cats are not the principal source of fecal loading because owned cats defecating outdoors contribute an estimated 77.6 tonnes (76.4 tons) or 72% of the annual outdoor fecal deposition.     

Risk factors for pet evacuation failure after a slow-onset disaster.

OBJECTIVE: To determine risk factors for pet evacuation failure during a flood. DESIGN: Cross-sectional survey. SAMPLE POPULATION: 203 pet-owning households in a flooded region. PROCEDURES: Persons under evacuation notice because of a flood were interviewed by use of a random telephone survey. RESULTS: 102 households evacuated with their pets, whereas 101 households evacuated without their pets. Low pet attachment and commitment scores were significantly associated with a greater chance of pet evacuation failure. Risk of pet evacuation failure and lower attachment and commitment scores were also associated with pet management practices prior to the disaster, such as dogs being kept outdoors most of the time or owners not having carriers for their cats. More than 90% of owners made housing arrangements for their pets without assistance. CONCLUSIONS AND CLINICAL RELEVANCE: Predictors of pet evacuation failure are usually present before a disaster strikes and are potentially modifiable. Mitigation of pet evacuation failure should focus on activities that reinforce responsible pet ownership and strengthen the human-animal bond, including socializing dogs, attending dog behavior training classes, transporting cats in nondisaster times, and seeking regular preventive veterinary care. Most pet owners are self-reliant in disasters, and this behavior should be encouraged.     

Number of unowned free-roaming cats in a college community in the southern United States and characteristics of community residents who feed them

OBJECTIVE: To estimate the number of unowned free-roaming cats in a college community in the southern United States and identify the characteristics of community residents who feed these cats. DESIGN: Cross-sectional, random-digit telephone survey. SAMPLE POPULATION: 587 households in Alachua County, Florida, surveyed between March 1 and May 10, 1999. PROCEDURE: Telephone surveys were conducted, and respondents were asked questions about feeding of unowned free-roaming cats. RESULTS: 70 (12%) households fed free-roaming cats; mean +/- SD number of free-roaming cats fed per household was 3.6 +/- 1.9. Households that fed free-roaming cats were more likely to own pet cats than were households that did not feed free-roaming cats; however, 30 of 70 (43%) households feeding free-roaming cats did not own cats or dogs. Although the percentage of pet cats that were neutered was high (90%), only 8 (11%) households that fed free-roaming cats attempted to have such cats neutered. The free-roaming cat population was estimated to represent approximately 44% of the population of cats in the county. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggest that unowned free-roaming cats may represent a substantial portion of the total cat population in a region. Public policies and education programs aimed at reducing cat overpopulation should include provisions for neutering unowned free-roaming cats, and efforts should target the general public, not only pet owners, because not all households that feed unowned free-roaming cats own pets.     

Microsporum canis: Inapparent carriage by cats and the viability of arthrospores

A total of 181 dermatologically healthy pet cats from 177 different households, attending a veterinary clinic, were sampled for the presence of dermatophytes by a modified MacKenzie hair brush technique. Microsporum canis was the only dermatophyte recovered and was isolated from four cats (2.2 per cent) from four different households. In addition to clinical details, owners were questioned about the environment and management of all the cats sampled. The data regarding the cats from which M canis was recovered showed little variation from that of the culture-negative cats except that all four cats were from multi-cat (more than two cats) households, whereas only 35 per cent of the culture-negative cats were from a similar environment. The viability of M canis in infected feline hairs stored at room temperature was maintained for between 13 and 18 months.     

Cytauxzoon felis infection in cats in the mid-Atlantic states: 34 cases (1998-2004)

OBJECTIVE: To describe the demographic and clinical characteristics of feline cytauxzoonosis in the mid-Atlantic states and compare the Cytauxzoon felis 18S rRNA gene sequences from affected cats with sequences reported from affected cats in other regions. DESIGN: Retrospective case series. ANIMALS: 34 cats with C. felis infection. PROCEDURE: Medical records of cats in which C. felis infection was diagnosed from May 1998 through June 2004 were reviewed; data collected included signalment, month of diagnosis, geographic location, clinicopathologic abnormalities, medical treatments, outcome, and necropsy findings when applicable. Cytauxzoon felis DNA was amplified, cloned, and sequenced from 4 of these cats and compared with previously reported C. felis DNA sequences. RESULTS: Of 34 C. felis-infected cats, 28 resided in North Carolina, 3 resided in South Carolina, and 3 resided in Virginia; in 32 cats, a diagnosis of C. felis infection was made in April through September. Pancytopenia and icterus were the most common clinicopathologic abnormalities. Thirty-two cats either died or were euthanatized, and 2 cats survived. At 5 veterinary hospitals, multiple cases were identified, and 4 multicat households had > 1 cat infected with C. felis. The 18S rRNA gene sequences characterized in organisms obtained from 4 cats were nearly identical to C. felis DNA sequences reported from other US regions. CONCLUSIONS AND CLINICAL RELEVANCE: Data indicate that veterinarians in the mid-Atlantic region of the United States should consider C. felis infection in cats that become ill with fever, icterus, and pancytopenia or bicytopenia, especially in the spring and summer months.