Bacterial corneal diseases in dogs and cats

Corneal diseases are very common in small animals. Corneal disease associated with bacterial agents is frequent in the dog and maybe less frequent in the cat. The medical history, important steps of the ophthalmic examination, and the ophthalmic diagnostic tests that are relevant in such corneal conditions are outlined. Bacterial corneal diseases in dogs and cats are most commonly considered in one of two categories--bacterial ulcerative keratitis and corneal abscesses. The clinical aspects of these two entities as well as the therapeutic strategies available for general practitioners and ophthalmologists are discussed. Ulcerative keratitis is frequent; it represents the most common ocular diseases in dogs and cats. Because some of these corneal ulcers can be very severe, progress rapidly, and therefore are sight threatening, the crucial steps of their diagnosis and management are stressed. The use of a magnification system, fluorescein dye, and corneal cytology and culture, if indicated, is necessary for diagnosis at an early stage of the disease. The treatment of bacterial ulcerative keratitis should eradicate the infection, reduce or stop the corneal destruction and support the corneal structures, control the uveal reaction and the pain associated with it, and minimize the scarring. The prognosis depends on the stage and the severity of the corneal ulceration, the etiology of the condition, and the therapeutic choice. A close follow-up of animals with corneal ulceration is highly recommended because corneal ulcers can progress rapidly.     

Bacterial and fungal colonisation of peripheral intravenous catheters in dogs and cats

Objectives : The purposes of this study were to determine the prevalence of intravenous catheter colonisation in a routine clinical setting, to identify pathogens involved and to explore factors associated with an increased risk of colonisation. Methods : A prospective study of 100 peripherally placed intravenous catheters from 13 cats and 78 dogs was conducted. The distal two‐thirds were removed and submitted for bacterial and fungal cultures. Antimicrobial susceptibility of each isolate was determined. Results : Nineteen peripheral catheters were positive for microbiologic culture from 14 animals. Twenty organisms were isolated among which Staphylococcus species was the most common. Isolates displayed lower levels of resistance against the antimicrobial agents amoxicillin‐clavulanate, cephalosporins and gentamicin than against other agents tested. Major risk factors predisposing to catheter‐related colonisation included dextrose infusion, duration of catheter placement, local complications and immunosuppressive diseases or drugs. Clinical Significance : In a routine clinical setting, the prevalence of microbial colonisation of peripheral intravenous catheters is comparable to that found in an intensive care unit. However, consequences on morbidity and mortality rates differ.     

Comparison of mesenteric lymphadenography performed via surgical and laparoscopic approaches in dogs

OBJECTIVE: To determine whether injection of a mesenteric lymph node with iodinated aqueous contrast medium results in radiographic delineation of the thoracic duct and its branches, ascertain the ideal interval between injection and radiographic imaging, and evaluate mesenteric lymphadenography performed via laparoscopic and surgical approaches in dogs. ANIMALS: 10 adult dogs. PROCEDURE: In each dog, a right paracostal laparotomy or a right laparoscopic approach was performed to identify a mesenteric lymph node for injection of an iodinated aqueous contrast agent (0.22 mL/kg [81.4 mg of iodine/kg]). Lateral radiographic views were obtained at 60, 120, 180, 240, and 300 seconds after injection. RESULTS: A mesenteric lymph node was identified and injected with contrast medium in each dog. Via paracostal laparotomy, lymph node injection resulted in successful lymphangiographic evaluation in 4 of 5 dogs, whereas via the laparoscopic approach, lymph node injection resulted in successful lymphangio-graphic evaluation in 2 of 5 dogs. In successful radiographic evaluations, injected lymph nodes, mesenteric lymphatics, and the thoracic duct and its branches were delineated. Radiographs obtained at 60 and 120 seconds after injection of contrast medium provided the most detail. CONCLUSIONS AND CLINICAL RELEVANCE: Injection of a mesenteric lymph node directly with contrast medium appears to be a feasible technique for delineation of the thoracic duct and its branches in dogs and might be useful in small animals in which mesenteric lymphatic catheterization can be difficult and lymphangiography is more likely to fail. Refinement of the laparoscopic technique may provide a minimally invasive approach to lymphadenography.     

Movement disorders during sleep in cats and dogs

Spontaneous sleep movement disorders in 5 cats and 3 dogs were studied. Objective abnormalities during sleep were confirmed by electrographic or behavioral monitoring techniques in all animals. The cause of the disorder was CNS disease in 3 animals. A cause was not discovered in the other 5 animals, although at necropsy, 2 were found to have thyroid tumors. Many pharmacologic treatments were ineffectual, but trials with the benzodiazepine tranquilizer, clonazepam, suggested it will prove useful in controlling violent movements during rapid-eye-movement sleep.     

Laboratory procedures for the diagnosis of gastrointestinal tract diseases of dogs and cats

An increasing number of laboratory tests are available for diagnosis of gastrointestinal tract diseases in dogs and cats. Use of these tests can lead to more accurate and rapid diagnoses. This review discusses laboratory tests, both new and old, and the role they currently play in the evaluation of animals presented with gastrointestinal problems. A minimum database helps assess the severity of the disorder, detect extra-gastrointestinal causes of problems and assists in formulating diagnostic and therapeutic plans. Faecal examination remains one of the most important diagnostic procedures in the investigation of gastrointestinal problems. Zinc sulphate faecal flotation is an excellent routine screening technique for helminth and protozoal infections, including giardiasis. Rectal cytology can assist in the diagnosis of large bowel disorders. Interpretation of faecal immunodiagnostic tests is hampered by insufficient knowledge of test sensitivities and specificities. Routine faecal cultures are not warranted and faecal occult blood tests are rarely indicated. Serum tests for gastric inflammation are now under development. The serum trypsin-like immunoreactivity test remains the gold standard technique for the diagnosis of exocrine pancreatic insufficiency. Breath hydrogen tests can be helpful in assessing the functional relevance of mild abnormalities in small-bowel biopsy specimens. Subnormal concentrations of serum cobalamin appear to be more specific indicators of gastrointestinal disease in cats than in dogs. Tests for small intestinal bacterial overgrowth remain controversial and assessment of gastrointestinal permeability has yet to prove its value in the diagnostic assessment of companion animals with gastrointestinal problems. Faecal alpha1-protease inhibitor shows promise for the diagnosis of protein-losing enteropathy.     

Laboratory procedures for the diagnosis of gastrointestinal tract diseases of dogs and cats

An increasing number of laboratory tests are available for diagnosis of gastrointestinal tract diseases in dogs and cats. Use of these tests can lead to more accurate and rapid diagnoses. This review discusses laboratory tests, both new and old, and the role they currently play in the evaluation of animals presented with gastrointestinal problems. A minimum database helps assess the severity of the disorder, detect extra-gastrointestinal causes of problems and assists in formulating diagnostic and therapeutic plans.

Faecal examination remains one of the most important diagnostic procedures in the investigation of gastrointestinal problems. Zinc sulphate faecal flotation is an excellent routine screening technique for helminth and protozoal infections, including giardiasis. Rectal cytology can assist in the diagnosis of large bowel disorders. Interpretation of faecal immunodiagnostic tests is hampered by insufficient knowledge of test sensitivities and specificities. Routine faecal cultures are not warranted and faecal occult blood tests are rarely indicated.

Serum tests for gastric inflammation are now under development. The serum trypsin-like immunoreactivity test remains the gold standard technique for the diagnosis of exocrine pancreatic insufficiency. Breath hydrogen tests can be helpful in assessing the functional relevance of mild abnormalities in small-bowel biopsy specimens. Subnormal concentrations of serum cobalamin appear to be more specific indicators of gastrointestinal disease in cats than in dogs. Tests for small intestinal bacterial overgrowth remain controversial and assessment of gastrointestinal permeability has yet to prove its value in the diagnostic assessment of companion animals with gastrointestinal problems. Faecal alpha₁-protease inhibitor (α₁-PI) shows promise for the diagnosis of protein-losing enteropathy.     

A prospective study of postoperative surgical site infections in dogs and cats

OBJECTIVE: To assess postoperative surgical site infection (SSI) rate and to identify associated predictive factors. STUDY DESIGN: Prospective clinical study. ANIMALS: Dogs and cats that had surgery (1010 interventions) during 58 weeks from April 1999 to June 2000. METHODS: Data sheets were completed by clinicians. Patients were controlled for clinical evidence of SSI at suture removal. Two definitions of SSI ("infection" and "infection/inflammation") were developed specifically for this study and used for statistical analysis. Logistic regression models were built in order to identify significant predictive factors for SSI. RESULTS: Wounds with "infection/inflammation" occurred in 5.8% and "infected" wounds in 3% of patients. The outcome "infection" was associated with 3 major risk factors (duration of surgery, increasing number of persons in the operating room, dirty surgical site) and 1 protective factor (antimicrobial prophylaxis). The outcome "infection/inflammation" was associated with 6 significant factors (duration of anesthesia, duration of postoperative intensive care unit stay, wound drainage, increasing patient weight, dirty surgical site, and antimicrobial prophylaxis). CONCLUSIONS: SSI frequency in companion animals is comparable with the frequency observed in human surgical patients. Several significant predictive factors for SSI in small animals surgery were identified. CLINICAL RELEVANCE: Baseline information for SSI surveillance in our hospital and for comparison with other studies was defined. The factors identified may help to predict infections in surgical patients and to take adequate preventive measures for patients at risk.     

Fatigue analysis of plates used for fracture stabilization in small dogs and cats

OBJECTIVE: To evaluate the fatigue life of stacked and single, veterinary cuttable plates (VCP) and small, limited contact, dynamic compression plates (LC-DCP). STUDY DESIGN: In vitro biomechanical study. METHODS: Fracture models (constructs; n = 8) were assembled for each of 6 groups all with 8-hole plates: 2.0 mm LC-DCP; 2.4 mm LC-DCP; single 1.5/2.0 mm VCP; stacked 1.5/2.0 mm VCP; single 2.0/2.7 mm VCP; and stacked 2.0/2.7 mm VCP. Plate(s) were secured to 2 polyvinylchloride pipe lengths, mounted in a testing system with a custom jig, and subjected to axial loading (10-100 N) for 1,000,000 cycles at 10 Hz or until failure. Differences in number of cycles to failure among groups were compared. Failure mode was determined. RESULTS: All LC-DCP and single VCP constructs failed before 1,000,000 cycles. Stacked 2.0/2.7 mm VCP constructs withstood 1,000,000 cycles without failure. ANOVA and Fisher's least significant difference tests demonstrated significantly more cycles to failure for the stacked 1.5/2.0 mm VCP and stacked 2.0/2.7 mm VCP compared with the single 1.5/2.0 mm VCP, single 2.0/2.7 mm VCP, 2.0 mm LC-DCP, or 2.4 mm LC-DCP. Constructs that failed did so through a screw hole adjacent to the gap. CONCLUSION: Stacked VCP constructs have greater fatigue lives than comparably sized LC-DCP or single VCP constructs. Plates with 2.4 mm screws were not significantly different from the comparable construct with 2.0 mm screws. CLINICAL RELEVANCE: Although these data reveal that stacked VCP create a superior construct with respect to cyclic fatigue, surgeons must decide whether this is a clinical advantage on a case-by-case basis.     

Aldicarb poisoning of dogs and cats in Gauteng during 2003

A survey of aldicarb poisoning in companion animals was conducted by posting questionnaires to all private practitioners in Gauteng Province, South Africa. The survey was designed to determine the percentage of aldicarb cases seen, treatment regimen, clinical signs observed, proposals for preventative actions and more effective treatments. Other questions included duration of treatment, survival rate, cost to clients, post mortem findings and reasons for poisonings.     

Urine protein determination in dogs and cats: comparison of dipstick and sulfasalicylic acid procedures

Protein levels in urine specimens from 91 dogs and 65 cats were evaluated by sulfasalicylic acid precipitation (SSA) and dipstick methods. The dipstick frequently yielded reactions for protein that were greater than the level of protein indicated by SSA (i.e., false positive reactions), although no false negative reactions for protein were noted. All urine specimens with protein levels equal to or greater than 100 mg/dl by SSA had dipstick results of 3 +. Results of this study suggest that dipstick analysis for urine protein is an adequate screening procedure for the selection of urines for quantitative analysis of protein and creatinine to assess proteinuria.     

A new method of surgical treatment of hip dislocation in dogs and cats

Handling traumatic hip dislocation is a routine procedure in emergency clinics. Many cases are successfully managed with closed reduction and supportive bandage. However, when surgery is needed the techniques commonly in use are hampered with the lack of visualisation and may result in excessive joint trauma. This paper describes a new surgical method for stabilising the hip joint. The technique is called prearticular stabilisation. The principle is to avoid reluxation by limiting the range of rotatory movement of the femoral head by the use of heavy double mattress sutures tied between the tendons of insertion of the psoas minor and the gluteus medius muscles. The results of the first 11 cases are reported and long term as well as short term results are encouraging.     

Post‐anesthesia deafness in dogs and cats following dental and ear cleaning procedures

Objective The present study was performed to document hearing loss in dogs and cats following procedures performed under anesthesia. Most cases of reported hearing loss were subsequent to dental and ear cleaning procedures. Study design Prospective and retrospective case survey. Animals Subjects were dogs and cats with deafness, personally communicated to one author, cases discussed on a veterinary information web site, and cases communicated through a survey of general practice and dental specialist veterinarians. Methods Reported deafness cases were characterized by species (dog, cat), breed, gender, age, and dog breed size. Results Sixty‐two cases of hearing loss following anesthesia were reported between the years 2002 and 2009. Five additional cases were reported by survey respondents. Forty‐three cases occurred following dental procedures. Sixteen cases occurred following ear cleaning. No relationship was observed between deafness and dog or cat breed, gender, anesthetic drug used, or dog size. Geriatric animals appeared more susceptible to post‐anesthetic, post‐procedural hearing loss. Conclusions Deafness may occur in dogs and cats following anesthesia for dental and ear cleaning procedures, but the prevalence is low. The hearing loss appears to be permanent. Clinical relevance Deafness can be a consequence following anesthesia for dental or ear cleaning procedures. Older animals may have greater susceptibility.     

Nonsutured Hotz–Celsus technique performed by CO2 laser in two dogs and two cats

It is described a new version of modified Hotz‐Celsus technique performed in four patients, two cats and two dogs. The surgery was carried out using CO2 laser in order to avoid bleeding and decrease the anesthetic time. Besides, the wound created was not sutured and it healed by secondary intention without any complication. As a conclusion, this modification is a successful alternative to treat entropion in a safe and fast way.