Reg: 08-29-2006
Posts: 2324
Loc: Central Coast, California
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Has anyone had success treating persistant bacterial skin infections using this protocol? I'd never heard of it until my derm vet suggested it several months ago as a possible course of treatment for True's on-going skin infections. A Google search came back with a lot of information so this isn't as "out there" as I originally thought.
Basically, after the initial course of daily antibiotic treatment is over, True would then take the antibiotic on weekends only for at least a month, maybe a lot longer than that.
I'm not thrilled with this idea. The derm vet agreed it's something you generally don't want to do with animals but in some cases, when an animal is very suseptible to bacteria over-growth, it can be the most effective way to deal with it.
We see the derm vet again next week and this is probably going to be discussed so any thoughts or opinions would be appreciated.
OTOH, this site (which is usually quite even-handed and informative, IMO), has this comment:
Pulse therapy
Long term, low dose daily administration of antibiotics is not advised due to the development of antibiotic resistance. Pulse therapy, however, using the recommended dosage for one week a month (or week on, week off) has allowed many pets to live a relatively normal life.
from http://lowchensaustralia.com/health/bacterial.htm
I wish I knew a lot more about pulse therapy and at what point it becomes an appropriate option. I would probably ask for a discussion of successful experiences the derm vet has had with it, and on what kind of cases.
Reg: 08-29-2006
Posts: 2324
Loc: Central Coast, California
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It's about 6 months and we're not seeing much benefit. Thank you for the links...I'm going to read up on those and will post back in a little bit.
True is at the vet right now and I'm off to pick him up. I just found out he has ruptured his meniscus and probably needs surgery. Apparently he also has another staph infection.
I feel so overwhelmed right now. I don't know what to do for my dog.
Connie Sutherland Moderator Reg: 07-13-2005
Posts: 31571
Loc: North-Central coast of California
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Quote: Sarah Morris
I just found out he has ruptured his meniscus and probably needs surgery. Apparently he also has another staph infection.
I feel so overwhelmed right now. I don't know what to do for my dog.
All we can ever do is address each thing with our best knowledge and judgment.
I imagine that the surgical vet will need to consult with the derm vet, right? I mean, surgery with a staph infection .... would need for everyone involved to talk together.
Reg: 08-29-2006
Posts: 2324
Loc: Central Coast, California
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Thank you for the knee links, as well.
Regarding pulse therapy: The derm vet told me he has used it successfully in the few animals who, like True, continually come down with bacterial skin infections. He did stress that this is not something that he routinely does with just any patient.
What I'm not clear on is if this is something he would need for months or for the rest of his life? So I agree, more questions and a conversation next week are in order.
And thinking about your earlier question about immunotherapy results: I guess it would be very difficult to judge right now. He's scratching like mad because of a staph infection so I'm not sure I can accurately say the shots aren't working.
Surgery will wait until a radiologist and ortho surgeon evaluates the x-rays and until True is healthier. He's in no condition right now to undergo the stress (and danger) of invasive surgery.
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"Pulse" Antibiotic Therapy?
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