Steph Sorrell

Replying to scott@vtx-cpd.com 01/06/2025 - 14:37

Hi Mark,

Thanks for your questions! I agree with all that Scott has said! There are now some fab clinical guidelines for veterinary FMT which can be found open access at https://www.advancesinsmallanimalcare.com/article/S2666-450X(24)00006-3/fulltext

I agree with GA for feline patients and in the past I have used fresh faeces for patients. Centers such as Edinburgh Uni are building faecal donor database and I think we will see more of this in the future.

For probiotics there is unfortunately limited literature however I do like Vivomaxx and tend to use this as my preferred, but clinical studies are sadly lacking!

Best wishes,
Steph

Replying to Alison M. 05/05/2025 - 21:02

Hi Alison,

Yes I would ideally incoropirate BP checks into all revisits for these patients, even if they were normotensive at diagnosis as we know they can become hypertensive over time as Scott has said.

It can be more time consuming and ideally it is done before any physical exam. If you have nurses available it is ideal to have a blood pressure check with the nurse and then appointment with the vet afterwards, but I appreciate this isnt always available.

Best wishes,
Steph

Thank you so much for participating in this course. Feline medicine is my passion and is been an absolute pleasure to experience this course with you all! Thank you for your participation. It has been great!

Steph

Replying to Sarah W. 13/09/2024 - 20:20

As far as I am aware there is no study to show that in house in less accurate, however there are anecdotal reports of inaccuracy and I think this is probably more down to lack of quality control with some in house analysers compared to rigorous quality controls for external labs. It is always really important to look after in house machines (for all parameters) and run the required quality controls.

Interested to hear your thoughts too Scott and the rest of the group!

Best wishes,
Steph

Replying to scott@vtx-cpd.com 07/09/2024 - 16:31

Great post Scott!

I also use a needle cap and now never use a gag in cats (we did used to in my residency). I have never seen blindness post gag use however it is a risk I would much prefer to avoid!

Replying to Sarah W. 21/08/2024 - 10:54

That sounds like a fabulous job! Best of luck and I hope you enjoy the course!

Steph

Hi,

Sorry for the delay- i was on holiday near you in Antigua!

As per the ABCD guidelines, it is recommended that the owner waits for two months before obtaining new cats, as it has been suggested that FCoV preserves its infectivity for days to a few weeks, depending on environmental conditions, such as in desiccated faeces.

More info can be found here https://www.abcdcatsvets.org/guideline-for-feline-infectious-peritonitis/

With regards to RT-PCR, you would need to do several samples over a period of time to see if clearance has occurred and a single sample just shows presence/absence at that time point so it isnt really done outside of breeding situations. In breeding catteries, identification of cats that are persistently shedding a high FCoV load, and their separation from low shedders and non-shedders (faecal RT-PCR-negative cats), has been suggested for reducing transmission rates. This is not a watertight protocol though and again cats would need multiple samples over time to determine their true status.

Best wishes,
Steph