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June 2003

More On Fluoroquinolone Resistance


Table of Contents

Yada, Yada, Yada

Graduation, No More Tuition
Hokie Washington Area Dinner
More On Fluoroquinolone Induced Pseudomonas Resistance
More on Ototoxicity

MALACETIC OTIC and the EAR/SKIN CLEANSER are one and the same
JOBS
MEETINGS
SPECIALS
DermaPet Vision Statement
DermaPet Mission Statement


Yada, Yada, Yada

A prominent veterinary pharmaceutical company has adopted another DermaPet product and concept by changing their product to conform to EicosaDerm's 180 mg EPA/10 pounds of body weight/day. DermaPet is proud to have brought this quality fish oil product to the market first and welcomes the marketing efforts on the part of this giant company to prove our point. Imitation IS the sincerest form of flattery. One person in the industry even joked that this company appears to be using DermaPet for its R&D.

TrizEDTA is the only USP only tris-edta product. TrizEDTA is used most often for bacterial (mainly Pseudomonas) infections of the middle ear. The middle ear contains many nerves and is connected directly to the inner ear and brain by little more than one or two thin, easily permeable membranes. The importance of using the purest of ingredients in a product to be used in this area can not be stressed enough. How one can compare a product containing non USP ingredients to a pure USP one is testimony to the power of a giant, publicly traded company's marketing. When it contains alcohol and Nonoxynol-12, as well, leads one to conclude that it was never intended for potential use in the middle ear.

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Graduation, No More Tuition

Classmates DOT MILLER, RANDY FERTLEMES and VERN DURIE attended the reunion. Also seen were former Dean ED ANDREWS, Associate Dean MARK STEWART and EPHRAIM (ARNOLD) KEREN-KORNBLATT, editor of the IGERET, The Israeli Vet Assn Newsletter.

With maximum exhilaration and swelling pride, wearing a cap and gown, I presented Dr. JESSICA MELMAN her veterinary degree on May 19 in the Annenberg Auditorium. Also receiving degrees from other proud parents who joined me on stage in cap and gown were JEFFREY BELL by CHARLES N. Bell, Penn 1970, KEN BOLLENS III by KEN Bollens, Jr., Penn 1972, RYAN EPPLE by WILLIAM Epple, Penn 1969, SEAN OTT by CRAIG S. Ott, Penn 1972, KATE E. JOHNSON by FREDERICK W. Johnson, Cornell 1967, JAMES KIM by MOON S. Kim, Seoul, South Korea 1965, BRADFORD KUBE by TOM Kube, Cornell 1968.

This was Penn Veterinary Medicine's 118th Commencement Exercise. Of the 110 students in the Class of 2003, 79 are women (72%) and 31 are men (28%). Penn Veterinary Medicine has graduated 5,944 veterinarians, including the Class of 2003, 1,909 are women (32%) and 4,035 (68%) are men. Thank you JOSHUA LISS of Alumni Affairs this info.

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Hokie Washington Area Dinner

FRANK PEARSALL led a Virginia Tech (VMRCVM)/ Hill's sponsored dinner at Morton's for the Washington DC metropolitan area veterinarians on May 21. The Honorable STEVE ROGERS (VA), who worked for my father, and I reminisced about working together when we first graduated in the "inner city" part of the nation's capital. Oncologist ROBERT ROSENTHAL, radiologist ROBERT TOAL, behaviorist MARSHA REICH as well as many other local vets including newcomer SUSAN KATALA attended. The irony of Jessica graduating from PENN instead of electing to go to VMRCVM did not fail me when I commented that DermaPet could have run these dinners quarterly for the tuition difference.

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More On Fluoroquinolone Induced Pseudomonas Resistance

Last month, we provided the abstract from Gotthelf's study on the amplifying cidal effect of TrizEDTA on strains of Pseudomonas resistant bacteria with and without the use of fluoroquinolones. This abstract also is supportive to those who argue that topical fluoroquinolone usage should be done at least in part with systemic use and only in severe cases. Certainly, the use of a combination fluoroquinolone combination product to treat Malassezia or non cytology and/or C&S supported otology cases should be discouraged.

Development of Resistant Bacteria Isolated from Dogs with Otitis Externa or Urinary Tract Infections after Exposure to Enrofloxacin In Vitro. Brothers and WOOLEY. Vet Ther 3[4]:493-500.

Minimum inhibitory concentrations for enrofloxacin were determined for 63 bacterial isolates from dogs with otitis externa or urinary tract infections. Development of resistant mutants was determined after exposing the isolates to enrofloxacin in vitro for up to five serial passages. Results indicated that Pseudomonas aeruginosa and Enterococcus spp isolates exposed to enrofloxacin developed resistance rapidly, whereas Klebsiella, Proteus, and Streptococcus spp were less likely to develop resistance. Despite the presence of enrofloxacin pressure, no resistant bacteria developed in the Escherichia coli and staphylococcal isolates. In many isolates, susceptibility patterns changed from susceptible to intermediate.

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More on Ototoxicity

The following abstract provides specific and objective information supportive of the contention that ototoxicity is a real problem.

Effects of salicylates and aminoglycosides on spontaneous otoacoustic emissions in the Tokay gecko Stewart CE, Hudspeth AJ.Proc Natl Acad Sci U S A 97[1]:454-9

The high sensitivity and sharp frequency discrimination of hearing depend on mechanical amplification in the cochlea. To explore the basis of this active process, we examined the pharmacological sensitivity of spontaneous otoacoustic emissions (SOAEs) in a lizard, the Tokay gecko. In a quiet environment, each ear produced a complex but stable pattern of emissions. These SOAEs were reversibly modulated by drugs that affect mammalian otoacoustic emissions, the salicylates and the aminoglycoside antibiotics. The effect of a single i.p. injection of sodium salicylate depended on the initial power of the emissions: ears with strong control SOAEs displayed suppression at all frequencies, whereas those with weak control emissions showed enhancement. Repeated oral administration of acetylsalicylic acid reduced all emissions. Single i.p. doses of gentamicin or kanamycin suppressed SOAEs below 2.6 kHz, while modulating those above 2.6 kHz in either of two ways. For ears whose emission power at 2.6-5.2 kHz encompassed more than half of the total, individual emissions displayed facilitation as great as 35-fold. For the remaining ears, emissions dropped to as little as one-sixth of their initial values. The similarity of the responses of reptilian and mammalian cochleas to pharmacological intervention provides further evidence for a common mechanism of cochlear amplification.

DermaPet is available worldwide. While we are still not everywhere that we want to be, you can see if we have a distributor near you on our web page, www.dermapet.com. If not then we offer special discounted shipping worldwide. Our newest distributor is in the UK, contact Dr. Sue Paterson, Veterinary Dermatology Service, 44 161 903 8166 Fax 44 161 903 8164, e.mail vet.pat@nildram.co.uk.

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MALACETIC OTIC and the EAR/SKIN CLEANSER are one and the same

We have just started using the trade name MalAcetic Otic since we are consolidating the shampoo, conditioner, ear/skin and wet wipes under one registered mark. Except for the label change, the product is otherwise the same.

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JOBS

We are proud to introduce NICK SIMS as our MIDWEST Territory Manager. Nick has experience in the human medical field. Next, we are looking for a Territory Manager on the WEST COAST with a home preferably in the Southern CA area. Contact JACK WHITE at jag6410@aol.com or call 866-DERMAPE if you want to apply. Willingness to travel, a car, computer and a college degree are required. For the TM nearest you please email or call us.

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MEETINGS

We will be in MYRTLE BEACH for the SEVC, June 11-15 where I will present "New Approach to the Dog with Pruritic Otitis" which merges Shampoo Therapy, Seven Steps to Treating Ears with a Pruritic Clinical Trial. DOUG DEBOER, LOU GOTTHELF and RON WHITFORD will also be there with many other national speakers. We will also be at the ACVIM in CHARLOTTE on June 5-8.

MedRx is offering CE with EAR Seminars by LOU GOTTHELF on the road next in MINNEAPOLIS on June 22, CLEVELAND on June 29, NASHVILLE July 6.. He will also be at a DermaPet/MedRx cosponsored event in DALLAS on July 13. Call 888-392-1234 to register or find out when one is coming near you.

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SPECIALS

Buy one HypoCs Shampoo, our hypoallergenic shampoo, and get one Free. This is good for both the eight ounce and gallon sizes sold in the veterinary market. This is the best shampoo to use to remove the source of the allergic reaction. Removal of surface antigen on a daily basis is Step 1 in treating Atopy.

Buy 10 "deodorized" EicosaDerm and get 2 Free.

Buy 3 Gallons of any DermaPet product and Get 1 FREE, Mix and Match.

Call your DermaPet Distributor or 800 755 4738 for ordering information.

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DermaPet Vision Statement
To be recognized as the leader in developing new and innovative, all natural yet highly effective products for the veterinary community.

DermaPet Mission Statement
To contribute to your growth and that of the veterinary industry by providing excellent, unique, innovative all natural yet highly effective products that embrace the pet, veterinarian, and client relationship.

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DermaPet IS the largest veterinary dermatological company in "virtual reality"-cyberspace, for those who might otherwise misunderstand the phrase- and the fastest growing. Our Newsletter list, now approaching 18,000, is the largest in the industry with countless more that read it forwarded by colleagues, reposted in newsgroups or lists. Those who receive this newsletter and wish to pass it along to colleagues, please do.

Steve Melman VMD
http://www.dermapet.com
dermapet@aol.com
800-555-4738 US order line
301-983-8387 outside US
301-365-0191 fax

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Archive of Newsletters
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Steven Melman VMD
DermaPet
Animal Dermatology and Behavior Clinics
Potomac, MD 20854
    dermapet@aol.com
http://www.dermapet.com
800-755-4738
fax 301-365-0191

8909 Iverleigh Court Potomac, Maryland 20854
301-983-8387 800-755-4738 Fax 301-365-0191
E-mail dermapet@aol.com

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