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Could fecal estrone sulfate be used as a confirmatory pregnancy diagnosis in South American camelids? 粪便硫酸雌酮是否可用于南美骆驼的妊娠确诊诊断?
IF 0.3 4区 农林科学 Q4 VETERINARY SCIENCES Pub Date : 2025-08-01 Epub Date: 2025-09-02 DOI: 10.1055/a-2563-3236
Thomas Wittek, Anna Riepl, Andrea Hildebrand, Julia Baumeister

Pregnancy diagnosis in South American camelids (SAC) is commonly performed in early pregnancy about 30 to 45 days after mating. Due to embryonic mortality, it is advisable to confirm the pregnancy later. A laboratory analysis would be ideal for this confirmative test using samples which can be obtained by the breeders. Sampling of feces from the ground immediately after defecation would be both simple and convenient for the animal and breeder. Estrone sulfate which is synthetized by the placenta indicating pregnancy has been found in feces and used as marker for pregnancy in various animal species (e. g. pigs, primates).The objective of this study was to measure estrone sulfate concentrations in feces of SAC and assess if the fecal estrone sulfate concentrations are suitable for non-invasive pregnancy detection.Eighty-six mares (81 alpacas and 5 llamas) from different herds in Germany and Austria were sampled over a period of one year. The mares were selected by the breeders regardless the age, nutritional status or number of previous pregnancies. Of the 86 mares, 83.72% (72 mares) became pregnant and 16.28% (14 mares) remained non-pregnant despite being mated. All mares were sampled monthly. The fecal samples were analyzed in the laboratory using a commercial Estrone-3-Sulfate (E1S) Competitive Elisa Kit.The estrone sulfate concentrations in feces showed a wide variation over the entire sampling period and between individual animals. There was a significant difference in concentration at the end of pregnancy (14 d before parturition). Additionally, wide variations in estrone sulfate concentrations were also observed in the feces of non-pregnant mares. Consequently, the AUC characterizing the diagnostic value of fecal estrone sulfate concentration to detect pregnancy between days 60 and 150 was very low (0.455).It must be concluded that estrone sulfate analysis in feces as collected post defecation in this study failed to demonstrate any potential as a confirmatory method for pregnancy diagnosis in SAC. The increase at the end of pregnancy is unimportant for practical diagnostic procedures.

南美骆驼科动物(SAC)的妊娠诊断通常在交配后30至45天的妊娠早期进行。由于胚胎死亡,建议以后再确认妊娠。使用育种者可以获得的样品进行实验室分析是这种确认试验的理想选择。对动物和饲养者来说,在排便后立即从地面采集粪便既简单又方便。硫酸雌酮是由胎盘合成的指示妊娠的物质,已在许多动物的粪便中被发现,并被用作妊娠的标记物。猪,灵长类动物)。本研究的目的是测量SAC粪便中的硫酸雌酮浓度,并评估粪便硫酸雌酮浓度是否适合用于无创妊娠检测。在一年的时间里,从德国和奥地利不同的畜群中抽取了86匹母马(81头羊驼和5头大羊驼)。这些母马是由饲养员挑选的,无论年龄、营养状况或以前怀孕的次数。86匹母马中72匹(83.72%)怀孕,14匹(16.28%)交配后仍未怀孕。所有母马每月抽样一次。使用商用雌酮-3-硫酸酯(E1S)竞争性酶联免疫吸附测定试剂盒在实验室分析粪便样本。粪便中的硫酸雌酮浓度在整个采样期间和个体动物之间存在很大差异。妊娠末期(产前14 d)两组浓度差异有统计学意义。此外,在未怀孕的母马粪便中也观察到硫酸雌酮浓度的广泛变化。因此,粪便硫酸雌酮浓度对60 ~ 150天妊娠的诊断价值AUC非常低(0.455)。必须得出的结论是,本研究中收集的排便后粪便中的硫酸雌酮分析未能显示任何作为SAC妊娠诊断的确诊方法的潜力。妊娠末期的增加对于实际的诊断程序并不重要。
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引用次数: 0
Recommendations and examination protocols for pre-purchase examination in South American camelids. 南美骆驼购前检查的建议和检查方案。
IF 0.3 4区 农林科学 Q4 VETERINARY SCIENCES Pub Date : 2025-08-01 Epub Date: 2025-09-02 DOI: 10.1055/a-2664-6070
Thomas Wittek, Bodo Kröll, Annett Rudovsky, Sonja Franz, Henrik Wagner

This article provides information and recommendations for the pre-purchase physical and laboratory examinations of South American camelids (SAC). It is strongly recommended to have a written contract between the potential buyer and the veterinarian before the examination detailing its form and focus including any tests. The pre-purchase examination subsequently leads to the production of a report describing the animal's signalment, history and the results of the examinations following the contract description. It may be necessary to involve the seller in this contract (e. g. if the animal is to be subjected to an examination that may put it at risk).SACs are used for various purposes (e. g. wool, tourism, animal assisted therapy) and the purpose desired by the purchaser will determine the scope of the pre-purchase examination. To allow this, a modular system is proposed so that, in addition to the general examinations (physical and laboratory) the appropriate clinical and laboratory findings can be compiled from various "special" examinations. Thus, in addition to the obligatory general physical and laboratory diagnostic examination, special examination protocols e. g. skin examination for animals that are primarily used for fleece production, full scale orthopedic examination in animals that will be used for hiking or examination for infectious diseases in animals that have close contact with humans can be chosen as part of the pre-purchase examination. The last mentioned may be of general importance depending on the signalment and history. Diagnoses can then be made in accordance with the proposed main use(s) of the animal.When taking on the assignment of a pre-purchase examination, the veterinarians have to guarantee that they possess the appropriate skills and experience and that the required equipment and laboratory access is available. Finally, the veterinarians must document the findings precisely in the final report and maintain absolute confidentiality.The authors of the present article have compiled recommendations on pre-purchase examinations and developed examination protocols. These protocols are made available for download as PDF files in German and English (https://www.vetmeduni.ac.at./ankaufsuntersuchung-neuweltkamele).

本文为南美骆驼(SAC)的购买前物理和实验室检查提供了信息和建议。强烈建议潜在买家和兽医在检查前签订一份书面合同,详细说明检查的形式和重点,包括所有检查。购买前检查随后导致根据合同说明编写一份报告,描述动物的信号、历史和检查结果。在本合同中可能需要卖方的参与(例如:如果动物要接受可能使其处于危险的检查)。sac用于各种目的(例如:羊毛,旅游,动物辅助治疗)和购买者想要的目的将决定购前检查的范围。为此,建议采用模块化系统,以便除了一般检查(物理和实验室)外,还可以从各种“特殊”检查中汇编适当的临床和实验室结果。因此,除了强制性的一般体格检查和实验室诊断检查外,还有特殊检查方案,例如:可选择对主要用于羊毛生产的动物进行皮肤检查,对将用于徒步旅行的动物进行全面骨科检查,或对与人类密切接触的动物进行传染病检查,作为购买前检查的一部分。最后提到的可能是一般的重要性取决于信号和历史。然后可以根据动物的主要用途进行诊断。当接受购买前检查的任务时,兽医必须保证他们拥有适当的技能和经验,并且所需的设备和实验室是可用的。最后,兽医必须在最终报告中准确地记录结果,并绝对保密。本文作者汇编了关于购买前检查的建议,并制定了检查方案。这些协议以德文和英文PDF文件提供下载(https://www.vetmeduni.ac.at./ankaufsuntersuchung-neuweltkamele)。
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引用次数: 0
[Diseases of the Thymus in domestic mammals: Significance and diagnosis]. [家畜胸腺疾病:意义与诊断]。
IF 0.3 4区 农林科学 Q4 VETERINARY SCIENCES Pub Date : 2025-08-01 Epub Date: 2025-09-02 DOI: 10.1055/a-2638-4429
Emilia Diel, Axel Wehrend

In contrast to human medicine, thymic disorders receive little attention as differential diagnoses in veterinary medicine. The aim of this overview is to provide information on the current state of knowledge concerning the topographical anatomy, physiological development, and involution, function, and diseases of the thymus as well as the diagnosis of thymic disorders in various domestic mammals. Therefore, literature on this topic was searched and summarized. The anatomical extent and developmental/involutionary processes differ significantly from species to species. The thymus reaches its maximum size at the beginning of sexual maturity whereas it is largely absent or persists in mere residual form in adult animals. Dogs and goats represent an exception, as functional thymus tissue may also be found in adults. Imaging is often difficult, depending on the size of the animal and the location of the organ. Due to the poor visualization and mostly unspecific clinical signs, disorders of the thymus pose a diagnostic challenge. The thymus may change in size and structure in response to stress or disease. This can lead to impaired immune function and subsequently to infectious diseases. Neoplasia of the thymus has been widely described in domestic mammals. Most reports are found for dogs and goats. Clinical signs usually appear when the tumor becomes space-occupying due to its size or they become apparent in consequence to the occurrence of paraneoplastic syndromes. These may for example include myasthenia gravis. More than 50% of dogs with a thymoma develop a paraneoplastic syndrome. With the availability of modern imaging, assessing the thymus may in future become simpler and may prove useful in evaluating the health status of young animals.

与人类医学相反,胸腺疾病作为鉴别诊断在兽医学中很少受到重视。这篇综述的目的是提供关于胸腺的地形解剖、生理发育、胸腺的退化、功能和疾病以及各种家养哺乳动物胸腺疾病的诊断方面的最新知识。因此,对这方面的文献进行了检索和总结。不同物种的解剖程度和发育/进化过程存在显著差异。胸腺在性成熟初期达到最大尺寸,而在成年动物中胸腺基本不存在或仅以残余形式存在。狗和山羊是一个例外,因为在成年人身上也可以发现功能性胸腺组织。成像通常是困难的,这取决于动物的大小和器官的位置。由于胸腺疾病的视觉效果不佳,临床症状大多不明确,因此对胸腺疾病的诊断提出了挑战。胸腺的大小和结构可能会因压力或疾病而改变。这可能导致免疫功能受损,进而导致传染病。胸腺肿瘤在家养哺乳动物中已被广泛描述。大多数报告是在狗和山羊身上发现的。临床体征通常出现在肿瘤因其大小而占位或因出现副肿瘤综合征而变得明显时。这些症状可能包括重症肌无力。超过50%患有胸腺瘤的狗会发展成副肿瘤综合征。随着现代成像技术的发展,胸腺的评估在未来可能会变得更简单,并可能被证明对评估幼龄动物的健康状况有用。
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引用次数: 0
Geriatric care of New World camelids. 新大陆骆驼的老年护理。
IF 0.3 4区 农林科学 Q4 VETERINARY SCIENCES Pub Date : 2025-08-01 Epub Date: 2025-09-02 DOI: 10.1055/a-2632-2339
Karin Mueller

There is an increasing interest in, and demand for, care of the geriatric veterinary patient, and New World camelids are no exception. Rather than using an absolute age to define 'geriatric', behavioural, physiological and clinical signs are more useful, such as ability to maintain body condition and status in herd hierarchy. This article offers guidance on approach to geriatric care in llamas and alpacas, considering husbandry, routine management and common clinical problems.

人们对照顾老年兽医病人的兴趣和需求越来越大,新世界的骆驼也不例外。与其用绝对年龄来定义“老年”,行为、生理和临床症状更有用,比如维持身体状况和群体等级地位的能力。本文结合大羊驼和羊驼的饲养、日常管理和临床常见问题,对其老年护理方法提出了指导意见。
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引用次数: 0
[Unilateral leiomyoma in the spermatic cord - a reason for intermittent colic in stallions?] 单侧精索平滑肌瘤——种马间歇性绞痛的原因?]
IF 0.3 4区 农林科学 Q4 VETERINARY SCIENCES Pub Date : 2025-08-01 Epub Date: 2025-09-02 DOI: 10.1055/a-2638-4414
Anna Hegger, Martin Köhne, Ingo Gerhauser, Alexandra Görgens

A 19-year-old Oldenburg stallion was presented multiple times over the course of several months with recurrent colic signs. At each examination, an enlargement of the scrotum was noted, which could not be further specified by palpation and ultrasonographic examination. The increase in circumference was noted both on palpation and on inspection and the size remained unchanged throughout. No special findings were noted during the general examination and the special examination of the colic patient. A few months after the first onset of symptoms, a chicken egg-sized mass was palpated on the right testicle, extending dorso-laterally in the direction of the inguinal cleft. Due to the recurring signs and the loss of sperm quality (pathospermia), the stallion was hemicastrated with subsequent histopathological and immunohistological examination of the circumferential proliferation including the testicles and epididymis.

一匹19岁的奥尔登堡种马在几个月的时间里多次出现复发性绞痛迹象。每次检查均发现阴囊肿大,不能通过触诊和超声检查进一步明确。在触诊和检查中都注意到周长的增加,而大小始终保持不变。在绞痛患者的一般检查和特殊检查中未发现特别的发现。首次出现症状几个月后,在右侧睾丸触诊到一个鸡蛋大小的肿块,向腹股沟裂方向背外侧延伸。由于反复出现的症状和精子质量的丧失(病精症),该种马被阉割,随后对包括睾丸和附睾在内的周围增生进行组织病理学和免疫组织学检查。
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引用次数: 0
[Non-invasive monitoring of ovarian function in llamas and alpacas - Evaluation of the suitability of sex steroid measurement in milk and vaginal cytology]. [无创监测大羊驼和羊驼卵巢功能-评价性类固醇测量乳和阴道细胞学的适用性]。
IF 0.3 4区 农林科学 Q4 VETERINARY SCIENCES Pub Date : 2025-08-01 Epub Date: 2025-09-02 DOI: 10.1055/a-2625-9116
Alina Leisen, Gerhard Schuler, Kathrin Büttner, Axel Wehrend, Henrik Wagner

In South American Camelids (SAC), determining a suitable time point for mating poses challenges as females ready for conception do not show estrus signs or behavioral changes. Therefore, the applicability of measuring sex steroids in milk and vaginal cytology as non-invasive methods for monitoring ovarian activity was investigated.Samples were collected from a total of 10 alpacas (A) and 9 llamas (L) over a period of 4 weeks following parturition. The concentrations of progesterone (P4), estradiol-17β (E2) and total estrogens (GOE) in blood and milk were measured using radioimmunoassays after sample extraction. Vaginal swabs were prepared and evaluated according to the procedure routinely used in dogs.In A and L, the estrogen concentrations in milk were significantly lower than those in blood (E2 in blood: A: 11.1±2.9 pg/ml, L: 14.6±5.0 pg/ml; E2 in milk: A: 6.2±3.1 pg/ml, L: 7.9±5.8 pg/ml; GOE in blood: A: 120. 2±26.9 pg/ml, L: 143.7±45 pg/ml; GOE in milk: A: 57.1±16.1, L: 75.9±34.6 pg/ml), while the differences between the two species were not significant. The correlations between steroid concentrations in blood and milk were statistically significant in L, but not in A. While in L, correlations between estrogen concentrations and vaginal cytological parameters showed several statistical significances with p-values partly <0.01, in A only GOE in the blood was negatively correlated with the proportion of basal-/parabasal cells.P4 measurement in milk allows the detection of luteal phases in SAC with high reliability. Despite statistical significance, the correlations between estrogen concentrations in blood and milk were also too weak in L to estimate blood concentrations with acceptable accuracy based on estrogen concentrations in milk at the level of the individual animal. Vaginal cytology could in principle be suitable for the identification of the maturation phase of follicular waves in L. However, improvements of the methodology and further validation are warranted before its routine use.

在南美骆驼科动物(SAC)中,确定一个合适的交配时间点是一项挑战,因为准备受孕的雌性没有表现出发情迹象或行为变化。因此,研究了乳中性类固醇检测和阴道细胞学作为监测卵巢活动的非侵入性方法的适用性。从10只羊驼(a)和9只大羊驼(L)身上采集样本,时间为分娩后4周。提取后用放射免疫法测定血、乳中孕酮(P4)、雌二醇-17β (E2)和总雌激素(GOE)的浓度。阴道拭子准备和评估,根据常规程序在狗。在A和L组,乳中雌激素浓度明显低于血中雌激素浓度(血中E2: A: 11.1±2.9 pg/ml, L: 14.6±5.0 pg/ml;乳中E2: A: 6.2±3.1 pg/ml, L: 7.9±5.8 pg/ml;血中GOE: A: 120)。2±26.9 pg/ml, L: 143.7±45 pg/ml;牛奶中的GOE: A: 57.1±16.1,L: 75.9±34.6 pg/ml),而两种之间差异不显著。L组血液和乳汁中类固醇浓度的相关性有统计学意义,而a组没有。L组雌激素浓度与阴道细胞学参数的相关性有统计学意义,p值部分有统计学意义
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引用次数: 0
[Diagnostic imaging of the equine cervical spine and clinical significance of findings - review of literature - Part two: Ultrasonography, myelography, computed tomography, magnetic resonance tomography, and nuclear medicine]. [马颈椎的诊断成像及其临床意义-文献综述-第二部分:超声、脊髓造影、计算机断层扫描、磁共振断层扫描和核医学]。
IF 0.3 4区 农林科学 Q4 VETERINARY SCIENCES Pub Date : 2025-06-01 Epub Date: 2025-06-13 DOI: 10.1055/a-2536-5264
Maren Hellige, Florian Geburek

Diagnostic imaging is an important part of the diagnostic approach in equine spinal ataxia especially with the cervical spine being commonly involved. The spinal cord may be affected by a variety of conditions including cervical vertebral malformations, osteoarthritis of the articular process joints or less commonly neoplasia. Advanced imaging techniques such as myelography are more accurate in diagnosing spinal cord compression and may be performed under general anesthesia in neutral, flexed and extended positions of the cervical spine. The use of ultrasound is non-invasive and allows ultrasound-guided injections in the area of the articular process joints and spinal nerve roots. Nuclear bone scan is widely used and is a highly sensitive, but not very specific modality. Scintigraphic changes in the equine cervical spine are influenced by age, breed and discipline and should be interpreted with caution. Magnetic resonance imaging (MRI) of the cervical spine is the preferred imaging modality in companion animals, but its use is currently limited to ponies and foals due to the lack of availability of suitable equipment for larger horses. This review provides an overview of the literature on advanced diagnostic imaging for the equine cervical spine and the current state of knowledge regarding significant findings.

诊断影像是马脊髓性共济失调诊断方法的重要组成部分,特别是颈椎通常受累。脊髓可受多种疾病的影响,包括颈椎畸形、关节突关节骨关节炎或不太常见的肿瘤。先进的成像技术,如脊髓造影,在诊断脊髓压迫时更准确,可以在全身麻醉下,在颈椎中立位、屈曲位和伸展位进行。超声的使用是非侵入性的,允许在关节突关节和脊神经根区域进行超声引导注射。核骨扫描被广泛使用,是一种高度敏感,但不是非常具体的方式。马颈椎的星形图变化受年龄、品种和纪律的影响,应谨慎解释。颈椎磁共振成像(MRI)是伴侣动物首选的成像方式,但由于缺乏适合大型马的设备,目前仅限于小马和马驹。这篇综述综述了马颈椎的先进诊断成像的文献和目前关于重要发现的知识状态。
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引用次数: 0
[The current obstetrics situation in cattle - a retrospective evaluation of data from clinics]. [牛的产科现状——对诊所数据的回顾性评估]。
IF 0.3 4区 农林科学 Q4 VETERINARY SCIENCES Pub Date : 2025-06-01 Epub Date: 2025-03-28 DOI: 10.1055/a-2536-5314
Lisa Ulrich, Axel Wehrend

The aim of the study is to describe the situation concerning dystocia in cattle using a retrospective analysis of hospital data.1345 cases of cows with dystocia presented at a university obstetrics clinic between 2007 and 2019 were evaluated retrospectively. The age, breed or direction of use, causes for the difficult birth, the chosen intervention, complications that occurred and mortality rates were recorded. In addition, correlations between individual parameters were analyzed.29.9% of the affected cows were younger than 2.5 years and 49.0% were in their first parity. The most common causes consisted of the following: anomalies in position and posture (46.3%), large fetus (41.3%), uterine torsion (26.5%) as well as an inadequately opened cervix (19.3%). Missed miscarriage births occurred in 7.6% of cases. Uterine torsion particularly affected dairy breeds (p<0.0001) and cows between 2.5 and 3.5 years of age (p<0.0001). Large fruits (p<0.0001) and narrowing of the soft (p=0.0082) and bony birth canals (p<0.0001) occurred mainly in cows younger than 2.5 years and in beef breeds (p<0.0001). Cervical cuffs were most common in the age groups<2.5 years (18.5%),>2.5-3.5 years (19.7%) and>3.5-4.5 years (18.5%) and in the group of>6.5-year-old cows (20.6%) (p<0.0001). Twin pregnancy was most frequently detected in cows older than 6.5 years (p<0.0001).The cows' mortality rate amounted to 9.4%. When complications occurred during the procedure, the mortality rate was increased (p<0.0001). The mortality rate for calves after removal and caesarean section was 46.0%. The proportion of calves that survived was higher following conservative obstetrics than caesarean sections (p=0.005). 41.7% of the stillborn calves had been dead for a longer period of time.The data show that there is a need for optimization with regard to the prevention of problematic births. This applies in particular to the high proportion of excessively young cows with large fetuses. Avoidable risk factors include too early mating. The high proportion of calves that had been dead for some time suggests that numerous dystocias are recognized too late in the course of parity. The risk of missed miscarriage births should therefore be reduced by intensifying birth monitoring.

该研究的目的是描述的情况有关难产牛使用回顾性分析的医院数据。回顾性分析了2007年至2019年在一所大学产科诊所就诊的1345例难产奶牛。记录了年龄、品种或使用方向、难产原因、选择的干预措施、发生的并发症和死亡率。此外,还分析了个体参数之间的相关性。29.9%的患病奶牛年龄小于2.5岁,49.0%为第一胎。最常见的原因包括:体位和姿势异常(46.3%),胎儿较大(41.3%),子宫扭转(26.5%)以及宫颈未充分打开(19.3%)。漏产占7.6%。子宫扭转特别影响奶牛品种(p2.5-3.5岁(19.7%),>3.5-4.5岁(18.5%),>组(20.6%)
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引用次数: 0
[Sonographic diagnosis of lingual abscess formation in 2 horses with feeding difficulties]. [2匹进食困难马舌脓肿的超声诊断]。
IF 0.3 4区 农林科学 Q4 VETERINARY SCIENCES Pub Date : 2025-06-01 Epub Date: 2025-06-13 DOI: 10.1055/a-2588-9597
Anna Pelli, Lea Schütrumpf, Jasmin Büttner, Severin Blomeyer, Kerstin Gerlach, Antonia Troillet

Feeding disorders in horses may have various underlying causes. A thorough clinical examination of the oral cavity is essential for clarification and is often supplemented by imaging techniques such as oral endoscopy, radiography, and computed tomography (CT) of the head. Sonographic examinations of the head and oral cavity are less commonly described diagnostic methods for the investigation of feeding disorders. This case report describes 2 horses presented to the clinic due to impaired feed intake. In both cases the radiographic examination of the head did not reveal any abnormalities related to the clinical presentation. However, in both cases ultrasonography of the tongue identified an abscess in the mid to caudal section of the tongue both via direct (oral) and an indirect (transcutaneous) approach. Both horses underwent surgical treatment via ultrasound-guided abscess drainage. In the first case, the procedure was performed orally under general anesthesia, while in the second case, it was conducted transcutaneously under sedation. Both horses recovered without postoperative complications and were able to resume normal feeding within a few days. Sonographic examination of the tongue proves to be a valuable and easy-to-use method for detecting lingual abscesses. Oral ultrasonography is particularly suitable for the assessment of the rostral and midsections of the tongue, whereas transcutaneous ultrasonography is advantageous for an examination of the middle and caudal portions of the tongue.

马的进食障碍可能有各种潜在的原因。对口腔进行彻底的临床检查对于澄清是必不可少的,通常辅以影像学技术,如口腔内窥镜检查、放射照相和头部计算机断层扫描(CT)。头部和口腔的超声检查是不常用的诊断方法来调查进食障碍。本病例报告描述了两匹因采食量受损而被送到诊所的马。在这两个病例中,头部的x线检查未发现任何与临床表现相关的异常。然而,在这两个病例中,舌头的超声检查通过直接(口腔)和间接(经皮)入路在舌头的中部到尾段发现了一个脓肿。两匹马都接受了超声引导下的脓肿引流手术治疗。在第一个病例中,手术是在全身麻醉下进行的,而在第二个病例中,手术是在镇静下经皮进行的。两匹马均未出现术后并发症,并在几天内恢复正常进食。舌的超声检查证明是一种有价值的和易于使用的方法来检测舌脓肿。口腔超声检查特别适用于舌吻部和中段的评估,而经皮超声检查则有利于舌中部和尾端的检查。
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引用次数: 0
[Off-label use of antibiotics in equine medicine - an online survey in Germany]. [在马药中抗生素的标签外使用——德国的一项在线调查]。
IF 0.3 4区 农林科学 Q4 VETERINARY SCIENCES Pub Date : 2025-06-01 Epub Date: 2025-06-13 DOI: 10.1055/a-2585-3269
Marie Tarillion, Robert Hertzsch, Angelika Richter

Since 28.01.2022, veterinary medicinal products must be used in accordance with the conditions of authorization (Regulation (EU) 2019/6, Article 106). This entails further restrictions on therapeutic freedom, e. g., with regard to dose deviations. To date, there is no data available in equine medicine on the scope of off-label use as any use deviating from the expert information for antibiotics, on the basis of which the feasibility of implementing the new regulations in Germany can be assessed.To collect data on the off-label use of antibiotics, a Germany-wide anonymous online survey was therefore conducted as a quantitative cross-sectional study, which included up to 105 questions. The survey was preceded by expert interviews and pilot surveys.A total of 111 equine veterinarians answered the survey in full. 88.3% (98/111) stated that they had used antibiotics off-label. Enrofloxacin, marbofloxacin, broad-spectrum cephalosporins, doxycycline and metronidazole were frequently repurposed. Approved drugs for horse such as gentamicin, potentiated sulfonamides, benzylpenicillin-procaine and oxytetracycline were also used off-label, often with regard to indication, dose interval and treatment duration. Antibiotics were usually used in higher doses, rarely prophylactically or for non-antibacterial purposes. Popular combinations were gentamicin with benzylpenicillin or with amoxicillin. Human medical antibiotics were rarely used.As this survey confirms, there is a frequent need for repurposing of antibiotics according to animal species and indication in equine medicine, which should be taken into account in future further regulations and the revision of the positive list. In many cases, special conditions in the infection process justify the off-label use of approved preparations for horses. This survey indicates that some dose revisions are to be recommended for antibiotics that have been used for decades and are approved as medicinal products for horses. As there are few financial incentives for pharmaceutical companies to do so, the creation of therapy guidelines for certain indications in horses could alternatively contribute to greater certainty in equine practice with regard to the justification of off-label use.

自2022年1月28日起,兽药必须按照授权条件使用(法规(EU) 2019/6第106条)。这就需要进一步限制治疗自由,例如:,关于剂量偏差。迄今为止,马药中没有关于标签外使用范围的数据,因为任何偏离抗生素专家信息的使用,可以在此基础上评估在德国实施新法规的可行性。为了收集抗生素说明书外使用的数据,在德国范围内进行了一项匿名在线调查,作为一项定量横断面研究,其中包括多达105个问题。调查之前进行了专家访谈和试点调查。共有111名马兽医完整地回答了调查。88.3%(98/111)表示曾在说明书外使用过抗生素。恩诺沙星、马布沙星、广谱头孢菌素、强力霉素和甲硝唑经常被重新使用。批准的马用药物,如庆大霉素、增强型磺胺类药物、苄青霉素-普鲁卡因和土霉素也在说明书外使用,通常涉及适应症、剂量间隔和治疗时间。抗生素通常以较高剂量使用,很少用于预防或非抗菌目的。流行的组合是庆大霉素与苄青霉素或阿莫西林。很少使用人类医用抗生素。正如这项调查证实的那样,经常需要根据马药中的动物种类和适应症重新使用抗生素,这应在未来进一步的法规和修订正面清单时予以考虑。在许多情况下,感染过程中的特殊情况证明了批准的马制剂的标签外使用是合理的。这项调查表明,对于已经使用了几十年并被批准为马用药的抗生素,建议进行一些剂量修订。由于制药公司这样做的财政激励很少,因此针对马的某些适应症制定治疗指南可以在马的实践中提供更大的确定性,以证明标签外使用的合理性。
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