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Time course of clinical signs and mortality in dogs with severe perioperative acute kidney injury: A scoping review 围手术期严重急性肾损伤犬的临床症状和死亡率的时间过程:范围综述。
IF 1.3 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2025-05-27 DOI: 10.1111/avj.13454
C.T. Quinn

Perioperative acute kidney injury (AKI) is a potential cause of anaesthetic mortality in dogs. The time delay between anaesthetic recovery, onset of clinical signs and any subsequent mortality may result in under-recognition of this complication. This review aimed to explore the literature reporting dogs with severe AKI after general anaesthesia and surgery. Firstly, to determine the time course between anaesthesia recovery and onset of clinical signs, and between recovery and any mortality. Secondly, to identify the common clinical signs and signalment of dogs with perioperative AKI. PubMed and CAB abstracts data bases using the terms “(acute kidney injury OR acute renal failure) AND dog AND (anaesthesia OR surgery)”; and ResearchRabbit were searched. Peer reviewed publications in English describing dogs that developed AKI with overt clinical signs after anaesthesia were included. Number of postoperative days until onset of clinical signs and death; along with signalment and the reported clinical signs leading to AKI diagnosis were extracted. Nine publications describing a total of 31 dogs were included in the review. Clinical signs were typically first seen 2–4 days postoperatively (range 1–14). Death/euthanasia occurred in 5 dogs; between 3 and 60 days postoperatively. Persistent renal dysfunction occurred in 4 survivors. The most common clinical signs were anorexia, lethargy, polyuria/polydipsia and vomiting. Female and larger breed dogs especially Labradors and Golden Retrievers were overrepresented. Knowledge of this time course may improve postoperative monitoring and recognition of perioperative AKI in dogs.

围手术期急性肾损伤(AKI)是犬麻醉死亡的潜在原因。麻醉恢复、出现临床症状和随后死亡之间的时间延迟可能导致对该并发症的认识不足。本综述旨在探讨报道全麻和手术后发生严重AKI的狗的文献。首先,确定从麻醉恢复到出现临床症状,以及从恢复到死亡之间的时间过程。其次,确定围手术期AKI犬的常见临床体征和信号。PubMed和CAB使用术语“(急性肾损伤或急性肾功能衰竭)和(麻醉或手术)”提取数据库;和ResearchRabbit进行了搜索。包括同行评议的英文出版物,描述麻醉后出现明显临床症状的犬AKI。术后至出现临床症状和死亡的天数;提取导致AKI诊断的信号和报告的临床体征。九篇共描述31只狗的出版物被纳入综述。临床症状通常在术后2-4天(范围1-14天)首次出现。5只狗死亡/安乐死;术后3 ~ 60天。4例幸存者发生持续性肾功能不全。最常见的临床症状是厌食、嗜睡、多尿/烦渴和呕吐。雌性和较大品种的狗,特别是拉布拉多犬和金毛猎犬的比例过高。了解这一时间过程可以提高狗的围手术期AKI的术后监测和识别。
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引用次数: 0
Factors related to resilience for mid- to late-career-stage veterinarians: a qualitative study 职业生涯中后期兽医心理弹性的相关因素:一项定性研究。
IF 1.3 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2025-05-22 DOI: 10.1111/avj.13453
IF van Gelderen, SM Matthew, ML McArthur

Background

This study aimed to explore how resilience in mid- to late-career stage veterinarians in Australia is shaped by interactions between job demands, personal and contextual resources, strategies and outcomes.

Methods

Semistructured interviews with 17 mid- to late-career stage veterinarians were conducted with questions modelled on prior research investigating veterinarians' experiences, teacher well-being and resilience. The Job Demands-Resources model guided thematic analysis.

Results

Mid- to late-career stage veterinarians described how resilience is shaped by interactions between (1) demands of the job, (2) resources available, (3) strategies used and (4) resilience outcomes. Job demands and job resources categories were sub-divided into four and seven themes respectively according to whether characteristics were based on personal or contextual factors. Strategies were grouped into seven themes representing intentional ways that veterinarians made effective use of resources. Three themes in the Outcomes category represented positive outcomes that were enabled through dynamic interaction between demands, resources and strategies undertaken to realise outcomes.

Limitations

This study did not explore relationships between perceptions of resilience and veterinary work type, practice location, age or gender. Interviews were conducted before the global COVID-19 pandemic, and results do not reflect any associated psychological impacts from that event.

Conclusion

Resilience in mid- to late-career veterinarians is a dynamic process driven by the interplay of demands, resources, intentional actions and outcomes. Although personal resources can be developed over time, job demands are largely contextual. Effective management practices can mitigate challenges and foster resilience.

背景:本研究旨在探讨工作需求、个人和环境资源、策略和结果之间的相互作用如何塑造澳大利亚职业生涯中后期兽医的弹性。方法:采用半结构化访谈法,对17名职业生涯中后期的兽医进行问卷调查,问卷的问题模拟了先前对兽医经历、教师幸福感和心理弹性的调查。工作需求-资源模型指导专题分析。结果:职业生涯中后期的兽医描述了弹性是如何通过(1)工作需求、(2)可用资源、(3)使用策略和(4)弹性结果之间的相互作用形成的。根据特征是基于个人因素还是环境因素,工作需求和工作资源类别分别被细分为4个和7个主题。策略被分为七个主题,代表兽医有效利用资源的有意方式。成果类别中的三个主题代表了通过需求、资源和为实现成果而采取的战略之间的动态互动而实现的积极成果。局限性:本研究没有探讨弹性感知与兽医工作类型、实践地点、年龄或性别之间的关系。访谈是在全球COVID-19大流行之前进行的,结果并未反映该事件对心理的任何相关影响。结论:职业中后期兽医的心理弹性是一个需求、资源、意向行为和结果相互作用的动态过程。虽然个人资源可以随着时间的推移而发展,但工作需求在很大程度上是与环境相关的。有效的管理实践可以减轻挑战,培养韧性。
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引用次数: 0
Inducing emesis in Australian dogs and cats: agents, adverse effects and antiemetic administration 诱发呕吐在澳大利亚狗和猫:代理人,不良反应和止吐管理。
IF 1.3 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2025-05-06 DOI: 10.1111/avj.13449
J Tsitonakis, E Hall, A Quain

Objective

To describe the agents used by Australian veterinarians in inducing emesis in dogs and cats, adverse effects and antiemetic administration.

Methods

An anonymous online mixed-methods survey incorporating closed and open-ended questions was distributed to Australian veterinarians via e-newsletters and social media between April and June 2024.

Results

From 317 valid responses, 316 respondents induced emesis in a dog (99.7%) and 128 (40.4%) induced emesis in a cat in the previous 12 months. The most common protocols were subcutaneous injection of apomorphine (n = 310/316, 98.1%) for dogs and intramuscular injection of dexmedetomidine or medetomidine (n = 79/128, 61.7%) for cats. Respondents reported significantly reduced success (n = 74/128, 57.8%) inducing emesis in cats compared with dogs (n = 312/316, 98.7%) (P ≤ 0.001). Sedation was the most reported adverse effect for both species. The subconjunctival route of apomorphine was found to significantly increase the risk of adverse effects in dogs, compared with the subcutaneous route (P = 0.03). Antiemetics were more frequently administered to dogs than cats. Univariable logistical regression analysis revealed that veterinarians with fewer than 5 years' experience were significantly more likely to use an antiemetic drug when inducing vomiting in dogs (P = 0.05) compared with veterinarians with 31 or more years of experience.

Conclusion

These findings enable clinicians to benchmark practices against those of their peers, characterise adverse effects associated with emesis induction and refine their technique to improve patient welfare. A more reliable means of inducing emesis in cats is needed.

目的:介绍澳大利亚兽医用于犬猫催吐的药物、不良反应和止吐给药情况。方法:在2024年4月至6月期间,通过电子通讯和社交媒体向澳大利亚兽医分发了一项包含封闭式和开放式问题的匿名在线混合方法调查。结果:在过去的12个月中,317份有效回复中,316份(99.7%)致狗呕吐,128份(40.4%)致猫呕吐。最常见的治疗方案是犬皮下注射阿波啡(n = 310/316, 98.1%),猫肌肉注射右美托咪定或美托咪定(n = 79/128, 61.7%)。受访者报告猫诱导呕吐的成功率(n = 74/128, 57.8%)明显低于狗(n = 312/316, 98.7%) (P≤0.001)。镇静是两个物种中最常见的不良反应。与皮下给药相比,结膜下给药可显著增加犬的不良反应风险(P = 0.03)。止吐药更常用于狗而不是猫。单变量logistic回归分析显示,经验少于5年的兽医在诱导狗呕吐时使用止吐药物的可能性明显高于经验≥31年的兽医(P = 0.05)。结论:这些发现使临床医生能够对他们的同行进行基准实践,描述与呕吐诱导相关的不良反应,并改进他们的技术以改善患者的福利。需要一种更可靠的方法来诱导猫呕吐。
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引用次数: 0
Prevalence of vector-borne pathogens Ehrlichia canis, Babesia spp. and Dirofilaria immitis in dogs in Townsville, far north Queensland 昆士兰州北部汤斯维尔市犬中媒介传播病原体犬埃利希体、巴贝斯虫和免疫迪罗丝虫的流行情况。
IF 1.3 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2025-05-04 DOI: 10.1111/avj.13450
K Gerber, JA Picard, J Elliman, CJ Joone, Y Indrawirawan, CC Constantinoiu

Ehrlichia canis, Babesia spp. and Dirofilaria immitis are blood-borne pathogens transmitted to dogs by arthropods. The aim of the current study was to investigate the prevalence of E. canis, Babesia spp. and D. immitis in domestic dogs, aged 6 months or older, in Townsville, in far north Queensland, Australia. Dogs were recruited through convenience sampling, with the assistance of local veterinary clinics and James Cook University staff and students. Up to 3 ml of blood was collected per dog, into EDTA vacutainer tubes. Testing for E. canis and Babesia spp. was performed through qPCR, with a second PCR used to identify the species in Babesia-positive cases. Testing for D. immitis was performed using a commercial antigen detection kit and the modified Knott's test (MKT); microfilariae identity was confirmed by morphological features and qPCR. Of 301 dogs sampled, none tested positive for E. canis, whereas 9 (3.0%, 95% CI 1.1–4.9%) tested positive for Babesia vogeli, and 15 (5.0%; 95% CI 2.5–7.5%) tested positive for D. immitis, based on the combined antigen and MKT results.

犬埃利希体、巴贝斯虫和免疫Dirofilaria是通过节肢动物传播给狗的血源性病原体。本研究的目的是调查澳大利亚昆士兰州北部汤斯维尔市6个月及以上的家犬中犬伊氏绦虫、巴贝斯虫和伊姆米特犬的流行情况。在当地兽医诊所和詹姆斯库克大学工作人员和学生的帮助下,通过方便抽样的方式招募了狗。每只狗最多采集3毫升血液,放入EDTA真空管中。通过qPCR检测犬伊氏绦虫和巴贝斯虫,用第二次PCR鉴定巴贝斯虫阳性病例中的物种。使用商业抗原检测试剂盒和改进的Knott试验(MKT)进行免疫梭菌炎检测;通过形态特征和qPCR鉴定微丝蚴的身份。在301只狗的样本中,没有狗肠杆菌阳性,而9只(3.0%,95% CI 1.1-4.9%)检测出沃氏巴贝斯虫阳性,15只(5.0%;(95% CI 2.5-7.5%)根据抗原和MKT的联合结果检测为免疫弓形虫炎阳性。
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引用次数: 0
Thoracic radiographic findings of canine spirocercosis in Australia 澳大利亚犬螺旋体病的胸片表现。
IF 1.3 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2025-05-01 DOI: 10.1111/avj.13447
P Thong, B Hopper, G Tenni, Z Lenard

Canine spirocercosis in Australia has been poorly described in the veterinary literature. The objectives of this multicentre retrospective case series were to increase the awareness of veterinarians (including teleradiology providers) regarding Spirocerca lupi in Australia and to describe the thoracic radiographic findings of dogs infected with S. lupi with comparison to other endemic regions. Fifty-nine dogs with a diagnosis of canine spirocercosis were recruited from veterinary practices located in subtropical and tropical Australia. Many (54/59; 92%) originated from Mount Isa, Queensland, due to proactive screening. Thoracic radiographs identified 42 oesophageal masses in 35/59 (59%) of affected dogs. Identification of oesophageal masses was nearly always facilitated by oesophageal gaseous distension after gastro-oesophageal endoscopy, sedation or anaesthesia (33/35, 94%). Oesophageal masses were most frequently centred at T8. Where the aorta was visualised, aortic enlargement was detected in 17/42 (40%) dogs. Spondylitis was frequently detected (32/59; 54%) and most frequently located at T8-11. Spondylosis deformans was less frequently detected (14/59; 24%) but in 7/14 (50%) studies it was present concurrently with spondylitis. Spondylitis had varied morphological features, some of which were contrary to previously reported definitions. Despite this, the radiographic appearance of spondylitis allowed relatively reliable differentiation from spondylosis deformans and added significant confidence to the radiographic diagnosis of spirocercosis. Pleural effusion (5/59; 8%) was the most frequent additional radiographic finding. In conclusion, thoracic radiographic findings of canine spirocercosis in Australia are similar to other endemic regions and S. lupi is present in multiple regions of Australia not previously reported.

犬螺旋体病在澳大利亚的兽医文献中描述甚少。这个多中心回顾性病例系列的目的是提高澳大利亚兽医(包括远程放射学提供者)对lupi螺旋体的认识,并描述与其他流行地区相比,感染lupi螺旋体的犬的胸部x线片表现。从澳大利亚亚热带和热带的兽医诊所招募了59只诊断为犬螺旋体病的狗。许多(54/59;92%)源于昆士兰州的伊萨山(Mount Isa)。胸片在35/59(59%)的患病犬中发现42个食道肿块。经胃-食管内镜检查、镇静或麻醉后,食管气体膨胀几乎总是有助于食管肿块的识别(33/ 35,94%)。食道肿块最常集中于T8。在主动脉可见的地方,有17/42(40%)的狗检测到主动脉扩张。脊柱炎常被发现(32/59;54%),最常位于T8-11。脊柱畸形较少被发现(14/59;24%),但在7/14(50%)的研究中,它与脊柱炎同时出现。脊柱炎具有多种形态特征,其中一些与先前报道的定义相反。尽管如此,脊柱炎的x线表现可以相对可靠地与畸形型脊柱病进行区分,并为螺旋体病的x线诊断增加了显著的信心。胸腔积液(5/59;8%)是最常见的附加影像学发现。综上所述,澳大利亚犬螺旋体病的胸片表现与其他流行地区相似,并且在澳大利亚的多个地区存在着以前未报道的lupi。
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引用次数: 0
Establishing updated haematological and biochemical reference intervals for urban brushtail possums (Trichosurus vulpecula) in Australia 澳大利亚城市帚尾负鼠(Trichosurus vulpecula)最新血液学和生化参考区间的建立。
IF 1.3 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2025-04-21 DOI: 10.1111/avj.13444
C Marschner, A Geisler-Edge, Y Chao, N Courtman

Reference intervals (RIs) or reference ranges are crucial tools in clinical practice and research, aiding in the interpretation of laboratory test results by providing values expected in a healthy population. This paper provides haematology and biochemistry reference intervals and ranges established from a population of urban brushtail possums (Trichosurus vulpecula) captured for health assessment on Sydney University campus, Australia.

参考区间(RIs)或参考范围是临床实践和研究中的重要工具,通过提供健康人群的预期值来帮助解释实验室检测结果。本文提供了从悉尼大学校园捕获的城市刷尾负鼠(Trichosurus vulpecula)种群中建立的血液学和生物化学参考区间和范围,用于健康评估。
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引用次数: 0
Pig carcass decomposition dynamics: Insights into carcass disposal for emergency animal disease management 猪胴体分解动力学:对紧急动物疾病管理的胴体处理的见解。
IF 1.7 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2025-04-20 DOI: 10.1111/avj.13440
O Schlosberg, BD Cowled, J Torpy, A Höger, RE Thompson, TS Barnes, K Richards, RN Hall, EEC Leslie

Australia is free from many economically devastating emergency animal diseases (EADs) that threaten livestock production in neighbouring countries. In Australia, an important consideration for EAD control is managing susceptible feral animal populations, especially in remote and inaccessible areas where carcass disposal poses considerable logistical challenges. One proposed solution is to utilise natural decomposition above ground through the ‘destroy and let lie’ (D&LL) method, relying on post-mortem changes in carcass temperature and pH to inactivate the EAD agent. We investigated temperature and pH changes in pig carcasses from death until end-stage decomposition at two locations in Queensland to gain insights into how carcasses left in situ decompose under Australian conditions. Using regression modelling, we identified days since humane killing, air temperature, rainfall, relative humidity, anatomical site and study location as significant predictors of carcass pH and temperature. Although the observed carcass pH and temperature conditions did not meet African swine fever virus (ASFV) inactivation thresholds, foot-and-mouth disease virus (FMDV) was likely to be inactivated in the thoracic cavity, superficial and deep skeletal muscle and abdominal cavity of most carcasses. However, FMDV inactivation thresholds were not reached in bone marrow and brain. This suggests that these carcasses may potentially remain infectious with ASFV and FMDV in situ under the experimental conditions encountered, based on the inactivation thresholds selected. Despite this, culling large portions of a feral pig population, in conjunction with D&LL disposal approach, may still support disease control imperatives during an EAD response by reducing live pig numbers and disease transmission.

澳大利亚没有许多威胁邻国畜牧业生产的具有经济破坏性的紧急动物疾病。在澳大利亚,控制EAD的一个重要考虑因素是管理易感野生动物种群,特别是在偏远和交通不便的地区,在这些地区,尸体处理构成了相当大的后勤挑战。一种建议的解决方案是通过“销毁和停放”(D&LL)方法利用地面上的自然分解,依靠死后胴体温度和pH值的变化来灭活EAD剂。我们在昆士兰的两个地点调查了猪尸体从死亡到最终阶段分解的温度和pH值变化,以深入了解在澳大利亚条件下尸体是如何原地分解的。利用回归模型,我们确定了人类宰杀后的天数、气温、降雨量、相对湿度、解剖位置和研究地点是胴体pH和温度的重要预测因子。虽然观察到的胴体pH值和温度条件不符合非洲猪瘟病毒(ASFV)灭活阈值,但大多数胴体的胸腔、浅层和深层骨骼肌以及腹腔可能存在口蹄疫病毒(FMDV)灭活。然而,FMDV在骨髓和大脑中未达到失活阈值。这表明,根据所选择的失活阈值,在遇到的实验条件下,这些尸体可能仍然具有ASFV和FMDV的原位传染性。尽管如此,扑杀大部分野猪种群,结合D&LL处理方法,仍然可以通过减少生猪数量和疾病传播,在EAD应对期间支持疾病控制的必要性。
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引用次数: 0
Brucella suis in feral pigs in Australia: what is the risk? 澳大利亚野猪感染猪布鲁氏菌的风险是什么?
IF 1.3 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2025-04-20 DOI: 10.1111/avj.13441
CC Kneipp, D Marshall, ME Westman, R Malik, MA Stevenson, SM Mor, AK Wiethoelter

In Australia, feral pigs (Sus scrofa) are the primary host for Brucella suis. The incidence of B. suis brucellosis in dogs in Queensland (QLD) and New South Wales (NSW) has increased, likely due to hunting and consumption of feral pig meat. This study aimed to update estimates of B. suis seroprevalence and spatial distribution in feral pigs and assess the risk of transmission to dogs. Serology results from 686 feral pigs in QLD and NSW were analysed, with seroprevalence correlated to pig population density. Serology results from 3074 dogs in QLD and NSW were mapped to local government areas (LGAs) and compared with pig density. Raw feral pig meat sold for pet consumption was tested for B. suis. Thirty-seven feral pigs were seropositive, with a survey adjusted true seroprevalence of 17% (95% confidence interval [CI] 12% to 22%) in QLD and 11% (95% CI 8% to 14%) in NSW. No positive spatial autocorrelation between positive and negative pigs was identified. Six hundred dogs from 26 QLD LGAs and 37 NSW LGAs were seropositive, showing a positive association with pig density. Brucella suis DNA was detected in commercially sold feral pig meat. This study found an increased prevalence and geographical expansion of infected pig populations potentially increasing the risk for B. suis transmission. The wide distribution and high level of detection in at-risk dogs highlight the links to pig hunting. Investigating human and dog cases could help identify infected pig populations, enabling hunters to reduce contact with infected pigs in those areas.

在澳大利亚,野猪是猪布鲁氏菌的主要宿主。在昆士兰州(QLD)和新南威尔士州(NSW),犬类中猪芽胞杆菌布鲁氏菌病的发病率有所增加,可能是由于狩猎和食用野猪肉。本研究旨在更新猪螺旋体在野猪中的血清流行率和空间分布,并评估向犬传播的风险。对来自昆士兰州和新南威尔士州的686头野猪的血清学结果进行了分析,血清阳性率与猪群密度相关。对昆士兰州和新南威尔士州3074只狗的血清学结果进行了定位,并与当地政府区域(LGAs)进行了比较。对出售给宠物食用的生野生猪进行猪芽孢杆菌检测。37头野猪血清呈阳性,经调查调整后的真实血清阳性率在昆士兰州为17%(95%可信区间[CI] 12%至22%),在新南威尔士州为11%(95%可信区间为8%至14%)。阳性猪和阴性猪之间没有正的空间自相关。来自26个QLD LGAs和37个NSW LGAs的600只狗血清呈阳性,与猪密度呈正相关。在市售的野生猪肉中检测到猪布鲁氏菌DNA。本研究发现,受感染猪群的流行率增加和地理范围扩大可能增加猪B.传播的风险。危险犬的广泛分布和高检出率突出了与猎猪的联系。调查人类和狗的病例可以帮助确定受感染的猪群,使猎人能够减少与这些地区受感染猪的接触。
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引用次数: 0
Treatment of feline infectious peritonitis in cats with molnupiravir: clinical observations and outcomes for 54 cases 莫努匹拉韦治疗猫感染性腹膜炎54例临床观察及疗效观察。
IF 1.3 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2025-04-15 DOI: 10.1111/avj.13433
TM Clark, SJ Coggins, R Korman, J King, R Malik

Objective

To evaluate the clinical applications and treatment outcomes using molnupiravir for the treatment of naturally occurring feline infectious peritonitis virus (FIPv).

Methods

Ninety-two client-owned cats with confirmed or presumptive FIP were retrospectively recruited from 35 veterinary practices, primarily in Australia, between February 2023 and March 2024. Cats were categorised based on treatment received: Cohort A: Molnupiravir treatment: monotherapy, maintenance or rescue therapy; Cohort B: Remdesivir and/or GS-441524 treatment. Seventy-eight cats were enrolled. Molnupiravir was administered orally for a median of 84 days, at a median dose of 13.3 mg/kg BID. Remission was defined as the resolution of FIP-related signs with (i) normalisation of serum globulin concentrations and A:G ratio (≥0.6), or (ii) sustained clinical remission for at least 100 days after stopping anti-viral therapy. Cure rate was defined as the percentage of cats achieving sustained remission, without requiring rescue therapy or experiencing a relapsed disease.

Results

Molnupiravir monotherapy resulted in a cure rate of 72% (13/18) while molnupiravir maintenance therapy achieved a cure rate of 86% (25/29), and molnupiravir utilised as a rescue therapy achieved a cure rate of 100% (7/7). Treatment with remdesivir/GS-441524 resulted in a cure rate of 71% (17/24 cats). Survival analysis revealed no difference in outcomes between cats treated with molnupiravir monotherapy and those treated with remdesivir/GS-441524. Adverse events associated with molnupiravir therapy included neutropenia, and transient elevations in hepatic enzymes.

Conclusion

Molnupiravir demonstrated comparable survival outcomes to remdesivir/GS-441524 for treating FIP and serves as an accessible, effective option across various presentations, including ocular and neurologic forms.

目的:评价莫那匹拉韦治疗猫感染性腹膜炎病毒(FIPv)的临床应用及治疗效果。方法:在2023年2月至2024年3月期间,主要在澳大利亚的35家兽医诊所回顾性招募了92只确诊或推定患有FIP的客户猫。猫根据所接受的治疗进行分类:队列A:莫努匹拉韦治疗:单药治疗、维持治疗或抢救治疗;B组:瑞德西韦和/或GS-441524治疗。78只猫被招募。口服Molnupiravir的中位时间为84天,中位剂量为13.3 mg/kg BID。缓解被定义为fip相关症状的消退(i)血清球蛋白浓度和A:G比(≥0.6)正常化,或(ii)停止抗病毒治疗后持续至少100天的临床缓解。治愈率的定义是猫达到持续缓解的百分比,不需要抢救治疗或经历复发的疾病。结果:莫那匹拉韦单药治疗治愈率为72%(13/18),莫那匹拉韦维持治疗治愈率为86%(25/29),莫那匹拉韦作为抢救治疗治愈率为100%(7/7)。用瑞德西韦/GS-441524治疗的治愈率为71%(17/24只猫)。生存分析显示,猫接受molnupiravir单药治疗和接受remdesivir/GS-441524治疗的结果没有差异。与莫那匹韦治疗相关的不良事件包括中性粒细胞减少和肝酶的短暂升高。结论:Molnupiravir在治疗FIP方面表现出与remdesivir/GS-441524相当的生存结果,并可作为包括眼部和神经系统形式在内的各种表现的可获得,有效的选择。
{"title":"Treatment of feline infectious peritonitis in cats with molnupiravir: clinical observations and outcomes for 54 cases","authors":"TM Clark,&nbsp;SJ Coggins,&nbsp;R Korman,&nbsp;J King,&nbsp;R Malik","doi":"10.1111/avj.13433","DOIUrl":"10.1111/avj.13433","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate the clinical applications and treatment outcomes using molnupiravir for the treatment of naturally occurring feline infectious peritonitis virus (FIPv).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Ninety-two client-owned cats with confirmed or presumptive FIP were retrospectively recruited from 35 veterinary practices, primarily in Australia, between February 2023 and March 2024. Cats were categorised based on treatment received: Cohort A: Molnupiravir treatment: monotherapy, maintenance or rescue therapy; Cohort B: Remdesivir and/or GS-441524 treatment. Seventy-eight cats were enrolled. Molnupiravir was administered orally for a median of 84 days, at a median dose of 13.3 mg/kg BID. Remission was defined as the resolution of FIP-related signs with (i) normalisation of serum globulin concentrations and A:G ratio (≥0.6), or (ii) sustained clinical remission for at least 100 days after stopping anti-viral therapy. Cure rate was defined as the percentage of cats achieving sustained remission, without requiring rescue therapy or experiencing a relapsed disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Molnupiravir monotherapy resulted in a cure rate of 72% (13/18) while molnupiravir maintenance therapy achieved a cure rate of 86% (25/29), and molnupiravir utilised as a rescue therapy achieved a cure rate of 100% (7/7). Treatment with remdesivir/GS-441524 resulted in a cure rate of 71% (17/24 cats). Survival analysis revealed no difference in outcomes between cats treated with molnupiravir monotherapy and those treated with remdesivir/GS-441524. Adverse events associated with molnupiravir therapy included neutropenia, and transient elevations in hepatic enzymes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Molnupiravir demonstrated comparable survival outcomes to remdesivir/GS-441524 for treating FIP and serves as an accessible, effective option across various presentations, including ocular and neurologic forms.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8661,"journal":{"name":"Australian Veterinary Journal","volume":"103 6","pages":"339-353"},"PeriodicalIF":1.3,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Incidence of complications from perioperative urinary catheterisation in horses 马围手术期尿导尿并发症的发生率。
IF 1.3 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2025-04-05 DOI: 10.1111/avj.13445
CT Quinn

Catheterisation of the urinary bladder is a common procedure during perioperative care of horses. Benefits of urinary catheters include a reduction in the risk of recovery-associated slip hazards as a consequence of voided urine and the measurement of urine output during anaesthesia. However, there is little information regarding the risks associated with this procedure. A retrospective cohort study was undertaken in horses admitted to a university teaching hospital for surgery during which a urinary catheter was placed perioperatively. Data were retrieved from clinical records including signalment, procedure type, presence of pre-existing urinary/renal pathology, timing of catheter placement, complications from catheterisation, injuries during recovery and total volume of urine. Records were searched for evidence of urinary tract infections (UTI) or urethral strictures at any time following catheterisation. Descriptive statistics were calculated for numerical data. A total of 218 horses were included. The majority of catheters (n = 157, 70.7%) were placed immediately prior to recovery. The median volume of urine collected during anaesthesia was 4.89 mL/kg (0.0–37.66 mL/kg). The duration of catheterisation ranged from less than 20 min to 4 days. Complications occurred in three horses (1.4%) where the catheter could not be passed through the urethra, resulting in minor urethral trauma in one case. No clinical signs of UTI or urethral stricture were reported in any horse post-catheterisation. Short-term placement of urinary catheters during the perioperative period has a low incidence of complications. Difficulty inserting the catheter is occasionally encountered and may result in urethral injury.

膀胱导尿是马匹围手术期护理的常见程序。导尿管的优点包括可降低因排空尿液而导致恢复期滑倒的风险,并可在麻醉期间测量尿量。然而,有关该程序相关风险的信息却很少。一项回顾性队列研究针对在大学教学医院接受手术的马匹进行了研究,在手术过程中,围手术期放置了导尿管。研究人员从临床记录中提取了相关数据,包括信号、手术类型、术前是否存在泌尿系统/肾脏病变、导尿管置入时间、导尿引起的并发症、恢复期间的损伤以及总尿量。在导尿术后的任何时间,都要搜索记录是否有尿路感染(UTI)或尿道狭窄的证据。对数字数据进行了描述性统计。共纳入 218 匹马。大多数导尿管(n = 157,70.7%)是在恢复前立即置入的。麻醉期间收集的尿量中位数为 4.89 mL/kg(0.0-37.66 mL/kg)。导尿持续时间从不到 20 分钟到 4 天不等。有三匹马(1.4%)发生了导尿管无法通过尿道的并发症,其中一例导致轻微的尿道创伤。导尿术后,没有任何马匹出现尿道炎或尿道狭窄的临床症状。在围手术期短期放置导尿管的并发症发生率很低。偶尔会遇到导尿管插入困难的情况,可能会导致尿道损伤。
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引用次数: 0
期刊
Australian Veterinary Journal
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