Monday, April 9, 2012

Shooting the grown-ups

I hope those of you who are checking this out now feel you have a better understanding of the importance of the series of puppy vaccines vets recommend. It's a fairly straight forward recommendation, and as for as I know pretty much every veterinarian makes the same recommendations.

Things get a little bit murkier once the pets are grown up- say, over a year old. This is where having one group making protocols that we all follow might help, but the independant nature of vets doesn't really allow that. For now.

Last time we talked about immunity, and the fact that when we give the last set of puppy shots, we expect the body to make and store a blueprint of the fighting factors it can use against specific diseases. These blueprints are stored for a time, but not forever. So we generally recommend vaccinating again about a year after the dog or cat had the last in the series of vaccines. This puts them in the office at about 1 1/2 years of age. They get their good, complete exam (which, frankly,  is the most improtant part of the whole visit), and a repeat of the shots they had as a youngster.

Which vaccines, you ask? OK, this is part of the variation.

Which vaccines are used can depend on several factors. Let's talk dogs first. There are three vaccines that are considered "core." These are the shots that are recommended for all dogs, regardless of lifestyle or where in the states they live. Those are rabies, parvovirus and distemper virus.

Then there are non-core vaccines. These can be given based mainly on lifestyle or location. Lyme disease, leptospirosis, bordetella, canine flu are included in this catagory.

vetmed.auburn.edu

Most vets will give core vaccines to every patient, then add non-core based on that individual patients needs. Lyme for those in lyme endemic areas or hikers, leptospirosis for those expected to be exposed to wildlife or standing water sources, bordetella for those who will be staying at a kennel or  going to the groomer. Canine flu is usually resaerved for dogs kenneled or shown. So this is why your veterinarian or vet tech/nurse will ask about lifestyle. We need the information to develop a plan to keep your dog safe.

Cats have two core vaccines- rabies and feline distemper, also called FVRCP, CVR, and a few other things. Plus non-core vaccines like feline leukemia, FIV, and FIP. The decision to add the non-core generally is based on whether your cat is indoor or indoor/outdoor. Be honest with your vet. We just want what is best for your cat. And yes, even cats that are indoors all the time need that exam and the core vaccines. Rabies is required in much of the country for all cats and dogs.

Sounds simple, right?

After that 1 1/2 year old appointment, things get tricky. The core vaccines have been reliably shown to provide immunity that lasts at least 3 years. But not all vets give the shots every 3 years. Some still give them yearly. Some give all three core shots once every 3 years. Some divide them up, so your dog gets one shot each year, on a rotation. Confused yet? I don't blame you.

Let's throw more into the mix. The non-core vaccines tend to have immunity that does not last 3 years. In fact, there's evidence that the bordetella vaccine may only last 6-8 months. So what to do? It depends. No, really. Some places require bordetella every 6 months, some yearly. The other non-core shots are generally boostered every 12 months.

So, the bottom line here is each veterinarian develops a protocol based on current information that he or she is comfortable recommending. Talk to your vet. Ask about the protocol they employ.

Here's my opinion at this time. The exam is the most important part of the whole vet visit. Yes, I can do a complete exam in just a few minutes. Usually while I'm taking to you, asking quiestions. That few minutes of exam is a distillation of 8 years of college and 12 years experience. I could make it take longer, but it wouldn't be any more complete. Just sayin'.

I come from a practice that has been using a 3 year rotating protocol for dogs. We do all core vaccines as puppies, and at the 1 1/2 year appointment. Then we divide them out- distemper, parvo, rabies- one each year on a rotating basis. This means fewer shots at each of those yearly visits. Non-core are all yearly, as needed based on lifestyle.

Cats get baby series, then both core vaccines at 1 1/2. Then FVRCP every 3 years, but rabies yearly. This has to do with the type of rabies vaccine we use for the cats. Ask us. Ask any of us vets at anytime. We are happy to discuss our vaccine protocols and the reasons behind them.

Enjoy your pets!




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