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Rise in vets with AMR concerns about cascade
“Where the cascade is not offering the most appropriate solution, BVA advises vets to use their clinical judgement and consider alternative prescribing options” – Anna Judson.
Almost one in 10 worried using cascade led to irresponsible prescribing.

There is growing concern among veterinary surgeons about antimicrobial resistance when following the cascade to make prescription decisions, the latest Voice of the Veterinary Profession survey has revealed.

The survey, conducted by the British Veterinary Association (BVA), showed that 86 per cent of respondents felt that using the cascade had led to them making at least one prescription decision which did not follow the principles of responsible antimicrobial prescribing. Fifty-eight per cent reported this happening either often or sometimes.

The number of concerned veterinary surgeons has grown since 2018, when the respective figures were 60 per cent and 43 per cent.

The survey also revealed that concerns when using the cascade were more common among veterinary surgeons treating non-traditional companion animals.

BVA has released the findings from the Autumn 2023 Voice of the Veterinary Profession survey as part of World Antimicrobial Awareness Week (18-24 November).

BVA president Anna Judson said: “We know vets want to protect antimicrobials and keep them working against serious and potentially life-threatening infections.

“However, there’s an ongoing concern among our members, especially colleagues who treat minor species or exotics, that it can often be difficult to balance the appropriate use of antibiotics with the cascade. In some circumstances this leads to decisions that could exacerbate antimicrobial resistance.

“Where the cascade is not offering the most appropriate solution, BVA advises vets to use their clinical judgement and consider alternative prescribing options. This should be done on a case-by-case basis and after giving full consideration to potential risks and all available evidence.

“For any off-licence use of antimicrobials, vets can also help extend the body of evidence around antimicrobial safety and efficacy by publishing case studies and pharmacokinetic data where possible.

“We would also like to work with Veterinary Medicines Directorate to find ways to increase licensed options for minor species and exotics, to make it easier for vets to prescribe medications based on evidence-based clinical judgement while stewarding responsible antimicrobial use.”

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Charities' XL bully neutering scheme closes

News Story 1
 A scheme that helped owners of XL bully dogs with the cost of neutering has closed to new applications due to high demand.

The scheme, run by the RSPCA, Blue Cross, and Battersea, has helped 1,800 dogs and their owners after XL bullies were banned under the Dangerous Dogs Act.

In England and Wales, owners of XL bully dogs which were over one year old on 31 January 2021 have until 30 June 2024 to get their dog neutered. If a dog was between seven months and 12 months old, it must be neutered by 31 December 2024. If it was under seven months old, owners have until 30 June 2025.

More information can be found on the Defra website. 

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News Shorts
Avian flu cattle outbreak spreads to tenth US state

Cattle in two dairy herds in Iowa have tested positive for highly pathogenic avian influenza (HPAI), making it the tenth state in the USA to be affected by the ongoing outbreak of the disease in cattle.

Since March 2024, more than 80 herds across the USA have been affected by the virus and three dairy workers have tested positive. Authorities have introduced measures to limit the spread of the virus and farmers have been urged to strengthen their biosecurity protocols.

Mike Naig, Iowa secretary of agriculture, said: "Given the spread of highly pathogenic avian influenza within dairy cattle in many other states, it is not a surprise that we would have a case given the size of our dairy industry in Iowa.

"While lactating dairy cattle appear to recover with supportive care, we know this destructive virus continues to be deadly for poultry."