Evaluation of selected risk factors for different stages of digital dermatitis in Dutch dairy cows.

Digital dermatitis (DD) is a painful infectious disease in dairy cattle that causes ulcerative lesions of the skin just above the coronary band, mainly of the hind legs. Estimates for DD prevalence at cow level in the Netherlands range from 20% to 25%. In this study, risk factors for the various stages of DD were identified and quantified. The hind legs of 6766 cows on 88 farms were scored by trained interns, using the M-scoring system (M0-M4.1). Farms in this study were a convenience sample, based on the prevalence of DD as recorded at the latest herd trim, geographical location and willingness of the farmers to participate. A survey with questions about cow environment and herd management was conducted by the intern at the day of scoring. The data were collected between August 2017 and January 2018. DD was found on 38.6% of the scored legs; 49.8% of the cows had DD on at least one leg and M4 was the most frequent stage (20.9%). Not removing manure on a regular basis resulted in lower odds for M2, M4 and M4.1 compared to cleaning by automatic scrapers ten times a day or more (odds ratio [OR]= 0.16, 0.49 and 0.18, respectively). The odds for M2 and M4 lesions were higher in cows aged 3-5 years than in first-calved cows (OR> 1.5 and > 1.7, respectively). Rubber flooring in the passageways resulted in lower odds for both M1 and M2 (OR, 0.06 and 0.32, respectively). Prophylactic use of footbaths treatment with an alternative active compound resulted in significant higher odds for M4 lesions than formalin and a combination of formalin and copper sulphate (OR= 1.69 and 2.04 respectively). The odds for an M4.1 lesion were lower in cows from smaller herds (n = 50-100) compared to large herds (n >100; OR= 0.67).

Comparing the curative efficacy of topical treatment with thiamphenicol and oxytetracycline on digital dermatitis lesions in dairy cattle.

The efficacy of two topically applied antibiotics for the treatment of painful ulcerative stage of bovine digital dermatitis (BDD) lesions was compared in a clinical trial conducted on five dairy farms in the Netherlands during the autumn of 2015. A total of 109 cows with an ulcerative (M2) stage of BDD were randomly appointed a treatment with an antibiotic-based spray. One treatment contained thiamphenicol as active ingredient (TAF). The other treatment had oxytetracycline as active ingredient (ENG). The experimental unit for this study was the hind claw with the presence of an ulcerative BDD lesion. On day 0, claws with ulcerative BDD lesions were trimmed, cleaned, photographed and thereafter treated randomly either with TAF or ENG. Cure was defined as the transition of an ulcerative lesion into a non-painful chronic (M4) or into a healed (M0) stage of BDD at day 28 post-treatment. The cure rate at day 28 of M2 BDD lesions treated with TAF was 89 per cent (95 per cent CI 0.78 to 0.94), and for ENG 75 per cent (95 per cent CI 0.67 to 0.86). So the difference in cure rate was 14 per cent (95 per cent CI 0.00 to 0.27), which was statistically significant. The P value in this experiment is very close to 0.05 indicating that the effect is quite small. If a two-sided test would be used, the small significant effect, in this experiment, will disappear. Overall, the significant better curative effect of TAF on BDD M2 lesions was small, compared with ENG.

Cross-sectional study of the prevalence of and risk factors for hoof disorders in horses in The Netherlands.

Information is scarce on the prevalence of hoof disorders in horses. In this study, we examined the prevalence of and risk factors for hoof disorders in a population of horses in The Netherlands. In a group of 942 randomly selected horses, hoof health was scored during regular foot trimming (one horse/farm). Hooves were assessed for the occurrence of one of 12 hoof disorders by a group of 21 certified farriers in two periods i.e. winter and summer of 2015. The mean age of the group of horses was 11.2±5.6years. They were mainly used for recreation (28.2%), dressage (26.8%), other disciplines (such as carriage driving and breeding) (18.7%), showjumping (17.6%) or combinations of these activities (8.6%). The horse farms studied were evenly distributed throughout the country. The horses were housed on different types of bedding, including straw (51.0%), shavings (17.5%), flax (16.1%) or other materials (11.0%), or were kept at pasture (4.4%). In 85% of the horses, at least one hoof disorder was observed during regular foot trimming. Most of the lesions were mild. The most frequently diagnosed hoof disorders were: thrush (T; 45.0%); superficial hoof wall cracks (SHWC; 30.4%); growth rings (GR; 26.3%); and sole bruises (SB; 24.7%). Less frequently observed hoof disorders included: perforating hoof wall cracks (PHWC; 16.4%); white line disease (WLD; 17.8%); and white line widening (WLW; 11.8%). Horizontal hoof cracks (5.2%), chronic laminitis (3.9%), quarter cracks (2.7%), keratoma (1.8%) and frog cancer (1.0%) were less frequently observed. Factors significantly associated with the occurrence of thrush comprised a wet stable floor (OR 1.6 and 2.9, for somewhat wet to wet respectively, compared to dry), the use of straw as bedding (OR=1.5, compared to flax), the housing strategy (e.g. permanent housing in contrast to permanent pasturing) (OR=1.7) and poor horn quality (OR=3.4). A higher prevalence of WLD was associated with less frequent hoof picking (OR=2.1 if performed weekly instead of daily), the use of flax bedding (OR=2.1, compared to straw) and poor horn quality (OR=8.1). A higher prevalence of SB was observed in horses used for multiple disciplines (OR=3.5, compared to dressage), with white-coloured hooves (OR=5.0, compared to black hooves), with longer intervals between trimming sessions (OR=4.8 in case of 8-10 weeks compared to weekly) and with poor horn quality (OR=5.4). A higher prevalence of WLW was observed in older horses (OR=15.5 for horses >19years, compared to <5years), in those with longer intervals between trimming sessions (OR=1.8 in case of 8-10 weeks compared to weekly), and in certain breeds (OR=3.2 for Friesian horses, 2.9 for Welsh ponies and 13.1 for Shetland ponies, all compared to Dutch Warmblood). In conclusion, although most of the hoof disorders identified were only in a mild stage, still an unexpectedly high prevalence of hoof disorders was observed during regular hoof trimming. Analysis of the data showed that some parameters, such as the use of flax bedding, may be protective for certain hoof disorders but a risk factor for others. This study provides useful guidelines for monitoring hoof health, reducing lameness and optimizing equine welfare.

A longitudinal study into the effect of grazing on claw disorders in female calves and young dairy cows.

To estimate the prevalence of claw disorders in youngstock and first parity heifers and to evaluate the effect of grazing on claw disorders, 10 Dutch dairy herds participated in a 2-year longitudinal study. Five herds were zero-grazed, while in the other five herds cows and youngstock had access to pasture during the summer. Twenty female calves <1 year of age and 20 females between 1 and 2 years of age were randomly selected on each farm, and were individually monitored at 3 monthly intervals for 2 years. Data from 366 animals with at least five observations were analysed using linear mixed models with a binomial error distribution. Independent variables were grazing, age, month of observation and previous occurrence of the disorder, while herd and animal were included as random effects. Of these 366 animals, 287 had calved once and 76 twice at the end of the study. Analytic results were obtained for digital dermatitis (DD), interdigital dermatitis/heel horn erosion (IDHE) and sole haemorrhages (SH), all of which had a prevalence of >15%. The prevalence of DD increased considerably around first calving on both the grazing and the zero-grazing farms. The prevalence of IDHE increased with age while SH prevalence showed a more fluctuating pattern. Digital dermatitis was less frequently observed in pastured animals than in permanently housed animals (OR=0.12-0.64 depending on month of observation; P<0.05), with the strongest effect being seen during the period when the herds which grazed cattle actually had animals at pasture (May to August). Grazing was also associated with lower levels of IDHE and SH, again particularly during the grazing season.

Curative effect of topical treatment of digital dermatitis with a gel containing activated copper and zinc chelate.

The efficacy of two topical treatments for painful ulcerative stage (M2) of bovine digital dermatitis (BDD) lesions was compared in a clinical trial conducted on five dairy farms in 2009 to 2010. The first treatment was a water-based gel with active components copper and zinc (Intra Hoof-fit gel [IHF]) and the second treatment was a topical chlortetracycline spray (CTC spray). The experimental unit for this study was the hindleg with the presence of a BDD lesion. Cure was defined as the transition of an M2 lesion into a healed (M0) or a non-painful chronic stage (M4) of BDD at D28. On day 0, cows with M2 BDD lesions were photographed and were treated with either IHF or CTC. Subsequently, feet were photographed and scored on D28. The cure rate of M2 BDD lesions treated with IHF at D28 was 0.92 (CI 0.84 to 0.96) and was significantly better than for M2 BDD lesions treated with CTC, which was 0.58 (CI 0.47 to 0.68).

[Risk of Echinococcus granulosus becoming endemic in Dutch cattle]. / Het risico van het endemisch worden van Echinococcus granulosus in rundvee in Nederland.

Echinococcus granulosus is rare in The Netherlands and most human patients originate from southern Europe and Africa, where E. granulosus is still endemic in sheep, cattle, and pigs. Since the accession of some south-eastern European countries to the European Union, a large number of cattle have been imported from this area, according to national import data. The objective of this study was to determine the risk of re-introduction of E. granulosus in The Netherlands via the import of cattle from these endemic areas. The number of infected imported cattle was determined by correcting the number of imported cattle with the national animal prevalence of E. granulosus in the country of origin. In 2007, the number of imported E. granulosus-infected cattle varied from 0 (Cyprus) to 4,934 (Romania, accounting for 90% of all positive cattle). The likelihood of detecting E. granulosus at slaughter is low--we assumed, based on confirmed cases, that only 10% of infected cattle will be detected during visual inspection at slaughter. In 2007, 542 infected cattle were probably culled in The Netherlands (assuming that cattle younger than 3 months were not infected). Since the lungs and livers of cattle approved for human consumption may be processed into dog food, there is a risk that dogs that eat E. granulosus-containing dog food may become infected and in turn infect humans. On the basis of a model that assumed that only cattle older than 3 months at the moment of importation were a risk, 23 dogs may have been exposed to E. granulosus in 2007. To reduce the risk of importing E. granulosus, measures should be taken, such as declaring the lungs and livers of Romanian cattle unfit for human consumption and banning the use of infected raw lung and liver in dog food.

Beta 2-microglobulin associated amyloidosis: a vanishing complication of long-term hemodialysis?

Beta 2-microglobulin associated amyloidosis (A beta 2m amyloidosis) is considered an inevitable complication of chronic hemodialysis, particularly in hemodialysis with cellulose based membranes. We performed a single center study to assess the prevalence of A beta 2m amyloidosis in 1988 versus 1996. Randomly selected patients, studied in 1988, were matched for time on hemodialysis (mean 71 months, range 3 to 207) and age (mean 51 years, range 22 to 80) with patients of the 1996 population. Compared to 1988 patients, the 1996 patients exhibited a lower prevalence of carpal tunnel syndrome (7 of 43 in 1988 vs. 1 of 43 in 1996; P < 0.001) and radiological evidence of A beta 2m amyloidosis (13 of 34 patients vs. 3 of 34 patients positive; P < 0.001; and 33 of 272 possible sites affected in 1988 vs. 7 of 272 sites in 1996 patients; P < 0.05). Compared to the 1988 population, the 1996 population exhibited significantly lower serum aluminum levels, lower average serum creatinine (but not urea) levels, more frequent therapy with erythropoietin, less home hemodialysis, longer hemodialysis time using high-flux synthetic dialysis membranes (mean of 13% vs. 6% of the total hemodialysis time in the 1988 group), and more frequent usage of reverse osmosis water plus bicarbonate buffer for dialysate preparation. We conclude that the prevalence and severity of A beta 2m amyloidosis unexpectedly decreased by about 80% in our center between 1988 and 1996. Given the relatively short times spent on high flux hemodialysis in both groups, increased beta 2-microglobulin removal is unlikely to account for this phenomenon. Rather, other factors, for example, dialysate composition and purity, may be involved.