Horses

  • 文章类型: Journal Article
    马疱疹病毒1(EHV-1)是一种高度流行且经常致病的马科动物感染。感染最严重的临床后果是流产和马疱疹病毒性脊髓脑病(EHM)。先前的共识声明于2009年发表,并考虑了发病机理,应变变化,流行病学,诊断测试,疫苗接种,疫情防控,和治疗。最近对美国兽医内科学院大型动物文凭的一项调查发现,有必要对这一原始共识声明进行修订。这份最新的共识声明以4项系统审查为基础,这些审查涉及疫苗接种的关键问题。药物治疗,发病机制,和诊断测试。成功接种疫苗的证据,或EHV-1感染的有效治疗是有限的,在未来对这种重要疾病的研究中,需要改进实验设计和结果报告。这份协商一致声明还更新了2009年以前审议的议题。
    Equine herpesvirus-1 (EHV-1) is a highly prevalent and frequently pathogenic infection of equids. The most serious clinical consequences of infection are abortion and equine herpesvirus myeloencephalopathy (EHM). The previous consensus statement was published in 2009 and considered pathogenesis, strain variation, epidemiology, diagnostic testing, vaccination, outbreak prevention and control, and treatment. A recent survey of American College of Veterinary Internal Medicine large animal diplomates identified the need for a revision to this original consensus statement. This updated consensus statement is underpinned by 4 systematic reviews that addressed key questions concerning vaccination, pharmaceutical treatment, pathogenesis, and diagnostic testing. Evidence for successful vaccination against, or effective treatment of EHV-1 infection was limited, and improvements in experimental design and reporting of results are needed in future studies of this important disease. This consensus statement also updates the topics considered previously in 2009.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:关于如何最好地平衡我们的需求,以最大程度地降低个体马的寄生虫相关疾病的风险,缺乏共识。需要限制驱虫药在人群中的使用,以通过延迟耐药性的进一步发展来保持其功效。
    目的:利用改进的GRADE框架制定循证指南。
    方法:召集了具有相关专业知识和经验的兽医科学家小组。确定并开发了相关的研究问题,并定义了相关的搜索术语。使用GRADE证据到决策框架评估了兽医文献中的证据。利用CAB摘要和PubMed进行文献检索。在没有足够证据回答研究问题的情况下,小组根据他们的集体知识和经验制定了实用指南。
    结果:提供搜索结果,针对37个与马使用驱虫药有关的临床相关问题,我们提出了建议或实践指导.
    结论:没有足够的证据以任何程度的确定性回答许多问题,实际指导通常必须基于相关信息的推断以及小组成员的集体经验和意见。
    结论:马寄生虫控制实践和当前建议的证据基础薄弱。这些指南强调了马寄生虫控制的变化,应考虑减少寄生虫相关疾病的威胁并延迟进一步驱虫药抗性的发展。
    BACKGROUND: There is a lack of consensus on how best to balance our need to minimise the risk of parasite-associated disease in the individual horse, with the need to limit the use of anthelmintics in the population to preserve their efficacy through delaying further development of resistance.
    OBJECTIVE: To develop evidence-based guidelines utilising a modified GRADE framework.
    METHODS: A panel of veterinary scientists with relevant expertise and experience was convened. Relevant research questions were identified and developed with associated search terms being defined. Evidence in the veterinary literature was evaluated using the GRADE evidence-to-decision framework. Literature searches were performed utilising CAB abstracts and PubMed. Where there was insufficient evidence to answer the research question the panel developed practical guidance based on their collective knowledge and experience.
    RESULTS: Search results are presented, and recommendation or practical guidance were made in response to 37 clinically relevant questions relating to the use of anthelmintics in horses.
    CONCLUSIONS: There was insufficient evidence to answer many of the questions with any degree of certainty and practical guidance frequently had to be based upon extrapolation of relevant information and the panel members\' collective experience and opinions.
    CONCLUSIONS: Equine parasite control practices and current recommendations have a weak evidence base. These guidelines highlight changes in equine parasite control that should be considered to reduce the threat of parasite-associated disease and delay the development of further anthelmintic resistance.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    背景:垂体中间功能障碍(PPID)是一种普遍存在的,与年龄相关的慢性疾病。PPID的诊断可能具有挑战性,因为其广泛的临床表现和不同的公开诊断标准。并且可用的治疗选择有限。
    目的:根据现有文献制定马PPID诊断和治疗的循证初级护理指南。
    方法:使用建议分级的循证临床指南,评估,发展和评价(等级)框架。
    方法:研究问题由兽医小组提出,并发展成PICO或另一种结构化格式。搜索了VetSRev和兽医证据以获取证据摘要,2022年7月使用关键字搜索对NCBIPubMed和CABDirect数据库进行了系统搜索,并于2023年1月进行了更新。使用等级框架对证据进行了评估。
    结论:研究问题分为四个方面:(A)诊断测试的病例选择,预测试概率和诊断测试准确性,(B)测试结果的解释,(C)药物治疗和其他治疗/管理选择,以及(D)监测治疗的病例。使用GRADE标准鉴定和评估相关的兽医出版物。结果发展为建议:(A)诊断测试和诊断测试准确性的病例选择:(i)年龄≥15岁的动物中PPID的患病率在21%至27%之间;(ii)多毛症或延迟/不完全的毛发脱落提供了对PPID的临床怀疑的高指数;(iii)临床体征和年龄的组合在诊断测试之前告知临床怀疑的指数,在PPID的基础测试中使用前,PPID的可能性<基础ACTH浓度用于诊断PPID的总体诊断准确性在秋季为88%至92%,在非秋季为70%和86%。取决于预测试概率。基于一项研究,30分钟后对TRH的ACTH浓度对诊断PPID的总体诊断准确性在秋季为92%至98%,在非秋季为90%和94%。取决于预测试概率。因此,应该记住,在预测试概率低的情况下,假阳性结果的风险会增加,这可能意味着在没有检查更可能的替代诊断的情况下开始对PPID进行治疗。由于终身治疗的开始和/或未能识别和治疗可能危及生命的替代疾病,这可能会损害马的福利。(b)诊断测试的解释:(i)品种对血浆ACTH浓度有显着影响,特别是在秋季,一些但不是所有的“节俭”品种的ACTH浓度明显较高;(ii)基础和/或TRH后ACTH浓度也可能受到纬度/位置的影响,饮食/喂养,外套颜色,危重病和拖车运输;(iii)轻度疼痛不太可能对基础ACTH产生大的影响,但是对于更严重的疼痛可能需要谨慎;(iv)确定允许所有可能的促成因素的诊断阈值是不切实际的;因此,支持使用模棱两可的范围;(v)动态胰岛素测试和TRH刺激测试可以组合,但口服糖试验后不应立即进行TRH刺激试验;(vi)与PPID相当,高胰岛素血症似乎发生椎板炎的风险较高,但ACTH不是椎板炎风险的独立预测因子。(C)药物治疗和其他治疗/管理选择:(i)培高利特改善了大多数受影响动物中与PPID相关的大多数临床症状;(ii)培高利特治疗降低了基础ACTH浓度,并改善了许多动物对TRH的ACTH反应,但是在大多数情况下,胰岛素失调(ID)的测量值没有改变;(iii)chasteberry对ACTH浓度没有影响,并且将chasteberry添加到培高利特治疗中没有益处;(iv)赛庚啶与培高利特的组合并不优于单独的培高利特;(v)没有证据表明培高利特对马有不良的心脏作用;(vi)培高利特不影响(D)监测培高利特治疗的病例:(i)激素测定提供了响应培高利特治疗的垂体控制的粗略指示,然而,尚不清楚ACTH浓度的监测和培高利特剂量的滴定是否与内分泌或临床结果的改善有关;(ii)尚不清楚ACTH对TRH的反应或临床体征的监测是否与结果的改善有关;(iii)有非常微弱的证据表明,在秋季月份增加培高利特剂量可能是有益的;(iv)在等待超过一个月的时间后,在进行补充试验时,可能没有证据表明表明在然而,对PPID治疗的依从性似乎较差,尚不清楚这是否会影响临床结果;(viii)证据非常有限,但是有PPID临床症状的马可能比没有PPID临床症状的马脱落更多的线虫卵;目前尚不清楚这是否会增加寄生虫病的风险,或者是否需要更频繁地评估粪便虫卵数量.
    结论:限制兽医科学文献中的相关出版物。
    结论:这些发现应用于马初级保健实践的决策。
    BACKGROUND: Pituitary pars intermedia dysfunction (PPID) is a prevalent, age-related chronic disorder in equids. Diagnosis of PPID can be challenging because of its broad spectrum of clinical presentations and disparate published diagnostic criteria, and there are limited available treatment options.
    OBJECTIVE: To develop evidence-based primary care guidelines for the diagnosis and treatment of equine PPID based on the available literature.
    METHODS: Evidence-based clinical guideline using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) framework.
    METHODS: Research questions were proposed by a panel of veterinarians and developed into PICO or another structured format. VetSRev and Veterinary Evidence were searched for evidence summaries, and systematic searches of the NCBI PubMed and CAB Direct databases were conducted using keyword searches in July 2022 and updated in January 2023. The evidence was evaluated using the GRADE framework.
    CONCLUSIONS: The research questions were categorised into four areas: (A) Case selection for diagnostic testing, pre-test probability and diagnostic test accuracy, (B) interpretation of test results, (C) pharmacological treatments and other treatment/management options and (D) monitoring treated cases. Relevant veterinary publications were identified and assessed using the GRADE criteria. The results were developed into recommendations: (A) Case selection for diagnostic testing and diagnostic test accuracy: (i) The prevalence of PPID in equids aged ≥15 years is between 21% and 27%; (ii) hypertrichosis or delayed/incomplete hair coat shedding provides a high index of clinical suspicion for PPID; (iii) the combination of clinical signs and age informs the index of clinical suspicion prior to diagnostic testing; (iv) estimated pre-test probability of PPID should be considered in interpretation of diagnostic test results; (v) pre-test probability of PPID is low in equids aged <10 years; (vi) both pre-test probability of disease and season of testing have strong influence on the ability to diagnose PPID using basal adrenocorticotropic hormone (ACTH) or ACTH after thyrotropin-releasing hormone (TRH) stimulation. The overall diagnostic accuracy of basal ACTH concentrations for diagnosing PPID ranged between 88% and 92% in the autumn and 70% and 86% in the non-autumn, depending on the pre-test probability. Based on a single study, the overall diagnostic accuracy of ACTH concentrations in response to TRH after 30 minutes for diagnosing PPID ranged between 92% and 98% in the autumn and 90% and 94% in the non-autumn, depending on the pre-test probability. Thus, it should be remembered that the risk of a false positive result increases in situations where there is a low pre-test probability, which could mean that treatment is initiated for PPID without checking for a more likely alternative diagnosis. This could compromise horse welfare due to the commencement of lifelong therapy and/or failing to identify and treat an alternative potentially life-threatening condition. (B) Interpretation of diagnostic tests: (i) There is a significant effect of breed on plasma ACTH concentration, particularly in the autumn with markedly higher ACTH concentrations in some but not all \'thrifty\' breeds; (ii) basal and/or post-TRH ACTH concentrations may also be affected by latitude/location, diet/feeding, coat colour, critical illness and trailer transport; (iii) mild pain is unlikely to have a large effect on basal ACTH, but caution may be required for more severe pain; (iv) determining diagnostic thresholds that allow for all possible contributory factors is not practical; therefore, the use of equivocal ranges is supported; (v) dynamic insulin testing and TRH stimulation testing may be combined, but TRH stimulation testing should not immediately follow an oral sugar test; (vi) equids with PPID and hyperinsulinaemia appear to be at higher risk of laminitis, but ACTH is not an independent predictor of laminitis risk. (C) Pharmacologic treatments and other treatment/management options: (i) Pergolide improves most clinical signs associated with PPID in the majority of affected animals; (ii) Pergolide treatment lowers basal ACTH concentrations and improves the ACTH response to TRH in many animals, but measures of insulin dysregulation (ID) are not altered in most cases; (iii) chasteberry has no effect on ACTH concentrations and there is no benefit to adding chasteberry to pergolide therapy; (iv) combination of cyproheptadine with pergolide is not superior to pergolide alone; (v) there is no evidence that pergolide has adverse cardiac effects in horses; (vi) Pergolide does not affect insulin sensitivity. (D) Monitoring pergolide-treated cases: (i) Hormone assays provide a crude indication of pituitary control in response to pergolide therapy, however it is unknown whether monitoring of ACTH concentrations and titrating of pergolide doses accordingly is associated with improved endocrinological or clinical outcome; (ii) it is unknown whether monitoring the ACTH response to TRH or clinical signs is associated with an improved outcome; (iii) there is very weak evidence to suggest that increasing pergolide dose in autumn months may be beneficial; (iv) there is little advantage in waiting for more than a month to perform follow-up endocrine testing following initiation of pergolide therapy; there may be merit in performing repeat tests sooner; (v) timing of sampling in relation to pergolide dosing does not confound measurement of ACTH concentration; (vi) there is no evidence that making changes after interpretation of ACTH concentrations measured at certain times of the year is associated with improved outcomes; (vii) evidence is very limited, however, compliance with PPID treatment appears to be poor and it is unclear whether this influences clinical outcome; (viii) evidence is very limited, but horses with clinical signs of PPID are likely to shed more nematode eggs than horses without clinical signs of PPID; it is unclear whether this results in an increased risk of parasitic disease or whether there is a need for more frequent assessment of faecal worm egg counts.
    CONCLUSIONS: Limited relevant publications in the veterinary scientific literature.
    CONCLUSIONS: These findings should be used to inform decision-making in equine primary care practice.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Review
    海马疗法,马术辅助服务,使用马的运动作为治疗工具。职业治疗师经常使用海马疗法,物理治疗师,语言和语言病理学家。为了优化海马疗法并促进跨学科海马疗法实践指南的发展,这项范围审查确定了在痉挛型脑瘫患者的海马疗法干预期间使用的新型海马疗法概念。
    要探索,identify,并描述构成痉挛型脑瘫患者海马疗法的概念。
    探索性描述性定性研究设计,使用Arksey和O\'Malley的五个阶段的范围审查。
    我们确定并列出了19种海马疗法概念。
    海马疗法是一种具有多种概念的复杂干预措施。这篇综述有助于制定痉挛型脑瘫患者的海马疗法实践指南。
    将海马疗法概念纳入海马疗法实践将告知治疗师,有利于客户,为未来的研究做出贡献。
    UNASSIGNED: Hippotherapy, an equine-assisted service, uses the movement of the horse as a treatment tool. Hippotherapy is often used by occupational therapists, physiotherapists, and speech and language pathologists. To optimise hippotherapy and facilitate the development of transdisciplinary hippotherapy practise guidelines, this scoping review identified novel hippotherapy concepts used during hippotherapy interventions for clients with spastic cerebral palsy.
    UNASSIGNED: To explore, identify, and describe concepts that constitute hippotherapy practices for clients with spastic cerebral palsy.
    UNASSIGNED: An exploratory descriptive qualitative research design, using Arksey and O\'Malley\'s five stages of scoping review.
    UNASSIGNED: We identified and tabulated 19 hippotherapy concepts.
    UNASSIGNED: Hippotherapy is a complex intervention with multiple concepts. This review contributed to the development of hippotherapy practice guidelines for clients with spastic cerebral palsy.
    UNASSIGNED: Including hippotherapy concepts into hippotherapy practice will inform therapists, benefit clients, and contribute to future research.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    BACKGROUND: Allergic skin diseases are common in horses worldwide. The most common causes are insect bites and environmental allergens.
    OBJECTIVE: To review the current literature and provide consensus on pathogenesis, diagnosis, treatment and prevention.
    METHODS: The authors reviewed the literature up to November 2022. Results were presented at North America Veterinary Dermatology Forum (2021) and European Veterinary Dermatology Congress (2021). The report was available to member organisations of the World Association for Veterinary Dermatology for feedback.
    CONCLUSIONS: Insect bite hypersensitivity (IBH) is the best characterised allergic skin disease. An immunoglobulin (Ig)E response against Culicoides salivary antigens is widely documented. Genetics and environmental factors play important roles. Tests with high sensitivity and specificity are lacking, and diagnosis of IBH is based on clinical signs, seasonality and response to insect control. Eosinophils, interleukin (IL)-5 and IL-31 are explored as therapeutic targets. Presently, the most effective treatment is insect avoidance. Existing evidence does not support allergen-specific immunotherapy (ASIT) using commercially available extracts of Culicoides. Hypersensitivity to environmental allergens (atopic dermatitis) is the next most common allergy. A role for IgE is supported by serological investigation, skin test studies and positive response to ASIT. Prospective, controlled, randomised studies are limited, and treatment relies largely on glucocorticoids, antihistamines and ASIT based on retrospective studies. Foods are known triggers for urticaria, yet their role in pruritic dermatitis is unknown. Recurrent urticaria is common in horses, yet our understanding is limited and focussed on IgE and T-helper 2 cell response. Prospective, controlled studies on treatments for urticaria are lacking. Glucocorticoids and antihistamines are primary reported treatments.
    BACKGROUND: Les dermatoses allergiques sont courantes chez les chevaux dans le monde entier. Les causes les plus fréquentes sont les piqûres d\'insectes et les allergènes environnementaux.
    OBJECTIVE: Examiner la littérature actuelle et établir un consensus sur la pathogénie, le diagnostic, le traitement et la prévention. MATÉRIELS ET MÉTHODES: Les auteurs ont passé en revue la littérature jusqu\'en novembre 2022. Les résultats ont été présentés au « North America Veterinary Dermatology Forum » (2021) et à l’« European Veterinary Dermatology Congress » (2021). Le rapport a été soumis organisations membres de l\'Association mondiale de dermatologie vétérinaire afin de recueillir leurs commentaires.
    UNASSIGNED: L\'hypersensibilité aux piqûres d\'insectes (IBH) est l’affection cutanée allergique la mieux caractérisée. Une réponse médiée par les immunoglobulines (Ig)E contre les antigènes salivaires des Culicoides est largement documentée. Des facteurs génétique et les environnementaux jouent un rôle important. Des tests suffisamment sensible et spécifique font défaut, et le diagnostic de l\'IBH est fondé sur les signes cliniques, la saisonnalité et la réponse au contrôle des insectes. Les éosinophiles, l\'interleukine (IL)-5 et l\'IL-31 sont explorés comme cibles thérapeutiques. Actuellement, le traitement le plus efficace consiste en l’éviction parasitaire. Les données actuelles ne permettent pas de recommander l\'immunothérapie spécifique (ASIT) avec des extraits de culicoïdes disponibles dans le commerce. L\'hypersensibilité aux allergènes environnementaux (dermatite atopique) est le second type d’allergie le plus fréquent. Une implication des IgE est étayée par les tests sérologiques et cutanés et la réponse favorable à l\'ASIT. Les études prospectives, contrôlées et randomisées sont limitées et le traitement repose en grande partie sur les glucocorticoïdes, les antihistaminiques et l\'ASIT selon les données des études rétrospectives. Les aliments sont des déclencheurs connus de l\'urticaire, mais leur rôle dans les dermatites prurigineuses est inconnu. L\'urticaire récurrente est courante chez les chevaux, mais notre compréhension est limitée et axée sur la réponse des cellules IgE et T-helper 2. Des études prospectives contrôlées sur les traitements de l\'urticaire font défaut. Les glucocorticoïdes et les antihistaminiques sont les principaux traitements rapportés.
    INTRODUCCIÓN: Las enfermedades alérgicas de la piel son comunes en los caballos en todo el mundo. Las causas más comunes son las picaduras de insectos y los alérgenos ambientales. OBJETIVOS: Revisar la literatura actual y brindar consenso sobre patogenia, diagnóstico, tratamiento y prevención. MATERIALES Y MÉTODOS: los autores revisaron la literatura hasta noviembre de 2022. Los resultados se presentaron en el Foro de Dermatología Veterinaria de América del Norte (2021) y el Congreso Europeo de Dermatología Veterinaria (2021). El informe estuvo disponible para las organizaciones miembros de la Asociación Mundial de Dermatología Veterinaria para recibir comentarios. CONCLUSIONES Y RELEVANCIA CLÍNICA: clínica- La hipersensibilidad a las picaduras de insectos (IBH) es la enfermedad alérgica de la piel mejor caracterizada. Una respuesta de inmunoglobulina (Ig)E contra antígenos salivales de Culicoides está ampliamente documentada. La genética y los factores ambientales juegan un papel importante. Faltan pruebas con alta sensibilidad y especificidad, y el diagnóstico de IBH se basa en los signos clínicos, la estacionalidad y la respuesta al control de insectos. Los eosinófilos, la interleucina (IL)-5 y la IL-31 se exploran como dianas terapéuticas. Actualmente, el tratamiento más efectivo es evitar los insectos. La evidencia existente no respalda la inmunoterapia específica de alérgenos (ASIT) con extractos de Culicoides disponibles comercialmente. La hipersensibilidad a los alérgenos ambientales (dermatitis atópica) es la siguiente alergia más común. El papel de la IgE está respaldado por la investigación serológica, los estudios de pruebas cutáneas y la respuesta positiva a ASIT. Los estudios prospectivos, controlados y al azarson limitados y el tratamiento se basa en gran medida en glucocorticoides, antihistamínicos y ASIT según estudios retrospectivos. Los alimentos son desencadenantes conocidos de la urticaria, pero se desconoce su papel en la dermatitis pruriginosa. La urticaria recurrente es común en los caballos, sin embargo, nuestra comprensión es limitada y se centra en la respuesta de las células IgE y T-helper 2. Faltan estudios prospectivos y controlados sobre tratamientos para la urticaria. Los glucocorticoides y los antihistamínicos son los principales tratamientos reportados. Actualmente, el tratamiento más efectivo es evitar los insectos. La evidencia existente no respalda la inmunoterapia específica de alérgenos (ASIT) con extractos de Culicoides disponibles comercialmente. La hipersensibilidad a los alérgenos ambientales (dermatitis atópica) es la siguiente alergia más común. El papel de la IgE está respaldado por la investigación serológica, los estudios de pruebas cutáneas y la respuesta positiva a ASIT. Los estudios prospectivos, controlados y al azar son limitados y el tratamiento se basa en gran medida en glucocorticoides, antihistamínicos y ASIT según estudios retrospectivos. Los alimentos son desencadenantes conocidos de la urticaria, pero se desconoce su papel en la dermatitis pruriginosa. La urticaria recurrente es común en los caballos, sin embargo, nuestra comprensión es limitada y se centra en la respuesta de las células IgE y T-helper 2. Faltan estudios prospectivos y controlados sobre tratamientos para la urticaria. Los glucocorticoides y los antihistamínicos son los principales tratamientos reportados.
    UNASSIGNED: Allergische Hauterkrankungen kommen bei Pferden auf der ganzen Welt häufig vor. Die häufigsten Ursachen sind Insektenstiche und Umweltallergene.
    UNASSIGNED: Das Ziel dieser Studie war die Durchführung einer Review der momentanen Literatur und Darstellung eines Konsenses in Bezug auf die Pathogenese, die Diagnose, die Therapie und die Vorbeugung.
    UNASSIGNED: Die Autoren überprüften die Literatur bis in den November 2022. Die Ergebnisse wurden beim North American Veterinary Dermatology Forum (2021) und beim Europäischen Veterinärdermatologie Kongress (2021) präsentiert. Der Bericht wurde Mitgliedsorganisationen der World Association for Veterinary Dermatology für ein Feedback zur Verfügung gestellt.
    UNASSIGNED: Die Insektenstich Hypersensibilität (IBH) ist die am besten beschriebene allergische Hauterkrankung. Eine Immunglobulin (Ig) E Antwort auf Culicoides Speichelallergene ist häufig beschrieben. Die Genetik und Umweltfaktoren spielen dabei eine wichtige Rolle. Es fehlen Tests mit hoher Sensibilität und Spezifität und die Diagnose von IBH basiert auf klinischen Zeichen, Saisonalität und Reaktion auf Insektenkontrolle. Eosinophile, Interleukin (IL)-5 und IL-31 werden als therapeutische Angriffspunkte untersucht. Zurzeit ist die Insektenvermeidung die am besten wirksame Therapie. Die bestehende Evidenz spricht nicht für eine Allergen-spezifische Immuntherapie (ASIT) mit kommerziell verfügbaren Culicoides Extrakten. Die Hypersensibilität auf Umweltallergene (Atopische Dermatitis) ist die zweithäufigste Allergie. Eine Rolle für IgE wird durch serologische Untersuchungen, Hautteststudien und positive Reaktionen auf ASIT gestärkt. Prospektive, kontrollierte, randomisierte Studien sind limitiert und die Behandlung stützt sich hauptsächlich auf Glukokortikoide, Antihistamine und ASIT basierend auf retrospektiven Studien. Futter stellen bekannte Auslöser für Urticaria dar, allerdings ist ihre Rolle bei der juckenden Dermatitis unbekannt. Wiederkehrende Urticaria treten bei Pferden häufig auf, unser Verständnis ist diesbezüglich aber limitiert und konzentriert sich auf Reaktionen von IgE und T2-Helferzellen. Prospektive kontrollierte Studien über die Behandlungen von Urticaria fehlen. Glukokortikoide und Antihistamine sind die am häufigsten beschriebenen Behandlungen.
    背景: アレルギー性皮膚疾患は世界中の馬でよく見られる。主な原因は虫刺されや環境アレルゲンである。 目的: 本研究の目的は、 現在の文献をレビューし、病態、診断、治療、予防に関するコンセンサスを得ることであった。 材料と方法: 著者らは 2022 年 11 月までの文献をレビューした。結果は、North America Veterinary Dermatology Forum(2021年)およびEuropean Veterinary Dermatology Congress(2021年)で発表した。報告書は世界獣医皮膚科学会の会員団体に提供し、フィードバックを得た。 結論と臨床的関連性: 虫刺され過敏症(IBH)は、最も特徴的なアレルギー性皮膚疾患である。サシバエの唾液抗原に対する免疫グロブリン(Ig)E応答は広く報告されている。遺伝および環境因子が重要な役割を果たす。IBHの診断は、臨床症状、季節性、防虫への反応に基づいて行われる。好酸球、インターロイキン(IL)-5、IL-31が治療標的として探索されている。現在のところ、最も効果的な治療法は昆虫の忌避である。既存のエビデンスは、市販のサシバエ抽出物を用いたアレルゲン特異的免疫療法(ASIT)を支持しない。環境アレルゲンに対する過敏症(アトピー性皮膚炎)は、次に多いアレルギーである。IgEの役割は、血清学的調査、皮膚試験、およびASITに対する陽性反応によって裏付けられている。プロスペクティブな無作為化対照試験は限られており、治療は主にグルココルチコイド、抗ヒスタミン剤、レトロスペクティブな研究に基づくASITに頼っている。食品は蕁麻疹の誘因として知られているが、痒みのある皮膚炎におけるその役割は不明である。蕁麻疹の再発は馬によく見られるが、我々の理解は限られており、IgEとヘルパーT2細胞反応に焦点を当てている。蕁麻疹の治療法に関するプロスペクティブな対照試験は不足している。グルココルチコイドと抗ヒスタミン剤が主な治療法として報告されている.
    背景: 过敏性皮肤病在世界各地的马中很常见。最常见的原因是昆虫叮咬和环境过敏原。 目的: 回顾现有达成共识的文献,就发病机制、诊断、治疗和预防。 材料和方法: 作者回顾了截至2022年11月的文献。研究结果在北美兽医皮肤病论坛(2021)和欧洲兽医皮肤病大会(2021)上公布。该报告可供世界兽医皮肤病学协会的成员组织反馈。 结论和临床相关性: 虫咬超敏反应(IBH)是最具特征的过敏性皮肤病。针对库蚊唾液抗原的免疫球蛋白(Ig)E反应已被广泛记录。遗传和环境因素起着重要作用。缺乏高灵敏度和特异性的测试,IBH的诊断是基于临床症状、季节性和对昆虫控制的反应。嗜酸性粒细胞、白细胞介素(IL)-5和IL-31被探索作为治疗靶点。目前,最有效的治疗方法是避开昆虫。现有证据不支持使用市售库蚊提取物的过敏原特异性免疫疗法(ASIT)。对环境过敏原过敏(特应性皮炎)是第二常见的过敏。血清学调查、皮肤试验研究和ASIT阳性反应支持了IgE的作用。前瞻性、对照、随机研究有限,治疗主要依赖于基于回顾性研究的糖皮质激素、抗组胺药和ASIT。食物是已知的荨麻疹诱因,但它们在瘙痒性皮炎中的作用尚不清楚。复发性荨麻疹在马中很常见,但我们的理解有限,主要集中在IgE和辅助T细胞2的反应上。缺乏关于荨麻疹治疗的前瞻性对照研究。糖皮质激素和抗组胺药是主要的治疗方法.
    UNASSIGNED: Dermatopatias alérgicas são comuns em equinos em todo o mundo. As principais causas são picadas de insetos e alérgenos ambientais.
    OBJECTIVE: Revisar a literatura atual e produzir um consenso sobre patogênese, diagnóstico, tratamento e prevenção. MATERIAIS E MÉTODOS: Os autores revisaram a literatura até novembro de 2022. Os resultados foram apresentados no North America Veterinary Dermatology Forum (2021) e no European Veterinary Dermatology Congress (2021). O relatório estava disponível para as organizações membro da World Association for Veterinary Dermatology para que dessem seu feedback. CONCLUSÕES E RELEVÂNCIA CLÍNICA: Hipersensibilidade a picada de insentos (IBH) é a dermatopatia alérgica melhor caracterizada. Resposta mediada por imunoglobulina (Ig)E contra antígenos salivares de Culicoides é amplamente documentada. Genética e fatores ambientais possuem participação importante. São poucos os testes com alta sensibilidade e especificidade, e o diagnóstico de IBH é baseado em sinais clínicos, sazonalidade e resposta ao controle de insetos. Eosinófilos, interleucina (IL)-5 e IL-31 estão sendo exploradas como alvos terapêuticos. Atualmente, o tratamento mais eficaz é evitar o contato com os insetos. As evidências existentes não corroboram com a utilização de imunoterapia alérgeno-específica (ASIT) utilizando extratos comerciais de Culicoides. Hipersensibilidade a alérgenos ambientais (dermatite atópica) é a segunda alergopatia mais comum. Investigação sorológica, testes cutâneos e resposta positiva à ASIT confirmam a participação de IgE. Estudos prospectivos placebo-controle randomisados são limitados e o tratamento é feito com glicocorticoides, antihistamínicos e ASIT baseado em estudos retrospectivos. Alimentos são gatilhos conhecidos para urticária, mas a sua participação em dermatopatias pruriginosas é desconhecida. Urticária recorrente é comum em equinos, apesar de o nosso conhecimento ser ainda limitado e focado em IgE e respostas de células T-helper 2. Faltam estudos prospectivos e controlados sobre tratamentos para urticária. Glicocorticoides e antihistamínicos são os principais tratamentos relatados.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Editorial
    暂无摘要。
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    粪便卵数减少试验(FECRT)仍然是确定驱虫化合物在野外功效的首选方法,包括驱虫药耐药性的诊断.我们提出了改进FECRT标准化和性能的指南,该指南分为四个部分。在第一部分,我们解决了与实验设计相关的主要问题,粪便卵数(FEC)方法的选择,统计分析,并解释FECRT结果。在第二部分,我们提出了一系列一般性建议,适用于本指南中涉及的所有动物.在第三部分,我们为牛提供单独的指导细节,小反刍动物(绵羊和山羊),马和猪来解决不同动物类型特有的问题。最后,我们提供了对每个不同宿主物种进行FECRT所需的具体细节的概述。解决统计权力与统计权力的问题实用性,我们还为每种动物物种提供两个单独的选择;(i)旨在检测功效微小变化的版本,旨在用于科学研究,和(ii)资源密集程度较低的版本,供兽医和牲畜所有者常规使用,以检测功效的较大变化。与以前的FECRT建议相比,注意到四个重要差异。首先,现在通常建议根据相同动物的治疗前和治疗后的FEC进行FECRT(配对研究设计),而不是对治疗和未治疗(对照)动物的治疗后FEC(未配对研究设计)。第二,而不是要求最小平均FEC(以卵/克(EPG)表示)的组进行测试,新的要求是在显微镜下计数的鸡蛋总数最少(在应用转换因子之前计数的鸡蛋总数)。第三,我们通过提供三个独立的选项来提供治疗组的所需大小的灵活性,这取决于(预期)计数的卵子数量。最后,这些指南针对所有主要的牲畜物种,定义降低功效的阈值适应宿主物种,驱虫药和寄生虫物种。总之,这些新指南为所有主要牲畜品种的FECRT提供了改进的方法和标准化。
    The faecal egg count reduction test (FECRT) remains the method of choice for establishing the efficacy of anthelmintic compounds in the field, including the diagnosis of anthelmintic resistance. We present a guideline for improving the standardization and performance of the FECRT that has four sections. In the first section, we address the major issues relevant to experimental design, choice of faecal egg count (FEC) method, statistical analysis, and interpretation of the FECRT results. In the second section, we make a series of general recommendations that are applicable across all animals addressed in this guideline. In the third section, we provide separate guidance details for cattle, small ruminants (sheep and goats), horses and pigs to address the issues that are specific to the different animal types. Finally, we provide overviews of the specific details required to conduct an FECRT for each of the different host species. To address the issues of statistical power vs. practicality, we also provide two separate options for each animal species; (i) a version designed to detect small changes in efficacy that is intended for use in scientific studies, and (ii) a less resource-intensive version intended for routine use by veterinarians and livestock owners to detect larger changes in efficacy. Compared to the previous FECRT recommendations, four important differences are noted. First, it is now generally recommended to perform the FECRT based on pre- and post-treatment FEC of the same animals (paired study design), rather than on post-treatment FEC of both treated and untreated (control) animals (unpaired study design). Second, instead of requiring a minimum mean FEC (expressed in eggs per gram (EPG)) of the group to be tested, the new requirement is for a minimum total number of eggs to be counted under the microscope (cumulative number of eggs counted before the application of a conversion factor). Third, we provide flexibility in the required size of the treatment group by presenting three separate options that depend on the (expected) number of eggs counted. Finally, these guidelines address all major livestock species, and the thresholds for defining reduced efficacy are adapted and aligned to host species, anthelmintic drug and parasite species. In conclusion, these new guidelines provide improved methodology and standardization of the FECRT for all major livestock species.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    马和其他类动物可以感染黄病毒科的几种病毒,属于黄病毒属和肝病毒属。这一共识声明侧重于已知在欧洲发生的病毒,目的是总结目前的文献,并制定有关临床疾病的临床相关循证建议,诊断,治疗,和预防。在欧洲传播的病毒包括西尼罗河病毒,蜱传脑炎病毒,Usutu病毒,娄平病病毒和马斑马病毒。西尼罗河病毒和Usutu病毒是蚊子传播的,而蜱传脑炎病毒和娄平病病毒是蜱传的。马病毒的自然传播途径仍然是推测性的。西尼罗河病毒和蜱传脑炎病毒可在受感染的马匹中诱发脑炎。在不列颠群岛,据报道,罕见的与娄平病病毒相关的脑炎病例。相比之下,马感染与轻度急性肝炎和慢性肝炎有关。黄病毒感染的诊断主要是通过血清学,尽管发生交叉反应。病毒中和测试被认为是区分马中黄病毒感染的黄金标准。通过血清或肝脏RT-PCR检测肝病毒感染。目前还没有针对马的黄病毒或肝炎病毒感染的直接抗病毒治疗,因此,治疗是支持性的。三种针对西尼罗河病毒的疫苗在欧盟获得许可。黄病毒的地理扩展致病性的马科动物应始终被认为是现实的威胁,如果他们的检测被纳入监视计划,那将是有益的。
    Horses and other equids can be infected with several viruses of the family Flaviviridae, belonging to the genus Flavivirus and Hepacivirus. This consensus statement focuses on viruses with known occurrence in Europe, with the objective to summarize the current literature and formulate clinically relevant evidence-based recommendations regarding clinical disease, diagnosis, treatment, and prevention. The viruses circulating in Europe include West Nile virus, tick-borne encephalitis virus, Usutu virus, Louping ill virus and the equine hepacivirus. West Nile virus and Usutu virus are mosquito-borne, while tick-borne encephalitis virus and Louping ill virus are tick-borne. The natural route of transmission for equine hepacivirus remains speculative. West Nile virus and tick-borne encephalitis virus can induce encephalitis in infected horses. In the British Isle, rare equine cases of encephalitis associated with Louping ill virus are reported. In contrast, equine hepacivirus infections are associated with mild acute hepatitis and possibly chronic hepatitis. Diagnosis of flavivirus infections is made primarily by serology, although cross-reactivity occurs. Virus neutralization testing is considered the gold standard to differentiate between flavivirus infections in horses. Hepacivirus infection is detected by serum or liver RT-PCR. No direct antiviral treatment against flavi- or hepacivirus infections in horses is currently available and thus, treatment is supportive. Three vaccines against West Nile virus are licensed in the European Union. Geographic expansion of flaviviruses pathogenic for equids should always be considered a realistic threat, and it would be beneficial if their detection was included in surveillance programs.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    电化学疗法(ECT)包括应用电脉冲来增加化疗药物的摄入量(博来霉素,顺铂,或钙)进入肿瘤细胞。它已成为兽医肿瘤学中非常有价值的治疗选择。这是一种有效和安全的治疗方式,这不仅作为姑息治疗是有益的,也是一种治疗方法。充分进行治疗将确保可能的最佳结果,在最少的会话数量中,减少并发症。通常,只有一次会议就足以取得优异的成绩,但是治疗可以重复。在不完全治疗或非常延长的病变的情况下,可能需要几个疗程,以及新病变的发生。ECT对电极可接近的任何组织学的浅表或口腔肿瘤有效。静脉注射博莱霉素是首选药物和给药途径,为选定的病例留下其他给药方式和药物。这里提供的指南是注定的兽医谁想要发展他们的基础的ECT的理解,并希望充分和有效地执行。在本文中,我们还讨论了常见的问题以及如何解决这些问题,我们包括实用技巧,以根据初学者的常见问题和错误来改善处理结果。
    Electrochemotherapy (ECT) consists in the application of electric pulses to increase chemotherapeutic drug intake (bleomycin, cisplatin, or calcium) into the tumor cells. It has become a very valuable treatment option in veterinary oncology. It is an effective and safe treatment modality, which is not only beneficial as a palliative treatment, but also for a curative approach. Performing the treatment adequately will ensure the best results possible, in the minimum number of sessions, and reduce complications. Usually, only one session is enough to achieve excellent results, but the treatment can be repeated. Several sessions can be necessary in the case of incompletely treated or very extended lesions, as well as in the occurrence of new lesions. ECT is effective for superficial or oral tumors of any histology that are accessible to the electrodes. Intravenous bleomycin is the preferred drug and route of administration, leaving other ways of administration and drugs for selected cases. The guidelines presented here are destined to veterinarians who want to develop their understanding of the basis of ECT and wish to perform it adequately and effectively. In this paper, we also discuss common problems and how to solve them, and we include practical tips to improve the treatment results based on common questions and mistakes of beginner users.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    目前的共识是通过肺部病理指标的层次来定义轻度-中度马哮喘(mEA;以前的炎症性气道疾病):咳嗽,性能差,增加的气管支气管粘液,炎性支气管肺泡灌洗(BAL)细胞学和肺功能障碍。排除标准包括发烧,全身性疾病,或增加静息呼吸努力。这篇综述的目的是通过找出差距来为未来的研究提供信息,支持这一共识提出的定义的现有证据的优缺点。目标是批评支持将每个诊断指标纳入病例定义的证据,通过总结和评估其与肺部炎症高级指标相关的证据。搜索三个数据库,确定了2275篇与mEA或其诊断指标有关的文章,从中筛选了298篇全文文章,并对45篇进行了全面审查。研究(n=44)已在世界各地的诊所进行,医院,赛道,院子或研究牛群,6092匹马研究主要是机会性观察(n=13/44:29.5%)或横断面(n=11/44;25%)。每个研究的马数中位数为74。据报道,品种和使用最多的是纯种(58.2%;2730/4688)和赛马(72.8%;n=3960/5439)。在近50%的文章中,被评为高偏倚风险的领域是“研究能力”和“掩蔽”。临床和实验室措施的异质性排除了荟萃分析。对于某些成对关系,证据更一致(例如,在咳嗽和气管支气管粘液之间)比其他(例如,BAL细胞学和肺功能)。研究结果强调需要提高诊断方法和报告的标准化,以促进未来的系统评价和荟萃分析。
    Current consensus defines mild-moderate equine asthma (mEA; previously inflammatory airway disease) by a hierarchy of indicators of lung pathology: cough, poor performance, increased tracheobronchial mucus, inflammatory bronchoalveolar lavage (BAL) cytology and pulmonary dysfunction. Exclusion criteria include fever, systemic disease, or increased resting respiratory effort. The aim of this review was to inform future research by identifying gaps, strengths and weaknesses in the current body of evidence supporting this consensus-proposed definition. Objectives were to critique evidence supporting the inclusion of each diagnostic indicator in the case definition, by summarising and evaluating evidence for its association with higher-level indicators of lung inflammation. Searches of three databases identified 2275 articles relating to mEA or its diagnostic indicators, from which 298 full-text articles were screened and 45 reviewed in full. Studies (n = 44) had been performed worldwide in clinics, hospitals, racetracks, yards or research herds, in 6092 horses. Studies were predominantly opportunistic observational (n = 13/44: 29.5%) or cross-sectional (n = 11/44; 25%). The median number of horses per study was 74. Where breed and use were reported most were Thoroughbreds (58.2%; 2730/4688) and racehorses (72.8%; n = 3960/5439). Domains rated as high risk of bias in almost 50% of articles were \'study power\' and \'masking\'. Heterogeneity in clinical and laboratory measures precluded meta-analysis. Evidence was more consistent for certain pairwise relationships (e.g., between cough and tracheobronchial mucus) than others (e.g., BAL cytology and lung function). Findings highlight the need for increased standardisation of diagnostic methods and reporting to facilitate future systematic review and meta-analysis.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

公众号