Holzhauer M, Ploegmakers-van Deventer R, Smits D, Swart W
GD Animal Health, P.O. Box 9, Deventer 7400 AA, The Netherlands.
Dechra Veterinary Products, P.O. Box 179, Bladel 5530 AD, The Netherlands.
Vet Rec. 2017 May 20;180(20):500. doi: 10.1136/vr.103758. Epub 2017 May 2.
The efficacy of two topically applied antibiotics for the treatment of painful ulcerative stage of bovine digital dermatitis (BDD) lesions was compared in a clinical trial conducted on five dairy farms in the Netherlands during the autumn of 2015. A total of 109 cows with an ulcerative (M2) stage of BDD were randomly appointed a treatment with an antibiotic-based spray. One treatment contained thiamphenicol as active ingredient (TAF). The other treatment had oxytetracycline as active ingredient (ENG). The experimental unit for this study was the hind claw with the presence of an ulcerative BDD lesion. On day 0, claws with ulcerative BDD lesions were trimmed, cleaned, photographed and thereafter treated randomly either with TAF or ENG. Cure was defined as the transition of an ulcerative lesion into a non-painful chronic (M4) or into a healed (M0) stage of BDD at day 28 post-treatment. The cure rate at day 28 of M2 BDD lesions treated with TAF was 89 per cent (95 per cent CI 0.78 to 0.94), and for ENG 75 per cent (95 per cent CI 0.67 to 0.86). So the difference in cure rate was 14 per cent (95 per cent CI 0.00 to 0.27), which was statistically significant. The P value in this experiment is very close to 0.05 indicating that the effect is quite small. If a two-sided test would be used, the small significant effect, in this experiment, will disappear. Overall, the significant better curative effect of TAF on BDD M2 lesions was small, compared with ENG.
2015年秋季,在荷兰的五个奶牛场进行了一项临床试验,比较了两种局部应用抗生素治疗牛趾间皮炎(BDD)疼痛性溃疡期病变的疗效。共有109头处于BDD溃疡期(M2)的奶牛被随机指定接受一种基于抗生素的喷雾剂治疗。一种治疗方法含有甲砜霉素作为活性成分(TAF)。另一种治疗方法含有土霉素作为活性成分(ENG)。本研究的实验单位是存在BDD溃疡病变的后爪。在第0天,对患有BDD溃疡病变的爪子进行修剪、清洁、拍照,然后随机用TAF或ENG进行治疗。治愈的定义为在治疗后第28天,溃疡病变转变为无痛性慢性期(M4)或愈合期(M0)的BDD。用TAF治疗的M2期BDD病变在第28天的治愈率为89%(95%CI 0.78至0.94),用ENG治疗的治愈率为75%(95%CI 0.67至0.86)。因此,治愈率的差异为14%(95%CI 0.00至0.27),具有统计学意义。本实验中的P值非常接近0.05,表明效果相当小。如果使用双侧检验,在本实验中,这种小的显著效果将消失。总体而言,与ENG相比,TAF对BDD M2病变的显著更好的疗效较小。