The UK-Veterinary Antibiotic Resistance and Sales Surveillance (UK-VARSS) annual report shows that while sales of antibiotics increased slightly by 1.5 mg/kg to 31.0 mg/kg in comparison to the previous year, this was offset by a reduction in use of the more potent critical antibiotics.
UK veterinary antibiotic use in 2019 was the second lowest since the start of regular reporting, and the UK has one of the lowest levels in Europe.
Between 2018 and 2019 there was a 21% drop in of use of Highest Priority Critically Important Antibiotics (HP-CIAs) in food-producing animals, which account for 0.5% of total antibiotic sales. The UK has also seen an overall reduction in the level of resistance in E. coli from healthy pigs at slaughter since 2015 and resistance to HP-CIAs in E. coli is at very low levels.
Peter Borriello, Chief Executive Veterinary Medicines Directorate said: "In the last five years we have worked closely with the farming industry and veterinary profession to achieve huge reductions in use of antibiotics in animals.
"This demonstrates how farmers and vets have been working together to use antibiotics responsibly while safeguarding the health and welfare of our livestock.
"The UK Government will continue to work with industry to focus on infection control, reducing the need to use antibiotics to treat disease and maintain the UK’s world leading standards in animal welfare."
Chief Veterinary Officer Christine Middlemiss said: "I am delighted that the UK continues to lead the way as one of the lowest users of antibiotics in livestock across Europe.
"These findings are testament to the hard work of the UK’s farmers and vets to use antibiotics responsibly in order to tackle antibiotic resistance and protect our most critically important antibiotics in human health, while also reducing the burden of disease in animals."
The events will cover a range of subjects designed to boost morale, positively influence wellbeing and reduce the impact of seasonal affective disorder (SAD). They will also demonstrate how to support employees and colleagues to ensure work is sustainable, productive and enjoyable and guide veterinary professionals through mechanisms to make working life a more positive experience, despite the current climate.
The series will feature 30-minute presentations by wellbeing professionals such as sports psychiatrist, Dr Claire Gillvray (pictured right), human factors specialist, Dan Tipney, and occupational psychologist, Prof Elinor O’Connor.
The full programme is:
Liz Barton, co-founder of WellVet, said: “WellVet exists to provide practical tools and a supportive network to help positively influence and improve wellbeing and boost morale. This programme of events is designed to answer specific challenges we’re experiencing – now more than ever in veterinary teams, and to bring us together for a bit of festive cheer."
Emma McAnally, territory manager at Boehringer Ingelheim. said: “During these challenging times, work and life in general can often seem overwhelming. We are delighted to support the WellVet Winter Wellbeing series to help improve wellbeing both in the work and home environments.”
For further information on the WellVet Winter Wellbeing series and for details on how to join visit www.wellvet.co.uk.
The survey has been sent to 984 veterinary surgeons who graduated from one of the UK’s eight vet schools in 2020 to measure how the pandemic may have affected graduates’ employment prospects, clinical & non-clinical skills, and resilience in the workplace.
The survey has a deadline date of Wednesday 16 December 2020 and all responses to it will remain anonymous while helping to inform future policy on graduate support.
Dr Linda Prescott-Clements, RCVS Director of Education, said: “We know that the coronavirus pandemic has had a disruptive impact on the final stages of education for the 2020 cohort, in terms of clinical placements for extra-mural studies as well as teaching. This survey aims to gauge whether this has, in turn, had a deleterious impact on their confidence with both clinical and non-clinical skills as well as their resilience, for example, in asking for help and support from colleagues, managing their time effectively, and managing complex and stressful situations.
“Employment is another area of concern and in any typical year almost all graduate vets would find work or go on to further study after their veterinary degree had finished. Some anecdotal reports have suggested a perceived or real change to employment prospects this year and so we are hoping to gather some further data to see if there has been a discernible impact on this cohort.
“We are mindful that the pandemic is having a significant impact on all students and we are keen to understand how best we can support them moving forward. I would strongly encourage those graduates who have received the survey, which should only take around 10 minutes to complete, to take part, because the results will help the RCVS and the VSC inform future policies on how we can better support veterinary graduates in 2021 and subsequent years.”
Any graduates who have not received the survey or require further information can contact the RCVS Education Department on education@rcvs.org.uk.
Caused by the mite Psoroptes ovis, sheep scab was notifiable in the UK until 1992, after which a voluntary reporting scheme was put in place in England and Wales. Sheep scab was made notifiable again in Scotland in 2010.
The study was suggested by Emily Gascoigne MRCVS of Synergy Vets, who noticed that hers was one of the few practices that appeared to be voluntarily reporting cases in England.
She said: "It’s been observed that that farmers can feel ‘judged’ when sheep scab appears in their flock and the impulse to keep it hidden may hold back efforts to control it.
“The results will help to quantify the problem but we are also tackling the other side of the coin by trying to make sheep scab less of a taboo. The potential for contiguous infection from one farm to the other means that forewarned is forearmed.
"Farmers often blame themselves when their sheep get scab which although it can result from a failure of biosecurity at boundaries or during quarantine, can also be brought in on people, deliveries or equipment. Then there are real worries about whether that will affect the saleability of their stock or their relationship with their farming neighbours. We want to encourage vets and farmers to start the conversation and to start actively testing for sheep scab.”
Around 40 practices within the XLVets community are now taking part in the study. In addition to contributing to the survey, participating practices will also be sharing information with farmers about the importance of testing for sheep scab.
The initiative is being supported by Bimeda UK, which provides an online Sheep Scab Academy to help veterinary surgeons and SQPs stay up to date with best practice for sheep scab control. Bimeda UK’s Professional Services Vet Sharon Cooksey, said: "Bimeda has worked for many years to raise awareness and promote best practice in managing this awful disease, including supporting the launch and ongoing operation of the Biobest ELISA test, so this is an initiative we are happy to support.”
The survey has been running since the start of October and will continue for the next five months, with results expected around March 2021.
Nutritional researcher Brian Zanghi from the Purina Institute will also share some of his work, which has focused on nutrient-enriched ‘water supplements’ and the impact on voluntary water intake.1
Purina says various studies have shown an association between increased water intake and improved outcomes in cases of feline lower urinary tract conditions.2,3 Encouraging water intake may also benefit cats with renal disease or chronic constipation, as well as older animals with osteoarthritis who might be less keen to make repeated trips to their water bowls.
Libby Sheridan, MVB, MRCVS, Purina Veterinary Technical Affairs Manager, UK & Ireland, said: "The importance of good hydration is often under estimated and there are so many factors that can influence intake – from the position of the water bowl, to materials used in the bowl construction and even the level of fill. Deciding when and how to promote increased intake can be difficult and we hope this session will help vets and vet nurses to make those decisions.”
The lecture programme will include a review of clinical evidence, discussion of the benefits of increasing water intake and practical case-based advice from Sarah and Andy. The event will be recorded for registrants who cannot attend on the day and registrations are accepted until the event starts on the evening of 9th December.
Registration is now open at https://www.bigmarker.com/closerstill-media/You-can-lead-a-cat-to-water-but-how-do-you-make-them-drink. All registrants will be entered into a prize draw to win one of ten goody bags which will include a premium water bottle.
For more information, contact the Purina Veterinary Nutrition Team on 0800 212161.
References
The new RUMA Companion Animal and Equine Group will initially focus on encouraging efforts to promote responsible antibiotic use.
Steve Howard, head of clinical services at the People’s Dispensary for Sick Animals and secretary general of the new group, said: "RUMA has spearheaded successful efforts to steward antibiotic use in farmed animals over the past five years, and we would like to see whether its principles can augment the considerable progress that’s already been made in the companion animal and equine sectors.
"The most notable of RUMA’s initiatives is the Targets Task Force, which has seen leading vets and farmers from each species working together with industry groups to develop meaningful goals for reducing, refining or replacing antibiotic use.
"Through establishing such proactive approaches towards antibiotic stewardship in companion animals and equines, we hope to optimise their health and welfare – as well as that of humans and the environment."
RUMA says that although total antibiotic sales are significantly lower for companion animals compared with the farming sector, even relatively low use can result in resistance to key medicines if good stewardship principles are not applied.
The collaboration will cover use of medicines in dogs, cats, rabbits, small mammals, exotic animals kept as pets, and equids. The aim is for the UK to lead the way in these sectors through evidence-based and measurable activities that will promote and enhance stewardship.
Gwyn Jones, chair of the new group (pictured right), said: "As a collaborative group we need to establish evidence-based protocols for reducing, replacing or refining antibiotic use in companion animals, to further help preserve and prolong the use of these vital tools for human and animal health.
“Efforts will be focused towards identifiable goals so that progress can be monitored and demonstrated. But we will also promote practical, practice-level resources, guidance and measures aimed at driving positive behaviour changes and protecting patients and practitioners alike."
21-year-old Amber recently graduated with a first class degree in Zoology from the Anglia Ruskin University in Cambridge and was then offered one of 72 places at Harper and Keele Veterinary School.
However, because it is her second degree, she is not eligible for a student fee loan. Whilst she has been able to save enough for her first year at vet school, she doesn't have the £37,000 needed to fund the other four. The pandemic is also making it harder to earn more money to put towards her career, as she has had to shield with her grandmother.
To try and make up the shortfall, Amber set up a gofundme page (https://www.gofundme.com/f/amberintovetmed) and contacted KentOnline and VetSurgeon.org to try and get some publicity for her fundraising efforts, and to highlight the financial barrier for working class people like her who are trying to fulfill their dream to become a veterinary surgeon. She has already raised £933.
Amber has made a video about her story, which you can watch on her fundraising page, or on YouTube here: https://www.youtube.com/watch?v=WTTpAiNvz8g
Meanwhile, she has deferred her entry to vet school until she can secure further funding.
Talking about her longer term ambition, Amber said: "Being within the BAME community myself, black in STEM, and coming from a working class background, I want to be an advocate and an affiliate for students who shall face the same challenges and wish to pursue this upon becoming a vet. I also want to contribute to wildlife and conservation and the one health initiative."
For more information, or to contact Amber, visit: https://www.linkedin.com/in/amber-cordice-0121a41b0
The award, which is sponsored by Zoetis, is for early-career vets who have gone above and beyond the usual call of duty or who are making a difference within their community or the veterinary profession. Fabian was picked out of three finalists at a virtual award ceremony last night.
The judges said he'd wowed them with his ongoing proactive contributions to the veterinary profession and his passion for raising awareness around exotic animal care.
Fabian is a practising vet and the latest member of the team on CBBC children’s TV show, ‘The Pets Factor’. He is also a recent graduate member of BVA Council.
In his spare time, he is an active writer. Whilst attending the University of Veterinary and Pharmaceutical Sciences in Brno, which he graduated from in 2018, he wrote his own student blog, ‘Dready Vet’. Since then, he has published several articles on a variety of topical and important issues such as ethnicity and race, diversity within the profession, feminism, Halal slaughter and reptile health and welfare.
The judges credited Fabian for his passion for communicating the complex welfare needs of non-traditional companion animals to the public.
Fabian said: "First of all I’d like to pay tribute to Nat and Ben and all the nominees. They are really important to where the veterinary profession goes in the future and I’m indebted to them for what they’ve been able to do in a short period of time. They are an inspiration to me.
"Thank you to the judges. It’s really important that we start to celebrate each other and celebrate our wins. This is something I’ve tried hard to do this year.
"Thank you to everyone who’s supported me and been part of this journey. It means a huge amount.”
BVA President James Russell said: "Fabian has made a significant impact within the profession and beyond. The broad reach of his work – on issues that affect our profession and animal welfare – has made a national impact and promoted our profession to new audiences of all ages.
"During a particularly challenging year for all of us, Fabian has shown immense leadership and he is a truly deserving winner of the BVA Young Vet Award 2020."
The Allium species includes onions, garlic, and their relatives. All members of the Allium family are poisonous to cats and dogs and even minimal amounts can be dangerous. For example, a 5kg cat would only need to ingest 1-2 garlic cloves to show clinical signs. Poisoning causes haemolytic anaemia with treatment being supportive, as there is no antidote. In severe cases blood transfusions may be required.
Powdered versions of these plants are more concentrated and are often used in gravy and stuffing in the traditional Christmas dinner, so toxicity can occur much more easily.
Will Peel, Product Manager at TVM UK said: "Alliums are toxic to animals and as there is no antidote it’s important that veterinary staff are fully prepared and are able to react quickly and provide the best care possible.
"Our focus is on helping veterinary staff prepare for all eventualities so we hope that these new guidelines will prove beneficial."
The guidelines can be downloaded for free from https://www.tvm-uk.com/vet-resource-library/.
Dechra Veterinary Products (maker of Cardisure) has launched a new online CPD course which consists of a series of short presentations about treating congestive heart failure in dogs, developed with cardiology consultant Mike Martin.
According to the company, approximately 10% of dogs presented to first opinion practices have heart disease. The majority of cases are suffering with myxomatous mitral valve disease (MMVD) or, less commonly, dilated cardiomyopathy (DCM).
Mike said: "This is a series of short presentations with audio, that covers the common challenges, issues and questions that we all encounter in clinical practice. Aimed squarely at the very busy practitioner, this 'piece by piece' course will help you differentiate between cardiac and respiratory cases, update you on the current ACVIM guidelines on the treatment of heart failure in dogs and how best to monitor your patient in the short to long term. It's been a fun series to put together with the help of Dechra – enjoy."
Craig Sankey, Business Manager for Cardiology at Dechra said: "This series of bite-sized videos highlight the importance of diagnosing, treating and monitoring congestive heart failure in dogs in an interactive e-learning environment, topped with quizzes and drag and drops to test ones knowledge.
"Furthermore, the beauty of this format means Veterinary Professionals can dip in and out of each section depending on the area they need to build their expertise, without the pressure of completing the whole course all at once’.
The course equates to one hour CPD and can be found on the Dechra Academy: https://academy.dechra.com/learn/course/external/view/elearning/718/cardiology-piece-by-piece
More information about Cardisure can be found at www.dechra.co.uk/Cardisure
Ian, who helped devise the PROTECT ME acronym which is now used worldwide to champion the cause of responsible antimicrobial use, said: "Antimicrobial resistance is one of the greatest threats of our time and it affects all sectors of the veterinary profession.
"While there will always remain a need for the use of antimicrobials for the treatment of bacterial infections, it is the duty of every one of us to continue our good work to protect their usage to ensure they remain effective for the future."
PROTECT ME stands for Prescribe only when necessary, Reduce prophylaxis, Offer other options, Treat effectively, Employ narrow spectrum, Cure appropriately, Tailor your practice policy. Monitor, Educate others.
Ian added: "I discussed the issue of restricted prescribing with my Doctor when he was treating my injury back in 2011
"Discussion on the Small Animal Medicine Society (SAMSOC) forum followed and then we developed a working group.
"I came up the name PROTECT when I was in the shower one day experimenting with acronyms on the shower cubicle wall!
"Collaboration with BSAVA enabled the scheme to launch in 2012 and then BEVA adapted the scheme and added the ME.”
PROTECT ME is now used for BSAVA and BEVA’s antimicrobial resources and campaigns and has also been taken up in New Zealand and been translated into French.
Rachael McGregor, Clinical Director at Calder Vets in Yorkshire asked Ian for help in developing antimicrobial stewardship guidelines for the practice last year. She said: “Ian helped us to set up prescribing guidelines using a traffic light system, supported a programme of CPD and supplied prescribing posters. This has made a significant difference to prescribing behaviour across the practice and over the past two months we haven’t prescribed a single critically important antibiotic.”
Davies has produced a range of resources for vets and for pet owners including an explanatory poster and a webinar series. For further information visit: https://vetspecialists.co.uk/insights/webinars/antimicrobial-webinars/
The survey of 812 veterinary receptionists, which was carried out in the autumn, found that only 50% of veterinary receptionists are paid more than the UK minimum/National Living Wage.
33% said they worked longer than their contracted hours and 37% said they didn’t receive overtime pay.
As a result, 64% of those questioned felt they were not paid fairly for the responsibilities they carry, which include ensuring practice protocols, handling veterinary medicines, promoting ‘sales’ eg of healthcare plans and dealing with often challenging clients.
Discontent with salary levels was exacerbated during the COVID-19 pandemic. 49% of respondents were furloughed and 91% of them received no top-up pay from their practice in addition to the government’s 80% contribution.
The BVRA says it recommends that Registered Veterinary Receptionists (RVRs) are paid at least £10 per hour, irrespective of their age.
A lack of access to CPD was also an issue. 56% of respondents wanted to update and increase their knowledge but the same percentage claimed a lack of time was a barrier. With 80% of practices not allocating time for receptionists to undertake CPD and 44% receiving no budget for it, one respondent from a corporate practice confirmed that they could only undertake CPD in their own time, even that required by the company, such as training on health and safety and compliance.
While participants expressed a high level of satisfaction with their relationships with vets (71% were satisfied or very satisfied) and nurses (74% were satisfied or very satisfied), the same cannot be said for their relationships with practice managers. Fewer than half (46%) were satisfied or very satisfied with their relationship with their practice manager and 51% were satisfied or very satisfied with their relationship with the Clinical Director or Partner.
Only 26% were satisfied with their working relationship with head office (if part of a corporate group). Relationships were further strained during the COVID-19 pandemic with 71% of those furloughed saying communication with their practice boss had been average or poor.
As a final question, participants were asked to express their satisfaction with aspects of their role:
The BVRA and VMG are joining forces to host a free webinar to discuss the issues raised by the survey and potential solutions. Called 'Tackling Receptionist Morale Together', it will take place from 2.00pm-4.00 pm on Wednesday 25 November. For more information, visit: http://www.bvra.co.uk/event/bvra-vmg-tackling-receptionist-morale-together/
Brian Faulkner BSc (Hons), BVM&S, CertGP(SAM), CertGP(BPS), MBA, MSc(Psych), FRCVS, founder of the BRVA (pictured right), said: “BVRA is always working to improve the recognition, respect and job satisfaction of its members. We are delighted to team up with VMG as another way of doing this, alongside developing the status of a Registered Veterinary Receptionist.
Rich Casey is President of the Veterinary Management Group (VMG) said: “This report is sobering reading as it concerns the careers and wellbeing of a group of people who are essential to the success of any veterinary practice. The VMG is particularly interested in this research as a significant proportion of our members are practice managers and likely to be line managers of the reception team.
Leadership is about recognising when things aren’t working and putting them right. We commend the BVRA for highlighting these issues and we ask all veterinary leaders and managers to join our webinar as we discuss what can be done to resolve this crisis now, as well as the longer-term steps that are needed.”
Mr Chaney was charged with stealing Trazadone and Metacam from the Hampstead practice he worked at, and of unlawfully possessing Trazadone and Metacam. He was also charged with unlawfully administering Butorphanol to a dog and failing to record the administration of the drug in the dogs records. He was also charged with making and deleting false entries into the clinical records of his own dog to the effect that it had been seen by a vet at the practice and that Metacam had been prescribed. The final charge was that his conduct over the false records was dishonest and misleading.
The Committee heard that Mr Chaney’s conduct in relation to the first two charges was discovered when, in July 2018, the Department for Environment Food & Rural Affairs (Defra), accompanied by police officers, executed a warrant (for unrelated matters) on the property where he lived. During the course of the search, police officers found Metacam and Trazadone in Mr Chaney’s bedroom which did not seem to have a prescription and so Defra officers launched an investigation.
During the course of this investigation, a Defra investigator was also provided with a video and messages that indicated Mr Chaney had unlawfully administered Butorphanol to a Husky dog in frustration with the animal as it was being too noisy.
The Committee heard that, in November 2018, Mr Chaney accepted a police caution in relation to his possession of Trazadone and Metacam, and the unlawful administration of Butorphanol. The Committee also heard that following the police attending his property and finding the medicines, Mr Chaney went on to create false records at the practice in relation to the examination of his dog in order to justify his unlawful possession of the drugs.
The Committee found all the charges against Mr Chaney proven.
The Committee then went on to consider if the charges, taken both individually and in totality, amounted to disgraceful conduct in a professional capacity.
Judith Way, chairing the Committee and speaking on its behalf, said: "The Committee had no doubt that administering a sedative to an animal that required prescription by a veterinary surgeon and then failing to record it in the clinical record with the resultant risk to the animal’s welfare due to lack of knowledge of the administration fell far below the expected standard.
"The Committee also considered that possession of prescription only medicines by a registered veterinary nurse, without the sanction of law, having stolen the same from a practice also fell far below the expected standard.
“The Committee also considered that tampering with the clinical record for a dog, in order to create a misleading impression and in doing so dishonestly, was conduct which fell far below the expected standard.
“Taken as a whole, the Committee considered that Mr Chaney’s conduct had fallen far below the expected standard.”
The Committee therefore found him guilty of disgraceful conduct in a professional capacity in relation to all seven charges.
It next went on to consider what sanction, if any, to impose taking into account the aggravating and mitigating factors.
In considering the aggravating factors, the Committee took into account that Mr Chaney’s conduct had presented a risk of injury to the animal and that much of his conduct was pre-meditated. It also considered that Mr Chaney’s conduct involved a breach of trust to both the practice where he was employed and the owner of the Husky, and it was also an abuse of position in gaining access to and stealing medication. Lastly, because the charges related to two separate incidents, there was a common thread in Mr Chaney disregarding rules on veterinary medicines.
In mitigation, the Committee considered that Mr Chaney had reflected on and gained some insight into his behaviour, and acknowledged he had made admissions at the outset of the hearing, including apologising for and showing regret about aspects of his conduct.
However, the Committee did not believe he had addressed his understanding of the effect that this conduct had on the risk to animals, the standards of the profession or the maintenance of public confidence in the profession. In mitigation the Committee also considered a number of positive character references and his previous good character.
Judith Way said: “The Committee determined that it would not be sufficient in the circumstances of the case, to satisfy the public interest to suspend the Respondent’s registration. In its view this case involved a serious departure from identified professional standards. The disregard had been deliberate, in relation to ignoring legislation in respect of prescription-only medication and dishonesty in stealing medication.
"There was evidence of attitudinal issues in relation to that behaviour and insufficient evidence of the development of insight. The dishonesty in relation to the clinical record relating to dog O [his own dog] had been an attempt to conceal earlier dishonesty relating to the theft of the medication. In administering the Butorphanol to dog L [the Husky], Mr Chaney had been putting his own interests in quieting the dog ahead of the dog’s interests, which would have required checking with a veterinary surgeon as to appropriate steps.
"The Committee acknowledged that, by directing removal, there would likely be professional reputational damage to Mr Chaney and possible financial loss. However, in the view of the Committee the requirements of the public interest outweighed these factors.”
Accordingly, the Registrar of the RCVS was directed to remove Mr Chaney’s name from the Register of Veterinary Nurses.
Full details can be found here: https://www.rcvs.org.uk/concerns/disciplinary-hearings/
Cognitive aids are visual prompts that aim to reduce human error in critical processes by providing a supportive framework that ensures tasks are performed and communicated appropriately. They are designed for use whilst a task is being undertaken and enable individuals to concentrate on problem-solving and decision-making.
The BSAVA Cognitive Aids for Anaesthesia in Small Animal Practice, written by veterinary anaesthesia specialist Matt McMillan, includes both routine checklists, such as pre-anaesthetic assessment, equipment checks and postoperative handover, and crisis checklists for potential complications that may be encountered during surgery, such as hypotension, bradycardia and haemorrhage.
The guide also includes downloadable forms, which can be used in practice to ensure safety checks are completed and help improve clinical outcomes (available from www.bsavalibrary.com).
Ian Self, Principal Clinical Anaesthetist at the University of Cambridge Department for Veterinary Medicine said: "This handbook should be viewed as a ‘second pair of eyes’ throughout a procedure, especially if an anaesthetised patient deteriorates; consider it as having an experienced anaesthetist looking over your shoulder offering words of advice… I am very happy to endorse this exciting new BSAVA resource."
The BSAVA Cognitive Aids for Anaesthesia in Small Animal Practice is now available from the BSAVA website (www.bsava.com/shop) or by phone on 01452 726700 (£25; BSAVA members: £15).
The webinar, titled: ‘When the coughing won’t stop…. what to do when standard BRD treatment protocols aren’t getting to the bottom of it’, aims help vets manage complex outbreaks that happen despite best practice management and treatment protocols.
The full programme includes:
The event is being held live so you can submit questions to the speakers, but the session will be recorded, so it can be watched again later.
Attendees will receive a certificate for one hour of CPD and the link to the recorded webinar.
To register, email the event team by 27 November 2020 at brdwebinar-group@ceva.com. In the email, please give your name and the email address to which you would like the registration link sent.
The ESVE has become aware through its Endocrine Quality Assurance (EQA) Scheme that there will be a permanent change in the antibody used for the cortisol test for the Siemens Immulite 2000.
The change affects the antibody pool from kit Lot 550 onwards, meaning that it has already affected some laboratories and others will be affected in the next few weeks to months. At present, the new antibody lots are not being released to the USA market. Other analysers are unaffected.
The ESVE has been working with the laboratories in its EQA scheme to quantify the impact on results and reference limits. The Society says an initial review by the ESVE-EQA based on >400 canine serum and >40 urine results suggests that canine serum cortisol results are lower (average bias -23% in canine serum) than diagnostic laboratories and clinicians have been used to in the past. The effect is more marked in canine urine cortisol (average bias -70%).
Since being alerted by the ESVE-EQA, the manufacturer has derived mathematical adjustment factors that laboratories can incorporate into their systems to mitigate the impact on results. If the manufacturer adjustment is used, then the results will be around 8% lower on average in serum and around 60% lower in urine. Cut-offs to diagnose hyperadrenocorticism and rule out hypoadrenocorticism may need to be validated again with the new assay. There is not yet sufficient data in the ESVE-EQA collaboration to assess the impact on feline and equine samples.
Professor Ian Ramsey, President of the BSAVA and one of the founders of ESVE, said: “Individual laboratories may have different ways of dealing with this change and therefore it is important to keep in touch with your laboratory provider concerning their approach. Some may choose to make the mathematical adjustments to results so that common and historic cut-off values can continue to be used. Others may report their results directly but change their guidance on interpretative cut-off values."
Dr Peter Graham, ESVE-EQA Co-ordinator, concluded: “ESVE advises that all cortisol results from Siemens Immulite 2000 assays that are close to a threshold are interpreted cautiously. ESVE also advises that all endocrine results should be interpreted in the light of clinical findings and would like to remind clinicians that spurious results may occur in any assay, though this is rare.”
The BSAVA and ESVE encourage laboratories to tell clinicians which analyser they are using. Suitable wording regarding the interpretation of any values of cortisol based on Siemens Immulite 2000 results should be provided by laboratories for the foreseeable future.
Photo: A dog with hyperadrenocortism, courtesy Professor Ian Ramsey
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/.
On top of that, over 25% of vets said they don't talk to their farmer clients about the disposal of empty pharmaceutical waste.
The survey also found that while veterinary surgeons are aware that both glass and shatterproof plastic vials are incinerated, over 65% of those questioned believed that glass vials were more environmentally friendly, when in fact, the company says its CLAS (Ceva Layered Anti Shatter) shatterproof plastic vials have 33% less impact on the environment from cradle to grave2.
Ceva is producing a range of support materials, including tailored social media and newsletter content, to help vets to raise awareness of their pharmaceutical waste disposal service and drive improvements across the industry.
Peter Keyte, ruminant business unit manager at Ceva Animal Health said: "As an industry we should be doing all that we can to improve our environmentally friendly credentials.
“Ceva will continue to invest in innovative eco-friendly technology for livestock injectables and pioneer improvements to help ensure best practice throughout the industry.”
For further information, or to request a pharmaceutical waste disposal service support pack, contact your local Ceva account manager or call 01494 781510.
The idea is for as many practitioners as possible to come and share their experience, tips or advice in a discussion thread where members can vote for the posts that they think are the most interesting or helpful. The most up-voted reply is highlighted at the start of the discussion thread and will receive an Amazon voucher worth £50 at the end of the week.
The new discussion format highlights some of the great strengths of VetSurgeon.org over other discussion platforms such as Facebook, chiefly that the format on VetSurgeon lends itself to longer, more reflective posts befitting scientific discussion, and also that useful pearls of clinical wisdom don't get lost in a sea of similar replies and remain easy for everyone to refer back to. Not to mention the fact that time spent taking part in clinical discussions on VetSurgeon.org can be logged towards your annual CPD requirement, using the 'Claim CPD' button at the top of the page.
The new discussion format is closely moderated to ensure a collaborative, constructive debate. Do come and take part, or just read the thread and vote for the post you find most helpful or interesting (you'll be helping a colleague on their way to an Amazon voucher!). The vote link is in the bottom right hand corner of each post.
https://www.vetsurgeon.org/001/veterinary-clinical/small-animal/anaesthesia/f/discussions/29467/open-discussion-what-is-the-best-anaesthetic-and-analgesia-protocol-with-reasons-for-routine-neutering-in-healthy-animals.
And if you find it useful, don't forget to press the red 'Claim CPD' button at the top, which also acts as a useful bookmark.
Before becoming a dragon, Jenny worked in banking for 30 years and will be sharing her experiences as an entrepreneur and business leader. She became CEO of cash machine company Hanco, bought out the business, turned it around and sold it for £50 million.
Jenny is supportive of the move to host BSAVA Congress online. She said: “Veterinary communities, like other professions, have seen the value that online technologies can offer, both for networking and socials, as well as essential CPD. We should all embrace these changes and look at the value that they can bring.”
The Congress programme is currently being finalised and the organisers say the emphasis is on ensuring the experience is an interactive as possible for each delegate. It will deliver more than 100 hours of CPD, delivered by globally recognised speakers.
BSAVA Congress 2021 Programme Committee Chair Andy Green said: ‘Whether a virtual or a live event our entire programme is proudly created by the profession, for the profession and we are committed to providing unrivalled education, with topical, clinically relevant and evidence-based content.”
There'll be a virtual commercial exhibition, where delegates will be able to chat with exhibitors from the comfort of their home or consult room. There will also be the ability to network with others in the profession, in face-to-face chat rooms. Professor Ian Ramsey, President of the BSAVA said: “BSAVA Congress 2021 is going to be one of the most innovative in the history of our events.
"While the pandemic circumstances we continue to find ourselves in are far from ideal, we must continue to evolve and progress as a profession. BSAVA Congress is a unique highlight in our calendar for next year and it is shaping up to be a truly memorable event."
For further information and to register your interest click here: https://www.bsavaevents.com/bsavacongress2021/en/page/home
The company has launched a ‘Vet Show CPD hub’ (www.myelanco.co.uk/brand/lvshub) which, as the name suggests, hosts a variety of CPD presentations accompanied by competitions, including one in which you can win £250 Amazon vouchers.
The CPD hub also has information about the company's range of products, including Credelio, Neptra, Galliprant and Advocate.
From the 10th November, Elanco will also host a series of webinars in partnership with the London Vet Show (https://london.vetshow.com/elanco):
As a thank you, the first people to sign up to the webinars will also get an ‘Elanco Vet Show CPD at home’ box, with goodies to enjoy while tuning into the virtual event.
Tina Hunt, managing director of Elanco UK/Ireland, said: "2020 has been a year of incredible change, which has included our global acquisition of Bayer Animal Health. While we remain physically separated, it is important to us that we continue to engage with our veterinary friends and customers to maintain the sense of community that networking events can be so vital in nurturing.
"We also wanted to take this opportunity to recognise the commitment of veterinary professionals across the UK and thank you for your ongoing support and dedication at the forefront of animal care. Our entire team look forward to you joining us for three exciting webinars and to hosting you on our hub."
In the video, VetSurgeon.org Editor Arlo Guthrie explains how the site has been developed to overcome various problems with using Facebook for clinical discussion.
One of the biggest problems with Facebook is that it lends itself to large number of short-form quick-fire replies which are often repetitive and can bury any really useful pearls of wisdom. Another issue is that on Facebook, everyone's post is given a misleading equivalence. In other words, it doesn't matter whether you're the leading veterinary cardiologist in the country or someone who left vet school last week, your opinion is given the same prominence. That's misleading.
The VetSurgeon.org discussion platform lends itself to longer, more thoughtful replies, and expert opinion is elevated above the rest. Information is curated by subject area and, using the Claim CPD button, easy to bookmark and refer back to later.
In the VetSurgeon Expert Help Forums, any member can post a question but only experts (those with referral practitioner, academia or industry membership categories) can reply. When you thank the experts for their help, their logo and contact details are embedded within their answer. This overcomes another problem with less tightly-controlled discussion formats, which is that they can occasionally get quite nasty. Aside from the fact that the experts are a fantastically nice and helpful bunch of people, who on earth wants their logo attached to anything less than helpful!
None of this is to say that Facebook doesn't have its place. The large volume of short-form replies make it a great place for non clinical discussion, such as veterinary politics and general banter.
However, when it comes to clinical discussion and information-sharing, VetSurgeon.org sets the standard.
If you agree with the points raise in the video, do press the 'Like' button on YouTube and share it with colleagues.
The College has confirmed that it has now received an official complaint about the matter and it is now investigating under its normal 'concerns' investigation process.
Professor Argyle made a private statement about the allegations to RCVS Council at its meeting today, having already answered written questions from a number of Council members in the preceding days.
The Council did not ask Professor Argyle to step aside, but acknowledged that this was his choice, made for personal reasons.
The College said that in line with its normal protocols, and to ensure fairness for all parties, it will not make any further public comment about the investigation for the time being. However, it wanted to stress that it remains firmly committed to following due and proper process in all its regulatory activities.
Generally, veterinary practices may remain open, but there are national variations in what services should be offered and how, including the conditions under which remote prescribing can be used to help support a case.
Wales currently has the tightest ‘firebreak’ restrictions, meaning practices can only provide essential and urgent work until midnight on 8 November 2020, thereafter, returning to usual operations in line with Wales’ standard measures around workplace safety.
England and Northern Ireland are under national restrictions (4 Nov – 2 Dec, and 16 Oct – 12 Nov, respectively), meaning practices can provide treatment essential for maintaining animal health and welfare, along with non-urgent work providing that social distancing measures and safe working can be maintained.
Veterinary surgeons practising in these three countries may also choose to support a case remotely at an earlier stage, for example, through the remote prescribing of POM-Vs without first having conducted a physical examination.
Scotland remains the only country under regional tiered restrictions, meaning practices can continue to provide treatment whilst maintaining social distancing; however, before remote prescribing is offered, veterinary surgeons should first consider whether the animal can be brought under their care.
The full guidance and corresponding flowcharts should be consulted together and are available at www.rcvs.org.uk/covidfaq2and www.rcvs.org.uk/covidfaq4.
The company has created a waiting room board kit, social media pack and a video which surgeries can play on waiting room televisions.
The board kit comprises cut out images of items which are commonly found in a typical Christmas shopping basket which can be toxic or dangerous to pets. Meanwhile, the video explains the dangers pet owners need to be aware of throughout the year.
For practices which are limiting the number of people coming into the premises, TVM is also offering waterproof posters which can be displayed outside surgeries, along with Pet Dangers leaflets for clients to take home.
Will Peel, Product Manager of TVM UK, said: ‘We know that poisoning cases increase significantly over the Christmas period and while many pet owners are aware of the items which are toxic to their pets, it’s easy to get distracted during the festive season so the materials we have put together are intended as a reminder to be diligent and keep pets safe from harm.’
To claim your free Pet Dangers practice resource kit, visit https://www.tvm-uk.com/order-your-tvm-uk-christmas-pet-dangers-display-kit, contact your local territory manager, email help@tvm-uk.com or call 0800 0385868.