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特定品种的幼犬在使用延长释放型注射米尔贝肟心丝虫预防药物后,更有可能出现罕见的不良反应。

Younger dogs of specific breeds are more likely to experience a rare adverse event after administration of extended-release injectable moxidectin heartworm preventive.

机构信息

1Banfield Pet Hospital, Vancouver, WA.

2Department of Comparative Pathobiology, College of Veterinary Medicine, Purdue University, West Lafayette, IN.

出版信息

J Am Vet Med Assoc. 2023 Jun 28;261(11):1666-1672. doi: 10.2460/javma.23.04.0217. Print 2023 Nov 1.

DOI:10.2460/javma.23.04.0217
PMID:37380165
Abstract

OBJECTIVE

To estimate the incidence of and identify patient risk factors for an acute adverse event in dogs after administration of a sustained-release injectable heartworm preventive product.

ANIMALS

Canine patients that received the injectable heartworm preventive product during routine preventive care visits.

METHODS

Retrospective analysis of electronic medical records of canine visits within a large network of primary care veterinary clinics in which the product was administered from January 1, 2016, through December 31, 2020. Visits during which vaccination(s) were also administered were excluded from analysis. Identification of acute adverse events was based on diagnostic entries and other clinical presentations suggestive of an adverse event within 3 days of product administration. Data were analyzed using mixed-effects logistic regression.

RESULTS

In the 5-year study period, 1,399,289 visits with 694,030 dogs led to an incidence estimate of approximately 14.3 events/10,000 doses. Regression analysis found younger dogs and 7 breeds (relative to mixed-breed dogs) to have statistically significant greater odds of an event.

CLINICAL RELEVANCE

Understanding of incidence and patient risk factors provides veterinary professionals and dog owners more information when deciding on heartworm preventive options for their dog when considering risk for adverse event in dogs of certain ages or breeds.

摘要

目的

评估犬在使用一种新型犬心保(Sentinel Spectrum)后发生急性不良事件的发生率,并确定其相关的患者风险因素。

动物

在常规预防保健就诊时接受注射用犬心保的犬患者。

方法

回顾性分析了一家大型初级保健兽医诊所网络中犬就诊的电子病历,其中该产品于 2016 年 1 月 1 日至 2020 年 12 月 31 日期间使用。排除了同时接种疫苗的就诊情况。急性不良事件的识别基于诊断记录和其他临床表现,这些表现提示在产品给药后 3 天内发生了不良事件。使用混合效应逻辑回归进行数据分析。

结果

在 5 年的研究期间,进行了 1399289 次就诊,涉及 694030 只犬,估计发生率约为每 10000 剂 14.3 次。回归分析发现,年轻的犬和 7 个品种(与混种犬相比)发生不良事件的可能性统计学上显著更高。

临床相关性

了解发生率和患者风险因素可使兽医专业人员和犬主人在为其犬选择犬心保(Sentinel Spectrum)时提供更多信息,尤其是在考虑特定年龄或品种的犬发生不良事件的风险时。

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