Michael Paul, DVM
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Although medical guidelines and protocol-directed patient care are not new in human healthcare, they are a fairly recent development
in veterinary medicine. Sometimes misunderstood, misapplied, and maligned, medical guidelines are a valuable tool in improving
patient care and should be widely incorporated in companion-animal practice.
Medical guidelines standardize and enhance patient care. Best-care procedures are recommended to all patients, which helps
ensure uniform patient care. And the adoption of a set of guidelines helps improve compliance with a doctor's recommendation.
Medical guidelines developed by respected organizations often become a reference for a standard of care that may have medicolegal
implications. However, medical guidelines are simply that: They are not legal documents and have no legal impact on their
own.
In recent years, a number of guidelines have been advocated to be universally implemented in veterinary practices. The American
Association of Feline Practitioners (AAFP) guidelines were the first to make clear science-based recommendations for the vaccination
of cats. In 2003, the American Animal Hospital Association (AAHA) first published vaccination guidelines for dogs. Both the
AAFP Feline Vaccine Advisory Panel Report and the AAHA Canine Vaccine Guidelines have since been updated and have had a lasting
impact on how companion-animal medicine is practiced. The AAFP has also developed Feline Behavior Guidelines and, jointly
with AAHA, has produced guidelines for pain management in dogs and cats.
The Companion Animal Parasite Council (CAPC) has developed guidelines for the uniform use of external and internal parasite-control
products. In addition, CAPC champions regular veterinary care, diagnostic testing, and client education on hygiene to control
and prevent parasites and to reduce the potential for zoonotic transmission.
A number of products have a place in helping veterinarians meet the CAPC guidelines. Many of these products are similar in
action but some have unique chemical properties and mechanisms of action. Some are topically applied, some are injected, and
some are given orally. All have a role in parasite control either as single agents or in combination with another product.
And all are effective and safe when used according to labeled instructions.
All the products in this supplement are either EPA-registered or FDA-approved. They are intended for use only under the supervision
of or if prescribed by veterinarians. And other compounds are being developed that will surely expand the options we have
in parasite control.
It is incumbent on veterinarians to be familiar with the advantages and shortcomings of each product. It is also crucial that
the profession be vigilant for adverse events and report any such events to the manufacturer at once.
When looking back to a time not long ago when parasiticides were unpleasant at best and toxic at worst and when efficacy was
dubious, we are indeed fortunate to have so many great products today. It is up to us to use them wisely.
Dr. Paul is the executive director of CAPC and a former president of AAHA. He is retired from practice and lives in Anguilla,
British West Indies.
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