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  2. Speakers

  • Tim Nuttall

    Senior Lecturer andRCVS Specialist in Veterinary Dermatology, The University of Edinburgh

    Professor Tim Nuttall is an RCVS Specialist in Veterinary Dermatology. He trained in dermatology at the University of Edinburgh, where he later completed a PhD in canine atopic dermatitis. He then spent 12 years at the University of Liverpool before returning to the Royal (Dick) School of Veterinary Studies as Head of Dermatology. Tim runs a busy referral dermatology clinic, with particular interests in atopic dermatitis, otitis, pododermatitis, and antimicrobial stewardship.
    Tim has written over 130 clinical and scientific publications, and has presented over 200 lectures throughout the world. He has served on RCVS and BSAVA scientific committees, the International Committee on Atopic Diseases in Animals, is a scientific advisor to the Bella Moss Foundation, and has been a co-editor of Veterinary Dermatology. He has also served on the Controlling Antimicrobial Resistance in Scotland Steering and Scottish Veterinary Antimicrobial Prescribing Groups. More recently, he was appointed Chair of the Scottish One Health Antimicrobial Use and Antimicrobial Resistance (SONARR) Oversight Committee. In 2014 he received the BSAVA Woodrow Award for outstanding contributions to veterinary medicine.
    In his spare time, Tim enjoys the Scottish hills and mountains, cycling, sauna and single malt whisky.

    Speakers til følgende sessioner
    • 09:00 - 09:40 Developing a breed- & individual-specific approach to canine AD; presentation and diagnosis. Foredragssponsor Zoetis
      Atopic dermatitis (AD) is the most common skin condition in dogs. Effective management is essential to avoid chronic and untreatable dermatitis, otitis and pododermatitis. There is a strong genetic background to AD, but this is complex and variable. There are breed-specific clinical phenotypes – recognising this aids cost-effective diagnosis and treatment planning while avoiding unnecessary tests and delay.
      16:00 - 16:40 Developing a breed- & individual-specific approach to canine AD; therapy. Foredragssponsor Zoetis
      Atopic dermatitis is a lifelong condition that requires ongoing therapy to prevent flares. Treatment is in two phases – induction to remission and then long-term maintenance. However, this must reflect each dog’s presentation (i.e. distribution, type and stage of clinical signs), efficacy and tolerance of therapy, and the owner’s expectations and concerns. This is essential for a successful outcome. 
    • 09:00 - 09:40 Otitis externa in dogs. Foredragssponsor LABOKLIN
      Otitis externa is common in dogs. Treatment often concentrates on the infections but these are always secondary. Failure to recognise and manage the underlying primary, predisposing and perpetuating causes (the PPP system) leads to repeated cycles of inflammation and infection. Eventually, the dogs require total ear canal ablation/bulla osteotomy (TECA-BO). Most TECA-BOs are unnecessary if the otitis is correctly diagnosed and managed at an early stage.
      09:50 - 10:30 Microbiome & antimicrobial stewardship in otitis. Foredragssponsor LABOKLIN
      All ear infections are secondary. Malassezia and staphylococcal ‘infections’ are really a dysbiosis of the otic microbiome. Repeated use of broad-spectrum and/or polyvalent antimicrobial products selects for further dysbiosis and antimicrobial resistance. Treatment should therefore avoid unnecessary antimicrobial use and concentrate on maintaining a healthy microbiome through cleaning, anti-inflammatory treatment and narrow-spectrum antimicrobials.
      14:10 - 14:50 Otitis media in dogs
      Otitis media is different from otitis externa, and can be difficult to diagnose in its early stages. Extension through the tympanic membrane (i.e. ‘outside – in’) can occur with chronic otitis externa, Pseudomonas infections, and iatrogenic damage. However, primary causes (i.e. ‘inside – out’) include primary secretory otitis media (PSOM), ascending infection and cholesteatoma. We need to aware of these conditions as they may require rapid and aggressive therapy.
      15:10 - 15:50 Otitis in cats
      Cats are different and so is their otitis. The primary-predisposing-perpetuating model does not fit feline otitis nearly as well as dogs. Instead, cats present with a range of specific conditions that affect the external ear canals and/or middle ears. It is essential that these are understood, recognised and correctly treated. This ensures a successful outcome and avoids wasting time on inappropriate and ineffective treatments.
      16:00 - 16:40 Otitis in rabbits
      Rabbits are increasing popular pets and otitis is a common problem. Rabbits are different from cats and dogs, and so is their otitis. Rabbits can be divided into upright and lop-eared breeds. Their ear canal anatomy influences the types of otitis and the treatment options. It’s essential that their otitis is promptly diagnosed and treated to avoid chronic changes that require surgery.
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