Temporal Clusters of Bovine Salmonella Cases at a Veterinary Medical Teaching Hospital, 1996–2007

2010 ◽  
Vol 10 (5) ◽  
pp. 471-479 ◽  
Author(s):  
Kevin J. Cummings ◽  
Thomas J. Divers ◽  
Patrick L. McDonough ◽  
Andrea Moreno Switt ◽  
Martin Wiedmann ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Medical Teaching

scholarly journals Comprehensive Report of the Caseload of Donkeys and Mules Presented to a Veterinary Medical Teaching Hospital over a Ten-Year Period

Animals ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. 413
Author(s):  
Lais R. R. Costa ◽  
Monica Aleman ◽  
Eric Davis
Keyword(s):  
United States ◽  
Body Condition ◽  
Teaching Hospital ◽  
The United States ◽  
The Body ◽  
Medical Teaching ◽  
Preventative Health ◽  
The University ◽  
Good Standard ◽  
Body Condition Scores

Comprehensive reports of the caseload of donkeys and mules in veterinary hospitals in the United States are lacking. We compiled the information of the caseload of donkeys and mules at the Veterinary Medical Teaching Hospital at the University of California, Davis for a ten-year period, from 2008 to 2017. The overall equid caseload was 94,147, of which 996 (1.06%) were donkeys and mules. Most of the neonates seen were mules. Most miniature donkeys were between 2 and 10 years of age, and standard donkeys and mules were 10 to 20 years old. The body condition scores were predominantly high, especially in donkeys. Most miniature and standard donkeys resided in sanctuary and rescue farms and their use was not stated. Most mules were used for riding, packing or driving. Medical complaints represented 62% of the total visits and wellness visits represented 38% of total visits. The donkeys and mules in the case population described here received a good standard of veterinary care with regular vaccinations, deworming, routine dental care, and treatment of ailments. Our study is the first report of the life expectancy, use, body condition, preventative health and veterinary medical care of a population of donkeys and mules in the western United States.

scholarly journals Apparent Outbreaks of Clostridium Difficile-Associated Diarrhea in Horses in a Veterinary Medical Teaching Hospital

1995 ◽  
Vol 7 (3) ◽  
pp. 343-346 ◽  
Author(s):  
Bruce R. Madewell ◽  
Yajarayma J. Tang ◽  
Spencer Jang ◽  
John E. Madigan ◽  
Dwight C. Hirsh ◽  
...  
Keyword(s):  
Polymerase Chain Reaction ◽  
Clostridium Difficile ◽  
Teaching Hospital ◽  
Polymerase Chain Reaction Amplification ◽  
Acute Onset ◽  
Selective Medium ◽  
Chain Reaction ◽  
Medical Teaching ◽  
Polymerase Chain ◽  
Toxigenic Strains

Intestinal colonization with toxigenic strains of Clostridium difficile was documented in 9 of 10 horses with acute onset diarrhea in a veterinary medical teaching hospital, whereas a similar isolate was detected in only 1 of 23 other horses without diarrhea in the hospital. One horse with diarrhea was infected simultaneously with both C. difficile and Salmonella krefeld. Clostridium difficile was detected by fecal culture on selective medium, confirmed with a latex particle agglutination test, and identified as toxigenic by polymerase chain reaction amplification of toxin A and toxin B gene sequences. Using an arbitrarily-primed polymerase chain reaction, 6 distinct C. difficile isolates were detected in the feces of the 9 affected horses at the time of the outbreak of diarrhea.

scholarly journals Topical Corticosteroid Usage in Dermatology OPD in a Medical Teaching Hospital

2013 ◽  
Vol 12 (3) ◽  
pp. 119 ◽  
Author(s):  
J. V. Sathyendra Kasyap ◽  
Cuckoo Aiyappa ◽  
T. K. Sumathy
Keyword(s):  
Topical Corticosteroid ◽  
Teaching Hospital ◽  
Medical Teaching

scholarly journals Epidemiology of Esophageal Cancer (EC) In Oromia Region, Ethiopia 2016: A 4-Year Medical Record Review

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 14s-14s ◽  
Author(s):  
G.G. Bulcha ◽  
M.E. Leon ◽  
M. Gwen ◽  
C.C. Abnet ◽  
A. Sime ◽  
...  
Keyword(s):  
Public Health ◽  
High Risk ◽  
Teaching Hospital ◽  
Addis Ababa ◽  
Previous History ◽  
Case Series ◽  
Health Priorities ◽  
Treatment Center ◽  
Medical Teaching ◽  
Incident Cases

Background: It is difficult to determine the prevalence/incidence of EC without an established functional national cancer registry, which helps to demarcate the population at-risk and monitor cancer trends over time. The review of medical records can help to identify areas in a country with high number of diagnosed EC cases and help set public health priorities. Aim: To describe EC hospital case series during a period of 4 years at the main cancer treatment center in Ethiopia and two hospitals in the EC high-risk zones in the Oromia region, concentrating on residents of Oromia region and to offer recommendations for public health officials. Methods: All EC malignancy data from the period 2013-2016 were collected by reviewing patient charts at the selected hospitals: Tikur Anbessa Teaching hospital (TATH) in Addis Ababa, Adama General and Medical Teaching Hospital (AGMTH) and Adama Referral and Medical Teaching Hospital (ARMTH). Cases with insufficient residence information and residents of other regions were excluded from the summary. The number of EC cases is presented by age, sex and site as well as method of diagnosis. Data were expressed as percentages (%). Statistical analysis was done using SPSS 20 software. Results: Over the study period, a total of 669 EC cases who resided in Oromia region were identified in the selected hospitals out of 2211 registered in the referral surgical departments of hospitals in the study, with insignificant difference by sex. A total of 457 (68%) were residents from high risk Arsi/Bale zones and the rest 212 (32%) from other zones of the region. The mean age at diagnosis was 52.4 years with the majority of cases in the age range 45-69 years. A total of 34 (5%) EC cases were younger at diagnosis (15-29 years). A total of 258 (38.5%) cases were identified at TATH, 305 (46%) from AGHMT/ARHMT and 106 (16%) cases from both TATH/AGHMT. Data were gathered from patient charts at endoscopy departments 227 (34%), endoscopy and pathology departments 246 (37%) and all other sources (ie surgical department) 196 (29%). Most patients complained dysphagia for solids 664 (99%) and weight loss 352 (53%). Cases were histopathology proven (256, 38%), identified through endoscopy investigation (385, 58%) or radiology (28, 4%). Squamous cell carcinoma was the predominant histology type with 160 cases (62.5%) of those histologically proven. Among the total of 420 cases whose risk factor history was recorded, 401 (97%) had a previous history of digestive disease, 49% reported hot beverage consumption and 34% persistent heart burn. Conclusion: Two thirds of EC incident cases came from Arsi and Bale zones with decreasing trends over the period considered. Such trends warrant in depth investigation for possible reasons and future study to investigate local based risk factors associated with the disease.

scholarly journals A Retrospective Study of Small Animal Poisoning at the Veterinary Medical Teaching Hospital from South Region of Brazil

2018 ◽  
Vol 46 (1) ◽  
pp. 7 ◽  
Author(s):  
Luciana Zang ◽  
Rafaela Scheer Bing ◽  
Ana Cristina Pacheco De Araujo ◽  
Marcio Poletto Ferreira
Keyword(s):  
Retrospective Study ◽  
Teaching Hospital ◽  
Medical Records ◽  
Clinical Signs ◽  
Small Animal ◽  
Medical Teaching ◽  
Specific Patient ◽  
Cleaning Product ◽  
Number Of Patients ◽  
Antiparasitic Drugs

Background: Poisoning cases are a challenge for the veterinary practitioner, since many agents can be involved. The incomplete patient history associated with advanced poisoning stage often leads to death. Since lacking information is common, it is essential to be aware of principal poisoning agents and their associated symptomatology. The aim of this study is to describe the major agents involved in small animal poisoning, the causative agent, poisoning route, time to search veterinary care, clinical signs and ancillary tests of canine and feline patients treated at the Veterinary Medical Teaching Hospital from January 2010 to June 2016.Materials, Methods & Results: Forty-four medical records with poisoning history were found and reviewed, but only 30 medical records had complete data to be evaluated. There were 24 dogs and 6 cats, 17 female and 13 male. Six females were spayed. Poisoning agent identification was possible in 29 cases and was food, molluscicide, cleaning product, ornamental plants, medication, rodenticide and antiparasitic drugs. Fourteen poisonings were caused by the owner and 16 were accidental. There was a higher poisoning incidence in dogs than cats. Most of the patients were young and unneutered/unspayed.Discussion: In this study there was a higher poisoning prevalence in dogs than cats, as occurred in other studies published in Europe, Belgium, France, Greece, Italy, Spain, Austria and other Brazilian regions. Most of the patients were young, which is in agreement with previous studies in which young animals were more affected. Domestic antiparasitic drugs were the most common poisoning agents (33%), as reported in studies from France and Spain. In southern Brazil, the most common poisoning agent was medication, whereas in southeast Brazil, organophosphates were the most prevalent poisoning agent. Considering this, the geographic localisation seems to influence the poisoning agent. It is known that many owners give unprescribed medication to their pets and this also happened in this study, as 46% of the poisoning cases were caused by the owner. The most common clinical signs were gastrointestinal (76%, emesis and anorexia) and neurological (63%, depression). This is in agreement with another study that showed a high number of patients poisoned by medications leading to severe gastrointestinal clinical signs. Despite a history of eating spiced food, our food-poisoned patient did not show clinical signs compatible with pepper poisoning. In fact, clinical signs were more compatible with salt or onion and garlic poisoning, but there was no history to support that our patient had eaten these foods. The patient who ate fern and busy Lizzie (Impatiens walleriana) did not show clinical signs compatible with these agents but showed gastrointestinal clinical signs that could have occurred due to plant indigestion. This fact emphasises the need for more studies in this area. One dog with rodenticide poisoning presented with normal blood test results, but the blood sample was collected a few hours after exposure. This can occur after brodifacoum poisoning, which has a longer half-life than warfarin. In brodifacoum poisoning cases, clinical signs can appear days after exposure. In one dog, it was not possible to indentify the poisoning agent and this specific patient case exemplifies the challenge to diagnose the exact poisoning agent and concomitant diseases when the history is incomplete. This retrospective study shows the heterogeneity of the causative agents and the associated symptomatology, which highlights the need for further studies in this area. In this study, antiparasitic drugs were the most common poisoning agents, especially pyrethroids. Dogs were more affected than cats. Most of the patients were young and unneutered/unsprayed, indicating these characteristics could be a risk factor in this study.

scholarly journals Fecal Shedding of Clostridium Difficile in Dogs: A Period Prevalence Survey in a Veterinary Medical Teaching Hospital

1994 ◽  
Vol 6 (3) ◽  
pp. 342-347 ◽  
Author(s):  
Andrea L. Struble ◽  
Yajarayma J. Tang ◽  
Philip H. Kass ◽  
Paul H. Gumerlock ◽  
Bruce R. Madewell ◽  
...  
Keyword(s):  
Clostridium Difficile ◽  
Teaching Hospital ◽  
Human Populations ◽  
Carriage Rate ◽  
Medical Teaching ◽  
Animal Shelters ◽  
Fecal Shedding ◽  
Increased Risk ◽  
Stool Specimens ◽  
Veterinary Hospital

The goal of this study was to determine the fecal prevalence of Clostridium difficile in dogs who were patients at a veterinary medical teaching hospital. Stool specimens collected from 152 dogs (in- and outpatients) were analyzed for the presence of C. difficile. An additional 42 stool specimens were collected and examined from dogs recently housed at local animal shelters. Following culture on selective medium, C. difficile was identified by a latex agglutination test, and the presence of the toxin A and B genes was determined individually by polymerase chain reaction. Clostridium difficile was isolated from the feces of 28 of the veterinary hospital patients (18.4%); isolates from 14 of these patients (50.0%) were toxigenic. Diarrhea was a clinical finding in 5 (35.7%) of the dogs carrying toxigenic isolates of C. difficile, whereas diarrhea was noted in only 2 of 14 dogs (14.3%) shedding nontoxigenic isolates. Three of 14 dogs (2 1.4%) shedding toxigenic isolates of C. difficile were receiving antibiotics at the time of stool collection, whereas 5 of 14 dogs (37.5%) shedding non-toxigenic strains of C. difficile were receiving antibiotics. The carriage rate of C. difficile was significantly higher for animals categorized as inpatients of the veterinary hospital. The carriage rate also provided evidence for an increased risk for fecal shedding with increasing age. Clostridium difficile was not isolated from any of the 42 dogs recently housed at local animal shelters. This study confirms the presence of toxigenic C. difficile in dogs at a veterinary teaching hospital. Additional studies will be required to determine whether prior antibiotic treatment increases the frequency of C. difficile fecal shedding from dogs and whether colonized dogs are a risk for transmission of the organism to susceptible human populations.

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