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Rehabilitation of Insectivorous Bats: The Basics and Beyond Deborah Kemmerer Cottrell DVM West End Animal Hospital westendanimal.com Must-Have References • • • • Lollar/French Book Barnard Book Best reference available Step-by-step Color illustrations Order at www.batworld.org • Good basic reference • New edition due out 2006 • Old edition available free of charge online at www.basicallybats.org Common Insectivorous Bat Species • • • • • • • • Mexican Freetail (Tadarida braziliensis) Evening Bat (Nicticeus humeralis) Southeastern Bat (Myotis austrorparius) Big Brown Bat (Eptesicus fuscus) Little Brown Bat (Myotis lucifugus) Eastern Pipistrelle (Pipistrellus subflavus) Red Bat (Lasiurus borealis) Seminole Bat (Lasiurius seminolus) Mexican Freetail 10-12 grams Most common bat in the U.S. • Unique ears and nose • Note long tail Evening Bat 7-9 grams • Note hairless face • Rich, dark fur Southeastern Bat 5-7 grams • Note haired face • Note light color ventral surface Evening vs Southeastern Big Brown Bat 15-18 grams • Face like giant Evening Bat • Haircoat thick and dark Little Brown Bat 7-10 grams • Note long ears and narrow snout • Note pinkish skin over bones of wing Eastern Pipistrelle Bat 4-7 grams • Note long, thin ears and small eyes • Note straw-like fur Red Bats 13-15 grams • Note wide nose and • Fur is bright red to small ears mahogany Seminole Bat 13-5 grams • Note slightly darker face than Red Bat • Body fur very similar to Red Bat Capture Nets Large Tomahawk net lengthens to 18 feet and small butterfly net makes easy grabbing Capture • Any rehabber working with bats needs to be protected against rabies. Not doing so is simply not acceptable • Emphasize caller is never to touch bat barehanded • Caller to put box or towel over bat if on horizontal surface • If on vertical surface, cover bat with net, then use hand to enclose • Bats are usually less scared of bare hand than of glove. Using Nets • When using net, be very careful of wings. If bat is flying, try to anticipate direction and come from behind it if possible. Less speed differential less likely to cause damage if edge of net hits wing. • Butterfly net easy to use and very gentle • Can simply place net over most hanging bats very slowly, then slide hand under rim Transport Consider safety, comfort, ease of use • Plastic critter carrier • Port-A-Bug carriers • Camera Bags Plastic Critter Carriers Sturdy. Can break, but won’t easily smash down; my favorite for overnighters or bed & breakfast bats. Cloth should be flannel, baby blanket, denim or other non-looped fabric to avoid trapping nails Port-A-Bug Comfortable for bats, but delicate and easy to squash Camera Bags Work well for larger species; small ones can slip out unless bag has mesh inside Intake Forms • Name, address,phone number/email of person who found bat • Date and location bat found • Circumstances of injury or illness • Any treatment administered • Describe any contact with unvaccinated persons Weighing In Gram scale essential to weigh in 0.1 gram increments Fairly good quality available cheap online at www.greenkingdom.com Intake Evaluation Physical exam includes: • Hydration status • Wounds • Nutritional status • Mental status • Parasite Control Hydration Status Difficult to assess; safe to administer subcutaneous fluids in almost any situation Rules of Thumb for SQ Fluids • Give 1 ml for each 10 grams body weight • Lactated Ringer’s, Normosol, 0.9% Saline all safe in almost any instance if giving fluids for fewer than three days. • If giving fluids daily for more than three days, use ½ strength saline (0.45%) to avoid sodium overload. • If animal is dehydrated, always give fluids before attempting to feed. Wait at least two hours after SQ fluids before giving food. Wounds Most often wing injuries; most torso injuries won’t survive to see you Nutritional Status Fairly easy to assess using chest-to-waist ratio Mental Status • Don’t assume Rabies because bat is biting furiously. Many bite anything when in pain. • Don’t assume rabies because bat is comatose or unresponsive. Dehydration, starvation, infection, pain can cause those also. Parasite Control • Deworm with Ivermectin/propylene glycol • Deworm with albendazole? Can’t make solid recommendation right now • Kill bat mites with Revolution. Dilute to ½ strength with water, then use one drop from 25 gauge needle on bat topically • Parasites more of an issue than originally thought in captive bats. Stay tuned for more info soon. Parasite Study • Trying to determine significance of intestinal parasites in wild and captive bats • Send fresh fecal samples. Wrap in aluminum foil with a wet cotton ball, then mail to me in a bubble envelope. • Need samples from both healthy and sick bats • Contact info on website at www.westendanimal.com Mealworm Glop • Complete hand-feeding formula for overnighters, debilitated bats, and weanling pups. Glop Formula My formula not exactly same as Lollar/French, but has worked well for me. Mix until very smooth in blender: • • • • • • 5 small jars turkey baby food 1 jar banana baby food 1 cup mealworms 2 tbsp Vionate Powder 2 tbsp Missing Link Feline Formula 4 inches Nutrical or High Cal Feeding Adults For Short-Term Care • “Overnighters” or “Bed & Breakfast” bats do well on glop • Not usually worth time to teach “mealworm theory” Feeding Adults for Long-Term Care • Must teach mealworm theory • Glop at least once weekly to help prevent hepatic lipidosis (fatty liver syndrome) • Use of captured bugs not recommended due to parasites. Crickets can carry liver flukes, etc. • Mealworm substrate highly varied; lots of opinions Mealworms • I use Harrison’s Baby Bird Mash as primary substrate. Expensive, but worth it. • Sliced sweet potatoes in substrate provide hydration and a few extra nutrients • Prior to serving worms in bowl, spray with Carnivore Care Vitamin Spray and dust with Missing Link Feline Formula Mealworm Theory Difficulty varies by species FreeTails most difficult. Start by cutting heads off worms, then annoying bat until it bites worm Glop as Nutritional Supplement • Large body of evidence for hepatic lipidosis in longterm captives. Unknown whether primarily nutritional; other factors such as stress/cortisol probably play a part. • Evening Bats seem most susceptible; Southeasterns very resistant • Symptoms include abdominal enlargement, obesity, hair loss, then loss of appetite • Weekly supplement of even 0.5 ml glop appears effective preventively for most Feeding Infants/Orphans: FreeTails Use a Cup Warmer FreeTails like milk very hot Use shot glass or other thick-bottom container to prevent scalding of milk Feeding Technique Force sponge with hot milk into mouth. Pup will start nursing. Keep sponge wet with hot milk. Keep Up! Keep sponges wet so they don’t suck air Feed Optimal Amount This bat is a little too full The Batsicle This is a publicity shot for newspaper. Most attention ever for us for bat public relations, but don’t do it for real; you’ll have to bathe them each time Feeding Non-Freetail Infants Note that syringe is positioned so milk does not run down front of bat Housing for Long-Term Captives Must consider: • • • • Comfort and safety Ease of cleaning Environmental enrichment Educational value/accessibility Reptarium Screen Cages These are pushed against backing with a heating pad attached. Several layers of baby blankets allow different cliques to hang out together Environmental Enrichment Education/Access Population Control in Captive Colonies Neutering males a viable option Flight Testing Large cage ideal, especially for Freetails. This 40 X 10 X 8 ft cage at our hospital was built with a grant. Rule is 10 min of flight for every week in captivity prior to release. Small cage works well for most This 8 X 8 X 8 can be built in one afternoon with little expense using 2 X 4 lumber, hardware cloth, and a screen door. The Rehabber’s Medical Kit Being prepared to make dilute solutions is critical Drug Formulary Batworld has extensive formulary online. Mine is a very basic list of fairly inexpensive drugs that are also fairly easy to obtain if you have good relationship with your vet. • • • • www.westendanimal.com Bat information page Click on link to Microbat Drug Formulary Lists name of drug, dose per kg, dose per 10 grams body weight • Instructions for dilution included Importance of Bacterial Culture/Sensitivity in Wounds • • • • Growing global resistance to antibiotics Can get sensitivities in 48 hours May be difference between life and death TALK to your vet or labs in your area; most will be willing to set up account. Dairies and fish farms use inexpensive microbiology labs and often are willing to share. You can get basic C & S for around $18.00. Quick List of Drugs and Their Uses The following is an alphabetical list of drugs currently in my online formulary Acepromazine • • • • • • Sedative and anti-anxiety Been around long time High safety margin Not much pain control alone Acts 6-8 hours May be given as oral or injectable Albendazole • Parasiticide usually reserved for liver flukes and tapeworms • Can be toxic to liver • Exact dose still unknown in bats • Routine deworming not recommended at this time until further info available on prevalence of flukes • Send fecal sample if you want to check your bats Amikacin • Good antibiotic against gram-negative bacteria • Injectable only; not absorbed orally • Can put heavy workload on kidneys, so use only if indicated by C & S • Every 8 hour dosing 5-7 days Amoxicillin • Good broad-spectrum antibiotic (meaning both gram neg and gram pos organisms) • High safety margin • Use as a first-line antibiotic without C & S • Twice daily dosing 7-10 days Atropine • Antidote for many types of insecticide poisoning, which is well-documented in bats • Dosed “to effect”, meaning until symptoms subside Azithromycin • Third-generation, heavy-duty antibiotic for grampositive bacteria • Try to reserve for indication by C & S • Once-daily dosing 5 days Beuthanasia • • • • • Extremely humane method of euthanasia Overdose of pentobarbital Very smooth, no excitability phase Very little discomfort Can be given orally, subcutaneously, intravenously, or intra-peritoneally Buprenorphine • Opioid analgesic with low addiction factor, so relatively easy to get • Very effective for 8-12 hours • Can be used with acepromazine or other painkillers • Combo with meloxicam for long-term pain relief Butorphanol • More effective analgesia than morphine • Only lasts 3-4 hours if used alone • Combo with acepromazine for good pre-surgical relaxation • Combo with meloxicam for long-term pain relief Cefadroxil or Cephalexin • • • • Good broad-spectrum antibiotic Slightly wider spectrum than amoxicillin Once daily dosing for 7 to 10 days High safety margin Clindamycin • Currently best recommendation for bone infections or dental infections • Best against anaerobic, gram positive bacteria • Can cause GI upset • Dose two or three times daily for 7 to 10 days. Dexamethasone • Rapid-acting corticosteroid • Traditionally used for shock or brain swelling as in insecticide poisoning or trauma • Use being questioned; increased susceptibility to infection may outweigh benefit • Experience still says: “Let no animal die without benefit of steroids” Diphenhydramine (Benadryl) • • • • Anti-histamine Used for anaphylaxis, allergic reactions Somewhat useful for swelling and edema Benefit for relaxation doubtful; does not cause drowsiness in most animal species Enrofloxacin (Baytril) • Excellent broad-spectrum antibiotic • Useful if pseudomonas is suspected • Bone growth plate problems seen in dogs; not in my experience or Lollar/French experience in bats • Once daily dosing for 7 to 10 days Epinephrine • • • • Emergency drug only Used for anaphylaxis, severe allergic reactions Used as CPR drug to attempt to re-start heart Not very effective without defibrillation paddles Furosemide (Lasix) • • • • Very safe diuretic Been around long time Very little effect on electrolyte balance in animals Most species can tolerate very high doses as long as fluids are available • Used to treat edema of limbs and lungs Ivermectin • • • • • Very safe parasiticide Routine deworming on intake recommended Use orally for intestinal worms Use topically for skin mites Not effective against liver flukes Meloxicam • • • • • Relatively new, very potent NSAID Very high safety margin Only NSAID used regularly in virtually all species Easy oral dosing Better pain relief than morphine for musculoskeletal pain • Do not use with prednisone; can cause stomach ulcers • Once daily dosing for as long as necessary Prednisolone • Corticosteroid produced by body in small doses • Potent anti-inflammatory, but high incidence of side effects in humans • Risk of side effects commonly exaggerated in animals • Used to treat allergies or autoimmune disease • Once daily dosing Tiletamine (Telazol) • Second-generation combination of ketamine and diazepam • Effects extremely variable in bats; can cause severe hyperexcitability if under-dosed • Current investigation as injectable anesthetic combined with acepromazine and butorphanol shows promise Trimethoprim/Sulfa (Bactrim, Ditrim) • • • • • Broad-spectrum antibiotic High safety margin in most species Good against many anaerobic bacteria Once daily dosing for 7-10 days Drug reactions can cause skin sloughing whether given as injection or orally Common Problems and Treatments • Trauma: wing fractures, burns, soft tissue injuries, bite wounds • Trapped in building • Insecticide poisoning • Obstetrical problems • Hepatic lipidosis (captives) Trauma Infected wing fracture Trauma Burn from firecracker Trauma Treatment Protocol • Acepromazine/butorphanol/meloxicam combo if available • SQ fluids • Leave alone 30 minutes • Lavage wound with sterile saline • Start antibiotics. Amoxicillin, Cephalexin or Enrofloxacin good choices • If deep wound or puncture, send C&S Trapped in Building • • • • Overnighters or Bed & Breakfast bats Give SQ fluids upon intake Feed glop twice daily for a couple of days Release within 15 miles of original location if possible Insecticide Poisoning • Well-documented in literature • Congenital defects/mutations in low levels • Acute problem seen in moist weather with lots of mosquitoes: spraying • Long-term problem seen in areas that don’t use newer mosquito sprays • Newer sprays are water-based and don’t hang in air as long • Still a problem for lizards, birds, and other wildlife • Mostly human convenience rather than safety Acute Insecticide Poisoning • Generally large numbers of bats affected • Two cases involved about 100 bats each case • Treatment: subcutaneous fluids, dexamethasone, atropine combined in one dose, followed by several hours in the incubator, then glop and place in safe area. • Eighty percent survival Obstetrical Problems Dystocia: Obviously pregnant bats hanging rightside up for unusual periods of time. Caesarian may be necessary. Miscellaneous Stuff • • • • • • • Bat talk dvd Bats in the Pantry WEAH bat house www.batworld.org www.basicallybats.org www.batcon.org Chat groups Bat Talk DVD www.batworld.org Fascinating insight into bat communication Bats in the Pantry www.batworld.org Wonderful recipes and fascinating food facts West End Bat House Triple-wide nursery house in hospital parking lot. Will hold 1800 bats; currently has about 800. Batworld • • • • • www.batworld.org Run by Amanda Lollar Extensive website with lots of rehab info Largest bat rehab operation in the world Training seminars available Basically Bats • www.basicallybats.org • Primarily education and research • Run by Sue Barnard of Zoo Atlanta Bat Conservation International • • • • www.batcon.org Extensive website Strongest pro-bat political organization Works at national and international levels Chat Groups • [email protected] • Oriented more toward biologists and researchers than rehabbers • Often can answer technical questions • [email protected] • Oriented more toward rehabbers • Practical help and information A Disturbing Image The BatRamSquirrel Good-Bye Equipment & Product List • • • • • • • • • Bats In Captivity: free online at basicallybats.org Captive Care and Medical Reference: $45.00 at batworld.org Carnivore Care Vitamin Spray: $6.00 for 8 oz at reptilesupply.com Cup warmer: $4.95 at Bed, Bath & Beyond Enrichment items: Petsmart, Petco Feeding tips: Softpaws glue applicators from smartpractice.com Formulary Drugs: Veterinary only. Talk to your vet. Gram Scale: Inexpensive variety $40.00 at greenkingdom.com Harrison’s Baby Bird Mash: $44.00 for five pounds at harrisonsbirdfoods.com • Ivermectin 1 % Injectable: Any feed store • Make-up sponges: Any pharmacy—I prefer CVS brand • • • • • • • • Missing Link Feline Formula: $16.00 for one pound at Petsmart/Petco Net, Large Extension type: $69.00 Tomahawk at livetrap.com Net, Butterfly type: $15.00 at amazingbutterflies.com Nutrical, High Cal or equivalent: $6.50 at Petsmart/Petco Plastic Critter Carrier: $4.95 to $15.95 at Petsmart/Petco Port-A-Bug: $8.00 at amazingbutterflies.com Reptarium screen cages: bigappleherp.com Vionate Powder: $4.95 for 8 ounces at jefferspet.com Photo Credits (other than Deb or Iaon Cottrell) • • • • Barbara French Carol Bunyard Merlin Tuttle Don Pfritzer