Treatment of clinical Brachyspira hyodysenteriae with zinc chelate in pigs: a blinded, randomised controlled trial

2019 ◽  
Vol 185 (21) ◽  
pp. 659-659
Author(s):  
Gerwen Lammers ◽  
Robbert van Berkel ◽  
Daisy Roijackers ◽  
Carly Vulders ◽  
Henriëtte Brouwer-Middelesch ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Clinical Signs ◽  
Good Clinical Practice ◽  
Additional Treatment ◽  
Feed Conversion ◽  
Daily Growth ◽  
Swine Dysentery ◽  
Brachyspira Hyodysenteriae ◽  
Randomised Controlled ◽  
Double Blinded

BackgroundBrachyspira hyodysenteriae infection in pigs (‘swine dysentery’) leads to decreased feed conversion, growth losses and mortality. Current countermeasures have the downside of antibiotic resistance (antibiotics) and ecotoxicity (zinc oxide). The aim of this study was to evaluate the effect of a novel zinc chelate (Intra Dysovinol (ID)) on clinical signs of swine dysentery and shedding of B hyodysenteriae under field conditions.MethodsIn a randomised, double-blinded, controlled trial under Good Clinical Practice on two commercial farms, 58 B hyodysenteriae positive pigs from 16 pens received drinking water containing ID, or placebo, during six consecutive days. Faecal quality (consistency, colour, additions) was scored and faeces were analysed for presence of B hyodysenteriae by PCR. ID treatment positively affected faecal quality (consistency) and daily growth rates.ResultsAt the last treatment day, B hyodysenteriae was not detectable in the faeces of any of the ID-treated animals, while all placebo animals remained B hyodysenteriae positive by PCR. All ID-treated animals recovered, while 5 placebo-treated animals died and 12 placebo pigs required additional treatment before the end of the study (up to 14 days after treatment start).ConclusionThis non-antibiotic treatment stopped the clinical signs and shedding of B hyodysenteriae in naturally infected pigs.

scholarly journals Mechanical bowel preparation and oral antibiotics versus mechanical bowel preparation only prior rectal surgery (MOBILE2): a multicentre, double-blinded, randomised controlled trial—study protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e051269
Author(s):  
Laura Koskenvuo ◽  
Pipsa Lunkka ◽  
Pirita Varpe ◽  
Marja Hyöty ◽  
Reetta Satokari ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Bowel Preparation ◽  
Controlled Trial ◽  
Rectal Surgery ◽  
Mechanical Bowel Preparation ◽  
Oral Antibiotic ◽  
Oral Antibiotics ◽  
Number Of Patients ◽  
Randomised Controlled ◽  
Double Blinded

IntroductionMechanical bowel preparation (MBP) prior to rectal surgery is widely used. Based on retrospective data many guidelines recommend mechanical and oral antibiotic bowel preparation (MOABP) to reduce postoperative complications and specifically surgical site infections (SSIs). The primary aim of this study is to examine whether MOABP reduces complications of rectal surgery.Methods and analysisThe MOBILE2 (Mechanical Bowel Preparation and Oral Antibiotics vs Mechanical Bowel Preparation Only Prior Rectal Surgery) trial is a multicentre, double-blinded, parallel group, superiority, randomised controlled trial comparing MOABP to MBP among patients scheduled for rectal surgery with colorectal or coloanal anastomosis. The patients randomised to the MOABP group receive 1 g neomycin and 1 g metronidazole two times on a day prior to surgery and patients randomised to the MBP group receive identical placebo. Based on power calculations, 604 patients will be enrolled in the study. The primary outcome is Comprehensive Complication Index within 30 days after surgery. Secondary outcomes are SSIs within 30 days after surgery, the number and classification of anastomosis dehiscences, the length of hospital stay, mortality within 90 days after surgery and the number of patients who received adjuvant treatment if needed. Tertiary outcomes are overall survival, disease-specific survival, recurrence-free survival and difference in quality-of-life before and 1 year after surgery. In addition, the microbiota differences in colon mucosa are analysed.Ethics and disseminationThe Ethics Committee of Helsinki University Hospital approved the study. The findings will be disseminated in peer-reviewed academic journals.Trial registration numberNCT04281667.

scholarly journals Differentiated approach to pancreatic-enteroanastomosis in pancreaticoduodenal resection: a clinical experimental controlled trial

2021 ◽  
Vol 28 (5) ◽  
pp. 29-46
Author(s):  
Anton Yu. Barannikov ◽  
Vladimir D. Sakhno ◽  
Vladimir M. Durleshter ◽  
Laura G. Izmailova ◽  
Andrei V. Andreev ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Additional Treatment ◽  
Ultrasound Elastography ◽  
Control Cohort ◽  
Class B ◽  
Clinically Significant ◽  
Immediate Surgery ◽  
Randomised Controlled ◽  
And Control ◽  
Significant Class

Background. Despite decreasing mortality in pancreaticoduodenal resection, the incidence of postoperative complications in such patients remains high. The choice and formation of “reliable” pancreatic-enteroanastomosis remain relevant.Objectives. The improvement of immediate surgery outcomes in pancreaticoduodenal resection via development of a differentiated algorithm for pancreatic-enteroanastomosis formation.Methods. A prospective non-randomised controlled trial enrolled 90 patients with a pancreaticoduodenal resection surgery. The patients were divided in three cohorts, A (n = 30), B (n = 30) and control C (n = 30). Pancreatic shear wave ultrasound elastography was conducted pre-surgery in main cohorts A and B. Average parenchymal stiffness and intraoperative data decided between the two pancreatico-enteric anastomosis techniques, end-to-side or the original pancreatic-enteroanastomosis. Control cohort C had pancreatico-enteric anastomosis without taking into account the pancreas stiffness and macrocondition.Results. Class A postoperative pancreatic fistula was registered in 2 (6.7%) of 30 patients in cohort B; it was transient, asymptomatic, not requiring additional treatment or a longer postoperative period. No class B and C pancreatic-enteroanastomosis failures or stump pancreonecroses were observed in main cohorts A and B. Clinically significant class B and C postoperative pancreatic fistulae were registered in 5 (16.7%) of 30 patients in control cohort C (inter-cohort comparison statistically significant).Conclusion. The proposed differentiated approach to pancreatic-enteroanastomosis formation associates with a reliably low postoperative complication frequency and lack of clinically significant class B and C postoperative pancreatic fistulae.

scholarly journals Comparison of caudal and intravenous dexamethasone as adjuvants for caudal epidural block: A double blinded randomised controlled trial

2016 ◽  
Vol 60 (12) ◽  
pp. 948 ◽  
Author(s):  
Bharath Srinivasan ◽  
Rakesh Karnawat ◽  
Sadik Mohammed ◽  
Bharat Chaudhary ◽  
Anil Ratnawat ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Controlled Trial ◽  
Epidural Block ◽  
Caudal Epidural Block ◽  
Randomised Controlled ◽  
Double Blinded ◽  
Caudal Epidural

scholarly journals Detection of Swine Dysentery (SD) caused by Brachyspira hyodysenteriae via PCR in Northern Vietnam

2021 ◽  
Vol 4 (3) ◽  
pp. 1109-1116
Author(s):  
Nguyen Thi Thu Hang ◽  
Truong Quang Lam ◽  
Dao Le Anh ◽  
Nguyen Thi Hoa ◽  
Nguyen Thi Lan ◽  
...  
Keyword(s):  
Clinical Signs ◽  
Mesenteric Lymph Nodes ◽  
Swine Dysentery ◽  
Brachyspira Hyodysenteriae ◽  
Northern Vietnam ◽  
Hygiene Practices ◽  
Mesenteric Lymph ◽  
Gross Lesions ◽  
Pcr Method ◽  
Weaning Pigs

This study aimed to diagnose swine dysentery (SD) caused by Brachyspira hyodysenteriae in pigs by the PCR method in Vietnam. Of the 250 samples, 29 isolates of B. hyodysenteriae (11.60%) were identified by PCR in seven provinces of Northern Vietnam, and the infection rate differed from region to region. From the positive cases of B. hyodysenteriae, we analyzed B. hyodysenteriae infected cases according to the ages of the pigs, farm sizes, and veterinary hygiene practices to get more information about the disease in Vietnam. The results showed that the positive B. hyodysenteriae samples were commonly seen in post-weaning pigs (32.14%) in households (20.73%) with poor hygiene (24.69%). Clinical signs of SD included high fever (100%); anorexia (100%); watery, bloody diarrhea, usually gray to brown in color (100%); and weight loss (86.42%). Gross lesions of SD were limited to the large intestine were described as having a fibrinous, blood-flecked membrane covering the mucosa (93.75%), swollen with hemorrhaged colon and cecum (75.00%), and mesenteric lymph nodes (81.25%).

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