Review/Oorsig Volume 22, Issue 04 - Page 30

Oorsig / Review
Marketed as Oxyfect 8005 – Use one 4g tablet in a 10L spraycan to disinfect calf pens .
TREATMENT - QUO VADIS ?
RM - 19 June 2012
Neil , remember that rota depends on local gut protection , therefore you need long term colostrum to protect . Pfizer has an oral vaccine , maybe you can speak to them about importing ?
BL- 14 Nov 2012
This owner has most drugs in the book in his pharmacy thanks to wholesalers in city and is prone to overdo it rather than underdo it- which brings me to the other point : I think you are right about the overuse of antibiotics on this farm and I probably didn ' t help either with amoxy iv and lincospectin . What is the best / preferred Kaolin and Pectin product to use and should I rather use a totally different approach with this client i . e .: If first note diarrhoea , step one dose kaolin and pectin , probiotics and activated charcoal and fresh faecal sample to state vet lab or me for smear and float if older animal , if not better within a day or 2 and patient depressed then try antibiotic ?! Which one ?! Or what approach would you suggest to support these cases and prevent a vicious cycle of antibiotic usage ? Anyone had much success with Rehydagion ? Quite pricey .
AO - 16 Nov 2012
Just some comments on the treatment options . What I have seen is that over emphasis is placed on diarrhoea as an infectious aetiology and taking out the big guns ( antibiotics ). It is true that we can learn a lot from these rural vet discussions on how to approach cases and the outcomes as this is what limits us in overusing antibiotics to treat cases . With the ostrich chicks I deal with I have a life-stage and most common cause or aetiology associated with that live stage . Our first approach to any diarrhoea is pro and pre-biotics with manipulation of the intestinal environment ( acidification ). This is after getting a history and having a look at the diarrhoea results . This usually gives you a result within 24 hours . If the chicks show any signs of reduced feed intake , pm lesions of enteritis , diarrhoea which is black or gray we treat intensively ( by this I mean no water application , each chick is caught and treated with the correct dose ). 9 / 10 times the result is what you expect and what you want . However the small pharmacy cases ( despite their Rx diarrhoea persists ) I just maintain on the pre and pro biotics , binders and the intestinal environment manipulation just to keep them alive and pull through on age . From experience I know any other interventions with regards to antibiotics is a lost cause ( my image , farmers pocket and wellbeing and animal health ).
JW - 19 Nov 2012
There are 2 things I have seen from human medicine which I think we can keep in mind . Antibiotics is not necessary in most cases , and may in fact delay recovery , even for bacterial causes . Evidence of systemic infection is one of the reasons antimicrobial therapy will be instituted . Mother ' s milk . The recommendation that mothers with HIV should give their babies mother ' s milk only up to six months old ( even if it is from the HIV infected mother ) is based on evidence that point towards babies being more likely to get infected with HIV if they ingest food other than mother ' s milk due to damage caused to the intestinal tract . ( Sorry for the ostriches .)
We can possibly also learn from small animal clinicians in this regard . http :// www . doh . gov . za / docs / guidelines / 2012 / fooddisease . pdf
5 . Treatment of Foodborne Diseases
Treatment of patients with foodborne diseases is mainly supportive , since most foodborne gastrointestinal diseases are self-limiting . Administration of adequate fluids to replace fluid lost as a result of diarrhoea and vomiting is the mainstay of treatment . Oral rehydration is usually adequate , however intravenous rehydration is necessary in severely dehydrated individuals or in patients who cannot retain oral fluids . Antibiotics may be necessary in selected patients as outlined in table 2 . Selection of appropriate antimicrobial agents depends on laboratory identification of the responsible pathogen .
Commencement of empirical antimicrobial therapy may be instituted based on clinical signs and symptoms by the attending physician while waiting for confirmation of the causative organisms . Treatment should be reviewed following laboratory results
MvdL - 14 Feb 2014
One can make a preliminary diagnosis based on the age affected :
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