News, updates, and practice tips for today’s veterinarian.
__________________________________ Vaccination protocol (continued)
Sample Vaccination Protocol
Adult (Years) 1 11/2 2 21/2 3 31/2 4 41/2 5 51/2 6 61/2 7 Puppy (Visits) 1 2 3 4* 6- Modified Protocol • Consider vaccine-preventable disease threats. • Perform a realistic risk assessment, which includes a risk of exposure, a risk of infection if exposed, a risk of disease if infected, and a risk of adverse response. • Develop a practice-specific core vaccine list. In some areas of the country, diseases classified as noncore may actually occur at a greater fre- quency than those considered core. During the exam, use a risk assessment checklist to identify the threat of infectious diseases and help choose the appropriate vaccines. Veterinarians at the Castleton Pet Clinic ask these questions: • Is the patient in close contact with family members? • Does the patient visit groomers? • Does the patient visit dog parks? • Does the patient spend time outdoors unsupervised? • Is the patient ever boarded? You will establish protocols based on clients’ answers and vaccine label guide- lines. Next, plan out a three-year vaccination schedule with the client using the worksheet Fort Dodge provides. (See Sample Vaccination Protocol.) If clients don’t initial- ly agree to a follow-up exam in six months, Shay suggests using the following script: mo •• The Puppyshot® The Puppyshot® Booster Duramune® Adult Rabvac™ 3 LeptoVax® 4 LymeVax® Duramune® CvK Bronchi-Shield® III GiardiaVax® Wellness Exam When the dog reaches age 4, repeat the three-year cycle. •• • •• • •• •• • • • • •• • •••• •• • • • • •••• ••• •••• Three-year cycle Three-year cycle * If this exam is not necessary based on age at first visit, administer all vaccines during the third puppy visit. Here’s an example of a vaccination protocol, which you will customize based on individual risk assess- ments. Complete this form with the client in the exam room, and send a copy home with the client. For a copy of this worksheet, contact your local Fort Dodge Animal Health representative. “Say, ‘Mrs. Jones, the doctor just examined Fluffy and wants to see her again in three and a half years.’ The client will look at you in amazement. Then explain, ‘Well, I mean dog years—he real- ly wants to see Fluffy in six months.’ ” Shay says this combination of education and levity will reinforce the point that waiting one full year is approximately seven years for a dog. terpret broad announcements of protocol changes, assuming that one protocol will serve all pets, Dr. Wakem says. “But in real- ity,” Dr. Wakem adds, “you will tailor the vaccine protocol to the patient.” He says the key is to communicate that every pet’s lifestyle and health will impact your vaccine recommendations, and recommendations may change from year to year. Changing your client reminders will help, Dr. Wakem says. In place of annual postcards listing vaccine boosters due, the new reminder might read, “Your pet is due for its twice-a-year wellness exam and all necessary immunizations.” It’s equally important to carefully consid- er how you will explain your managed vac- cine protocol to clients. Clients may misin- Duramune Adult antigen update For veterinarians transitioning from annual to extended protocols, Shay recommends first managing high-risk, vaccine-reactive patients and then geriatric patients. Last, manage the general population based on risk factors. The goal is to offer maximum protection. Twice-a-year visits, comprehensive wellness exams, and a well-managed vaccination protocol are the foundation of a sound preventive health program. Although annual intervals are appropriate for most diseases and most dogs, extended protocols may be appropriate for some dogs for canine distemper virus (CDV), canine adenovirus type 2 (CAV-2), and canine parvovirus (CPV). Duramune Adult, the first USDA-licensed canine vaccine with three-year challenge data, pro- vides a choice for veterinarians seeking a managed vaccination schedule. A recent study in The International Journal of Applied Research in Veterinary Medicine (Vol. 2, No. 4), confirmed Duramune Adult’s three-year duration of immunity against CDV, CAV-2, and CPV, stating that it is well suited for use as a booster when following an extended vaccination protocol program. It takes time and careful planning to de- termine the best vaccine schedule for your patients, but the benefits make it worth- while. You’ll see healthier pets that visit more regularly because you took the time to offer a higher standard of care. Other single-antigen vaccines, such as LeptoVax 4, Bronchi-Shield III, LymeVax, Duramune CvK, and GiardiaVax, should be administered annually based on individual disease risk assessments.