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1470  Section 12  Skin and Ear Diseases

            Staphylococcus aureus Phage Lysate Therapy          Subcutaneous injection of 0.5 mL is administered
  VetBooks.ir  Subcutaneously injected commercial  S. aureus phage   twice weekly for a trial period of 10–14 weeks. Topical
                                                              and/or systemic antimicrobial therapy is required at the
            lysate antigens (Staphage Lysate) may be used as mainte-
            nance therapy to reduce or eliminate recurrence of pyo-  initiation of treatment if an active bacterial infection is
                                                              present. If beneficial, frequency may be tapered to the
            derma in canine patients with idiopathic recurrent   least frequent  administration required to increase  the
            pyoderma or atopic dermatitis, and can be used in com-  interval  between  recurrences  or  prevent  recurrences,
            bination with maintenance topical therapy once active   typically every 7–14 days.
            pyoderma has been resolved.


              Further Reading


            Banovic F, Olivry T, Baumer W, et al. Diluted sodium   bacterial pathogens involved in canine skin infections.
              hypochlorite (bleach) in dogs: antiseptic efficacy, local   Sci Rep 2019; 9(1): 3679.
              tolerability and in vitro effect on skin barrier function   Hillier A, Lloyd DH, Weese JS, et al. Guidelines for the
              and inflammation. Vet Dermatol 2018; 29(1): 6–e5.  diagnosis and antimicrobial therapy of canine superficial
            Fadok VA, Irwin K. Sodium hypochlorite/salicylic    bacterial folliculitis (Antimicrobial Guidelines Working
              acid shampoo for treatment of canine staphylococcal   Group of the International Society for Companion Animal
              pyoderma. J Am Anim Hosp Assoc 2019; 55(3):       Infectious Diseases). Vet Dermatol 2014; 25(3): 163–75.
              117–23.                                         Wilson A, Allers N, Lloyd DH, Bond R, Loeffler A.
            Greco I, Emborg AP, Jana B, Molchanova N, et al.    Reduced antimicrobial prescribing during autogenous
              Characterization, mechanism of action and optimization   staphylococcal bacterin therapy: a retrospective study in
              of activity of a novel peptide‐peptoid hybrid against   dogs with pyoderma. Vet Rec 2019; 184(24): 739.
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