There are several different kinds of bacteria that has developed resistance against the antibiotic agents used in todays medicine. Most of them has evolved from the human health care but several of them has gone over to also cause problems in the animal health care. They often occur as nosocomial infections and the greatest risk of exposure to them is during health care. Since infections with a resistant bacterium can be difficult to treat, it is desirable to prevent this spread, especially since an animal treated in a hospital often is more susceptible to infection, due to their primary condition. In Sweden the current resistance situation is good and is yearly monitored by the Swedish Veterinary Antimicrobial Resistance Monitoring (SVARM) programme.

Clostridium difficile is a pathogen for both humans and animals and is often associated with Antibiotic-associated diarrhea. Recently, several human cases of C. difficile-infection with increased mortality and morbidity have been reported. In studies performed in different countries C. difficile has been found in meat.

Bakgrund: Inom hälso- och sjukvården kan personal råka ut för olika arbetsrelaterade besvär. Sjuksköterskan kommer i kontakt med många olika typer av läkemedel. Alla läkemedel är inte harmlösa för dem som iordningställer och administrerar dem. Då företagssköterskan ska arbeta hälsofrämjande och preventivt är det intressant att belysa sjuksköterskors arbete med intravenös antibiotika. KASAM kan vara till hjälp, på en arbetsplats, för att ta reda på vad som krävs för att kunna bevara men också förbättra hälsan hos medarbetarna. Syfte: Att beskriva sjuksköterskors uppfattningar om risker vid arbete med intravenös antibiotika.

Pastern dermatitis is a common condition among horses. It is a symptom, a reaction in the skin of the pastern rather than a diagnose. There are a lot of homemade treatments when you ask horse owners how they handle pastern dermatitis, but what does the science say about how it should be treated? Today there is a growing problem with antibiotic resistance, but how good are the veterinarians on testing for resistance before they describe antibiotics? Bacteria and fungus is seldom the primary cause for pastern dermatitis, the reaction is often secondary to environmental factors. It?s difficult to diagnose the primary factor and it´s even more difficult when the horse has been treated in different ways before the veterinarian gets involved.

Foot rot is a severe claw disease which occurs among sheep and goats in most parts of the world, with outbreaks in hot and humid weather. It is a contagious bacterial infection caused by Dichelobacter nodosus in association with Fusobacterium necrophorum. Foot rot has a negative impact on both animal welfare and economy.This thesis presents how Australia, Nepal, Norway, Switzerland, Great Britain, Sweden and Uruguay handle foot rot. In the selection of countries the focus was on countries that have control- or eradication programs against foot rot. There are differences in the climate, animal husbandry practices, animal welfare and economic resources in the countries that are presented.

Background: Sphincter injury is serious complication in connection to vaginal childbirth. Desire to avoid vaginal birth again is seen in women who previously suffered from a sphincter injury.Objective: To identify and evaluate obstetric guidelines in Sweden regarding sphincter injury in relation to childbirthMethod: Content analysis with a combination of a deductive and inductive approach.Results: The most frequently occurring risk factors and prevention with help of perineal protection were described in the guidelines. The physician made diagnosis and repaired the sphincter injury at the theatre.  Complications such as coital pain and anal incontinence were described in the guidelines. Paracetamol and diclofenac was most common analgesic regimen given for pain.

Syftet: Syftet med denna studie var att kartlägga magnitud och incidens av bakteriemi vid tandbehandling, vid egen munvård samt vid tuggning. Material och metod: En systematisk sökning i PubMed och Cochrane Library genomfördes. Den systematiska sökningen resulterade i 1113 artiklar. Titlar och abstrakt granskades med hjälp av tre oberoende bedömare. Totalt 90 artiklar lästes i fulltext. Granskningen av artiklar i fulltext genomfördes med hjälp av förutbestämda inklusions- och exklusionskriterier.

The purpose of this study was to investigate the kind of treatment strategies used by Swedish Veterinarians with cattle practice when treating calves with symptoms of pneumonia. A questionnaire, consisting of seven questions, was sent to one hundred veterinarians who have had practice with cattle and are employed by the Swedish Board of Agriculture. The survey was answered by a total of 73% of the Veterinarians. Of the respondents, 73 % use Penicillins as their first choice of drug for treating calves with symptoms of pneumonia, and as their second choice 64 % use Tetracycline. Supplementary treatment such as NSAID (non-steroidal anti-inflammatory drugs) and/or SAID (steroid anti-inflammatory drugs) are used by 97.5 % of the respondents.

Background: Surgical complications has been the main cause of medical injuries and deaths worldwide. In 2008 WHO developed the checklist for safe surgery to reduce the number of surgical complications. The objective of the checklist is to strengthen already established safety routines and contribute to better cooperation and communication. Research shows that compliance to the checklist is deficient, which can affect patient safety.Aim: The aim was to study the extent to which theatre nurses participate in the use of the checklist.Method: Observational study was conducted with a descriptive design and quantitative approach. 24 observations were carried out with aid of an observation protocol of two surgical units at a hospital in central Sweden.Result: The results showed that Timeout initiated widely but compliance to all items was considerably lower.

Lymphoma is a group of malignant tumour diseases developing in the secondary lymphatic system. These diseases can develop in all organs as lymphocytes are ubiquitously in the body. In connection to mucus membranes we find mucosa-associated lymphoid tissue, MALT, in which lymphoma can spontaneously but slowly develop, mostly at chronic inflammation or at autoimmune diseases. Today these diseases are incureable with the exception of some cases caused by Helicobacter pylori-infection. Antibiotic treatment of these cases can induce remissions.MALT-lymphomas have characteristic histological and molecular properties.

Objective: To determine the frequency of antimicrobial resistance in bacteria from healthy Swedish dogs and whether they are carriers of methicillinresistant Staphylococcus aureus (MRSA). Material: Samples from skin from the perineal region and from faeces collected in the anus with cottonswab (Copan) from 299 healthy Swedish dogs. Samples were collected at dog exhibitions. Method: Specimens were submitted for bacterial culture where bacteria (Escherichia coli, enterococci and staphylococci) were isolated and identified by current methods. Antimicrobial susceptibility testing was performed with a microdilution method where MIC-values were determined. Staphylococci with high degree of resistance were tested for presence of mecA-gene by PCR.

Background: Surgical complications has been the main cause of medical injuries and deaths worldwide. In 2008 WHO developed the checklist for safe surgery to reduce the number of surgical complications. The objective of the checklist is to strengthen already established safety routines and contribute to better cooperation and communication. Research shows that compliance to the checklist is deficient, which can affect patient safety.Aim: The aim was to study the extent to which theatre nurses participate in the use of the checklist.Method: Observational study was conducted with a descriptive design and quantitative approach. 24 observations were carried out with aid of an observation protocol of two surgical units at a hospital in central Sweden.Result: The results showed that Timeout initiated widely but compliance to all items was considerably lower.

It is important to know what is normal in the wound healing process in order to determine what happens when a wound does not heal as expected. If the amount of bacteria in the wound gets too large the body will not be able to defend itself and it becomes an infection. Colonization and infection are common elements in wound management and it is often the veterinary nurse role to deal with wounds in a proper manner. Antibiotics are drugs that either kill or inhibit the multiplication of bacteria or fungi, and have been in veterinary medicine for approximately 60 years. Very few new antibiotics are introduced and increased resistance is a major problem that requires everyone to take responsibility to reduce the use of it.

ABSTRACTIntroduction: Postoperative wound infection is the third most common nosocomial infection in Sweden. The ever-growing problem of antibiotic resistance provides surgical departments a big challenge when it comes to preventing the spread of infection. Operating theatre nurses have a vital role in the prevention of infection. In addition, correct ventilation in the operating theatre is of great importance. The caregiver is responsible for quality assurance of ventilation in the operating theatre, but the work can be delegated to other staff within the department.

Surgical site infections are a recurrent problem in veterinary medicine. A 2-5 % infection rate in clean surgery has been reported. During the last years the increase in methicillin resistant staphylococci has also taken its toll on veterinary medicine, demanding a stricter hygiene and antibiotic regime. The 2008 outbreak of methicillin resistant Staphylococcus aureus (MRSA) at the University animal hospital, Swedish University of Agriculture indicated that that the MRSA problem was now a real, possibly zoonotic problem.Since the first dog, in Sweden, was diagnosed as a carrier of methicillin resistant Staphylococcus pseudintermedius (MRSP) in a study in 2006, the infection rate by this bacterium has increased. In 2009 (January 1st - December 2nd) the National Veterinary Institute (SVA) has identified 58 samples as MRSP positive.