RESUMEN
Iatrogenic diseases in veterinary medicine are often related to malpractice or lack of skill. For this retrospective study, 4262 clinical records of cattle admitted to the veterinary teaching hospital of the University of Milan between 2005 and 2017 were analysed, and 121 cases (2.8 per cent), referred for an iatrogenic-related disease, were selected. The findings showed that iatrogenic diseases were more often caused by farmers (92.6per cent) than by bovine practitioners (7.4 per cent). Iatrogenic diseases were caused mainly by the improper administration of drugs (43.0 per cent), forced extraction during calving (19.8 per cent), forced milk or colostrum feeding, which was often performed by awkward administration using a nipple bottle (14.9 per cent) or by oral oesophageal tubing (15.7 per cent). Moreover, farmers often performed medical, nursing and zootechnical procedures without adequate training. The role of the practitioner is fundamental in farmer education. Clinicians, especially in some professional branches such as neonatology, should not delegate medical procedures to untrained farmers. Effective tutoring and good communication with farmers play a key role in dairy herd health and consequently in public health. This then can lead to a decrease in improper drug administration, the prevention of antibiotic resistance and the reduction of treatment costs.
RESUMEN
A program for controlling bovine neosporosis based only on the use of beef semen, without culling seropositive animals, was evaluated in a closed dairy cattle herd over a 5-year period (2013-2017). The program was based on individual and periodic serological screenings to identify seropositive breeders. Seropositive cows were inseminated with beef-breed semen, thus excluding their descendants from the remount in order to prevent the vertical transmission of the disease. Seronegative animals, as well as heifers at first insemination, were tested before each insemination. Sera of 1097 cattle were examined by a commercial indirect ELISA for the detection of antibodies anti-Neospora caninum. To verify the difference in seropositivity values among years of sampling, statistical analysis through generalized estimation equations (GEEs) was performed, also considering the effects of age, lineages, and occurrence of abortion. A seroprevalence of 33.8% was found in the first screening. The prevalence and incidence of the infection within the herd decreased significantly in 2017 (P = 28.9%, I = 1.4%) (p-value = 0.0001). The family line investigation detected a higher risk of being seropositive for a cow born to a seropositive dam (p-value = 0.0001) than to a seronegative dam, decreasing both the apparently vertical and horizontal transmissions. The number of spontaneous abortions decreased after the first year of the study (23 in 2013 to 6 in 2017). Seropositive animals were associated with abortion events (p-value = 0.0001). Although an eradication of N. caninum was not achieved at the end of the study period, a significant reduction in prevalence and incidence of neosporosis in the herd and a reduction of the abortion rate was achieved with the application of this control plan in five years, without culling a high number of seropositive potential milk-producing animals.