Cloves (Syzygium aromaticum) fluid gel on healing of pododermatitis in rabbits.

Wounds are damaging to quality life of confined animals, causing dysfunction in spinal, members injuries, and reduction in productive performance. This research investigated the clove antimicrobial and antioxidant activity on the healing of decubitus wounds (pododermatitis) of rabbits (Oryctolagus cuniculus). Adult animals were treated for 21 days every three days with a fluid gel spray in the wound region: control fluid gel without addition of clove (FGC0), fluid gel with addition of 1% clove powder (FGC1), and fluid gel with 2% clove powder (FGC2). Microbiological analysis for Escherichia coli and Pseudomonas spp. were performed during 21 days of experimental period. After this period, samples from treated skin were evaluated for histological analysis and evaluation of the healing process by spectroscopy (FTIR-ATR). Rabbits treated with FGC2 showed advanced healing and decreased tissue inflammation similar to healthy rabbits, while FGC0 rabbits showed a decrease in bacterial contamination without signs of healing. Both FGC1 and FGC2 rabbits demonstrated antimicrobial and antioxidant action against both bacteria tested, favoring the wound healing process. Considering the results, the use of fluid gel with 2% of clove powder (Syzigium aromaticum) based on the best antimicrobial, antioxidant and anti-inflammatory activities on healing of decubitus wounds (pododermatitis) of rabbits in commercial farming system.

Comparison of the different supports used in veterinary medicine for pressure sore prevention.

OBJECTIVES: To compare the pressure-relieving capacity of different supports used in veterinary medicine and to find the more common pressure sore locations in laterally recumbent dogs, so as to recommend protocols for decubitus ulcer prevention. MATERIALS AND METHODS: We compared the support properties of: (1) blankets on the floor, (2) a standard mattress, (3) a veterinary memory foam mattress and (4) a human medicine memory foam mattress. Three cadaver dogs with different body condition scores but similar sizes were positioned on the different supports in lateral recumbency. Pressures were measured in each dog and at each support contact point over a 4-hour period using a TexiSense pressure mat. RESULTS: Regardless of the body condition score and the support used, the skin overlying the scapula-humeral articulation, the greater trochanter and the thirteenth rib were the recurrent risk zones. In these risk zones, pressure-relieving mats led to lower pressures than did the standard mats or the blanket placed on the floor. The contact pressures appeared to depend on body condition score, with maximal pressures observed in thin dogs. CLINICAL SIGNIFICANCE: It is important to use a pressure-relieving mat to reduce the risk of pressure sores, but static pressure-relieving mats are generally insufficient to maintain safe pressures in risk zones (<60 mmHg), particularly in thin patients, and so frequent changes in position are recommended.

Detection and Isolation of Digital Dermatitis Treponemes from Bovine Pressure Sores.

Pressure sores cause severe pain and discomfort in hospitalized people and in farmed cattle and are often infected with unknown bacteria. Pressure sores occur on the upper legs of 6-10% of recumbent cattle and are generally considered to be caused by constant pressure, commonly on bony areas of the limbs. This study analyzed pressure sores taken from the upper limbs of 14 cattle using isolation in culture and nested polymerase chain reaction (PCR) to detect treponemes associated with digital dermatitis (DD). A 100% association of DD treponemes with the pressure sores was demonstrated, but treponemes were shown not to be part of the normal skin microbiota. Immunohistochemistry showed an association of DD treponemes with lesions and particularly with the hair follicles in lesions, identifying the bacteria deep within wounds, thereby suggesting that they could contribute to lesion pathogenesis. The bacteria isolated from the pressure sore lesions were similar or identical on analysis of the 16S rRNA gene to those found in DD foot lesions in cattle, suggesting the same bacteria can infect multiple lesions. Indeed, the results of this study suggest that these spirochaetal bacteria may be expanding in host range and in their ability to colonize different tissues and contribute to a range of disease manifestations in farm animals.

Pathogenesis and pathology of shoulder ulcerations in sows with special reference to peripheral nerves and behavioural responses to palpation.

Shoulder ulcerations are common in breeding sows in production systems but the consequences for the animals in terms of pain or discomfort are not well-described. This study presents data from a histopathological examination of shoulders of sows, specially focusing on the peripheral nerves in the region and the behavioural responses towards palpation of animals with traumatic neuromas but without ulcers. The study included 155 sows from seven Danish herds initially screened and stratified according to absence/presence and size of shoulder ulcers 3-4 weeks post-partum, out of which 71 were free of ulcerations and 84 had different stages of ulceration. Before collection, sows were subjected to shoulder palpation and behavioural responses were registered. From the consecutive pattern of development of ulcerations it is evident that shoulder ulcerations develop from top-to-bottom. A high frequency of traumatic neuromas was found in both healed and unhealed lesions. The observation of viable nerve-ends in shoulder ulcerations makes it likely that ulcerations are associated with pain. Moreover, the presence of traumatic neuromas in healed ulcerations indicates that there is discomfort even after the lesions have healed. This is further supported by the behavioural finding that rubbing behaviour in response to palpation was increased on the day of sample collection of the shoulders in sows with traumatic neuromas but without shoulder ulcers (P=0.053). Further studies are needed for final confirmation but these results suggest that shoulder ulcers may be associated with pain even after healing.

Effects of post-partum administration of ketoprofen on sow health and piglet growth.

The effect of the non-steroidal anti-inflammatory drug ketoprofen on the post farrowing phase of sows was studied in a randomized, blinded, placebo-controlled trial. Ketoprofen (3mg/kg) was administered intramuscularly to 20 healthy sows for 3 days post-partum (p.p.). The control group (n=20) received a saline placebo. Backfat, number of days of constipation and days before feed refusal were measured. Body condition (BCS) and shoulder sores were scored for 1 week p.p. Changes in BCS, backfat and shoulder sore scores were analysed with ANOVA. Blood was collected on days -1, 0, 5 and 14 with respect to medication. Aspartate aminotransferase (AST), creatinine kinase (CK), haptoglobin and serum amyloid A (SAA) were quantified and analysed with a Mann-Whitney U test. BCS and backfat decreased less following ketoprofen administration than with the placebo (-0.08 ± 0.2 vs. -0.8 ± 0.2, 1.0 ± 0.8mm vs. -2.0 ± 0.9 mm, respectively; P<0.05 for both) during the first 2 weeks of lactation. The shoulder sore score deterioration was milder during days 4-6 p.p. with ketoprofen than placebo (P<0.05). Duration of constipation was shorter with ketoprofen than placebo (5.5 ± 0.3 vs. 6.4 ± 0.3 days p.p.; P<0.05). Incidences of feed refusal occurred later in the ketoprofen group than in the placebos (9.6 ± 0.9 vs. 3.8 ± 0.8 days p.p.; P<0.05). AST and SAA values were higher after ketoprofen administration than placebo on day 5 p.p. (P<0.05). It was concluded that ketoprofen appeared to benefit sows during the first 2 weeks post farrowing, but caused some tissue irritation.

Risk factors associated with cast complications in horses: 398 cases (1997-2006).

OBJECTIVE: To determine the frequency of and risk factors for complications associated with casts in horses. DESIGN: Multicenter retrospective case series. ANIMALS: 398 horses with a half-limb or full-limb cast treated at 1 of 4 hospitals. PROCEDURES: Data collected from medical records included age, breed, sex, injury, limb affected, time from injury to hospital admission, surgical procedure performed, type of cast (bandage cast [BC; fiberglass tape applied over a bandage] or traditional cast [TC; fiberglass tape applied over polyurethane resin-impregnated foam]), limb position in cast (flexed, neutral, or extended), and complications. Risk factors for cast complications were identified via multiple logistic regression. RESULTS: Cast complications were detected in 197 of 398 (49%) horses (18/53 [34%] horses with a BC and 179/345 [52%] horses with a TC). Of the 197 horses with complications, 152 (77%) had clinical signs of complications prior to cast removal; the most common clinical signs were increased lameness severity and visibly detectable soft tissue damage Cast sores were the most common complication (179/398 [45%] horses). Casts broke for 20 (5%) horses. Three (0.8%) horses developed a bone fracture attributable to casting Median time to detection of complications was 12 days and 8 days for horses with TCs and BCs, respectively. Complications developed in 71%, 48%, and 47% of horses with the casted limb in a flexed, neutral, and extended position, respectively. For horses with TCs, hospital, limb position in the cast, and sex were significant risk factors for development of cast complications. CONCLUSIONS AND CLINICAL RELEVANCE: Results indicated that 49% of horses with a cast developed cast complications.

Effects of mesenchymal stem cells isolated from amniotic fluid and platelet-rich plasma gel on severe decubitus ulcers in a septic neonatal foal.

This paper documents the treatment of severe decubitus ulcers with amniotic fluid mesenchymal stem cells and platelets rich plasma (PRP) gel in a septic neonatal foal. The colt needed 25 days of hospitalization: during this period ulcers were treated for 15 days with mesenchymal stem cells (MSCs) plus PRP, PRP gel alone, or aloe gel. Healing was faster using MSCs+PRP, and at 7 months an ulcer treated with aloe gel was still not completely healed.

Comparison of a new hydro-surgical technique to traditional methods for the preparation of full-thickness skin grafts from canine cadaveric skin and report of a single clinical case.

OBJECTIVE: To compare the hydro-surgical technique to traditional techniques for removal of subcutaneous tissue in the preparation of full-thickness skin grafts. STUDY DESIGN: Ex vivo experimental study and a single clinical case report. SAMPLE POPULATION: Four canine cadavers and a single clinical case. METHODS: Four sections of skin were harvested from the lateral flank of recently euthanatized dogs. Traditional preparation methods used included both a blade or scissors technique, each of which were compared to the hydro-surgical technique individually. Preparation methods were compared based on length of time for removal of the subcutaneous tissue from the graft, histologic grading, and measurable thickness as compared to an untreated sample. RESULTS: The hydro-surgical technique had the shortest skin graft preparation time as compared to traditional techniques (p = 0.002). There was no significant difference in the histological grading or measurable subcutaneous thickness between skin specimens. CLINICAL SIGNIFICANCE: The hydro-surgical technique provides a rapid, effective debridement of subcutaneous tissue in the preparation of full-thickness skin grafts. There were not any significant changes in histological grade and subcutaneous tissue remaining among all treatment types. Additionally the hydro-surgical technique was successfully used to prepare a full-thickness meshed free skin graft in the reconstruction of a traumatic medial tarsal wound in a dog.

Tetraparesis resembling acute transverse myelitis in a captive chimpanzee (Pan troglodytes): long-term care and recovery.

BACKGROUND: A 24-year-old, male chimpanzee (Pan troglodytes) developed acute tetraparesis. Magnetic resonance imaging showed a diffuse T2-weighted hyperintensive lesion, indicating inflammation at the C1-2 level. All infective, autoimmune, and vascular investigations were unremarkable. RESULTS AND CONCLUSIONS: The chimpanzee's condition most resembled acute transverse myelitis (ATM) in humans. The chimpanzee was in severe incapacitated neurological condition with bedridden status and required 24-hour attention for 2 months followed by special care for over a year. Initially, corticosteroid therapy was performed, and his neurological symptoms improved to some extent; however, the general condition of the chimpanzee deteriorated in the first 6 months after onset. Pressure ulcers had developed at various areas on the animal's body, as the bedridden status was protracted. Supportive therapy was continued, and the general condition, appetite, mobility, and pressure ulcers have slowly but synergistically recovered over the course of 2 years.

Pressure on the horse's withers with three styles of blanket.

The objective of this study was to compare total force and localised pressure on horses' withers with three blanket styles (straight cut, V-shaped insert, cutback withers). Three pressure recordings, each of 5s duration, were taken in order to determine blanket pressure on the withers during standing and walking in 12 horses. Means+/-SD were calculated for the following variables and compared across blankets: total force, mean pressure, maximal pressure, and area with pressure >4 kPa. For standing trials, the blanket with the V-shaped insert had the lowest total force and smallest area with pressure >4 kPa (P<0.05). For walking trials, the straight cut blanket had the highest total force, maximal pressure, mean pressure, and largest area with pressure >4 kPa (P<0.05). The results indicate that blanket style affects force and pressure on the horse's withers and that blankets may exert sufficient pressure on the withers to induce the formation of pressure sores.

Maximum lying bout duration affects the occurrence of shoulder lesions in sows.

Shoulder lesions are caused by tissue breakdown of the skin and/or underlying tissue as a result of long lasting pressure. The lesions are commonly seen in sows during the period of lactation and contribute to poor animal welfare as well as affecting the consumers' attitudes towards the swine industry. The aim of this study was to investigate the correlation between prolonged recumbency during early lactation and development of shoulder lesions, in particular the lying bout time. Eighteen sows of Swedish Landrace were observed for 24 hours during the day of farrowing and day 2, 4, 9 and 11 after farrowing in May 2009. The data were analysed for correlations between the duration of the longest observed uninterrupted lying bout and the prevalence of shoulder lesions recorded at weaning (week 5).In the study, shoulder lesions were observed in eight of the eighteen sows at the time of weaning. The total lying time of the sows was highest on day 0 and day 2, when the proportion of time spent in lateral recumbency over the 24-hour period was on average 80 percent. The longest lying bout had an average duration of 6,3 hours (right side) and 7,2 hours (left side). A significant correlation (Spearman rank coefficient = 0,88; P < 0,05) was found between the duration of the longest observed uninterrupted lying bout and the occurrence of shoulder lesions on right side among well conditioned sows with a low amount of straw present at farrowing. This suggests that avoiding prolonged uninterrupted recumbency contributes to the prevention of shoulder lesions in sows.

Investigation into the pathology of shoulder ulcerations in sows.

The pathogenesis and pathology of 421 cases of shoulder ulcerations in sows were examined and compared with 95 normal shoulders. The ulcerations started on the surface as a result of thrombosis and gradually progressed inwards to the tuber spina scapula. At each stage the lesions contained multiple bacterial colonies, and as the ulcerations progressed the amount of granulation tissues and fibroplasia increased. In 45 of the 95 normal shoulders there were areas of acute haemorrhage, oedema and fibroplasia, which followed the cords of normal fibrous tissue. However, in these cases the tissue was never necrotic, and the reaction was comparable with the subcutaneous lesions caused by blunt trauma to the skin.

Distal limb cast sores in horses: risk factors and early detection using thermography.

REASONS FOR PERFORMING STUDY: There is a lack of evidence-based data on the prevalence, outcome and risk factors of distal limb cast sores, and no objective tool has been described for the early detection of cast sores. OBJECTIVES: To investigate the prevalence, location, outcome and risk factors of cast sores after application of a distal limb cast and to determine whether static thermography of the cast is a valuable tool for the assessment of sores. METHODS: A prospective study was conducted on horses treated with a distal limb cast. At each cast removal, cast sores were graded as superficial sores (SS), deep dermal sores (DS) or full thickness skin ulcerations (FS). In several cases, a thermographic evaluation of the cast was performed immediately prior to removal and differences in temperature (AT) between the coolest point of the cast and 2 cast regions predisposed for sore development (dorsoproximal mc/mtIII and palmar/plantar fetlock) were calculated. RESULTS: Mean +/- s.d. total casting time of 70 horses was 31 +/- 18 days. Overall, 57 legs (81%) developed at least SS. Twenty-four legs (34%) ultimately developed DS and one horse had an FS. Multivariable analysis showed that the severity of sores was positively associated with increasing age (OR: 1.111, P = 0.028), a normal (vs. swollen) limb (OR: 3387, P = 0.023) and an increase in total casting time (OR per week: 1.363, P = 0.002). The thermographic evaluation (35 casts) revealed that the severity of sores was positively associated with increasing deltaT (OR: 2.100, P = 0.0005). The optimal cut-off values for the presence of SS and DS were set at, respectively, deltaT = 23 and 43 degrees C. CONCLUSION AND POTENTIAL RELEVANCE: Distal limb cast is a safe coaptation technique with increasing risk of developing sores with time. Thermography is a valuable and rapid clinical tool to monitor the development of cast sores.

Sow shoulder lesions: risk factors and treatment effects on an Ontario farm.

The objectives of this study were to identify risk factors for the development of shoulder lesions in lactating sows and to determine if an effective, economical, and practical treatment could be designed. The study was conducted at a 300-sow farrow-to-finish swine farm in Ontario between July and December 2004. Sow data were recorded on either the day of or 1 d after entering the farrowing crate and before farrowing had occurred. The right and left shoulders of the sows were assigned a score between 0 (normal) and 4 (lesion > 2.3 cm in diam.) on d 1 of the study and weekly thereafter throughout lactation. If a lesion developed, sows were randomly placed into 1 of 3 treatment groups. Groups consisted of a control group that received no treatment, a group that had a 0.2-cm thick, 60 x 60-cm, stainless steel plate attached to the bottom of the farrowing crate, and a group that had a 3.8-cm thick, 60 x 60-cm rubber mat attached to the bottom of the farrowing crate. Of the 310 sows involved in the study, 107 (34%) developed a lesion with a score of 3 or 4. Multivariate regression analysis identified body condition at weaning, flank-to-flank measurements at weaning, breed, parity, farrowing room section, and weaning weight of the litter as significantly associated with development of a shoulder lesion of score 3 or 4. The average number of days for the lesions to be completely resolved was 25 for sows receiving rubber mats, 32 for the controls, and 39 for the sows receiving stainless steel plates. Rubber mats attached to the bottom of the farrowing crates decreased the time required to heal the lesions when compared with controls. The low cost per mat (less than 0.90 dollars factoring in repeated use) makes it an economical and effective treatment.

Serial chemical restraint for treatment of decubitus ulcers in two neonatal white rhinoceroses (Ceratotherium simum).

Two neonatal white rhinoceroses (Ceratotherium simum) at two zoological institutions were medically managed for wounds characterized by extensive multifocal necrosis of the skin and subcutaneous tissue, associated with decubitus ulcers throughout the body. Wounds resulted from prolonged recumbency due to inability to stand in one case and causes unconfirmed in the other. Both calves were born in cement stalls during winter. Using either butorphanol (i.v. or i.m.) alone or in combination with detomidine (i.m.), serial chemical restraint was conducted over a 6-wk period to facilitate wound care. Anesthesia was well tolerated in both calves, and lesions responded well to medical treatment.

Herd-related risk factors for decubital ulcers present at post-mortem meat-inspection of Danish sows.

We quantified risk factors for the prevalence of decubital ulcers (noted in meat-inspection records) in the shoulder region of Danish cull sows. The potential risk factors (herd-owner characteristics, production facilities and management) were obtained through telephone interviews based on a questionnaire. Meat-inspection records were obtained from the Danish Bacon and Meat Council (DBMC). The prevalence of decubital ulcers was investigated in 23,794 sows from 207 sow herds undergoing mandatory post-mortem meat-inspection at the four Danish abattoirs under the DBMC slaughtering sows in the year 2000. Three factors were associated with decreased herd prevalence of decubital ulcers in the mixed model: using one's own gilts for replacement, routinely using a hospital pen and production of pigs under certain welfare requirements. Two factors increased the prevalence: confined sows (stalled and tethered or tethered) and two persons working in the farrowing units instead of one.

Prevalences of welfare-related lesions at post-mortem meat-inspection in Danish sows.

We investigated the prevalences and intercorrelations of all daily meat-inspection recordings at four Danish sow abattoirs in the year 2000 from 23,794 sows coming from 207 sow or farrow-to-finisher herds. The meat-inspection data were obtained from databases at the Danish Bacon and Meat Council (DBMC). Prevalences generally were low--but large herd-to-herd variations were seen. Despite low prevalences, many slaughtered sows had recordings which raise welfare concerns. Intercorrelations between the meat-inspection recordings were evaluated using exploratory factor analysis describing underlying latent factors related to health and welfare problems within herds.

Multi-tiered treatment of pressure sores in two cynomologous macaques (Macaca fascicularis).

Successful treatment of one Grade IlI and two Grade IV pressure sores on two female Macaca fascicularis, subsequent to a T11 hemilaminectomy and left spinal cord hemisection, was achieved through a combined strategy of wound care, diet, and husbandry. Wound care consisted of early and thorough debridement of all necrotic tissue, initial twice daily cleaning with an iodine scrub and application of a multi-ingredient ointment. Tissue hydrolyzer, a drying agent, vitamin E, ground selenium, and topical antibiotics were applied to the wound during the respective 45- and 46-day courses of treatment. Oral antibiotics were administered; vitamins C and E, and selenium were increased in the diet. No infection occurred and both animals recovered fully to complete the study. Importantly, pressure sores in subsequent study animals were prevented by post-operative padding of the perch with towel-covered foam and placement of a wheelchair cushion on the floor of the cage.

Butorphanol tartrate acts to decrease sow activity, which could lead to reduced pig crushing.

The objective of this study was to determine whether administration of an analgesic to sows immediately after farrowing would allow them to lie more restfully. Sows lying on their pigs, causing them to be "crushed," is a major cause of pig mortality. Most deaths due to crushing occur during the first 3 d postpartum. For modern, lean-type sows, farrowing crates are relatively hard and unforgiving, even though they may be equipped with plastic-coated, expanded metal flooring. Indeed, many sows develop pressure sores on their shoulders, and this may contribute to the sows' discomfort. These sores may cause a sow to change position frequently to alleviate pain, thus increasing its chances of crushing pigs. Sixteen production sows were assigned to either a control group (C, n = 8) with litter size 11.71+/-.78 or an experimental group (B, n = 8) with litter size 11.63+/-1.22. Pigs born to C and B sows weighed 1.60+/-.04 and 1.37+/-.04 kg, respectively. The C sows were given no treatment, whereas the B sows were administered an i.m. injection of butorphanol tartrate at a dose of .15 mg/kg BW every 6 h until 3 d after farrowing. Data were collected on all sows using time-lapse photography (1 frame/.4 s) for a 3-d duration upon the initiation of farrowing. To assess the degree of comfort of each sow, body position changes were recorded when sows switched between lying, sitting, and standing. Data were analyzed by 12-h periods using Wilcoxon-Mann-Whitney equations. During the 72-h period, B sows tended to perform fewer position changes than C sows (P = .10). Specifically, position changes were fewer for B sows from 48 to 72 h postpartum (P<.06). There were no differences in position changes between treatments from 0 to 48 h postpartum (P>.50). There was no difference in the rate of crushing between treatments (C = 5, B = 5). The butorphanol did not seem to affect pig activity or normal behaviors or to create adverse effects, such as diarrhea. Although the sows given butorphanol showed a reduced number of position changes, the dose was intermediate, and a higher dose may have a greater effect. If pig mortality can be decreased, an analgesic protocol that is simple to administer and readily available to producers can be developed. Alternatively, using of more pliable flooring or an increase in sow body fat may allow sows to lie more stationary.

Epidemiologic evaluation of decubital ulcers in farrowing sows.

OBJECTIVE: To define temporal patterns and risk factors for development of decubital ulcers over the tuber of the spine of the scapula (tuber) of lactating sows. DESIGN: Prospective study. ANIMALS: 147 late-gestation sows and gilts. PROCEDURE: Females were examined for skin lesions over the tubers, and body condition score, depth of back fat, and depth of soft tissues over the tuber (tuber depth) were determined (day 0). On days 5, 12, 18, 40, 54, and 68, sows were examined for lesions over the tubers. Data on sow parity, date of farrowing, total number of pigs born/litter, and number of stillborn pigs/ litter were obtained from farm records. RESULTS: Ulcers were recorded for 33 of 206 (16%) shoulders by day 5. Peak prevalence (99/206; 48% of shoulders) was on day 12, and all ulcers had resolved by day 68. Ulcers were more common on the right shoulder. Considerable resolution of ulcers was evident between days 12 and 18, when sows still were housed in farrowing crates. Parity and tuber depth were significantly associated with ulcers and ulcer severity (size) on day 12. CLINICAL IMPLICATIONS: Decubital ulcers in lactating sows are a multifactorial condition. Factors such as floor type are important, but other physiologic and behavioral factors of periparturient swine, including body weight, body condition and mobility of late-gestation animals, duration of farrowing, and patterns of recumbency and activity, appear to be important in the pathogenesis of lesions. Housing sows on hard floors is not a sufficient cause of decubital ulcers over the scapula.