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Audit finds high levels of hidden ketosis
30 per cent of newly calved cows in state of subclinical ketosis

In a recent audit of UK dairy herds, it was found that the prevalence of subclinical or 'hidden' ketosis averaged 30 per cent in newly calved cows. Levels in individual herds varied from 10 to 60 per cent. These cows were not only found to be more likely to develop clinical ketosis, but were also at greater risk of developing other metabolic and reproductive disorders such as retained placenta, displaced abomasum and milk fever.

763 cows from 15 dairy herds were tested in the UK farm audits. Ketosis was determined by measuring beta-hydroxbutyrate (BHBA) levels in the milk of cows which had calved 7 to 21 days previously. Levels were measured using the cow-side diagnostic Keto-Test, and a positive diagnosis was given when BHBA levels exceeded 100mol/litre. The cows were also observed during the first 35 days of lactation, not only to see if clinical ketosis developed, but also to monitor other potential health problems that may arise.

The study was also conducted across four other European countries - Germany, France, Italy and The Netherlands, testing a total of 2,489 cows. The audit revealed that cows testing positive for hidden ketosis were 11.5 times more likely to progress to clinical ketosis. They were also 1.7 times more likely to have a difficult calving, 2.2 times more likely to have had a retained placenta and 1.8 times more likely to have had milk fever.

Other results suggested these animals were 4.5 times more likely to suffer gastrointestinal distress, 2.3 times more likely to get mastitis and 2.7 times more likely to get a displaced abomasum. The audit additionally found a small but significant trend indicating an increased susceptibility to metritis.

Technical consultant for Elanco Mike Steele said: "Clinical ketosis was diagnosed in 1 per cent of cows surveyed in the main audit. This is in line with previous findings. It highlights that whilst clinical cases of ketosis are rare, these cases are just 'the tip of the iceberg' and a much larger number of animals will be experiencing subclinical levels of ketosis.

"These may develop into clinical ketosis and/or other clinical disease, as the survey demonstrated."

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Practices urged to audit neutering data

News Story 1
 RCVS Knowledge has called on vet practices to audit their post-operative neutering outcomes.

It follows the release of the 2024 NASAN benchmarking report, which collates data from neutering procedures performed on dogs, cats and rabbits.

The benchmarking report enables practices in the UK and Ireland to compare their post-operative outcomes to the national average. This includes the rate of patients lost to follow-up, which in 2024 increased to 23 per cent.

Anyone from the practice can submit the data using a free template. The deadline for next report is February 2026.

Visit the RCVS Knowledge website to complete an audit. 

Click here for more...
News Shorts
New guidance for antibiotic use in rabbits

New best practice guidance on the responsible use of antibiotics in rabbits has been published by the BSAVA in collaboration with the Rabbit Welfare Association & Fund (RWA&F).

The guidance is free and has been produced to help veterinary practitioners select the most appropriate antibiotic for rabbits. It covers active substance, dose and route of administration all of which are crucial factors when treating rabbits owing to the risk of enterotoxaemia.

For more information and to access the guide, visit the BSAVALibrary.