Best ImmunityFebruary 14, 2011 Vaccines have come a long way since the first one was developed to prevent smallpox in the 1700s. Ongoing research has resulted in continuing advancements for humans and animals alike. Many of the most recent advancements have been in the realm of feline vaccines, enough that the American Association of Feline Practitioners (AAFP) plans to appoint a committee to establish its second set of guidelines for vaccinating cats. Elizabeth Colleran, DVM, president of the AAFP and owner of Chico Animal Hospital in Chico, Calif., says her organization last published recommendations for feline vaccines in 2006. “We’re due for an update and a review of all of the protocols that were recommended then,” Dr. Colleran says. “That work hasn’t been done yet.” Establishing best practices is a work in progress even five years later. “Up until then, there weren’t any science-based guidelines,” she says. “We’re still feeling our way.” While many veterinarians rely on the recommendations of the American Animal Hospital Association (AAHA) for canine vaccines, no other major veterinary organization has issued guidelines for cats, Colleran says. She expects AAHA and other organizations to play major roles in the new AAFP guidelines. Colleran …
SPONSORED CONTENTImprove their microbiome, improve quality of lifeWith 70% of a dog’s immune system in the GI tract, you need confidence in their microbiome support — which is why Hill’s developed ActivBiome+. + Learn More
Diabetes Emergency Preparedness As Important As InsulinOctober 18, 2010 Owners often are shell-shocked when they hear their pet has diabetes. But a veterinarian’s optimistic attitude can help a client successfully manage the disease. “It’s usually a traumatic piece of information for an owner when a veterinarian tells them their pet has diabetes,” says Randy Lynn, DVM, a technical service veterinarian with Intervet Schering-Plough Animal Health of Summit, N.J. “If the owner is handling the news well, you can discuss the emergency situations that may occur in a diabetic animal. If you’re speaking to them and their eyes gloss over, you might want to send them home with written information, and then have the owner return in a day or two once they’ve processed everything. “It’s a delicate balance that the veterinarian has to weigh. If you tell them too much on day one, you could tip them over the edge.” Dr. Lynn says a diabetes diagnosis gives veterinarians a “chance to shine,” noting that owners will rely heavily on them for information on choosing insulin, injecting insulin and monitoring the animal. Besides hearing the diabetes news, distressed clients also have to be warned about hypoglycemia, the No. 1 emergency concern of veterinarians who …
Nutrition By The Book: Reducing The Figure Of Obese Pets Is A PriorityAugust 10, 2010 Only 7 percent of pets that could benefit from therapeutic food are on such a regimen, according to an American Animal Hospital Association study. This reality led an AAHA task force to develop nutritional assessment guidelines that can not only help identify the right diet but emphasize how proper nutrition can enhance pets’ quality of life and optimal health. AAHA’s Nutrition Guidelines The American Animal Hospital Association’s Nutritional Assessment Guidelines for Dogs and Cats are based on the notion that good nutrition enhances a pet’s quality and quantity of life and is integral to optimal animal care. “Incorporating nutritional assessment into the routine examination protocol for every patient is important for maintaining optimal health, as well as their response to disease and injury,” said Michael Cavanaugh, DVM, Dipl. ABVP, executive director of AAHA. “The goal of the new guidelines is to provide a framework for the veterinary practice team to help make nutritional assessments and recommendations for their patients.” The guidelines, made available through an educational grant from …
Fleas Persist, But Reason Isn’t ResistanceMarch 2, 2010 Veterinarians are in a tough spot when a client challenges the efficacy of spot-on insecticides. They can’t force the client to follow product directions, nor can they administer the flea control every month. Asking a client about product application, the home environment and untreated pets can reveal a potentially resolvable situation. However, more often than not, the owner projects a sterling report of by-the-book compliance and a bewilderment of continued flea propagation. Attempting to resolve the infestation, veterinarians often switch to a different product and the resistance tale grows. “What clients are likely seeing are new fleas from the environment as opposed to fleas surviving after a proper spot-on application,” says Michael Dryden, DVM, Ph.D., a professor of veterinary parasitology in Kansas State University’s Department of Diagnostic Medicine and Pathobiology. “I have investigated homes that by owner description sound like there could be a resistance problem but found, when I looked closer, there was always a reason for the failure. None was ever resistance.” Without an investigation, experts say, it’s difficult to know why fleas persist on a client’s pet after treatment. One thing researchers agree on is it’s not a resistance issue. “Resistance …
Arthritis Rehabilitation: A Team EffortFebruary 7, 2010 Persuading a client to dedicate time and money to a pet’s potentially lifelong arthritis rehabilitation isn’t easy, experts say. But educating owners to be proactive can delay the onset and severity of the disease and lead to a more therapy-receptive client. A dog receives electrical muscle stimulation after arthroscopy for arthritis. More modalities than ever are available for patients suffering from arthritis pain, certified veterinary rehabilitators say. The key to maximizing the benefits, they say, lies in veterinary and client education along with an appropriate diagnosis. “Arthritis rehabilitation is a multimodal process,” says Janet B. Van Dyke, DVM, CCRT, CEO of the Canine Rehabilitation Institute in Wellington, Fla. “Veterinarians interested in expanding this area of their practice should consider becoming certified in rehabilitation. A lot can be learned in the three to four months it takes to complete the certification process.” Veterinarians looking to provide rehabilitation services need a general understanding of the available therapies, Dr. Van Dyke says. Back to School Deep-water swimming strengthens muscles and improves aerobic fitness without taxing the joints. More veterinarians are educating themselves on the best practices in animal rehabilitation through the Canine …
Raw Diets Linked To SalmonellaJune 9, 2009 Veterinarians have a responsibility to provide pet owners with information about zoonotic disease that gives a realistic appraisal of any risks pets could present to the household’s human inhabitants and how to minimize this risk. This is especially true if the household contains small children or immuno-compromised individuals. While there are myriad potential patho-gens, this article will focus on one major concern: Salmonellosis. Why It’s Important Salmonellosis was in the headlines continuously last summer (2008) during a large outbreak associated with contaminated food. In this outbreak, at least 1,438 people were proved to be infected and 282 were hospitalized.1 Food-associated outbreaks are not unusual because contaminated food is the primary way that humans become infected with Salmonella. The infection can be acquired from meats and eggs, but many outbreaks have been linked to other sources such as sprouts, peanut butter, tomatoes or, recently, chili peppers. The majority of humans who become ill are young. The rate of diagnosed illness in children under 5 years old is five times higher than any other age group. This probably relates to the disease’s affecting children more severely than otherwise healthy adults. It is estimated that Salmonellosis causes 1.4 …
Vaccination And Parvovirus Testing In KittensApril 17, 2009 This column is based on abstracts presented at the 24th annual ACVIM Forum in Louisville (2006). It is a common practice to vaccinate a cat immediately upon its arrival to a shelter. This protocol is based on a resurgence of feline panleukopenia (FPV) cases. The vaccine is highly efficacious, with antibody titers appearing within a week. There is concern that the vaccine may cloud the diagnosis of panleukopenia. Practictioners rely on test kits to diagnose panleukopenia in cats with clinical signs. The vaccine is a modified-live virus and could result in the fecal shedding of virus, which would cross-react with the commonly used canine parvovirus test kits. In dogs it was shown that using an MLV vaccine resulted in positive fecal parvovirus testing for four to five days after vaccination.1 Researchers from the University of Florida looked at the effects of MLV vaccine on parvovirus shedding in kittens.2 A total of 64 SPF kittens (8 to 10 weeks old) were included in the study. The kittens were divided into groups and eight different vaccines were given. These vaccines included six MLV and two inactivated vaccines. Seven vaccines were given subcutaneously, one intranasally. Antibody titers …
Study Finds High Prevalence Of Retrovirus Infection Among Cats With Oral DiseaseApril 17, 2009 The prevalence of feline immunodeficiency virus and feline leukemia virus is significantly higher in feline oral disease patients than it is in the general cat population, according to the findings of a new study. Sponsored by Idexx Laboratories Inc. of Westbrook, Maine, the study screened 8,982 orally diseased cats between January and April of 2006. Of these cats, 1,276 were retrovirus-positive, a 14.2 percent prevalence. According to the researchers, cats with gingivitis and stomatitis exhibited 14.3 percent and 23.9 percent prevalence of retroviral infection, respectively. Other recent studies have found the nationwide prevalence of FeLV and FIV in the general cat population to be about 3.3 percent and 3.4 percent, respectively, the researchers report. “The clinical significance of these results has far-reaching implications,” says Jan Bellows, DVM, Dipl. AVDC, Dipl. ABVP, one of the study’s authors. “It is generally believed that feline gingivitis is related to an immune response to plaque and bacteria, while gingivostomatitis is probably a multifactoral disease in which most patients have elevated calicivirus titers. “Illness in retrovirus-infected cats is often secondary disease acquired because of immunosuppression and not a direct effect of the retrovirus infection,” Dr. Bellows adds. “Both FeLV and …
Challenging The Status QuoApril 17, 2009Originally published in the November 2007 issue of Veterinary Practice News After struggling with an especially unmanageable case of diabetes mellitus in her own cat for almost a year and hearing euthanasia recommended by colleagues, Elizabeth Hodgkins, DVM, went back to the drawing board. It was 1994 and she had left her position as vice president of marketing at Hill’s Pet Nutrition to start law school. She began studying ingredients on the label of dry food she had been feeding the 4-year-old cat. What she discovered not only cured her Punkin of diabetes in five days but also led to her patenting a canned food for diabetic cats and developing her “Tight Regulation” protocol, which she says has permanently cured several hundred diabetics in her feline practice. Spreading the Word In her new book, “Your Cat: Simple New Secrets to a Longer, Stronger Life” (Thomas Dunne Books, 2007), Hodgkins shares her rationale and offers case studies from her Yorba Linda, Calif., practice, All About Cats Health Center. She also explains the history and influence of the pet food industry to help readers understand why today’s cats are being fed dry food, which she firmly believes is causing a multitude of …
Transdermals Effective For Feline HyperthyroidismApril 17, 2009 Methimazole is commonly used for the medical management of hyperthyroidism in cats. With some cats, giving an oral medication can be challenging and alternatives have been sought. A promising avenue is the transdermal application of methimazole in a pleuronic lecithin organogel. The gel allows penetration through the skin of the patient. The use of methimazole formulated in PLO gel has previously been reported and it has been demonstrated that chronic administration can control hyperthyroidism in cats.1 The dosage required to achieve control varies, however, with 2.5 mg administered BID, 67 percent of cats with follow-up at four weeks were well controlled. A group of researchers from the Vetsuisse Faculty at the University of Zurich looked at short and long-term follow-up in a group of cats treated with transdermal methimazole.2 The study encompassed 20 newly diagnosed hyperthyroid cats. Initial dose was 2.5 mg BID. All cats were rechecked between one and four weeks after starting therapy. Eight cats were also reevaluated at five to eight weeks, nine to 20 weeks and after a median of 42.5 weeks (range 21 to 118 weeks). This study also attempted to look at the effect of the gel on T4 concentrations over a …
