Antimicrobial use for selected diseases in cats in Switzerland.

BACKGROUND Antibiotic use in human and veterinary medicine is considered a main driver of antimicrobial resistance. Although guidelines to promote appropriate use of antimicrobials in veterinary patients have been developed, antibiotic overprescription is assumed to be a common problem. The goal of this study was to investigate antimicrobial use in cats in Switzerland with acute upper respiratory tract disease (aURTD), feline lower urinary tract disease (FLUTD) and abscesses, and to assess compliance of prescription with consensus guidelines. A total of 776 cases (aURTD, n = 227; FLUTD, n = 333; abscesses, n = 216) presented to two university hospitals and 14 private veterinary practices in Switzerland during 2016 were retrospectively evaluated. Clinical history, diagnostic work-up and antimicrobial prescription (class, dosage, duration) were assessed. RESULTS A total of 77% (aURTD), 60% (FLUTD) and 96% (abscesses) of the cases received antibiotic therapy; 13-24% received combination or serial therapy. The cats were treated for a median of 7 (abscesses) and 10 days (aURTD, FLUTD). Treatments with potentiated aminopenicillins (40-64%), third generation cephalosporins (25-28%), aminopenicillins (12-24%) and fluoroquinolones (3-13%) were most common. Prescriptions were judged in complete accordance with consensus guidelines in 22% (aURTD), 24% (FLUTD) and 17% (abscesses) of the cases. Antibiotics were prescribed although not indicated in 34% (aURTD), 14% (FLUTD) and 29% (abscesses) of the cases. The presence of lethargy, anorexia or fever in cats with aURTD, and the detection of bacteriuria in cats with FLUTD were significantly associated with antibiotic therapy. Although diagnostic work-up was significantly more common (aURTD: university hospitals, 58%; private practices, 1%; FLUTD: university hospitals, 92%; private practices, 27%) and the use of critically important antibiotics significantly less common at the university hospitals (aURTD, 10%; FLUTD, 14%) compared to private practices (aURTD, 38%; FLUTD, 54%), the frequency of antibiotic treatment was not different between the university hospitals and private practices. CONCLUSIONS Our results indicate that overprescription of antibiotics in cats in Switzerland is common and accordance with guidelines is poor. The study highlights the need to promote antimicrobial stewardship in small animal medicine

Studie zur Versorgungslage in der Schweizer Nutztiermedizin

For a long time there has been a debate in Switzerland as to whether the veterinary farm animal service is still sufficiently guaranteed. The purpose of this study was to evaluate the supply and demand of veterinary services for cattle and pigs through a representative survey of veterinarians and farmers. The results revealed that the veterinary farm animal service was rated by the majority of both, farmers and veterinarians, to be good or very good. Veterinary service shortages exist partly in mountain and peripheral regions, in small areas in otherwise well-served regions and in the canton of Ticino. By contrast, about one third of farm animal practices are rather underutilized and would prefer to increase livestock numbers. The emergency service is currently very well guaranteed. Ninety-five percent of veterinarians and farmers stated that on-site emergency service is provided within an hour or less. The quality of veterinary services were also assessed positively by the farmers. While a third of respondents said veterinary care improved compared to five years ago, only two percent felt that veterinary care had deteriorated. Almost all veterinarians stated that vacancies in farm animal practices were difficult to fill adequately. The majority of practice owners do not receive enough applications from suitable candidates. In addition, the majority of applicants were not trained in Switzerland. The security of farm animal veterinary service is currently mostly good to very well guaranteed. However, there is a lack of veterinarians trained to meet the future needs of farm animal veterinarians

Antimicrobial use in Swiss dairy farms: quantification and evaluation of data quality

Data on antimicrobial use play a key role in the development of policies for the containment of antimicrobial resistance. On-farm data could provide a detailed overview of the antimicrobial use, but technical and methodological aspects of data collection and interpretation, as well as data quality need to be further assessed. The aims of this study were (1) to quantify antimicrobial use in the study population using different units of measurement and contrast the results obtained, (2) to evaluate data quality of farm records on antimicrobial use, and (3) to compare data quality of different recording systems. During 1 year, data on antimicrobial use were collected from 97 dairy farms. Antimicrobial consumption was quantified using: (1) the incidence density of antimicrobial treatments; (2) the weight of active substance; (3) the used daily dose and (4) the used course dose for antimicrobials for intestinal, intrauterine and systemic use; and (5) the used unit dose, for antimicrobials for intramammary use. Data quality was evaluated by describing completeness and accuracy of the recorded information, and by comparing farmers' and veterinarians' records. Relative consumption of antimicrobials depended on the unit of measurement: used doses reflected the treatment intensity better than weight of active substance. The use of antimicrobials classified as high priority was low, although under- and overdosing were frequently observed. Electronic recording systems allowed better traceability of the animals treated. Recording drug name or dosage often resulted in incomplete or inaccurate information. Veterinarians tended to record more drugs than farmers. The integration of veterinarian and farm data would improve data quality

Effect of 1,25-Dihydroxyvitamin D3-Glycosides on the Farrowing Process and Piglet Vitality in a Free Farrowing System

Vitamin D improves the reproductive efficiency in animals. This study aimed to examine the effects of 1,25-dihydroxyvitamin D3-gylcosides (1,25-vitD) on the farrowing process in sows and the vitality of their piglets. In total, 100 sows were allocated into two groups at insemination (‘1,25-vitD’ and ‘negative control’). The 1,25-vitD group received 260–300 mg/sow/day 1,25-vitD in their feed during the gestation period. Backfat thickness, fecal score, and the farrowing process was evaluated. The piglets were categorized into live born or stillborn, and vitality was evaluated by assessing the umbilical cord and the meconium score. The number of total-born piglets in sows of ‘1,25-vitD’ was higher and the farrowing duration was shorter than in the negative control group without showing significance in the univariable analysis. In a linear multiple regression model including the variables ‘farrowing duration’, ‘total born piglets’ and ‘1,25-vitD’ differences became evident. We found that 1,25-vitD was associated with a reduced farrowing duration (p = 0.055). Moreover, significantly more mummies (p < 0.01) and short ruptured umbilical cords (p < 0.05) were observed in the 1,25-vitD group. This study showed an effect of 1,25-vitD on the farrowing process. However, more research is needed to better describe the mechanism of 1,25-vitD in detail

Effects of management practices, animal transport and barn climate on animal health and antimicrobial use in Swiss veal calf operations.

To assess the effects of transport, management factors and barn climate on calf health, 43 Swiss veal farms (11 large farms fattening ≥100 calves and 32 small farms fattening >20 but 3% included a lower number of calves fattened per year and a good hygiene of the feeder. This surprising result was likely due to the fact that the threshold of 3% mortality was rather exceeded in smaller farms. Furthemore, higher temperature variation (range between maximal and minimal temperature over 3 measurement days) in the calf pen was associated with mortality >3% in the univariable analysis. The overall mean ADG was 1.40 ± 0.16 kg. Calf purchase was significantly associated with decreased ADG. The median overall TI was eight daily doses per calf and year (2.1 in small farms and 26 in large farms, respectively); the main indication for treatment was respiratory disease (81.1%). Risk factors for increased TI were no quarantine upon arrival, access to an outside pen, higher numbers of calves per drinking nipple, mechanical ventilation, vaccination against bovine respiratory disease, and a maximum ammonia value >10 ppm in the calf pen. In addition, a higher number of birth farms and calf purchase from markets were associated with increased TI in the univariable analysis. The identified risk factors associated with increased TI and mortality and with decreased ADG should be addressed in priority in veal calf operations to improve calf health and reduce antimicrobial use

[Transport of veal calves from birth farms to veal farms and calf management in Swiss dairy farms].

The calf transports of 34 veal farms were documented over a one-year period in order to describe the transport from dairy to veal farms. Veal farms were visited four to eight times, and general farm management data and information on calf purchase were collected. Thirty-five transports were accompanied and documented in detail by the project team. Whenever possible during the accompanied transports, a questionnaire on calf management prior to purchase (calving location, colostrum feeding, vaccinations, iron and selenium supplementation) was filled in with the manager of the dairy (birth) farm. Unaccompanied transports were recorded using a form completed by the veal farmers and the transporters. Information was collected on the number and origin of the calves, transport duration and distance, and stops on farms and markets. A total of 721 transports from dairy to veal farms (531 transports by veal farmers and 190 by suppliers/livestock traders) were documented in the course of the project. Six veal farmers always collected and transported their own calves, nine received their calves from cattle traders only, and 19 used both systems. Veal farmers transported a median of 2.0 (1-21 calves) and traders 3.0 calves (1-74 calves) per transport. The median number of dairy farms per 10 transported calves was 10.0 (1.2-10 dairy farms per 10 transported calves) for transports performed by veal farmers, and 10.0 (2.5-10 dairy farms per 10 transported calves) by traders. The median transport duration was 20.0 minutes (1-330 minutes) with veal farmers and 45.0 minutes (2-414 minutes) with traders. The median available surface per calf during transport was 2 m2 (0.4-6 m2) in transports by veal farmers and 0.6 m2 (0.4-2.7 m2) in those by traders. No bedding was provided on three transports performed by veal farmers although this is prescribed by law. Intranasal vaccination against respiratory disease was performed in 7% of the 88 birth farms included in the study

Effects of the novel concept 'outdoor veal calf' on antimicrobial use, mortality and weight gain in Switzerland.

The aim of the intervention study 'outdoor veal calf' was to evaluate a novel concept for calf fattening which aimed at reducing antimicrobial use without compromising animal health. Management practices such as commingling of calves from multiple birth farms, crowding, and suboptimal barn climate are responsible for high antimicrobial use and mortality in the veal calf population. The risk of selecting bacteria resistant to antimicrobials and of economic losses is accordingly elevated. The 'outdoor veal calf' concept, implemented in nineteen intervention farms (IF), is based on three main measures: 1. purchased calves are transported directly from neighboring birth farms to the fattening facility instead of commingling calves in livestock dealer trucks; 2. each calf is vaccinated against pneumonia after arrival and completes a three-week quarantine in an individual hutch; and 3. the calves spend the rest of the fattening period in outdoor hutches in groups not exceeding 10 calves. The covered and bedded paddock and the group hutches provide shelter from cold weather and direct sunshine, constant access to fresh air is warranted. Nineteen conventional calf fattening operations of similar size served as controls (CF). Every farm was visited once a month for a one-year period, and data regarding animal health, treatments, and production parameters were collected. Treatment intensity was assessed by use of the defined daily dose method (TIDDD in days per animal year), and calf mortality and daily weight gain were recorded in both farm groups. Mean TIDDD was 5.3-fold lower in IF compared to CF (5.9 ± 6.5 vs. 31.5 ± 27.4 days per animal year; p < 0.001). Mortality was 2.1-fold lower in IF than in CF (3.1% ± 2.3 vs. 6.3 % ± 4.9; p = 0.020). Average daily gain did not differ between groups (1.29 ± 0.17 kg/day in IF vs. 1.35 ± 0.16 kg/day in CF; p = 0.244). A drastic reduction in antimicrobial use and mortality was achieved in the novel 'outdoor veal calf' system without compromising animal health. The principles of risk reduction used in designing the system can be used to improve management and animal health, decrease the need for antimicrobial treatments and thus selection pressure on bacteria in veal operations

Retrospektive Studie zur Sanierung von Beständen mit Schweinedysenterie (Brachyspira hyodysenteriae) in der Schweiz

The eradication of Swine Dysentery (infection with Brachyspira hyodysenteriae) within farm populations is extremely complex and its success is significantly linked to the compliance of pig farmers performing the onsite eradications, emphasizing the importance of their motivation. The present study focuses on the motivation and satisfaction of Swiss pig farmers concerning eradication of Swine Dysentery on their farms and has the intention of generating data to establish a basis for decision-making regarding future eradications. A structured survey was conducted on 68 Swiss pig farms where an eradication of Swine Dysentery had already taken place. The data collected were then statistically analyzed. Of the study's population, 50 (73.5%) farms underwent eradication using the total depopulation method and 18 (26.5%) farms conducted an eradication process using the partial depopulation method; both in accordance to the guidelines of Switzerland's Pig Health Service (SUISAG Schweinegesundheitsdienst; SGD). When asked about the driving factors behind their decision to perform the eradications, owners cited their own interest (57.4%; 39/68) (primarily due to financial aspects (38.5%; 15/39)) or external pressure (42.7%; 29/68) (predominantly through marketers as well as through the health status assigned by the SGD (each 11/29)). The duration of the eradication on farms differed significantly and costs varied considerably within the different production types as well as the type of eradication performed. Utilized means and processes for eradication were the same (drugs, disinfectant for manure) or much alike (e.g. emptying of the pigpens) however stock-specific and individual variations were exhibited. The majority of the interviewed livestock owners were motivated to perform the eradication (86.6%; 58/67), satisfied with having performed the eradication and satisfied with the outcome of the eradication (89.7%; 61/68). The cost efficiency of the farms (54.4%; 37/68) and the health status of the herds (63.2%; 43/68) were perceived as having improved and the usage of drugs having diminished (59.7%; 40/67) post eradication. The effort of an eradication was described as acceptable to too great. The study showed herd eradication of Swine Dysentery to be perceived as mainly positive. However, effort as well as costs are felt to be considerable and could, therefore, provide the most important starting point to increasing the willingness of pig owners to perform eradications