Predictors of owner response to companion animal death in 177 clients from 14 practices in Ontario

OBJECTIVE

To identify predictors of grief and client desires and needs as they relate to pet death.

DESIGN

Cross-sectional mail survey.

SAMPLE POPULATION

177 clients, from 14 randomly selected veterinary practices, whose cat or dog died between 6 and 43 days prior to returning the completed questionnaire.

PROCEDURE

Veterinary practices were contacted weekly to obtain the names of clients whose pets had died until approximately 200 clients were identified. Clients were contacted by telephone, and a questionnaire designed to measure grief associated with pet death was mailed to those willing to participate within 1 to 14 days of their pet's death. The questionnaire measured potential correlates and modifiers of grief and included three outcome measures: social/emotional and physical consequences, thought processes, and despair. Demographic data were also collected.

RESULTS

Approximately 30% of participants experienced severe grief. The most prominent risk factors for grief included level of attachment, euthanasia, societal attitudes toward pet death, and professional support from the veterinary team.

CONCLUSIONS AND CLINICAL RELEVANCE

Bivariate and multivariate analyses highlighted the impact owners' attitudes about euthanasia and professional intervention by the veterinary team had on reactions to pet death. Owners' perceptions of societal attitudes, also a predictor of grief, indicate that grief for pets is different than grief associated with other losses.

Sampling considerations for herd-level measurement of faecal Escherichia coli antimicrobial resistance in finisher pigs

The objective of this study was to determine the most efficient means of sampling faeces of finisher pigs for accurate and precise farm-level estimates of antimicrobial resistance among faecal Escherichia coli. Resistance to tetracycline and gentamicin of 8250 isolates of E. coli from 55 finisher pigs on one farm was measured with a hydrophobic grid membrane filter method. The between-pig, within-pen component of variance in resistance was large (97.5%), while between-pen, within-room and between-room components were small (2.5% and 0%, respectively). Using these resistance data, the abilities of two sampling strategies to estimate prevalence were modelled with a Monte Carlo 'bootstrap' procedure. Compositing faecal samples from several pigs before testing produced unbiased and precise estimates of prevalence and is simpler technically than individual animal testing.

Owner response to companion animal death: development of a theory and practical implications

This study used an inductive research method known as grounded theory to develop a theory to describe owner response to the death of a pet. Participants were identified from 8 veterinary clinics in Wellington Country, Ontario. Eighty percent (8 of 10) of the practices approached agreed to participate and there was a 77% (44 of 57) participation rate by clients. Nondirective interviews were conducted with participants approximately 10 days following the death of their pet, and at 3, 6, and 12 mo thereafter. The theory developed suggests that people's reactions are best described as a social and psychological search for meaning. Factors that contributed to the search for meaning included societal values and norms, the cultural milieu of pet death, and the cultural milieu of veterinary medicine. Other factors, such as the participant's personal beliefs, life stage, critical life events, and animal attributes, either alleviated or aggravated the experience. The outcome for participants grieving the death of a pet was a self-governing approach to coping with the death. Practical implications and suggestions for veterinarians are presented.

Individual and group antimicrobial usage rates on 34 farrow-to-finish swine farms in Ontario, Canada

Antimicrobial drug-use was assessed on 34 farrow-to-finish operations that marketed at least 500 hogs/yr. These operations either did not use any antimicrobials or used narrow-spectrum or broad-spectrum antimicrobials in rations of post-weaning pigs. Total antimicrobial use was measured for two months after obtaining inventories and records of all antimicrobials used. The collection of empty medication bottles and inventories of drugs on hand was convenient for producers and useful for estimating or validating recorded treatment rates, particularly for antimicrobials that were used only in one class of pig. Treatment records, however, underestimated by approximately 35% the amounts used for 27/29 farm-antimicrobial combinations. Rates of individual-pig treatment varied from 0-24.1 pigs treated/1000 pig-days, with a median of 5.29. Most individual animal treatments were given to piglets and sows at parturition and penicillin was the most commonly used antimicrobial. Gentamicin was administered to suckling piglets on 19 of the farms.

Associations among antimicrobial drug treatments and antimicrobial resistance of fecal Escherichia coli of swine on 34 farrow-to-finish farms in Ontario, Canada

Logistic regression was used to model associations between antimicrobial treatment and resistance among fecal Escherichia coli of finisher pigs at the farm level. Four sets of potential risk factors representing different levels of refinement of antimicrobial use on farms were modelled on resistance to antimicrobials. Final models for each antimicrobial were constructed from treatment and management variables significant on initial screening, and corrections for overdispersion were made. In general, in-feed antimicrobial treatment of pigs was more consistently associated with an increased risk of resistance than individual-animal treatment. Antimicrobial treatment in starter rations was significant in final models of resistance to ampicillin, carbadox, nitrofurantoin, sulfisoxizole, and tetracycline. Treatment in grower-finisher rations was significantly associated with resistance to ampicillin, spectinomycin, sulfisoxizole, and tetracycline. There was little evidence that in-feed antimicrobials increased the risk of resistance to gentamicin, which is a drug used only for individual-pig treatment in this study population. These results suggest that antimicrobial medication of rations of post-weaning pigs selects for and maintains antimicrobial resistance among E. coli of finisher pigs. Although resistance was common on farms that did not medicate rations of post-weaning pigs, the results indicate that antimicrobial use does increase the risk of resistance to the antimicrobials studied.

Prevalences of resistance to seven antimicrobials among fecal Escherichia coli of swine on thirty-four farrow-to-finish farms in Ontario, Canada

Fecal specimens were composited and a hydrophobic-grid membrane-filter method was used to measure antimicrobial resistance to ampicillin 16 micrograms/ml, carbadox 30 micrograms/ml, gentamicin 4 mu/ml, nitrofurantoin 32 micrograms/ml, spectinomycin 16 micrograms/ml, sulfisoxazole 32 micrograms/ml and tetracycline 8 micrograms/ml among 8119 Escherichia coli isolates from 68 fecal samples collected on 34 farrow-to-finish swine farms marketing over 500 hogs/yr. The overall prevalences of resistance to antimicrobials among these isolates were: ampicillin 29%, carbadox 3.5%, gentamicin 0.6%, nitrofurantoin 27%, spectinomycin 28%, sulfasoxizole 38% and tetracycline 71%. Thirty to seventy-six per cent of the variations in prevalences were explained by between-farm differences.

Antimicrobial drug use and related management practices among Ontario swine producers

A mail survey of swine producers in Ontario was undertaken during 1991 to describe the types, frequency, and motives for antimicrobial use. Two hundred operations that marketed fewer than 350 hogs per year, and 800 that marketed more than 350 per year were sent questionnaires, 63% of which were completed and returned. Most operations (86%) added antimicrobials to starter (weanling pig) rations, while fewer (29%) added these drugs to finisher pig rations. The most commonly used antimicrobials were tylosin, carbadox, and furazolidone in weanling pigs, and tylosin, lincomycin, and tetracycline in finishers. Water medication of grower-finisher pigs was practised on 25% of farms; 80% of farms had injected at least some grower-finisher pigs with antimicrobials in the 12 mo preceding the survey. Approximately 20% of operations that added antimicrobials to finisher rations did so for growth promotion purposes only, while others used them for disease treatment, prevention, control, or a combination of reasons. Among those not using antimicrobials in finisher rations, 83% did not believe they were necessary and 37% were concerned about the potential for residues in marketed hogs.

Measurement of antimicrobial-resistant Escherichia coli in pig feces with a hydrophobic grid membrane filter interpreter system

Hydrophobic grid membrane filter technology was used to measure resistance among Escherichia coli in pig fecal samples to ampicillin, sulfisoxazole, and tetracycline. The method accurately measured resistance, with sensitivities ranging from 96.5 to 99.5% and specificities ranging from 87.0 to 98.3%, and it identified E. coli with 96% confidence.

Impact of stocking density, breed, and feathering on the prevalence of abdominal skin scratches in broiler chickens

Associations between abdominal skin scratches and stocking density, strain of birds, and degree of feathering were investigated in a clinical trial. Four hundred eighty 1-day-old male broiler chicks from two different strains (A and B) were assigned to four groups: 1) high density (0.07 m2/bird) and strain A, 2) high density and strain B, 3) normal density (0.14 m2/bird) and strain A, and 4) normal density and strain B. Birds were examined for scratches and feathering at 28, 35, and 42 days of age. Two outcomes were considered for scratches: presence (yes/no) and severity (severe [if a deep cut or at least three superficial cuts were present]/not severe). Only the examination at 35 days of age was blind. The outcome "scratches" was significantly associated with stocking density at all ages (P < or = 0.0001), strain A at 28 days of age (P = 0.0480), and poor feathering at 35 days of age (P < or = 0.0001). The outcome "severe scratches" was significantly associated with stocking density at 35 (P = 0.0003) and 42 days of age (P = 0.0021), strain A at 35 (P = 0.0089) and 42 days of age (P = 0.0306), and poor feathering at 35 days of age (P = 0.0018). Stocking density, strain of birds, and degree of feathering could be considered as potential risk factors for abdominal scratches in broiler chickens.

A prospective study of cellulitis in broiler chickens in southern Ontario

This study investigated the associations among cellulitis and hatchery, farm, and abattoir factors. Forty-four broiler flocks from 24 farms located in southern Ontario were followed from hatching to processing. Poisson regression was used to analyze the data. Cellulitis as a count outcome (CELLCOUNT) was significantly associated (P < or = 0.05) with the hatchery of origin, strain of birds, farm size, type of litter, lighting system, total down time, prevalence of abdominal scratches, Escherichia coli-related conditions (SEROSITIS), ascites, and valgus varus deformity. However, only farm size, abdominal scratches, SEROSITIS, ascites, and valgus varus deformity were significant (P < or = 0.05) after adjusting for clustering. No significant associations were found between cellulitis and source of eggs, sex, average bird weight, feed company, growth promoter, or stocking density. Factors significantly associated with cellulitis in this study could be considered as potential risk factors for cellulitis in broiler chickens in southern Ontario.

Farm management risk factors associated with cellulitis in broiler chickens in southern Ontario

A mail survey of 171 farms with broiler chicken flocks processed in a single processing plant in southern Ontario was conducted during the period July-August 1993 as part of a retrospective study. The population farm prevalence of cellulitis was 31/10,000 birds. The survey provided information about the management of broiler chickens in southern Ontario and allowed investigation of the association between cellulitis and management risk factors. Univariate and multivariate analyses were performed to examine the relationship between a binary outcome (high/low prevalence) and management risk factors using logistic regression. Cellulitis was positively associated (P < or = 0.05) with male and mixed (males and females) flocks, use of straw as litter, certain feed companies, use of zinc bacitracin as a growth promoter, and other diseases diagnosed at the processing plant. Total down time was negatively associated with cellulitis.

Description of cellulitis lesions and associations between cellulitis and other categories of condemnation

A total of 110 broiler flocks processed in a single processing plant in southern Ontario were studied for purposes of describing the cellulitis lesions and investigating possible associations between cellulitis and other categories of condemnation at the processing plant. Two hundred and ninety-five carcasses condemned for cellulitis were examined. They came from 65 of the 110 flocks. The lesions tended to be unilateral with most carcasses (87%) having one lesion. The majority of the lesions (92%) were located on the abdomen. Almost 65% of the lesions were large (> or = 8.1 cm2), and 27% were medium (2.1-8.0 cm2). On the basis of gross appearance, 69% of the lesions were classified as severe, 26% moderate, and 5% mild. Of 149 lesions examined histologically, 74% were classified as chronic, 21% ongoing, and 5% mild-acute. Condemnation data from the 110 broiler flocks were analyzed using Poisson regression. Simple relationships were examined between a count outcome (number of cellulitis-condemned carcasses per flock) and other categories of condemnation and average bird weight. Cellulitis was significantly associated with average bird weight (P = 0.0018), Escherichia coli-related conditions (SEROSITIS; P < or = 0.0001), ascites (P = 0.0004), cyanosis (P < or = 0.0001), valgus varus deformity (P < or = 0.0001), REJECT (combined carcass condemnations for bruising, mutilation, and contamination; P = 0.0003), and the interaction terms "average bird weight and ascites" (AVWT*ASCIT; P < or = 0.0001) and "average bird weight and cyanosis" (AVWT*CYAN; P < or = 0.0001). Average bird weight, SEROSITIS, ascites, cyanosis, valgus varus deformity, and AVWT*ASCIT were the only significant factors after adjusting for clustering. No association was observed between cellulitis and emaciation and dead on arrival. Variables significantly associated with cellulitis in the multivariate analysis could be considered as potential predictors. These predictors may share common risk factors predisposing broiler chickens to cellulitis.

Postoperative complications of elective surgeries in dogs and cats determined by examining electronic and paper medical records

Postoperative complications (POC) that developed in dogs and cats that underwent elective ovariohysterectomy, castration, and declaw at a veterinary teaching hospital were determined by examining the computerized abstracts of the medical records and by examining a random sample of the paper medical records. When the computerized abstracts were examined, POC were found to have occurred in 62 (6.1%) of 1,016 dogs. One dog died and 6 others developed major complications. Postoperative complications were found to have occurred in 38 (2.6%) of 1,459 cats. Two cats died and 1 was euthanatized. Four other cats developed major complications. Complete paper medical records for 218 dogs and cats were examined. When the paper medical records were examined, the proportions of dogs and cats with POC were 19.4% and 12.2%, respectively. These proportions were 4 to 7 times higher than when the computerized abstracts were the data source. Results of this study indicate that the frequency of clinically relevant POC of elective surgeries in dogs and cats is substantial. Examination of the computerized abstracts of medical records at this hospital allowed us to rapidly identify cases that could be included in the study but the frequency of POC would be significantly underestimated if paper records were not also assessed.

The pattern of fatal fibrinous pneumonia (shipping fever) affecting calves in a large feedlot in Alberta (1985-1988)

Data from a retrospective field study were used to describe the epidemiology of fatal fibrinous pneumonia as it affected beef calves entering a large commercial feedlot in southwestern Alberta during the fall months of y 1985 to 1988. A chute-side computer system was used to record processing and health data on 58885 calves during this period. The large annual variation (10%-57%) in the proportion of total mortality due to fibrinous pneumonia indicated that crude mortality cannot be used in epidemiological studies as a surrogate measure of fibrinous pneumonia mortality. Yearly epidemic curves for fatal fibrinous pneumonia were very similar, with a short time interval (median, 19-22 d) between arrival and fatal disease. Fully 75% of the calves that died of fibrinous pneumonia already were sick within 2 weeks of arrival. Studies of the biological, environmental, and population factors that are present before and shortly after arrival at the feedlot are needed to identify strategies for reducing the incidence of fatal fibrinous pneumonia.

Effect of transportation on fatal fibrinous pneumonia and shrinkage in calves arriving at a large feedlot

A retrospective, epidemiologic field study was performed to determine whether calves that were transported greater distances from the auction market to the feedlot were at significantly higher risk of developing fatal fibrinous pneumonia (shipping fever). The study involved all 45,243 springborn steer calves that were purchased from auction markets and moved into a large commercial feedlot between September 1 and December 31 over a 4-year period (1985-1988). For all 4 years of the study, the distance calves were transported from the market to the feedlot and their shrinkage or subsequent death loss from fibrinous pneumonia were not correlated. The risk of fatal fibrinous pneumonia for calves arriving from nearby markets was just as high as that for calves transported much greater distances. The results suggested that calves can be purchased from more distant markets without having to discount their price for higher expected death losses. Differences between short and long hauls explained little, if any, of the variation among truckloads of calves in the risk of fatal fibrinous pneumonia.

Effect of pretransit mixing on fatal fibrinous pneumonia in calves

A retrospective, epidemiologic study was performed to quantify the mixing of calves from various sources at auction markets, and to determine whether mixing at the markets and the risk of fatal fibrinous pneumonia (FFP) at the feedlot were associated. In this study, 32,646 spring-born steer calves that entered a single large feedlot during the fall seasons between 1985 and 1988 were traced back to their originating auction market, and sales tickets were used to measure the number of farm sources that contributed to each truckload of calves. Individual cow/calf producers contributed a median of only 2 calves/truckload arriving at the feedlot in this study. An average truckload of 60 steers comprised calves from as many as 20 to 30 farms. The degree of mixing varied little over time and could not, therefore, be used to explain the large variations in FFP risk during different months and different years of the study. However, variation in the degree of mixing of calves from various sources at the markets evidently was responsible for differences in FFP risk among truckloads assembled by different buyers. When truckloads were grouped by buyer, FFP risk and mean number of calves per source were negatively correlated in 1986 (r = -0.67, P = 0.099), and in 1987 (r = -0.90, P = 0.002). These variables also were negatively correlated in 1988 (r = -0.56), although the correlation was not significant. The positive linear relationship between mixing of calves in truckloads supplied by different buyers and subsequent FFP risk suggested that veterinarians and feedlot owners should more aggressively observe and treat calves from truckloads that were highly mixed.(ABSTRACT TRUNCATED AT 250 WORDS)

Effect of time of year, weather, and the pattern of auction market sales on fatal fibrinous pneumonia (shipping fever) in calves in a large feedlot in Alberta (1985-1988)

A total of 58,885 spring-born calves entering a large commercial feedlot in southwestern Alberta were studied to examine the associations between shipping fever mortality and the pattern of calf sales at the auction markets, time of year, and weather. The observational study followed calves purchased from 42 auction markets in the 4 western provinces between September 1 and December 31 in each of the years from 1985 to 1988. Calf sales at the auction markets consistently peaked during the last week of October and the first week of November. Calves entering the feedlot in November had a risk of fatal shipping fever 2 to 8 times greater than calves entering in September or December. The pattern was the same for all 4 years, with maximum risk occurring 2 to 4 weeks after the peak time for calf sales at the markets. A number of factors could have contributed to this pattern, including changes in transport truck availability, changes in the density of calves at the markets, changes in population dynamics at the feedlot that affected feedlot crew efficiency, and weather. The finding that the risk of fatal shipping fever appears to increase significantly as the feedlot fills with calves in the fall deserves the attention of feedlot owners, so they can design their treatment strategies appropriately, and of researchers, who may gain useful knowledge about the natural history of the disease by investigating why this change in risk occurs.

Prevalence of bovine parvovirus infection in Ontario dairy cattle

Studies were conducted to determine prevalence and dynamics of bovine parvovirus (BPV) infection. Dairy cows from 29 randomly selected herds in southwestern Ontario were tested twice, one year apart, for the presence of hemagglutination inhibition (HI) antibodies against BPV. Fifty-one percent of 1141 cows tested had BPV-HI titers > 1:32. One year later, the seroprevalence was 83% in 1131 cows from the same farms. The herd mean seroprevalence was 49% and 86% for the year-1 and year-2 samples, respectively. Evidence of BPV infection was found in 96% (27/28) of herds in year-1 and 100% of herds in year-2. A comparison of titers from 716 cows tested twice showed evidence of frequent BPV infection. Sixty-two percent of 326 animals selected in a systematic manner from 40 Guelph area dairy farms had BPV-HI titers > 1:32. The herd mean seroprevalence was 64% Two herds had no animals with titers above the critical titer (1:32) while in one-quarter of the herds all animals exceeded the critical titer.

An epidemiological investigation of pet ownership in Ontario

An epidemiological study was undertaken to elucidate factors associated with pet ownership. The study utilized questionnaires that were mailed to a systematic random sample of 700 households in the city of Guelph and Eramosa township. Reasons for ownership were analyzed by factor analysis while differences between owning and nonowning households were investigated using logistic regression. Sixty-five percent of dogs and 71% of cats were neutered. Only 2% of urban and 3% of rural dogs had never been vaccinated, compared to 12% and 17% for urban and rural cats. Families that included preschoolers were less likely to own pets, as were those from an urban area. The highest scoring reason for ownership was "companionship," followed by "love and affection" and for the "benefit of the children". The highest ranked reason for nonownership was "pets are a problem when I go away," followed by "I don't have enough time to devote to a pet" and "poor housing".

Antibiotic residues (bacterial inhibitory substances) in the milk of cows treated under label and extra-label conditions

The objectives of this study were to describe the depletion pattern of antibiotic residues (microbial inhibitory substances) from the milk of cows treated under field conditions of clinical disease and antibiotic administration, including both label and extra-label use, and to determine if the type of extra-label use, the route of administration, and the drug used were factors associated with prolonged shedding of residues in milk.Milk samples from 138 cows, treated with a variety of antibiotic products on farms in southwestern Ontario in 1989 and 1990, were collected before treatment and for six days after cessation of treatment. Samples were tested for antibiotic residues with the Brilliant Black reduction test (BR-test) and the Bacillus stearothermophilus var calidolactis disc assay. In 13/138 (9.4%) of cow treatments, at least one milk sample was positive on both antibiotic residue tests after the label milk withholding time for the drug(s) used. In ten of these instances, the antibiotics were administered in extra-label fashion and in three the drugs were reportedly used according to label instructions. Extra-label use of antibiotics was significantly associated with increased risk of antibiotic residues in milk beyond the label withholding time. No significant differences in risk were observed among the various antibiotic products used in the study.The farms involved in this study were selected on the basis of their proximity to our laboratory; therefore, the frequency of antibiotic residue detection after withholding times may not be indicative of the provincial or national situation. If farmers and veterinarians find themselves in a situation where extra-label use of an antibiotic is necessary, use of an alternative antibiotic that can be used at label dose and with a known withdrawal time may avoid a problem with residues.

Implementation and use of a microcomputer-based management information system to monitor dairy herd performance

A microcomputer-based herd management information system was implemented as part of the herd health program provided to 13 dairy clients by the Ontario Veterinary College, University of Guelph. The study was conducted over a two year period. Data were collected from on-farm event diaries, veterinary visit reports, and production testing information. Selected indices of reproduction, udder health, production, and heifer performance were reported. It was concluded that the implementation of a microcomputer-based information management system, operated as a bureau service, was feasible. However, limitations to the implementation in veterinary practice were identified.