Objective—To determine the incidence of vaccine-associated adverse events (VAAEs) diagnosed within 30 days of vaccination in cats and characterize risk factors for their occurrence.
Design—Retrospective cohort study.
Animals—496,189 cats vaccinated at 329 hospitals.
Procedures—Electronic records were searched for VAAEs that occurred after vaccine administration classified by practitioners as nonspecific vaccine reaction, allergic reaction, urticaria, shock, or anaphylaxis. Clinical signs and treatments were reviewed. The association between potential risk factors and a VAAE occurrence was estimated via multivariate logistic regression.
Results—2,560 VAAEs were associated with administration of 1,258,712 doses of vaccine to 496,189 cats (51.6 VAAEs/10,000 cats vaccinated). The risk of a VAAE significantly increased as the number of vaccines administered per office visit increased. Risk was greatest for cats approximately 1 year old; overall risk was greater for neutered versus sexually intact cats. Lethargy with or without fever was the most commonly diagnosed VAAE. No localized reactions recorded in the 30-day period were subsequently diagnosed as neoplasia when followed for 1 to 2 years.
Conclusions and Clinical Relevance—Although overall VAAE rates were low, young adult neutered cats that received multiple vaccines per office visit were at the greatest risk of a VAAE within 30 days after vaccination. Veterinarians should incorporate these findings into risk communications and limit the number of vaccinations administered concurrently to cats.
Objective—To test the hypothesis that increased severity of periodontal disease in dogs is associated with an increased risk of cardiovascular-related events, such as endocarditis and cardiomyopathy, as well as markers of inflammation.
Design—Historical cohort observational study.
Sample Population—59,296 dogs with a history of periodontal disease (periodontal cohort), of which 23,043 had stage 1 disease, 20,732 had stage 2 disease, and 15,521 had stage 3 disease; and an age-matched comparison group of 59,296 dogs with no history of periodontal disease (nonperiodontal cohort).
Procedures—Cox proportional hazard regression models were used to estimate the risk of cardiovascular-related diagnoses and examination findings in dogs as a function of the stage of periodontal disease (1, 2, or 3 or no periodontal disease) over time while controlling for the effect of potential confounding factors.
Results—Significant associations were detected between the severity of periodontal disease and the subsequent risk of cardiovascular-related conditions, such as endocarditis and cardiomyopathy, but not between the severity of periodontal disease and the risk of a variety of other common noncardiovascular-related conditions.
Conclusions and Clinical Relevance—The findings of this observational study, similar to epidemiologic studies in humans, suggested that periodontal disease was associated with cardiovascular-related conditions, such as endocarditis and cardiomyopathy. Chronic inflammation is probably an important mechanism connecting bacterial flora in the oral cavity of dogs with systemic disease. Canine health may be improved if veterinarians and pet owners place a higher priority on routine dental care.
Objective—To determine incidence of and risk factors for adverse events associated with distemper and rabies vaccine administration in ferrets.
Design—Retrospective cohort study.
Animals—3,587 ferrets that received a rabies or distemper vaccine between January 1, 2002, and December 31, 2003.
Procedures—Electronic medical records were searched for possible vaccine-associated adverse events. Adverse events were classified by attending veterinarians as nonspecific vaccine reactions, allergic reactions, or anaphylaxis. Patient information that was collected included age, weight, sex, cumulative number of distemper and rabies vaccinations received, clinical signs, and treatment. The association between potential risk factors and occurrence of an adverse event was estimated with logistic regression.
Results—30 adverse events were recorded. The adverse event incidence rates for administration of rabies vaccine alone, distemper vaccine alone, and rabies and distemper vaccines together were 0.51%, 1.00%, and 0.85%, respectively. These rates were not significantly different. All adverse events occurred immediately following vaccine administration and most commonly consisted of vomiting and diarrhea (52%) or vomiting alone (31%). Age, sex, and body weight were not significantly associated with occurrence
of adverse events, but adverse event incidence rate increased as the cumulative number of distemper or rabies vaccinations received increased. In multivariate logistic regression analysis, only the cumulative number of distemper vaccinations received was significantly associated with the occurrence of an adverse event.
Conclusions and Clinical Relevance—Results suggest that in ferrets, the risk of vaccine-associated adverse events was primarily associated with an increase in the number of distemper vaccinations. (J Am Vet Med Assoc 2005;226:909–912)
Objective—To estimate prevalences of roundworm, hookworm, and whipworm infections in pet cats in the United States and identify risk factors for parasitism.
Design—Retrospective period prevalence survey.
Study Population—356,086 cats examined at 359 private veterinary hospitals during 2003.
Procedure—Electronic medical records were searched to identify cats for which fecal flotation tests had been performed and to determine proportions of test results positive for roundworms, hookworms, and whipworms. Potential risk factors for roundworm and hookworm infection were identified by means of multivariate logistic regression analysis.
Results—A total of 80,278 tests were performed on fecal samples from 66,819 cats. Calculated prevalences of roundworm, hookworm, and whipworm infection were 2.92%, 0.63%, and 0.031%, respectively. Age, reproductive status, breed, and season were significant risk factors for roundworm infection, with cats < 4 years old; sexually intact cats; mixed-breed cats; and cats examined during the summer, fall, or winter more likely to be infected. Age, reproductive status, and season were significant risk factors for hookworm infection, with cats < 1 year old, sexually intact cats, and cats examined during the summer more likely to be infected. Regional differences in prevalences of roundworm and hookworm infection were found.
Conclusions and Clinical Relevance—Results suggest that prevalences of nematode infections among pet cats in the United States may be lower than previously suspected on the basis of prevalences reported among cats in humane shelters and those reported in more geographically focused studies.
Objective—To determine incidence rates and potential
risk factors for vaccine-associated adverse events
(VAAEs) diagnosed within 3 days of administration in
Design—Retrospective cohort study.
Animals—1,226,159 dogs vaccinated at 360 veterinary
Procedure—Electronic records from January 1, 2002,
through December 31, 2003, were searched for possible
VAAEs (nonspecific vaccine reaction, allergic
reaction, urticaria, or anaphylaxis) diagnosed within 3
days of vaccine administration. Information included
age, weight, sex, neuter status, and breed. Specific
clinical signs and treatments were reviewed in a random
sample of 400 affected dogs. The association
between potential risk factors and a VAAE was estimated
by use of multivariate logistic regression.
Results—4,678 adverse events (38.2/10,000 dogs
vaccinated) were associated with administration of
3,439,576 doses of vaccine to 1,226,159 dogs. The
VAAE rate decreased significantly as body weight
increased. Risk was 27% to 38% greater for neutered
versus sexually intact dogs and 35% to 64% greater
for dogs approximately 1 to 3 years old versus 2 to 9
months old. The risk of a VAAE significantly increased
as the number of vaccine doses administered per
office visit increased; each additional vaccine significantly
increased risk of an adverse event by 27% in
dogs ≤ 10 kg (22 lb) and 12% in dogs > 10 kg.
Conclusions and Clinical Relevance—Young adult
small-breed neutered dogs that received multiple vaccines
per office visit were at greatest risk of a VAAE
within 72 hours after vaccination. These factors
should be considered in risk assessment and risk
communication with clients regarding vaccination.
(J Am Vet Med Assoc 2005;227:1102–1108)