Preliminary results, which recorded a decline in the quantities of antimicrobials prescribed from 2014 to 2018, were published in 2022.
A further audit has now been undertaken in all 22 of the company's first opinion practices to investigate the age, breed and estimated weight of each horse, the clinical indication for antibiotic use, the drugs prescribed, their dose rates, the route of administration and whether culture and sensitivity were used to guide antimicrobial selection.
Data collection was completed in August 2022.
This secondary audit was conducted using a ‘point prevalence’ survey, in which each CVS Equine first opinion Quality Improvement Lead gathered information about all systemic antibiotics prescribed by each of their practices on one day a month for 12 consecutive months.
The project yielded information on 331 cases where systemic antimicrobials were prescribed.
Complete data about the first line-drug selection were available for 261 prescriptions.
The commonest prescribed antimicrobial was sulfadiazine/trimethoprim (41%), followed by oxytetracycline (23%), procaine penicillin (16%), doxycycline (13%), gentamicin (4%), metronidazole (1%), ceftiofur (1%) and enrofloxacin (1%).
Highest priority critically important antimicrobials (ceftiofur and enrofloxacin) were only prescribed in four horses (clinical indications for these included possible sepsis, skin infection, lower respiratory tract infection and a wound complication – in none of these cases was the first-line drug selection based on the results of culture and sensitivity.
Overall, the clinical indications for antimicrobial use were recorded in 246 cases; the commonest indications were cellulitis/lymphangitis (27%), uncomplicated wounds (19%), surgical prophylaxis (15%), respiratory infections (11%) and skin infections (8%).
Hattie Lawrence, Director of CVS Equine, said: “Though the impact of this work is yet to be documented, there is anecdotal evidence that it has raised awareness amongst our veterinarians of the importance of antimicrobial stewardship.
"Taken together, the results of both pieces of work will be used to help develop and inform clinical audits and clinical guidelines of antimicrobial use in horses.”
Reference
The new machine is a modular system using low-flow anaesthesia for animals from 2-80kg.
The company says that compared to anaesthetic techniques which use high fresh gas flow rates, it functions without posing a risk to team members from the huge amounts of oxygen and inhalational anaesthetic agents that would otherwise be released.
In turn, this results in cost savings from unwasted agents, and a typical 5 to 10 times reduction in environmental damage.
Darvall founder, Dr Colin Dunlop, said: “For optimal outcome from anaesthesia, veterinary anaesthesiologists and veterinarians routinely make decisions about the physiological well-being of the patient, the environmental impact of their actions, the operational efficiency of their practice and cost-effectiveness.
"Having suitable equipment that uses low-flow anaesthesia will reduce the risk of hypothermia, improve team safety, reduce environmental emissions and reduce costs.”
“Low-flow anaesthesia not only reduces oxygen flows and inhalant agent consumption to less than 10% of high-flow, non-rebreathing systems, it can help reduce anaesthetic hypothermia because it uses warm gas when using the Darvall heated breathing circuits.
"Using our specifically designed modern system for veterinary patients addresses the traditional challenges associated with low-flow anaesthesia and hypothermia.
Darvall says the use of just one system will also simplify staff training and ensure familiarity.
https://darvallvet.com
Although microchipping has been a legal requirement for dogs since April 2016, it is not currently required for cats unless they are travelling under the Pet Travel Scheme.
Cats Protection says microchipping should become a legal requirement for owned cats and is petitioning for change in the law. At the moment, it says, eight out of ten stray cats taken in by its adoption centres in England are not microchipped, making it virtually impossible to trace the owner.
Cats Protection’s Chief Executive, James Yeates, said: "Introducing compulsory microchipping of owned cats would encourage more cat owners to microchip their cats, meaning that lost cats can be identified and returned home rather than handed into rehoming charities as strays.
"It also means that injured cats can be quickly identified by vets and their owners can be informed and involved in their care.
"We’re delighted the Government has shown a commitment towards improving feline welfare and promoting responsible cat ownership in the UK by announcing this call for evidence."
Environment Secretary, Theresa Villiers, said: "Today’s call for evidence on cat microchipping will help the government understand how we can better protect this country’s much-loved cats and kittens. This government is committed to animal welfare and improving the lives of our companion animals."
The call for evidence will last for 12 weeks and respondents are being encouraged to respond as soon as possible. You can take part here.
The new Chestergates ophthalmology service will offer a wide range of treatments for eye conditions, including: cryotherapy, corrective lid surgery, rhytidectomy, nasal fold ablation, cherry eye and scrolled cartilage, keratotomy, keratectomy, pedicle conjunctival graft, corneo-conjunctival transposition, bioimplants for corneal reconstruction, glaucoma diagnosis and monitoring, management of dry eye (KCS) and neurological dry eye, retro-bulbar disease investigation and treatment, cataract assessment, and intracapsular lens extraction.
The service will be led by Chestergates Advanced Practitioner in Ophthalmology, Endika Garcia MRCVS DVM PGCertSAOphthal.
Endika graduated in 2016 from the University of Valencia, completed a rotating internship, then worked for a few years in different hospitals in Spain, before moving to the UK, enrolling on the BSAVA Certificate in Small Animal Ophthalmology and being awarded Advanced Practitioner status.
Endika will be supported by a 25 strong specialist nursing team, four nurse students, one lab technician, two sterile technicians and a team of receptionists and support colleagues.
Consultations and surgical procedures will be offered at Chestergates Veterinary Specialists on Mondays and Thursdays between 8am and 5pm.
https://chestergates.org.uk/referral-services
The support packs include a social media toolkit with graphics for practices to use on their own social media channels.
Visitors to the company's stand at the London Vet Show will also be able to sign up to receive a Practice Pet Protection Pack which contains a detail aid, a general microchipping leaflet, a law guides for horses, dogs and cats, and puppy and kitten leaflets.
https://identichip.co.uk
The new system integrates with the Merlin practice management system and pet owners can access the MWI Pet portal to view and book available appointments with their veterinary surgeon via any connected device.
David Tinsley, Vice President, MWI Animal Health U.K., said: “As providers continue to navigate a changing industry and evolving consumer expectations, veterinary practices need access to technologies that help them better serve the needs of both their staff and their clients.
“MWI Pet will help practices meet consumer demands for digital-driven convenience and foster deeper relationships with their clients, while freeing up more time for staff to focus on delivering high-quality care.”
To set up a demo of the new system: https://abc1.jotform.com/222564512240850
Willows says it is currently the only centre in the UK to offer the procedure, and one of very few in the world.
Simon Swift, an RCVS and European specialist in small animal cardiology (pictured right), heads the cardiology team at Willows.
He said: “Transcatheter edge-to-edge mitral valve repair (TEER) is already considered an alternative to surgical repair in human patients and there have been some very promising early clinical results in dogs.
“The procedure is performed under general anaesthesia through a small incision in the chest wall.
“Access within the beating heart is achieved by a needle puncture at the apex of the heart which is highlighted by continuous X-ray images and an ultrasound of the heart via a probe placed in the oesophagus.
“This allows correct positioning of a V-clamp across the mitral valve to reduce the amount of leakage.
“It’s a procedure that delivers meaningful results and an improved quality of life and, because it’s a minimally invasive process, patients are typically discharged from hospital within two days.”
www.willows.uk.net
Apparently, there were over 100 times more recorded outbreaks of equine flu across the UK in 2019 than the year before1, and numerous equestrian events were cancelled as a result.
The company says that despite this, as of 2019, only about half of all UK horses are vaccinated2.
Blaise Scott-Morris MRCVS, Equine Marketing and Technical Manager at MSD Animal Health said: "Last year’s outbreaks of equine flu rocked the equine world, raising important animal welfare issues and costing the racing industry millions.
"Furthermore, they highlighted the need for good preventative healthcare and, in particular, vaccination. It’s vital that more owners are encouraged to vaccinate and those that already have, to keep up with their annual vaccinations and health checks so we don’t experience the same suffering again."
MSD's campaign invites horse owners to join the movement to #fightequineflu, and there is a range of materials to help practices promote the campaign and encourage clients to talk about vaccination and preventative healthcare, including an educational infographic poster, a social media pack and new resources on the Chameleon appointment reminder system.
MSD will itself be promoting the campaign on social media (Facebook: @Keeping Britains Horses Healthy, Instagram: @KeepingHorsesHealthy), and through partnerships with consumer channels such as Horse and Country TV.
There is also a new information resource online at www.kbhh.co.uk/achoo, which offers horse owners links to a range of other educational preventative health materials and horse care advice.
To request your Fight Equine Flu practice pack, speak to your MSD account manager.
References
Each year the WSAVA Congress is held in a different location around the world and attracts over 70,000 veterinary professionals who relish the opportunity to hear from top international speakers on all aspects of practicing small animal veterinary medicine.
The WSAVA is an international network of associations dedicated to the continuing development of companion animal care around the world. It brings veterinary practitioners and academia together to help enhance the knowledge of specific topics, such as hereditary disease and nomenclature of pathological processes.
To celebrate the Association's 50th anniversary Professor Michael J Day, chairman of the WSAVA Scientific Advisory Committee, has proposed that this year be the year of 'One Medicine'. The theme is intended to recognise the importance of the link between the medical and veterinary professions. It will encompass the human population, domestic animals and wildlife, and the impact that current environmental changes are having on these groups. Lectures and seminars during this year's congress will reflect the 'One Medicine' topic, looking for an exchange of ideas and to build the foundations for future developments of mutual interest. For further information please visit http://www.wsava2010.org/.
Veterinary staff can enter the WSAVA prize draw by visiting Petplan at stand 311 during the BSAVA Congress or via the dedicated Petplan veterinary staff website, petplanvet.co.uk.
Exclusive to veterinary practices, the new range targets specific health concerns, allowing vets and nurses to offer clients preventative nutrition advice to help their pets maintain a healthy lifestyle.
The Adult diets are designed to support healthy digestion and muscle health with high-quality protein at an attractive price. The wet foods come in cans for dogs and pouches for cats. Meanwhile, as the name suggests, No Grain contains no grain or gluten, to support healthy digestion, vital organ health and a healthy skin and coat.
Hill's says the new products also include a high level of antioxidants to support natural defences and omega-6 fatty acids for healthy skin and a luxurious coat.
For more information, visit: www.hillspet.co.uk/vetessentials
With this new system, you gain points by achieving different ISVPS qualifications.
In 2023, mini modular programmes will also be released to help delegates accumulate more points.
Once enough points have been reached, delegates are awarded the ultimate qualification: an ISVPS Lead Veterinary Nurse Practitioner.
Improve says My Veterinary Career has been launched to tackle the growing problem of career dissatisfaction amongst veterinary professionals.
A 2019 survey of the veterinary profession by the ies reported that 55.2% of vets said they did not feel rewarded/valued in the profession1.
Additionally, the FVE Survey of the veterinary profession in Europe claimed that in the UK, 40% of vets and nurses wished to leave the industry.
In other countries Improve Veterinary Education operates in, 51% in Portugal, 32% in Spain, 27% in Denmark, 25% in Germany and 17% in France also felt the same2.
Improve says that with My Veterinary Career, vet nurses will now have a clearer pathway to advance their careers and they will be able to develop a bespoke learning journey.
This, the company hopes, will help with the recruitment and retention of veterinary professionals across both corporate and private practice and boost practice productivity and revenue.
https://www.improveinternational.com/uk/myveterinarycareer-vets
The course has been put together by the charity's Investigations Team with the help of Mark Naguib BVMS(Hons) CertAVP(ZooMed) MRCVS.
The course has been designed to help you identify animals which have been targeted by illegal shooting, trapping and poisoning, and how to make sure valuable evidence is preserved for any investigation by the police.
The course includes:
The course is open to anyone in veterinary practice, and is worth 2 hours CPD: https://www.rspb.org.uk/rspb-vet-cpd
The Vet Nurse Merit Award courses are designed for RVNs in primary care practice.
The VNMA in Dentistry offers 30 hours of CPD and will help delegates feel confident in:
The programme consists of 10 recorded webinar sessions and an online resource which includes a discussion forum for delegates to connect.
A practical attendance course will take place at Woodrow House, Gloucester, which will give delegates the chance to meet colleagues who have been studying at the same time and get hands on experience in various practical sessions.
Fees for the VNMA are £570.00 for BSAVA members and £840.00 for non-members.
https://bsavaportal.bsava.com/s/community-event?id=a1mTw000000DrxlIAC
"Learning from everything – Significant Event Audits and root cause analysis" teaches how to use significant event auditing and root cause analysis tools to investigate an event and uncover what went wrong and what went right.
RCVS Knowledge says the boxset, with its supporting tools and templates, breaks down the steps from start to finish so that anyone in practice can use a tried and tested framework to reflect and share learning and contribute towards profession-wide improvements.
Pam Mosedale, Chair of the RCVS Knowledge Quality Improvement Advisory Board, said: “We all make mistakes; it’s how our teams deal with them and learn from them that is important.
“We understand that errors can be costly in practice, impacting our patients, causing stress for our teams, and financially impacting our businesses, and that is why we are providing practical free support for all veterinary teams.”
https://learn.rcvsknowledge.org/course/index.php?categoryid=4
Lax-a-Past is a palatable paste that can be administered orally to kittens and cats aged over 6 months.
It can be used weekly to help stop hairballs from forming or in higher doses over a consecutive three-day period to help eliminate them.
Carol Morgan, Brand Manager from Dechra Veterinary Products (pictured right) said: “Hairballs are a well-known issue for cats. Lax-a-Past is a complementary feed that offers a simple, easy-to-administer solution to help relieve the digestion problems caused by hairballs.
“It is very easy for owners to administer as the required dosage can be squeezed out and spread on a front paw or given directly into the mouth."
Lax-a-Past is available in a 70g tube.
For more information visit www.dechra.co.uk.
The pack highlights the benefits of Adaptil and Feliway and Ceva’s ThunderShirt range of calming wraps.
It contains a wall/notice board display, a poster, an e-book and leaflet for owners, and a social media toolkit with graphics and pre-written posts for practices to use on their own social media channels.
The company is also running its fireworks waiting room display competition this month, in which the five veterinary practices who make best use of the materials for creating a display in their waiting room will win one of five £100 Love 2 Shop vouchers.
There are bonus points for practices that build a den in the waiting room to demonstrate the benefits of having a safe haven for dogs to retreat to when fireworks are going off.
Veterinary professionals can post pictures of the dens and waiting room displays on the Adaptil Facebook page throughout October - www.facebook.com/AdaptilForDogs.
Ceva is running commercial offers in the run up to the firework season, which practices are being encouraged to pass to their clients.
To download the fireworks marketing support pack go to http://bit.ly/3RxGLza.
For further information, contact your Ceva territory manager or email cevauk@ceva.com.
According to its latest Voice of the Veterinary Profession survey, 93% of vets are either ‘very’ or ‘quite’ concerned about the boom in unregulated canine fertility clinics.
Amongst vets who work in companion animal practice, 30% said they were aware of unregulated canine fertility clinics operating in their local area.
However, despite high levels of concern, 78% of vets said they didn't know how to report a clinic.
Even amongst those who do know how to report a clinic, only 8% had, which is about 2% of all vets.
BVA Senior Vice President Justine Shotton said: “Our survey reflects the magnitude of vets’ concern around canine fertility clinics popping up across the country with no veterinary oversight and should serve as a wake-up call for urgent regulatory action.
“While non-surgical procedures can play an important role in breeding programmes, we are clear that they must always be carried out under the advice and care of a vet and in the interests of dog health and welfare.
“We know that many fertility clinics often focus on the most in-demand breeds such as French bulldogs, which can struggle to mate and whelp naturally.
"BVA is very concerned about artificial insemination being used in such cases, as well as in cases where dogs with inherited diseases and conformation-related issues are used for breeding.
"We are also aware of worrying reports that some fertility clinics are advertising prohibited or dangerous procedures such as surgical artificial insemination.”
To report a fertility clinic:
Justine added: “I’d encourage vets to develop a practice protocol for reporting concerns of this nature and to make a note of the country-specific reporting mechanisms relevant to them.
"The more information the authorities have, the easier it is for them to take enforcement action.
"Working together we need to send a strong message that these animal welfare breaches are unacceptable.
“As veterinary professionals, we also need to work with, and support, our clients who are breeding responsibly and re-double our efforts to reach prospective puppy owners to help them make the right decisions when they choose a new pet.”
32% said they find dog care to be too restrictive
29% said it would be too difficult to go on holiday
24% said they don’t want to walk the dog every day and 25% that having a dog is too expensive.
41% of those who said they regret getting a dog bought it during lockdown.
The company says the new addition leverages a combination of image recognition technology, algorithms, and cloud-based deep learning AI to enable accurate, in-clinic sediment analysis of fresh urine, delivering results within minutes.
The system evaluates red and white blood cells, squamous and other epithelial cells (e.g. urothelial and renal tubular epithelial cells), hyaline and non-hyaline casts, struvite and calcium oxalate dihydrate crystals, and cocci and rod bacteria.
Zoetis says its performance is comparable to that of a clinical pathologist.
Richard Goldstein, DVM, DACVIM, DECVIM-CA, Vice President and Chief Medical Officer, Global Diagnostics Medical Affairs at Zoetis said: “Urinalysis is an essential diagnostic test for veterinary surgeons, and often a good indicator of potential wider issues.
"Having the ability to get these results faster will improve the speed and level of care teams can provide their patients, facilitating efficient medical decision-making and helping to ensure smooth workflows.
The weekly sessions will offer practical guidance for veterinary surgeons and nurses about how they can manage chronic cases in line with guidelines issued by the Royal College of Veterinary Surgeons, the British Veterinary Association and the government.
Dechra’s Veterinary Technical Advisor Emily Casey BVM&S MRCVS will present the first webinar tackling Addison’s disease on Thursday April 2 from 1pm to 2pm and again from 7pm to 8pm. It will be available to watch again or download via the Dechra Academy.
It will include advice on how to stabilise patients and administer Zycortal while respecting government guidelines, including prioritisation of blood testing, use of telemedicine and provision of additional owner support. Each webinar represents one hour of CPD.
Dechra’s Technical Services Manager Jamie Walker said: “Since the outbreak of coronavirus began, we have received a large number of calls from practices wanting advice and guidance on how they should be managing chronic cases at this time.
"Our case management webinars will offer practical advice on a number of common small animal issues and aim to provide reassurance and support to veterinary professionals at this challenging time."
Further webinars will be held each Wednesday in April.
To register for the free webinars visit www.dechra.co.uk/events.
As part of the University of Bristol, Langford is the only referral hospital in the South West which has an educational facility.
The new academy will also be developing its Veterinary Nurse Graduate Program and give access to its Vet Nurse Congress.
Juliet Morrison, Nurse Graduate Lead said: “At LV we passionately believe in nursing progression.
"Through our SAH Graduate Nursing Programme, we continue to support the next generation of nurses to become confident, resilient professionals.”
For more information, email: brm@langfordvets.co.uk
The event will deliver more than 130 hours of CPD, including a programme of five simultaneous live streams each day. Delegates will also have opportunities to network and socialise - with peers, colleagues and experts in chat rooms and breakout sessions, and with industry partners - such as event sponsor Hill’s Pet Nutrition - in the online exhibition hall.
Live content will be delivered via 24 content modules and a library of 100 on-demand webinars will support the 80 hours of live programming. Scientific content will be available on the platform for 30 days and then available to attendees via the BSAVA library.
For the first time nursing, clinical and business topics will be blended into modules from which delegates can select the content they need.
Professor Ian Ramsey, President of the BSAVA, said: "On the clinical side, we’re covering everything from chronic pain and neurology to cardiology and orthopaedics – whatever your interests, there will be something for you."
“Most sessions in the live programme will feature two speakers, each delivering short presentations followed by a live, audience-led conversation. This new approach means delegates can explore the multi-faceted disciplines of the small animal veterinary world and see the clinical challenges from different points of view and, most importantly, join in.
“Pre-recorded webinars support the live programme, enabling delegates to dip in at their leisure. We’ve also swapped traditional lengthy notes or MCQs, with practical resources such as client handouts or flowcharts for delegates to take back to their clinics”.
Congress will also be covering an update on sustainability issues through the module titled, ‘can the profession go green?’ On the practical business front, recruitment and retention will be discussed and keynote speaker Jenny Campbell, a former Dragon on BBC’s Dragon’s Den, will be sharing her experiences as an entrepreneur and business leader.
BSAVA Congress prices start at £99 +VAT. To register, visit www.bsavaevents.com
The open day will cover topics including radiography, wounds and TPLO surgery aftercare, hosted by Dr. Michael Hamilton, consultant orthopaedic and spinal surgeon, Dr Karla Lee, head of soft tissue surgery and Letty Piggott-Delves, physiotherapy team lead.
There will also be an IMHA case discussion with internal medicine nurse Rute Silva, and an interactive quiz on anaesthesia for attendees to take part in, led by anaesthesia nurse practitioner Kimberley Brady.
Rachel Pickles, clinical services manager at Hamilton Specialist Referrals, said: “The open day is a brilliant opportunity for nurses from all over the veterinary profession to build on their existing knowledge base.
"It also presents an excellent learning opportunity for student nurses too, giving them access to educational sessions and workshops with members of our expert team.”
For more information and to RSVP, email info@hamiltonspecialists.vet or call 01494 578 566.
www.hamiltonspecialists.vet.
The range includes a spray, collars and diffusers.
Unlike many other pheromone diffusers which need to be plugged into a wall socket, Virbac's uses a patent-pending slow release technology which doesn't need power.
Virbac says the new range has been scientifically proven with published studies which demonstrate not only their effectiveness in managing stress-related behaviours in dogs and cats, but also an equivalent and superior efficacy to the current market leading pheromone products 1,2,3
Andrew Connolly, Virbac's Marketing Director for the UK and Ireland said: "Veterinary professionals have a crucial role to play in supporting their clients with the behavioural management of their pets, both when visiting the practice and at home, and the benefits of pheromones in helping to manage dog and cat behaviour are already very well recognised."
"With Zenidog and Zenifel we hope to make pheromone therapy easier, more cost-effective and better for the environment."
Zenidog and Zenifel are available to order from NVS, Covetrus and VSSCo now.
The talk, entitled “Rabbit Dentistry: It Takes Two”, will be co-presented by Craig Tessyman, an exotics veterinary nurse who works alongside Molly at Rutland House Referral Hospital. Their talk will cover the diagnosis and management of dental disease. It is aimed at any veterinary surgeon or nurse who wants to learn more about best practice in rabbit dentistry.
Molly, who holds both a Certificate and Diploma in Zoological Medicine, said: "Dental disease is common amongst pet rabbits, so small animal vets often need to diagnose and treat dental problems.
"It can be challenging to manage these cases. Our aim with this talk is to help vets improve their clinical approach, and also to provide useful tips for nurses – we want to explain how the practice team can work together with these cases, along our theme of ‘it takes two’."
Molly and Craig’s presentation will cover relevant background on the mechanisms of chewing in rabbits and provide practical advice on recognising and diagnosing dental disease. Physical examination and dental charting will be discussed, as well as dental radiography.
Molly said: "Radiography can be a really useful tool to assess dental disease in rabbits. Vets often aren’t as familiar with positioning and evaluating radiographs of rabbits as compared to cats and dogs, so we’ll give some useful tips on what to look out for."
Molly will share some advice on taking good dental radiographs, and then go into the details of interpretation, explaining how to use imaging to gain a more accurate diagnosis and enable more specific treatment. After this, she will discuss how best to plan and perform dental treatment. Incisor removal, cheek tooth extraction and pulpectomy are some of the topics she’ll cover.
The talk counts for 1 hour of CPD and will be held on 11th November at 12:20pm. Those who can’t make the live session can access a recording afterwards. More information and the sign-up link is available here: https://supremepetfoods.com/rabbit-dentistry-it-takes-two/.