Dataset Information

Treatment of shoulder ulcers in sows - rubber mats and zinc ointment compared to chlortetracycline spray.

ABSTRACT:

Background

Shoulder ulcers can have a significant impact on the welfare of sows. In Denmark, rubber mats are used for treatment of shoulder ulcers. The objective of the study was to compare a treatment consisting of a combination of rubber mats and zinc ointment with the effect of local antibiotic spray (chlortetracycline) on shoulder ulcers.

Methods

A total of 304 sows with shoulder ulcers were observed shortly after farrowing (day 1) and on days 14 and 21 after the first observation. The sows were paired according to the grade of the shoulder ulcer using the official Danish scoring system. From each pair of sows, one sow was allocated to mat group (M) and the other to an antibiotic group (A) in a random way. In the M group, rubber mats were placed on the floor, and the ulcers were treated with zinc ointment once a day. In the A group, sows were treated with antibiotic spray daily. The size of the shoulder ulcer was measured manually on a continuous scale on days 1, 14 and 21. The data were analysed by use of two multivariable models where the response was the area of the shoulder ulcer on day 14 and day 21, respectively. Explanatory variables were treatment, herd, parity, body condition and size of ulcer on day 1. If a sow had an ulcer on both shoulders, the shoulder with the largest ulcer was selected.

Results

The treatment consisting of mats and zinc ointment had a statistical significant effect on the size of the shoulder ulcer on day 14 and day 21 compared to daily treatment with antibiotic spray. For lean sows that were kept on rubber mats and zinc ointment, the average shoulder ulcer was significantly smaller on day 14 (3.8 cm(2) versus 9.5 cm(2) when antibiotic spray was used) and day 21 (3.4 cm(2) versus 6.6 cm(2)) compared to lean sows that were only treated with antibiotic spray. For fat sows this was also the case when using the lesion on day 21 as the response (2.0 cm(2) versus 5.7 cm(2)) but not on day 14. Moreover, the size of the lesion on day 1 was statistically associated with the size of the lesion on day 14 and on day 21. The treatment was equally effective in the three herds.

Conclusions

Rubber mats and daily smearing with zinc ointment slow progression and contribute to the healing of shoulder ulcers compared with housing on slats and daily spraying with antibiotics. It is recommended to place a rubber mat in the farrowing crate at the first sign of shoulder ulcers.

SUBMITTER: Kaiser M

PROVIDER: S-EPMC3629990 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:Background:Shoulder ulcers in breeding sows that are restricted to the superficial skin layers, epidermis and dermis are usually classified as insubstantial animal welfare-related lesions. These less-severe lesions need to be differentiated from more-severe wounds that also involve the subcutis and the underlying bone, commonly evaluated as substantial animal welfare-related lesions. Scoring schemes based on clinical or histopathological findings are available, but the consistency between both types of findings has not been definitively evaluated. The present study was designed to compare clinical findings for various stages of shoulder ulcers with accompanying histopathological evaluation. A validated histopathologic score (Score-H) classifying the tissues involved in the different stages of shoulder ulcers was set as the reference standard. Results:Testing the histopathological scores for associations with various clinical findings resulted in a clinical score (Score-C) that could be segregated into four stages. Stage I is characterised by intact skin without any ulcerative lesions. Stage II, representing ulcerative lesions restricted to the superficial skin layers, can be predicted with a probability of 90% when a scab with diameter less than 1.2?cm is present. Stage III, representing ulcers involving the entire skin and sometimes the underlying bone, can be identified by the diameter of the scab (DOS) and/or proliferation of wound margins (powm) and/or increase of tissue volume (mass). To achieve a probability of 90%, the DOS needs to be 8.3?cm when mass and powm are absent. DOS, when accompanied by powm and mass, needs to be only a minimum of 1.9?cm for a correct classification with a 90% probability. Stage IV represents skin without open wounds but with scar tissue indicative of a former shoulder ulcer. Conclusions:Based on the association with the histopathological findings as the reference standard a clinical score (Score-C) for the categorisation of shoulder ulcers in sows was developed. This score enables veterinarians and farmers to discriminate shoulder ulcers restricted to the superficial skin layers from ulcers involving all skin layers and sometimes even the underlying bone, which must be assessed as substantial animal welfare-related lesions.