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Dermatology Extravaganza!
Starring Dr Tim Nuttall and Dr Sarah Heath

Enjoy 3 hours of high quality CPD delivered by Dr Tim Nuttall and Dr Sarah Heath absolutely free! These bespoke lectures, aimed at Vets, are great for you to top up your dermatology knowledge.

What sessions will you have access to?

Canine atopic dermatitis involves a poor skin barrier, abnormal skin inflammation, and dysbiosis of the normal skin microbiome. It is a superficial condition ideally suited to topical therapy, which is the baseline of treatment in human atopic dermatitis. Effective topical therapy can make a difference by increasing the efficacy of treatment programmes using other modalities such as allergen specific immunotherapy and anti-inflammatory treatment. Reducing the need for systemic treatment will improve safety and reduce costs. In addition, using effective topical antimicrobials will reduce the need for systemic antibiotics. This is a vital part of antimicrobial stewardship. The benefits of topical therapy should therefore always be considered in the management of canine AD. We’ll review the latest evidence for efficacy and safety of topical products, discuss application, and consider how they can be used most effectively.

Antimicrobial resistance (AMR) is a growing threat to human and veterinary healthcare. AMR is associated with surgery, hospitalisation, and inappropriate antibiotic use. Antimicrobial stewardship aims to reduce antibiotic use and the prevalence of resistance without affecting clinical outcomes. We will look at some of the drivers behind antibiotic use and discuss how to address these. Common reasons for systemic antimicrobial use in dogs and cats include dermatitis, respiratory disease, urinary tract infections, and gastrointestinal problems. Most infections involve a dysbiosis of the resident microbiome rather than a primary infection. Failure to manage this appropriate drives repeated antibiotic use and selection for resistance. We’ll discuss how to reduce antibiotic use without compromising clinical outcomes using canine pyoderma as an example.

Dermatology is a veterinary discipline which highlights the link between emotional and physical health. This presentation will illustrate the importance of considering emotional health when investigating and treating dermatology patients. The links between emotional state and dermatological disease within the context of diagnosing and managing these conditions will be discussed. In addition, the importance of understanding the patient’s emotional motivations when performing clinical examinations and applying topical treatments will also be considered.

Learning Objectives:

1. Understand the link between emotional health and dermatological disease
2. Appreciate the importance of considering patient emotional health when deciding on treatment approaches
3. Consider the potential impact of emotional health of the patient on client ability to administer treatments
4. Appreciate the longer term impact of dermatological health on patient responses to handling

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Meet the speakers

Dr Tim Nuttall

Dr Tim Nuttall graduated from the University of Bristol in 1992 and is an RCVS Specialist in Veterinary Dermatology. He is Head of Dermatology at The Royal (Dick) School of Veterinary Studies in Edinburgh, where he runs a busy clinical, teaching and research programme. He has written over 120 papers and books, and presented over 200 lectures throughout the world. Tim is a scientific advisor on antimicrobial resistance for the Bella Moss Foundation and sits on the Scottish Veterinary Antimicrobial Stewardship Group

SARAH HEATH BVSc PgCertVE DipECAWBM(BM) CCAB FHEA FRCVS
RCVS Veterinary Specialist in Behavioural Medicine
EBVS ® European Veterinary Specialist in Behavioural Medicine

Sarah spent four years in mixed general practice before setting up Behavioural Referrals Veterinary Practice in 1992. Sarah is an RCVS and European Veterinary Specialist in Behavioural Medicine and was made a Fellow of the Royal College of Veterinary Surgeons in 2018. She is an External Lecturer in small animal behavioural medicine on the veterinary undergraduate course at Liverpool University. In 2019 she gained her Postgraduate Certificate in Veterinary Education and became a Fellow of the Higher Education Authority. She is a Certified Clinical Animal Behaviourist under the ASAB accreditation scheme and registered as a Veterinary Behaviourist with the Animal Behaviour and Training Council. She sees clinical cases across North West England. In 2002 Sarah became a Founding Diplomate of the European College of Animal Welfare and Behavioural Medicine. Sarah has a special interest in the interplay between emotional and physical illness in dogs and cats and particularly in the role of pain. She promotes the recognition of emotional health issues in companion animals and the role of the veterinary profession in safeguarding the welfare of animals in this context. Sarah lectures extensively, at home and abroad, on behavioural medicine and is an author, co-author and editor of several books.