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treatment for most other forms of canine CE. Feeding
a novel protein or hydrolyzed diet may also contribute to decreased mucosal inflammation in dogs with IBD receiving immune-suppressive treatment. In dogs with lymphangiectasia, a cause of protein-losing enteropathy, treatment with a highly digestible diet with low to
very low fat content (10-15% on a dry matter basis)
may prevent further dilation and rupture of lacteals
by reducing the flow of chyle. This diet significantly contributes to the success of treatment, which often includes anti-inflammatory doses of glucocorticoids. Additionally, the diet should contain highly bioavailable dietary proteins and be low in crude fiber.
All dogs with chronic small intestinal inflammation have limited absorptive capacity, and feeding them with a highly bioavailable diet is necessary in order to improve metabolic state and stop ongoing catabolism. As stated above, the goal of treatment in dogs with various forms of IBD is to successfully manage the disease. Therefore, appropriate dietary therapy should be administered long term and regularly adapted to the dog’s condition in order to decrease the risk of recurrences.
PROGNOSIS
The prognosis for diet-responsive CE is good. It appears that 77-80% of these dogs are still controlled only with an elimination diet one year after diagnosis. However, several studies showed that the prognosis of dogs with CE that do not respond to a dietary treatment trial is significantly worse, with up to 1/3 of patients euthanized within 3 months of diagnosis. Moreover, severe hypoalbuminemia (serum albumin < 2g/dL or <20 g/l)
at the time of presentation was identified as a negative prognostic factor.
VALUE OF DIET IN OTHER CHRONIC ENTEROPATHIES FURTHER READINGS
· Dandrieux JRS (2016): Inflammatory bowel disease versus chronic enteropathy in dogs: are they the same? Journal of Small Animal Practice 57, 589-599
· Honnefer JB, Minamoto Y, and Suchodolski JS (2014): Microbiota alterations in acute and chronic gastroin- testinal inflammation in cats and dogs. World Jour- nal of Gastroenterology 20 (44): 16489-16497 DOI: 10.3748/wjg.v20.i44.16489 (Open Access)
WSV18-0115
NURSES (HILLS)
THE ART AND SCIENCE OF BANDAGING
J. Hatcher1, M. Oleary1
1Provet AIRC, Airc, Brisbane, Australia
THE ART AND SCIENCE OF BANDAGING Jo Hatcher Cert IV VN, TAE, Dip VN, AVN
Brisbane, Australia jhatcher@provet.com.au
Classification of wounds
The appropriate treatment of a wound is dictated by the condition of the tissue at time of presentation. Wounds are classified in the following manner:
· Clean
· Clean-contaminated · Contaminated
· Dirty
Clean wound - Example: planned surgical incision.
· A ‘clean’ wound is a relatively non-traumatic surgical wound, made under controlled conditions, aseptic preparation, minimal trauma and in a very clean or sterile environment.
· ‘Clean’ wounds are sutured soon after they have been created.
· Incisions entering the oropharynx, urogenital, respi- ratory or alimentary tract are not classed as clean wounds.
Clean-contaminated wounds - Example: laceration less than a few hours old
· There is some trauma to the tissues and the conditions are non-sterile.
· The wound is contaminated with environmental bacteria – either from the object causing the wound or from the normal flora of the animal.
· These wounds are able to be cleaned and sutured if they are presented before the bacteria has had chance to proliferate the tissue, known as the ‘golden period’.
Contaminated wound - Example: degloving from road traffic accident
· The wound is clearly soiled or contaminated with bacteria.
· It has often been exposed for longer than 6-8 hrs.
· This type of wound often requires aggressive cleaning and staged treatment techniques to facilitate an uncomplicated healing.
Dirty Wounds - Example: Cat fight abscess
· Also termed ‘infected’ wounds
· An abscess has formed as a result of infection
· A wound care plan should be implemented for each individual wound depending on its cause and classification.
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