Evaluation of complications and prognostic factors associated with administration of total parenteral nutrition in cats: 75 cases (1994-2001)

OBJECTIVE: To determine frequency and types of complications, prognostic factors, and primary diseases affecting clinical outcome associated with administration of total parenteral nutrition (TPN) in cats. DESIGN: Retrospective study. ANIMALS: 75 cats that received TPN for > or = 12 hours. PROCEDURE: Medical records were reviewed, and information was obtained on signalment, history, problems at initial evaluation, physical examination findings, weight and changes in weight while receiving TPN, duration in the hospital before initiation of TPN, the type of TPN catheter used, duration of TPN administration, and final diagnosis. Laboratory results obtained immediately prior to TPN and at 24 and 96 hours following initiation of TPN administration were compared. RESULTS: Reports of weight loss at initial evaluation, hyperglycemia at 24 hours, or diagnosis of chronic renal failure were significantly associated with increased mortality rate. Greater serum albumin concentrations prior to and at 96 hours following TPN administration were significantly associated with decreased mortality rate. Mechanical and septic complications were infrequent and not associated with increased mortality rate. Most cats had multiple diseases. The overall mortality rate was 52%; among 75 cats, 36 recovered, 23 were euthanatized, and 16 died as a result of their primary illness or complications associated with their illness. CONCLUSIONS AND CLINICAL RELEVANCE: Results indicated high mortality rate in cats maintained onTPN that had multiple concurrent diseases associated with a poor prognosis. Indicators of poor prognosis included a history of weight loss, hyperglycemia at 24 hours following TPN administration, hypoalbuminemia, and chronic renal failure.     

Letters to the editor

Extract

In order to utilize spring growth efficiently under a system of grassland farming, a New Zealand dairy farmer endeavours to calve as many cows as possible within a four to six weeks' period. To maintain this calving pattern, herd members must conceive by 70 to 80 days after calving. Consequently normal postparturient uterine involution, together with a minimum of delay in the onset of ovarian activity and oestral cyclicity, is of vital importance. A study of these phenomena may be very rewarding in helping to achieve optimal reproductive efficiency.     

Letters to the editor

Extract

Sir,—A 7-month-old lamb was presented for slaughter, one of a line of 460. The animal was in good condition and, except for a moderately enlarged abdomen, no abnormalities could be detected on ante-mortem examination.     

Equine rhinopneumonitis virus infection in New Zealand

Abstract

Extract

Sir,—Japanese workers (Matumoto el al., 1965 Matumoto, M., Ishizaki, R. and Shimuzu, T. 1965. Serologic survey of equine rhinopneumonitis virus infection among horses in various countries. Arch, f. Viruslorsch., 15: 609–624.  [Google Scholar]) have examined 388 horse sera from 17 countries including New Zealand and have found evidence of a high incidence of infection with equine rhinopneumonitis virus. The New Zealand material was supplied between 1957 and 1960, by Dr J. D. Manning, then of the National Health Institute, Wellington.     

Surveillance for highly pathogenic avian influenza in migratory shorebirds at the terminus of the East Asian-Australasian Flyway

AIM: To determine if migratory birds arriving in New Zealand in the Southern Hemisphere spring of 2004 were infected with the highly pathogenic avian influenza (AI) virus, H5N1.

METHODS: Cloacal and faecal samples were collected from migratory red knots following their arrival in New Zealand in October 2004. Two species of resident sympatric birds, wrybill and mallard duck, were sampled prior to, and following, the arrival of migratory birds.

RESULTS: No AI viruses were isolated from migratory or resident shorebirds. Non-pathogenic AI viruses were isolated from six resident mallard ducks, comprising the endemic subtypes H4 (n=2), H7 (non-pathogenic), H10, and H11 (n=2).

CONCLUSIONS: Highly pathogenic AI H5N1 virus was not detected in migratory shorebirds or sympatric water birds in the Firth of Thames, New Zealand, in 2004-2005, despite the possible proximity of migratory birds to outbreaks of the disease in East Asia in 2004.     

Letter to the editor

Extract

Sir, — In the course of research on infectious bronchitis (IB) in chickens in New Zealand, one strain of IB virus was seleted and attenuated as a local vaccine virus and produced in limited quantities at Massey University for trial purposes.