Question Details
Vaccination Debate
by CorinneC - March 7, 2019
I am working in a wonderful practice and I am so grateful to be a part of an amazing team! The two practitioners I have now worked for for 8 months are more traditional and still vaccinate patients post-op after spays and neuters "for convenience" to the owners. It obviously saves the client a trip and I know they mean well, but I feel very uncomfortable with this practice. I have understood the "invasion of pathogen" theory for some time, but I also understand that vaccines should not be give unless an animal is 100% healthy. I think that surgery constitutes "unhealthy". Am I wrong here? Am I overreacting? I approached one of my bosses today with this and I think I made her feel uncomfortable as she had no reasoning other than "it's convenient". She would like to see proof that this is not safe to do, but I am not sure how to prove this from a more scientific approach.

Does anyone have thoughts, direction, any evidence that could support my position?

Thank you in advance to all my fellow student DVMS and TAs!

Corinne in Victoria
Replies
by naturevet
March 11, 2019
Hi Corinne,

We don't often find ourselves vaccinating animals during their spay and neuter appointments, so I don't have anything to offer in the way of experience with the problem

In theory, the biggest concern might be the brief period of immune suppression that follows vaccination, allowing a post-operative infection to take hold. Post-op antibiotics and rigorous sterile technique may be minimizing that risk for you.

Otherwise, my main concern with vaccinations is when we give them to animals that either have obvious immune-mediated or inflammatory problems; or are on immune-suppressive medications.

If that is not happening either, then while I agree that vaccination at the time of spaying or neutering is an extra stress on the system that is best avoided. there may be no harm in it. I think that's the central question - you're looking for what's optimal, while your colleagues are looking for what can be tolerated. The answers to those two questions tend to converge as we get much older, but can be quite far apart for the young of many species.

Hope that helps,

Steve
by CorinneC
March 24, 2019
Once again, Thank you Steve, for your words of wisdom. It has at least opened up a conversation and I have made it clear that I will not vaccinate animals on my surgery days. They are fine with that, and my clients are happy that I choose the safest option for their pets. Honestly, I am really only vaccinating puppies now and run titres soon after. There than the occasional "non-responder", most of my dogs are vaccinated for life after that, so it makes it easier at spay and neuter time.
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