One hundred ninety L-dopa-treated parkinsonian patients have been studied according to the age at onset and to age at last examination. The frequency of major mental disturbances was significantly higher in patients older than 60 years, whereas abnormal involuntary movements and on-off phenomenon were more frequent in patients with onset before age 60. The association of normal aging and of Parkinson's disease may be responsible for the prevalence of mental disease in older patients.
Pesq. Vet. Bras. 33(6) Hospital or nosocomial infections are infections acquired during patient hospitalization, and that can be related to surgical and invasive procedures performed during the hospital admission. The present study aimed to investigate the occurrence of nosocomial infection in animals treated at a Veterinary Surgical Center of Small Animals, submitted to surgical or invasive procedures, to discuss the possible causes of infection, to detect the bacteria present when possible, and to verify the antimicrobial sensitivity of these agents. The study was developed through daily monitoring of 131 animals admitted in this surgical center and doing active surveillance of cases of nosocomial infection. In 104 animals (91 dogs and 13 cats), 113 surgical procedures were performed, and in 27 animals were performed non-surgical procedures such monitoring of delivery and postpartum, urethral catheterization and placement of splints. All animals were submitted to catheter placement for fluid therapy and application of medications and/or anesthetic at some point during hospitalization. The rate of surgical site infection was 7.96%, and by categories was 4.54% in clean surgeries, 4.25% in clean-contaminated surgeries, 10.53% in contaminated surgeries, and 16% in infected surgeries. The rate of non-surgical nosocomial infection in surgical patients was 2.88% and in the non-surgical patient was 3.7%. Bacteria were cultured as follows: Pseudomonas sp. (3), Streptococcus sp. (2), Acinetobacter sp. (1) and Gram negative bacilli (1), and high bacterial multidrug resistance were observed in all isolates. The duration of surgery and pre and postoperative time of hospitalization did not affect the occurrence of nosocomial infection, but factors that probably contributed to the occurrence of infections in this study were the severity of the condition responsible for the treatment, the kind of procedure performed and the severity of lesions.
Pesq. Vet. Bras. 34(10):996-1001, outubro 2014 RESUMO.-Foi realizado um estudo retrospectivo de cães atendidos no Serviço de Neurologia (SN) do Hospital Veterinário Universitário (HVU) da Universidade Federal de Santa Maria (UFSM), de 2006 a 2013, com o objetivo de identificar e caracterizar a idade, a raça, o sexo e as doenças neuroló-gicas e classificá-las de acordo com a região anatômica e o acrônimo DINAMIT-V. Foram avaliadas 1.277 fichas neurológicas de cães e obtidas as informações para inclusão no estudo em 1.184 delas, sendo o diagnóstico confirmado em 525 cães (44,4%) e presuntivo em 659 (55,6%). A raça mais frequente foi Dachshund (28,7%), seguida dos cães sem raça definida. Os locais mais afetados foram medula espinhal entre T3-L3 (40,9%) e tálamo-córtex (17,5%). A maioria dos cães foi diagnosticada com doença degenerativa (49%), sendo a doença do disco intervertebral a mais observada, seguida das doenças inflamatórias/infecciosas (16,6%). Pode se concluir que a maior prevalência das doenças neurológicas de cães envolve a medula espinhal e o tálamo-córtex, sendo as degenerativas as mais frequentes e os dados obtidos with the objective to identify and characterize age, breed, sex and to neurological diseases, and classify them accordingly to the anatomical region and DINAMIT-V acronym. There were evaluated 1,277 neurological records of dogs and obtained the information for inclusion in the study in 1,184 of them being the diagnosis confirmed in 525 (44.4%) and presumptive in 659 dogs (55.6%). The most common breed was Dachshund (28.7%), followed by mixed breed. The most affected sites were the spinal cord between T3-L3 (40.9%) and thalamus-cortex (17.5%). Most dogs were diagnosed with degenerative disorders (49%), being intervertebral disk disease the most observed, followed by inflammatory/infectious diseases (16.6%). It can be concluded that the higher prevalence of neurological disorders in dogs involve the spinal cord and thalamus-cortex, with the most frequent being degenerative and the data obtained may assist future studies associated with frequency and distribution of the main neurological diseases in dogs.INDEX TERMS: Neurology, neurological diseases, neuroanatomical localization, dogs.
ResumoAs feridas traumáticas em cães e gatos são freqüentes na rotina da clínica veterinária. Em sua maioria são decorrentes de mordidas e atropelamentos. Muitas dessas feridas tornam-se contaminadas ou infectadas, não respondendo ao tratamento utilizado. Os objetivos deste trabalho foram avaliar os dados de animais com feridas traumáticas contaminadas e infectadas que apresentaram complicações durante o tratamento, como aumento da secreção, alteração da sua cor ou cicatrização inadequada, identificar as bactérias presentes nestas feridas e sua suscetibilidade a antibióticos e verificar se os antibióticos utilizados no início do tratamento eram adequados. Para isso realizou-se o acompanhamento de 18 animais (17 cães e um gato) com ferimentos de origem traumática, que não apresentaram boa evolução do quadro com o tratamento tópico e sistêmico instituído. Realizou-se a coleta da secreção de cada ferida com swab e posterior cultura em ágar sangue, obtendo-se 20 isolados bacterianos. Os bacilos Gram negativos foram detectadas em 70 % dos casos, sendo Pseudomonas o gênero predominante (30%), seguido pelo Proteus (20%). Dentre os Gram positivos (30% dos casos), Staphylococus e Streptococcus foram isolados com igual freqüência. Verificou-se susceptibilidade muito baixa das bactérias encontradas aos antimicrobianos testados (7% a 58,33%), enfatizando a necessidade de realização destes testes em bactérias isoladas de animais com ferimentos contaminados e infectados que não respondem adequadamente ao tratamento tópico e sistêmico. Palavras-chave: Feridas, cães, gatos, infecção, bactérias, antibiograma AbstractTraumatic wounds in dogs and cats are frequent in a clinician veterinarian's routine. Most of them occur due to either bites from other animals or car accidents. As a result, many wounds become contaminated or infected and do not respond to treatment. The objectives of this study were to evaluate animals with traumatic wounds that present such complications during treatment as increased secretions, change in the color of these secretions or unsuitable healing, to identify bacteria in those wounds and their susceptibility to antimicrobials, and to verify if antimicrobial therapy instituted earlier in the treatment was adequate. To reach this, 18 animals (17 dogs and one cat) with traumatic wounds that presented an unsatisfactory healing process after topic and systemic treatment were used. In these cases, a swab from the wound secretion and bacterial culture in blood agar were performed. Twenty bacterial isolates were obtained. Gram negative bacilli were found in 70% of the cases, and Pseudomonas was the
RESUMO: Foi realizado um estudo retrospectivo do líquido cérebro-espinhal de cães (LCE), atendidos pelo Serviço de Neurologia do Hospital Veterinário da Instituição, de 2004 a 2015, com o objetivo de analisar os resultados de cães com sinais neurológicos, comparar as alterações encontradas em dois locais de colheita no mesmo paciente e verificar se esse exame auxiliou o clínico em reforçar a suspeita clínica das principais doenças do sistema nervoso central. A pleocitose linfocítica esteve presente em 78,3% (29/37) das amostras de cães com cinomose e em 23,2% (10/43) de cães com DDIV. Houve dissociação albuminocitológica (DAC) em 73% (19/26) das amostras de cães com tumores IC e em 64,3% (9/14) de cães com tumores envolvendo a ME. Em cães com DDIV, houve significância estatística (p<0,05) entre o grau de disfunção neurológica e o total de células nucleadas (TCN) e total de proteínas (TP). Em 29 cães, houve a colheita do LCE da cisterna magna e da cisterna lombar e em 12 (41,4%) os resultados foram diferentes entre as duas amostras colhidas do mesmo cão, onde dois (6,9%) apresentaram alteração na amostra colhida cranial à lesão. Pode-se concluir que a pleocitose linfocítica foi a principal alteração encontrada no LCE de cães com cinomose e DDIV e DAC nas neoplasias, IC e ME, cães acometidos pela DDIV apresentaram sinais neurológicos mais severos conforme o TCN e o TP aumentaram e o LCE sofreu alteração, mesmo colhido cranial ao local da lesão e auxiliou o clínico em reforçar a suspeita clínica, mas não confirmou, as principais doenças neurológicas em cães.
This study aimed to identify dogs with presumptive diagnosis of cervical intervertebral disc disease (IVDD) submitted to clinical management and to evaluate the outcomes. Data were obtained from the medical records of patients with neurological dysfunction assisted at a University Veterinary Hospital from 2006 to 2017. In addition to the patients’ records, dog owners responded to a questionnaire on the success of therapy. Four hundred and thirteen neurological records were evaluated, and 164 met the inclusion criteria of the study. The most common breed was Dachshund, followed by mongrels. Classification of neurological dysfunction in the study sample was as follows: 15.9% with grade I, 25.6% with grade II, 26.8% with grade III, 8.5% with grade IV, and 23.2% with grade V. Outcome was satisfactory in 71.6% of the dogs and unsatisfactory in 28.4% of them. Recurrence was observed in 27.7% of those with satisfactory outcomes. The clinical treatment of dogs with thoracolumbar IVDD is satisfactory, particularly for animals with milder disease grades (I, II, and III). There is possibility of recurrence with conservative therapy and clinical signs may be more severe.
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