Control of subclinical bovine mastitis

Impact of a Novel Homeopathic Complex Medicine on the Management of Multiple Antibiotic-Resistant Bovine Mastitis: An Open-Label, Non-Randomized, Placebo-Controlled Trial

BACKGROUND

 Bovine mastitis is characterized by an inflammatory process in the mammary gland and represents one of the main diseases affecting a dairy herd. Management of mastitis is most commonly via antibiotics, but the rising incidence of multiple antibiotic resistance (MAR) means that additional options are needed. Homeopathic products can be administered in dairy farming for a range of clinical reasons and may be preferential due to the absence of residues.

OBJECTIVES

 The aim of this study was to assess the potential of a novel homeopathic complex medicine in managing bovine mastitis.

METHODS

 Twenty-four lactating Holstein cows with mastitis were divided into two groups: the homeopathic complex group received a homeopathic complex daily for 60 days at a dose of 20 g/d; the placebo group received the calcium carbonate vehicle without homeopathic medicines at the same dose and repetition. The main outcome measure was somatic cell count (SCC; cells/mL), with additional outcome measures including milk production (kg/d), milk constituents (percentage of protein, fat, lactose and total milk solids), and serum levels of cortisol, glucose, ammonia and lactic acid. All outcomes were measured at the beginning of the study and after 30 and 60 days. Milk samples were also collected from all animals at the beginning of the study, confirming a high (>0.2) MAR index for isolated bacterial cultures.

RESULTS

 Assessment of SCC showed a statistically significant difference favoring the homeopathic complex versus placebo group at day 60. A reduction in serum cortisol levels and an increase in fat, lactose and total milk solids in animals treated with the homeopathic complex at day 60 were also seen. Other outcome measures did not show statistically significant inter-group differences.

CONCLUSION

 The results of this non-randomized, open-label, placebo-controlled trial suggest the potential for a novel homeopathic complex medicine in management of multiple antibiotic-resistant bovine mastitis, thus offering dairy farmers an additional option to antibiotics and making dairy products safer for consumer health and milk production more sustainable.

Growth-promoting effect of sulphur 201c in pigs

In a blind, placebo-controlled trial, a homoeopathic dynamized dilution of Sulphur 201c was given orally to pregnant sows every 10 days. No significant difference was detected between the birth weight of litters (39 piglets) of treated sows and control litters (40 piglets). On day 30 statistically significant differences were observed both in the final weight of litters, mean total and daily weight gain.

Homoeopathic effect on the sleep pattern of rats

The effect of Nux vomica on the EEGs of rats during sleep was quantified in terms of suitable statistical parameters that showed systematic changes after the homoeopathic stimulus. Our results are consistent with a decrease in the coherence of the brain signal compared to results obtained by using either the solvent on its own or pure water, and can be interpreted in terms of irritation of the animals' central nervous system due to the applied stimulus. This coincides with the effect Nux vomica has on healthy humans and suggests a means of characterizing the homoeopathic effect in physicochemical terms, based on parameters similar to those found appropriate in this study, calculated for physiological data from animal models for specific conditions. It also lends scientific support to ongoing attempts to extend Hahnemann's principles of similitude and potentiation beyond their original context, into the realm of veterinary medicine.

Efficacy of homeopathy in livestock according to peer-reviewed publications from 1981 to 2014

Homeopathy is widely used in livestock, especially in order to reduce the use of antibiotics, although it is often seen as controversial. A comprehensive literature review has been conducted to assess the efficacy of homeopathy in cattle, pigs and poultry. Only peer-reviewed publications dealing with homeopathic remedies, which could possibly replace or prevent the use of antibiotics in the case of infective diseases or growth promotion in livestock were included. Search results revealed a total number of 52 trials performed within 48 publications fulfilling the predefined criteria. Twenty-eight trials were in favour of homeopathy, with 26 trials showing a significantly higher efficacy in comparison to a control group, whereas 22 showed no medicinal effect. Cure rates for the treatments with antibiotics, homeopathy or placebo varied to a high degree, while the remedy used did not seem to make a big difference. Looking at all the studies, no study was repeated under comparable conditions. Consequently, the use of homeopathy currently cannot claim to have sufficient prognostic validity where efficacy is concerned. When striving for high therapeutic success in treatment, the potential of homeopathy in replacing or reducing antibiotics can only be validated if evidence of efficacy is confirmed by randomised controlled trials under modified conditions.

Veterinary homeopathy: meta-analysis of randomised placebo-controlled trials

BACKGROUND

Meta-analysis of randomised controlled trials (RCTs) of veterinary homeopathy has not previously been undertaken. For all medical conditions and species collectively, we tested the hypothesis that the outcome of homeopathic intervention (treatment and/or prophylaxis, individualised and/or non-individualised) is distinguishable from corresponding intervention using placebos.

METHODS

All facets of the review, including literature search strategy, study eligibility, data extraction and assessment of risk of bias, were described in an earlier paper. A trial was judged to comprise reliable evidence if its risk of bias was low or was unclear in specific domains of assessment. Effect size was reported as odds ratio (OR). A trial was judged free of vested interest if it was not funded by a homeopathic pharmacy. Meta-analysis was conducted using the random-effects model, with hypothesis-driven sensitivity analysis based on risk of bias.

RESULTS

Nine of 15 trials with extractable data displayed high risk of bias; low or unclear risk of bias was attributed to each of the remaining six trials, only two of which comprised reliable evidence without overt vested interest. For all N = 15 trials, pooled OR = 1.69 [95% confidence interval (CI), 1.12 to 2.56]; P = 0.01. For the N = 2 trials with suitably reliable evidence, pooled OR = 2.62 [95% CI, 1.13 to 6.05]; P = 0.02).

CONCLUSIONS

Meta-analysis provides some very limited evidence that clinical intervention in animals using homeopathic medicines is distinguishable from corresponding intervention using placebos. The low number and quality of the trials hinders a more decisive conclusion.

Homeopathic prescribing for chronic conditions in equine veterinary practice in the UK

Twelve Faculty of Homeopathy veterinarians recorded data systematically at 777 consecutive homeopathic appointments for horses over a period of 12 months. A spreadsheet enabled the recording of information, which included the date of appointment; horse and owner identity (anonymised); sex of horse; main medical problem treated; whether the condition was chronic or acute; whether the appointment was new or a follow-up; owner-assessed clinical outcome on a seven-point scale, ranging from -3 to +3, compared with the first appointment; homeopathic medicine(s) prescribed; and whether any conventional or other complementary/alternative medicine (CAM) was being used concurrently to treat the condition. Data from 289 horses comprised a total of 305 individual conditions identified as chronic in nature, of which 234 had a follow-up assessment. At the final appointment for chronic cases during the study period, 4.3 per cent were receiving conventional medication and 17.1 per cent were being given another CAM treatment in addition to homeopathy. The eight chronic conditions most frequently treated with homeopathy were: arthritis, headshaking, laminitis, chronic obstructive pulmonary disease, sweet itch, dermatitis, sarcoidosis and Cushing's syndrome.

UTILIZAÇÃO DE COMPOSTO HOMEOPÁTICO NO TRATAMENTO DA MASTITE BOVINA

RESUMO A mastite é uma resposta inflamatória da glândula mamária, sendo a infecção mais frequente do gado destinado a produção leiteira. A utilização de antimicrobianos é prática rotineira para o tratamento desta afecção. O alto custo dos medicamentos e a presença destes como resíduos no leite são fatores que devem ser considerados na terapia convencional. A homeopatia é uma possibilidade de tratamento, que se adequa às mastites, e praticamente a única opção para a obtenção de produtos orgânicos. O objetivo deste trabalho foi avaliar a eficiência do tratamento homeopático, pela realização da prova do Tamis diariamente, e pela contagem de células somáticas, California Mastitis Test – CMT, contagem de unidades formadoras de colônias – UFC, e pela análise da produção diária de leite. Foram selecionados 2 lotes de 50 animais em fase de lactação, estabelecidos previamente pelo proprietário, categorizados como grupo controle e experimental. Foram realizadas quatro coletas de leite, antes da utilização do tratamento, quatro coletas durante o período de tratamento, e uma coleta duas semanas após o seu término. Não foram observadas diferenças significativas quanto a UFC e CCS. Quanto ao CMT, observou-se redução nos casos de mastite subclinica no grupo experimental. O agente mais comumente isolado foi Corynebacterium bovis em ambos os grupos durante todo o experimento. Quanto à produção de leite, não houve diferença significante estatisticamente entre os dois grupos. Os resultados obtidos no presente trabalho sugerem a utilização de métodos alternativos de tratamento das mastites, e por outro lado mostram a necessidade de novos estudos para se avaliar a eficácia da homeopatia.

Outcomes from homeopathic prescribing in veterinary practice: a prospective, research-targeted, pilot study

BACKGROUND AND AIMS

Targeted research development in veterinary homeopathy is properly informed by the systematic collection and analysis of relevant clinical data obtained by its practitioners. We organised a pilot data collection study, in which 8 Faculty of Homeopathy veterinarians collected practice-based clinical and outcomes data over a 6-month period.

METHODS

A specifically designed Excel spreadsheet enabled recording of consecutive clinical appointments under the following headings: date; identity of patient and owner (anonymised); age, sex and species of patient; medical condition/complaint treated; whether confirmed diagnosis, chronic or acute, new or follow-up case; owner-assessed outcome (7-point Likert scale: -3 to +3) compared with first appointment; homeopathic medicine/s prescribed; other medication/s for the condition/complaint. Spreadsheets were submitted monthly by e-mail to the project organisers for data checking, synthesis and analysis.

RESULTS

Practitioners submitted data regularly and punctually, and most data cells were completed. 767 individual patients were treated (547 dogs, 155 cats, 50 horses, 5 rabbits, 4 guinea-pigs, 2 birds, 2 goats, 1 cow, and 1 tortoise). Outcome from two or more homeopathic appointments per patient condition was obtained in 539 cases (79.8% showing improvement, 6.1% deterioration, 11.7% no change; outcome not recorded in 2.4% of follow-ups). Strongly positive outcomes (scores of +2 or +3) were achieved in: arthritis and epilepsy in dogs and, in smaller numbers, in atopic dermatitis, gingivitis and hyperthyroidism in cats.

CONCLUSIONS

Systematic recording of data by veterinarians in clinical practice is feasible and capable of informing future research in veterinary homeopathy. A refined version of the spreadsheet can be used in larger-scale research-targeted veterinary data collection.

Comparison of homeopathy, placebo and antibiotic treatment of clinical mastitis in dairy cows - methodological issues and results from a randomized-clinical trial

Based on the widespread use of homeopathy in treatment of animal disease and the poor documentation of its possible effects and consequences, a clinical trial was carried out in order to evaluate the efficacy of homeopathy in treatment of clinical mastitis in dairy cows and a design for clinical studies on homeopathic treatment, taking into account the guidelines for randomized-clinical trials (RCT) as well as the basic principles of homeopathy. A three-armed, stratified, semi-crossover design comparing homeopathy, placebo and a standardized antibiotic treatment was used. Fifty-seven dairy cows were included. Evaluation was made by two score scales, with score I measuring acute symptoms and score II measuring chronic symptoms, and by recording the frequencies of responders to treatment based on four different responder definitions. Significant reductions in mastitis signs were observed in all treatment groups. Homeopathic treatment was not statistically different from either placebo or antibiotic treatment at day 7 (P = 0.56, P = 0.09) or at day 28 (P = 0.07, P = 0.35). The antibiotic treatment was significantly better than placebo measured by the reduction in score I (P < 0.01). Two-thirds of the cases both in the homeopathy and placebo groups responded clinically within 7 days. The outcome measured by frequencies of responders at day 28 was poor in all treatment groups. Evidence of efficacy of homeopathic treatment beyond placebo was not found in this study, but the design can be useful in subsequent larger trials on individualized homeopathic treatment.

Comparative efficacy of homeopathic and allopathic systems of medicine in the management of clinical mastitis of Indian dairy cows

Mastitis is the major problem of dairy animals despite a number of preventive and therapeutic approaches. Treatment is costly and out of reach of farmers of developing countries like India. The treatment cost of bovine mastitis with conventional treatment has been calculated. Good results have been claimed with homeopathic treatment however, treatment costs are not available. This article reports the treatment economics of homeopathic drugs conventional drugs for the management of bovine mastitis. Ninety-six mastitic quarters (non-fibrosed 67 and fibrosed 29) were treated with a homeopathic combination medicine. Another 96 quarters with acute mastitis (non-fibrosed) treated with different antibiotics were included in the study. The animals were selected from dairy farm of the Indian Veterinary Research Institute and from private dairy farms. The overall effectiveness of homeopathic combination medicine in the treatment of acute non-fibrosed mastitis was 86.6% with a mean recovery period of 7.7 days (range 3-28), and total cost of therapy as Indian Rupees 21.4 (0.39 Euros, US$ 0.47). The corresponding cure rate for the antibiotic group was 59.2% with a mean recovery period of 4.5 days (range 2-15) and an average treatment cost of Rs.149.20 (2.69 Euros, US$ 3.28). We conclude that the combination of Phytolacca, Calcarea fluorica., Silica, Belladonna, Bryonia, Arnica, Conium and Ipecacuanha (Healwell VT-6) was effective and economical in the management of mastitis in lactating dairy cows.

TRATAMENTO DE MASTITE CLÍNICA EXPERIMENTAL POR MEIO DE ORDENHAS MÚLTIPLAS EM VACAS LEITEIRAS INOCULADAS COM STAPHYLOCOCCUS AUREUS

RESUMO A mastite é considerada uma doença que causa grandes prejuízos econômicos, reduzindo em quantidade e qualidade o leite e os derivados lácteos. As opções de tratamento de vacas com mastite clínica são o uso de antimicrobianos em todas as vacas, o tratamento de nenhuma delas com antimicrobianos, apenas casos específicos com antimicrobianos ou tratamentos com medicamentos homeopáticos. Animais que respondem aos tratamentos sem uso de medicamentos, têm uma predisposição a recuperar-se do quadro clínico de mastite, mesmo na presença de agente infeccioso. Neste trabalho foi feita uma inoculação intramamária experimental com Staphylococcus aureus, e a partir do surgimento dos sinais clínicos instituiu-se o tratamento apenas com ordenhas múltiplas. Os animais foram avaliados através de escores clínicos, contagem de células somáticas (CCS), California Mastitis Test (CMT) e exames microbiológicos. Como alguns animais não responderam a esse tratamento, foram utilizados medicamentos homeopáticos ou antibiótico para os tratamentos e posteriormente comparados com o tratamento feito apenas com ordenhas múltiplas. Para os animais que puderam ser tratados com ordenhas múltiplas, os escores clínicos e de CMT foram estatisticamente menores (p < 0,05) quando comparados com aqueles tratados com antibiótico e medicamentos homeopáticos e estes dois não apresentaram diferença na eficiência, apresentando cura clínica no 9º dia pós-inoculação.