Individual faecal and boot swab sampling to determine John's disease status in small cattle herds.

Individual faecal samples were collected from adult animals in 275 cattle farms previously positive for Mycobacterium avium subsp. paratuberculosis (MAP). In addition, boot swab samples were collected in 30 randomly chosen farms. Faecal samples were tested for MAP by a combination of bacterial culture and PCR. A logistic regression and the Pearson Correlation were used to calculate the relation between the number of MAP­positive cows and boot swab results. In 66.9% of all previously tested herds, no positive individual faecal sample was detected, indicating possible fadeout of the infection. In 9 (30.0%) of the 30 selected farms, at least one MAP­shedding animal was detected in faecal samples individually collected, while only 5 (16.7%) of these farms were found positive when the boot sampling method was used. The sensitivity of the boot swab sampling increased up to 92% (95% CI: 41%­99%), if at least 12 animals were faecal MAP­shedders in a herd. The current study shows possible fadeout of JD in a substantial percentage of previously infected herds. Furthermore, in small herds, a relatively high within­herd prevalence of MAP­shedding animals is needed to assure reliable positive boot swab results.

Cardiopulmonary resuscitation with vasopressin in a dog.

That endogenous vasopressin levels in successfully resuscitated human patients were significantly higher than in patients who died pointed to the possible benefit of administering vasopressin during cardiopulmonary resuscitation (CPR). Several CPR studies in pigs showed that vasopressin improved blood flow to vital organs, cerebral oxygen delivery, resuscitability and neurological outcome when compared with epinephrine. In a small clinical study, vasopressin significantly improved short-term survival when compared with epinephrine indicating its potential as an alternative pressor to epinephrine during CPR in human beings. As there was little clinical data available at that time, its recommended use was limited to adult human beings with shock-refractory ventricular fibrillation. In this report, we present the case of a dog in which the successful management of intraoperative asystolic cardiac arrest involved vasopressin. Unexpected cardiac arrest occurred during anaesthesia for the surgical removal of multiple mammary adenocarcinomata in a 11-year-old Yorkshire terrier. Despite an ASA physical status assignation of III, the dog was successfully resuscitated with external chest compressions, intermittent positive pressure ventilation and vasopressin (2 doses of 0.8 IU kg(-1)) and was discharged 3 days later without signs of neurological injury. We believe vasopressin contributed to restoring spontaneous circulation. It may prove increasingly useful in perioperative resuscitation in dogs.