Specialty Services Guide | Page 11

Clinical Application Pre-anesthesia screen Dogs in an inflammatory state are at higher risk for postoperative complications due to coagulation compromise and the potential for organ failure. CRP added to the presurgical panel can rule-out the presence of sub-clinical disease, including the early stages of cardiac disease. Detect and Gauge Disease In situations where the dog presents with non-specific signs such as lethargy, inappetence or weight-loss, CRP can rule-in the presence of underlying disease. CRP levels correlate with disease severity and duration. Apparently Healthy Dog Dog With Illness Wellness Screen While APPs are non-specific, they are very sensitive to systemic inflammation. Their non-specificity is a benefit for a general wellness screen as one test covers many diseases. Low levels then become a “rule-out“ for serious disorders, and moderate to high levels become a call-toaction for further diagnostic workups. Pre-Anesthesia Screen Detect & Gauge Inflammatory Disease General Wellness Screen Monitor Treatment & Recovery Monitor Therapy & Recovery Rapid responding CRP allows for near “real-time” monitoring, used to quickly assess the effectiveness of treatment. • Treatment independent; unbiased by therapy • Effectiveness / ineffectiveness indicated in 2-3 days • Detect relapse during tapering of immunosuppressive therapy Postoperatively, CRP levels will indicate quickly whether recovery is normal or an infection has set in. CRP is highly responsive in monitoring antibiotic treatment vs the traditional white count (WBC). Response of WBC Count vs. CRP in Monitoring Recovery from Infection 30 30 CRP WBC 25 25 20 CRP (mg/L) 20 15 15 WBC Normal Range 10 WBC Count (x109/L) 10 5 5 CRP Normal Range 0 0 1 2 3 4 Day 5 8 11