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WORKING PARTY REPORT

ReŽ ning procedures for the administration of


substances
Report of the BVAAWF =FRAME =RSPCA=UFAW Joint Working Group
on ReŽ nement

Members of the Joint Working Group on ReŽ nement: D. B. Morton


(Chairman), M. Jennings (Secretary), A. Buckwell, R. Ewbank, C. Godfrey,
B. Holgate, I. Inglis, R. James, C. Page, I. Sharman, R. Verschoyle, L. Westall
& A. B. Wilson

Contents
Preface 2 3.6 Intraperitoneal 19
1 Introduction and aim s of the report 2 3.7 Intratrac heal 20
3.8 Intravaginal 20
2 General principles of `good practice’ 3
2.1 Planning and preparation 3 3.9 Intravenous and intra-arterial 21
2.1.1 Experimental aim s 3 3.10 Oral routes 25
2.1.2 T he route 3 3.10.1 Inclusion in an animal’s
food or water 25
2.1.3 T he substance 3
3.10.2 Dosing directly into
2.1.4 T he animal 5
the pharynx 27
2.1.5 T he technique 7
3.10.3 Oral gavage 28
2.1.6 Staff and training 7
3.11 Osmotic minipumps 30
2.2 Technical preparation
3.12 Respiratory routes 31
and aft ercare 8
3.12.1 Whole body exposure 31
2.3 General re®nement for 3.12.2 Nose only=Snout only
all routes 9 exposure 32
3 Re®nement for individual routes 3.12.3 Mask exposure 33
and procedures 13 3.13 Subcutaneous 34
3.1 Intra-art icular 13 3.14 TopicalÐdermal 35
3.2 Intracerebral (intracerebro- 3.15 TopicalÐocular 36
ventricular) 14 3.16 Footpad 37
3.3 Intradermal 16 3.17 Uncommon routes 38
3.4 Intramuscular 16 4 Special considerations for wild anim als 38
3.5 Intranasal 18 References 39

C o rre spond e nc e a nd re q uests fo r reprints to : Pro fe sso r D. B. Mo rto n, Departm e nt o f Bio m ed ica l Sc ie nce s & Bio m e dic a l Eth ic s,
Th e Me d ic a l Sch o o l, Unive rsity o f Birm ingh a m , Ed gb a ston, Birm ingh a m B15 2TT, UK

Accepted 14 July 2000 # Laboratory Animals Ltd. Laboratory Animals (2001) 35, 1­ 41
2 Joint Working Group on ReŽ nement

Preface viously been collated and were not available


in the literature.
T his workshop report is the ®fth in the series
It is hoped that the report will be widely
produced by the Joint Working Group on
circulated in an internat ional forum, and that
Re®nement organized by the British Veter-
the recommendations will be adopted as
inary Associati on Animal Welfare Founda-
current good practice.
tion (BVAAWF), the Fund for the
Replacement of Animals in Medical Experi-
ments (FR AME), the Royal Society for the
1 Introduction and aims of the report
Prevention of Cruelty to Animals (RSPCA)
and the Universities Federation for Animal T he procedures involved in the administra-
Welfare (UFAW). T he workshops are based on tion of substances to anim als can have a
the important principle that whenever signi®cant effect on the welfare of the animal
anim als are used in laboratories, minimizing and the scienti®c value of the resultsÐif
any pain and distress should be as im portant carried out incorrectly then both can be
an objective as achieving the experimental compromised. Re®ning administration pro-
results. T his is essential for humanitarian cedures therefore provides opportunities for
concerns. It is also necessary in order to im proving both welfare and science. T he
satisfy the broad legal principles in national welfare bene®ts are widely recognized; the
and internati onal legislation, and to produce scienti®c bene®ts result from better quality
reliable and reproducible scienti®c data. data obtained from more carefully prepared
T he members of each Working Party are experiments, using less stressed, more `nor-
drawn from the scienti®c community, from mal’ animals (Manser 1992, Vogel 1993,
industry, academ ia and animal welfare orga- Poole 1997 ).
nizations. Some of the organizat ions partici- T he administration of substances is a very
pating (for example, the Royal Society for the broad topicÐmany different kinds of sub-
Prevention of Cruelty to Animals) are stance are administered by many different
opposed to the use of animals in experiments techniques and routes and for a variety of
that may cause the animals pain, suffering, purposes. T he methods involved are descri-
distress or lasting harm , and this particular bed in a number of publications (e.g. Paget &
workshop was a dif®cult one for anyone in T homson 1979, Kirk & Bistner 1985, Poole
such a position to be involved with because 1987, Rollin & Kessel 1990, Waynforth &
of the nature of the procedures discussed. Flecknell 1992, Tuffery 1995, Wolfensohn &
(Note: participation in this Workshop does Lloyd 1998 ) and guidelines on good practice
not indicate endorsement by the Society of have recently been produced by the Labora-
research requiring the use of the procedures tory Animal Science Association (1998 ). T his
described.) However, the common aim is to report is intended to complement the exist-
reduce animal suffering wherever it occurs ing literature by identifyi ng potential prob-
and the report is intended to help achieve lems with individual methods and proce-
this, particularly if read in conjunction with dures and focusing on how these can be
other recent reports on the recognition, re®ned to reduce adverse effects and develop
measurement and alleviat ion of pain or dis- best practice. T he most commonly used
tress in anim als. routes in the common laboratory species are
T his particular workshop also proved covered with notes on additional methods or
extremely dif®cult to report, partly because other species where appropriate. T he
of the breadth of the subject and the numbers emphasis is on techniques carried out in
of procedures we set out to cover. In addition, biomedical research and testing but some of
although many of the techniques are descri- the principles also have clinical application
bed brie¯y elsewhere, the sort of detailed in veterinary medicine.
inform ation required regarding potential T he report should provide useful informa-
problems and solutions, and about ways of tion for anyone planning or carrying out
further re®ning techniques, had not pre- procedures, or who has to deal with their

Laboratory Animals (2001) 35


Administration of substances 3

consequences. General principles of `good animal, the possible effects of the dosing
practice’ when administering a substance by technique on the animal and the expected
any route are set out in Section 2, together frequency of dosing. T he choice of technique
with recommendations for re®nement and, where relevant, the site selected are both
with regard to the substance administered, also in¯uenced by such factors.
equipment and techniques. Section 3 then Some routes and techniques are more
describes speci®c re®nements within indivi- stressful than others and the least severe
dual routes and techniques. T he report consistent with the experimental aims
concludes with a section addressing special should be selected (see Table 2).
considerations when administering sub-
stances to wild anim als. 2.1.3 Th e sub sta nc e
T he report is based on the published lit-
T here are constraints on the formulations
erature where this is available and on the
that can be used for any particular route.
considered expert opinion of the working
Both the substance a nd the dosing vehicle
group and their colleagues.
must be appropriate for the route, the species
and the purpose of the experiment. Detailed
2 General principles of `good practice’ inform at ion on factors to be considered is
available in the literature (see for example,
When administering a substance to an
Sanderson 1959, Spiegel & Noseworthy 1963,
anim al by any route the aim should be to
T he Merck Index 1968, Claasen 1994,
achieve `best practice’, since mistakes at any
Waynforth 1995, Reynolds 1996 ) and the
stage can cause avoidable suffering and=or following brief summary is intended only as
waste animals’ lives. Best practice depends
a starting point.
on minimizing or avoiding adverse effects,
minimizing the number of animals used, and
maxim izing the quality and applicabi lity of Ph ysic o c h e m ica l pro pe rtie s: T he physico-
results. chemical properties of the substance and=or
its vehicle may adversely affect animals.
2.1 Planning and preparation T hese include: the formulation, solubility,
viscosity, pH, biocompatibilit y, purity,
T he likelihood of dif®culties arising is
stabil ity, standardization and microbial
reduced by thorough preparation. Con-
contamination. Back ground data on such
tingency plans should always be prepared in
properties together with any extraneous
case problem s do occur. A `checklist’ for
effects (e.g. irritancy), should always be
planning procedures is given in Table 1.
investigated. T he expected effect may be
altered by concentration and dose volume so
2.1.1 Expe rim e nt a l a im s this should be checked too. A useful refer-
T he scienti®c aims must be met by the route ence document is the Dic tio na ry o f Su b -
and administration regim e selected, so it is sta nc e s a nd th e ir Effe c ts (Richardson 1993,
important to check this ®rst. T he likely Claasen 1994 ).
pattern of results should be considered,
together with the way they relate to the So lutio ns a nd so lve nts: Where substances
study’s goals and what will subsequently be are dosed as solutions, water for injection or
done with the results and with the anim als. physiological saline are the commonest and
At this stage it is important to consider not simplest solvents. For water-insoluble com-
only whether the experiment ca n be done but pounds a suitable organic solvent may be
also whether, given the likely effects on the employed. Ideally this should lack pharma-
anim als, it sh o uld be done. cological effects, be stable under conditions
of use, non-toxic, non-irritant and non-sen-
2.1.2 Th e ro ute sitizing. T he viscosity should be suitable for
T he choice of route is determined by the ease of injection. T he solvent must remain
purpose of the experiment, the species of the ¯uid at the temperatures at which it will be
Laboratory Animals (2001) 35
4 Joint Working Group on ReŽ nement

Table 1 Checklist when planning procedures

Experimental aims What are you trying to achieve scientiŽ cally?


Will the administration regime selected meet the aims of the experiment?
Consider not just whether it can be done but whether it should be done and whether there is a
better way of doing it?

The route Is the administration route suitable for the substance?


Does the proposed route have a high severity rating?
Would a less severe route achieve the same aim?
Is it suitable for repetitive doses?

The substance Are you certain you know what you are administering?
Will the substance have any adverse effects on the animal and are there any background data
on these? If so, have the necessary preparations been made?
Could the nature of the formulation alter the expected effect?
Does the substance need to be freshly prepared?
Will the concentration and dose volume alter the expected effect?
Are there any additional concerns regarding the physico-chemical properties of the substance
or associated solvents, e.g. osmolarity?
Can the volume be reduced?
Can the frequency of administration be reduced?
If the substance is toxic can the dose be reduced?
Is the substance likely to be irritant?
Are pilot studies needed, e.g. to ascertain a tolerated and=or effective dose?

The animal Are there any problems with the particular individuals, species or strain? Is the animal easily
stressed by handling? Is it the most appropriate for the study in terms of these factors?
Can the animal be trained to cooperate with the procedures? Does the animal need time to
acclimatize to the procedures?
Is an anaesthetic, sedative or analgesic required. Would it reduce stress or confound the
experiment?
Have you done a pilot study for tolerated and effective dose levels in the strain used?

The technique What are the scientiŽ c problems (e.g. Ž rst-pass metabolism in the Iiver after oral or i.p.
dosing, degree or rate of absorption, local effects)?
What are the technical problems (e.g. what is the correct way to hold an animal to allow
insertion of a gavage tube with minimum distress)?
Will the technique itself have any effect on the animals?
Are the severity limits =humane end-points clearly deŽ ned?
What reŽ nements can be introduced to overcome any adverse effects?
Is a pilot study necessary?
Have you checked on references and sources of expertise in other organizations?

Staff Do staff have the necessary licences?


Are staff competent in the technique and trained to deal with any untoward effects?
Who are the best members of staff to carry out the procedure, when considering both the
handling of the animals and the procedure?
Are enough staff available to restrain and dose the animals and to monitor them
post-administration?
Are staff aware of the severity limits and have the delegated authority and skill to kill
animals if the severity limits are exceeded?

used and ideally have a suf®ciently high Insoluble solids or immiscible chemicals
boiling point to allow heat sterilization if may be dosed as suspensions or emulsions in
required. Unfortunately no ideal solvent suspending agents such as gum tragacanth or
existsÐmany are suitable only for particular methyl cellulose, Lissapol 2 , Sorpol 2 or
routes and those available must be evaluated Tween 2 . (Note that material such as Tween 2
to decide which is most appropriate. and Cremophor2 can cause anaphylact ic-like

Laboratory Animals (2001) 35


Administration of substances 5

reactions when adm inistered intravenously Se x: Some studies may require only males
to dogs.) or fem ales and there may be signi®cant
Formulations should be used as soon after wastage of the unwanted sex as a result. T he
preparation as possible, or within the period justi®cationÐscienti®c, economic or tradi-
de®ned as satisfac tory for maintenance of the tionalÐfor using a single sex should always
stability and quality of the form ulation. be questioned to try to reduce such wastage.
T he motivati on may initially have been the
welfare implications, for exam ple the ease of
Ra te o f a b so rptio n: T he expected pharma- group housing female animals such as mice.
cology or toxicity of a substance may be However, it may be possible to adapt the
in¯uenced by its rate of absorption which is husbandry system so that male animals can
in turn in¯uenced by: (a) its physical also be group housed (Jennings e t a l. 1998 ).
propertiesÐsuch as molecular conformation,
charge, particle size, crystallin e form , lipid Ha b itua tio n a nd tra ini ng: Many laboratory
solubility, salt form, rate of disintegration of animals will have had little or no experience
the solid dosage form, the degree to which of being handled or restrained before arriving
the chemical is ionized at the absorbing at a research establishment so on the ®rst
membrane; and (b) the route of administra- occasion they are picked up they are likely to
tion (see Waynfort h 1995 for more details ). be apprehensive and frightened. T his not
Pilot pharm ocokinetics =metabol ism studies only makes the procedure more distressing
may be valuable (or essential) before long- for the animal and more dif® cult for the
term adm inistration to con®rm the dose is doser, but is also likely to increase any stress-
reaching the target organs. related bac kground variance in the results.
T he ®rst stage therefore should be to get the
Ext ra ne o us fa c to rs: Extraneous fact ors can animals accustomed to being handled in their
also have an effect on the expected pharm a- new surroundings. Many species becom e
cology or toxicity of a substance. T hese familiar with individual people, so it is
include variations in the environmental helpful for the staff who will be carrying out
temperature, the number and=or density of the dosing to develop this familiarit y
anim als housed together, their dietary status beforehand. T he importance of this for dogs
and the tim e of dosing in relation to a diurnal and primates is recognized but other species
rhythm usually controlled by the light =dark such as rat s and mice will also bene®t. Dur-
cycle (Friedm an & Walker 1972, Weihe 1973, ing handling animals can then be accus-
Rao 1986, Wollnik 1989, Waynforth 1995 ). tomed to being held in the position for dosing
so that any stress is minimized when dosing
does take place.
2.1.4 Th e a nim a l Where substances are administered infre-
quently but on a long-term basis (e.g. dietary
Spe cie s a nd stra in: When selecting the toxicology in rodents) handling the animals
species and strain of animal, welfare fact ors during routine daily husbandry will help
should be considered as well as the need to reduce stress when subsequently dosing
satisfy scienti®c goals. Important points to them. In general, staff should be encouraged
consider are whether there are any contra- to handle anim als as much as possible. T here
indications about using any individual spe- are exceptions to this general rule, e.g. with
cies or strain of animal, whether the animal neonates, or if handling is likely to com-
is appropriate for the route and the dosing pound the effects of procedures.
compound, whether satisfac tory husbandry Some species of animal can be trained to
can be provided and whether the anim al is cooperate with the handler during handling
easy to handle. Some strains of common and dosing and this can further reduce dis-
laboratory species are more docile and easily tress. Training-by-reward (positive reinforce-
handled and it may be bene®cial to select ment) can encourage animals to participate
such a strain to reduce unnecessary stress. in the administration procedure, e.g. pri-
Laboratory Animals (2001) 35
6

Table 2 Welfare impact of dosing routes

Welfare
Route No. of doses Restraint Comments impact

Intra-articular S Anaesthesia Can damage the joint; sterility essential; use once only
Intracerebral S Anaesthesia Technically difŽ cult in neonates. Death can result from poor technique, volume or
nature of material, or from rejection by dam

Laboratory Animals (2001) 35


Intradermal R M Good technique essential to ensure injection is not subcutaneous
Intramuscular R M Irritant effects can be a serious problem. Possible damage to nerves. Avoid injecting
into fascial planes or blood vessels. Effects of large-dose volume and tissue
damage are hidden. Care with adjuvants.
Consider injecting into different sites for successive administrations
Intranasal R M Not easy to ensure complete dose is in the nostril. Adverse effects unlikely,
but care with  uids
Intraperitoneal R M Irritant substances cause severe problems. Easy to misplace dose into an organ
but not easy to know it has happened. Not recommended for animals
larger than rodents
Intratracheal S Anaesthesia Can result in death if substance is administered wrongly or material is irritant
Intravaginal R M Can be difŽ cult to retain substance in vagina
Intravenous, non-rodent R M Bolus effects on central nervous system (and probably heart) are relatively common
Intravenous, rodent R M Might need to warm animal to dilate vein; this should be done with care.
Rapid injection can result in a bolus reaching the central nervous system or other
organ and being fatal
Intravenous R Tethers, jackets Aseptic technique critical. Surgery may be required. An expanding Ž eld; with
new infusion techniques being developed
Oral:
In food=water R None Dose may vary with food=water intake. Dosing in food causes little stress
but unpalatibility can restrict intake; possible distress from thirst. Knowledge
of feeding behaviour important
Capsule R M Easy administration in dogs and primates and failure is very unusual. May
be used to aid administration of tablets
Gavage R M Accurate placing of tube essential. Failure should be rare but death can
occur in rodents if tube misplaced. Restraint can be stressful for primates
Osmotic pumps Continuous Anaesthesia, Avoids multiple injection
then none
Joint Working Group on ReŽ nement
Administration of substances 7

Notes: The scoring system refers to the impact of the route, not the substance, and assumes that the technique is carried out by trained and competent staff with appropriate resources.
mates will present an arm (Reinhardt 1991,
1997 ).
On rare occasions, for example one-off
dosing when there is not tim e to accustom
the animal to handling or to the procedure, it
Stressful because of tube restraint. Training and habituation of animal essential

Technique easy but eye damage can result from irritant substances and be very
may be best to consider sedating the animal
DifŽ cult to measure dose, but failures or technical=welfare problems are rare

trained to accept collars or other restraints. Irritant substances a problem


before dosing. However, since this in itself
will require both restraint and a dosing pro-
cedure, the advantages and disadvan tages of
Removal of adhesive dressings can be painful. Animals need to be

sedation must be carefully weighed.


Restraint stressful. Training and habituation of animal essential

Scoring is also based on human experience of the procedure. The severity of any particular technique may vary with the species being dosed 2.1.5 Th e te c h ni q ue
T here may be practical dif® culties with
Change site for successive doses; care with adjuvants

Most impact: e.g. anaesthesia may be required (with attendant risks), death or serious injury could result from incorrect technique

individual techniques which could compro-


mise the scienti®c goals or the welfare of the
animals and these need to be recognized in
advanc e, and avoided. For exam ple, there
may be a lim it on the maxim um dose volume
or degree of absorption of a substance, or a
procedure (such as oral gavage) may demand
considerable technical skill.
It is im portant to study a technique before
carryi ng it out and to obtain information
from the literature and=or from others expert
in the technique. Particular factors to con-
sider are whether: the technique, as opposed
painful

to the substance, will have any effect on the


M ˆ manual restraint during a brief period of dosing; R ˆ repeat dosing; S ˆ single dose

animal; the equipment to be used is the most


appropriate; the frequency of administration
could be reduced; and the end-points are
clearly de®ned and humane.
Least impact: e.g. not painful, minimal restraint, quick or non-invasive
Dressings, collars,

At this stage, consider whether there is any


Slings or chairs

way the techniques or procedures could be


further re®ned.
jackets
Tubes
None

2.1.6 Sta ff a nd tra inin g


M

T he best way to ensure minimal discomfort


for anim als during procedures is to carry
these out competently and ef®cientlyÐthe
severity of even a simple procedure is
increased if it is poorly performed. It is the
R
R

R
R

responsibility of all facilities to ensure that


animals are only held, restrained, dosed
and monitored by thoroughly trained and
Whole body exposure

Inhalation mask (dog


Inhalation nose only

competent staff. T here should be enough


competent staff available at all stages.
Topical dermal

T he selection of staff to carry out proce-


Topical ocular
Subcutaneous
or primate)
Respiratory:

dures should tak e into account their skill in


(rodent)

handling the animals competently and sym -


pathetically, as well as in performing the
technique. Staff training and adequate
Laboratory Animals (2001) 35
8 Joint Working Group on ReŽ nement

supervision in the learning stages is very available to help and answer questions if
important. T he essential components necessary. (In the UK, supervision is gen-
include: erally required under the personal licencing
system and should be discussed with the
Ani m a l h a nd li ng: Training in the handling local Home Of®ce Inspector.)
of the species to be dosed is important since
sensitive and competent handling and Ma int a ining c o m pe te nc e : All staff should
restraint minimizes anim al distress. It also maintain their own level of competence or
helps ensure con®dence and dexterity in allocate the work to a person who is compe-
carrying out the procedure which further tent and uses the technique regularly. T his is
reduces anim al distress. particularly applicable to those who only
perform a procedure occasionally or on a
U se o f tra ining a id s: Videos and educa- small number of animals. Consistent high
tional computer software provide a useful standards can be ensured by procedures
resource (see Zinko e t a l. 1997 ), preferably always being carried out by experienced ani-
watched or worked through with an appro- mal house staff rather than by scientists who
priately experienced person. Preserved or are less skilled in such techniques. Where
recently killed anim als and anim al models, this is not an option, re-training may be
such as the Koken rat and rabbit, can be used necessary and videos and models are parti-
to assist study of anatom y and the practice of cularly useful for this purpose. T here may
technique. Particularly useful are models also be a need for further supervision.
developed by Moredun Isolators Ltd (Pent- In the UK att endance on an accredited
land Science Park, Bush Loan, Penicuik, training course, toget her with supervision
Scotland EH26 OPZ ). until competent, is a necessity, with addi-
tional training for surgical and other specia-
Pra cti ce w ith ina nim a te o b je c ts: Objects lized techniques. Practicing techniques on
such as fruits can be used to help gain living anim als protected under UK law is not
fam iliarity in handling and using needles, allowed.
syringes and other equipment, e.g. try
satsumas for subcutaneous injections. Aw a re ne ss: Staff should have a detailed
knowledge of what is being done to animals
O b se rva tio n a nd a ssista nc e : T he trainee in their charge and when it is being done.
should observe and assist in the relevant T hey should know the end-points and
techniques as much as possible prior to car- severity limits of the project and be able to
rying out a procedure. T his is an essential recognize if these are exceeded. T hey should
part of training, and its importance cannot be also have the delegated authorit y and skill to
over-emphasized. It may also be necessary kill anim als if necessary. Inform at ion on who
and helpful to visit establishments with to go to for advic e (experienced laboratory
expertise in a particular technique. animal scientists, animal technologists, the
veterinarian attac hed to the establishment)
Supe rvis io n: Once authorized to carry out a should be easily available to all staff who
procedure the `trainee’ should initially assist need it.
and then carry it out under the direct super-
vision of an experienced member of staff 2.2 Technical preparation and aftercare
until suf®cient expertise has been gained to
Be fo re c o m m e nc ing d o sing: Before sub-
avoid mistakes. Supervisors should explain
stances are adm inistered to anim als for the
fully what they are doing and point out how
®rst time, a pilot study with a small number
and where things can go wrong to help the
of animals should be considered if there is
trainee avoid problems. T hey should encou-
any risk of adverse effects. Always:
rage the trainee to ask questions. Even when
the trainee has become fam iliar with the Make sure you are doing what you think
technique, the supervisor should always be you are doing, i.e. check that both the
Laboratory Animals (2001) 35
Administration of substances 9

substance and its vehicle are stable and dosing substance, equipment and technique)
pure; check the labels on the substance that can have signi®cant effects on the wel-
and the cages or anim als to ensure the fare of the animal and the quality of scienti®c
correct substance is given to the correct data and these are identi®ed below.
anim al at the correct dose.
Ensure the necessary equipment is to
hand, clean or sterile if necessary, and
working properly. Th e sub sta nc e
Con®rm the time plan and experimental
protocol to ascertain the numbering of (i) Irrit a ncy =pH: T he substance may cause
anim als in each dose group and the timing irritation and/or ulceration of skin,
of any additional investigat ions related to mucous membranes or muscles, or
dosing (e.g. urine collection or blood destroy tissue locally (e.g. the endothe-
sampling) and have the necessary recep- lium of blood vessels). T his may not
tacle(s) ready and pre-labelled. be easily visible depending on the route
Check the sex, age, weight and condition of administration, but may cause
of each animal. serious welfare problems. Irritat ion may
be a particular problem with the
Animals should always be approached and
intraperitoneal, ocular, inhalation and
handled ®rmly, quietly and sympathetically,
intratrac heal routes.
and reassured during the procedure. Only the
minimum restraint necessary should be Always check bac kground data on the
used. substance and its effects. T herapeutic
Consider whether an anaesthetic, sedative data may help assess the local effect
or analgesic is required and whether other of a substance prior to dosing.
procedures (e.g. weighing or palpation) can be Solutions for injection should ideally
carried out at the same time. In general ani- be close to neutral pH since high or
mals should be weighed before dosing so that low extrem es are not tolerated by
the correct dose can be calculated for the tissues. Waynforth and Flecknell
weight, but if handling them twice is likely (1992 ) recommend a working range of
to be stressful they should be weighed and pH 4.5±8.0. T he order of degree of
dosed at the same time. tolerance of pH for different dosing
routes is: oral > intravenous >
Afte r d o sing: Animals must be closely intramuscular > subcutaneous.
monitored after dosing. Staff must always be N ote that the pH alone is an insuf®-
prepared to deal with both expected and cient guide to irritant potential since
unexpected adverse effects. T here must be irritancy also depends on the con-
adequate arrangements to cover the possibi- centrati on and ionizat ion point (pK)
lity of animals becoming distressed overnight of the compound.
or at weekends. If animals die as a result of Some effects, e.g. acute skin or
the procedure a post-mortem exam ination endothelial dam age, will be apparent
should be carried out to ascertain the cause of even if the substance is applied to
death and to avoid the situat ion recurring. recently killed animals so check this
®rst, then consider assessing the
Re pe a t d o sin g: Repeat dosing should be effect on an anaesthetized animal.
carried out at approximately the sam e time (ii) So lu b ility : Particulate matter may be
each day to avoid variability associat ed with present in the material being injected or
circadian rhythm s. the substance may fall out of solution
resulting in formation of large particles.
2.3 General reŽ nement for all routes If administration is intramuscular this
T here are some opportunities for re®nement can be very painful and can prevent
with most procedures (e.g. with respect to the absorption.
Laboratory Animals (2001) 35
10 Joint Working Group on ReŽ nement

Ideally use biocompatible stable Stabili ty of substances can be


solutions. improved by microencapsulation.
Before dosing, check whether the T his can also be used to separate
form ulation is aqueous or oil based incompatible or reactive substances,
and whether it is stable or likely to to provide controlled and sustained
fall out of solution. If there is any release, or to mask bitter tastes
chance of particulate mat ter being (Melnick e t a l. 1987 ).
present or of the substance coming
(vii)Te m pe ra ture : Injection of cold sub-
out of solution then a ®lter (e.g.
stances, e.g. straight from the refrigera-
micropore) can be included in the
tor, can cause discomfort and shock.
injection line. However, note that
test material can be ®ltered out or Warm substances to room, or better
adsorbed onto the ®lter and the dose still, body temperature immediately
reduced as a result. before administrati on.
(iii) Bio c o m pa tib ilit y: Substances that are
not biocompatible may cause tissue U se o f a nt ise ptic so lutio ns
damage. (i) A thick hair coat prevents contact of the
Use in vitro techniques to identify antiseptic with the skin. Excessive
adverse effects, e.g. haemolytic and application of antiseptic solutions to
cytopathi c effects, if appropriate. the skin may cause loss of body heat
through evaporation, especially in small
(iv) Visc o sity: Highly viscous liquids may mammals.
cause discomfort and are dif®cult to
inject requiring a larger needle size. Part the hair, or it may be necessary
to clip the hair, from the injection site
Try not to use viscous substances. to allow antiseptic preparations to
work effectively. Use these prepara-
(v) Ste rility : Contaminated substances can
tions with care.
cause infection and cause irritation at
the site of injection. T his can lead to self-
mutilation and, at worst, the deat h of the Inj e c tio ns
animal. Needle-free injectors are becoming more
widely available and their use for adminis-
All substances for injection should be
tering substances to animals should be
sterileÐautoclaving and micro®ltra-
encouraged.
tion are usually the most practicable
ways of achieving this. Use aseptic
(i) Ne e d le s: Insertion of large needles can be
techniques throughout in order to
painful and cause unnecessary and
minimize the risk of introducing
excessive tissue damage.
pathogens into the body at the tim e of
dosing. A skin anaesthetic, e.g. EMLA (Astra
Pharmaceuticals Ltd, Home Park,
(vi) Q ua lity, sta nd a rd iza tio n a nd sta b ility o f
King’s Langley, Hertfordshire, UK)
th e sub sta nc e : All of these factors can
cream (Flecknell e t a l. 1990 ) can
affect experimental results.
reduce the pain of needle insertion.
Check the compound is pure. Avoid EMLA needs to be applied 30±45 min
contamination with other substances prior to injection to have full effect.
or microorganisms and avoid varia- It is important to balanc e the size of
tion either in batc h constituents or in needle necessary for ease of injection
the physical and chemical form of the of the substance with that which will
substance (e.g. differing salts). Note cause minim al pain, i.e. use sharp
the batc h number for future reference. needles of the narrowest gauge con-
sistent with ef®cient accurate dosing
Laboratory Animals (2001) 35
Administration of substances 11

Table 3 Needle sizes for administration of substances

Species Intradermal Subcutaneous Intramuscular Intravenous Intraperitoneal

Mouse 27G 25G 27G 26­ 28G 25­ 27G


Rat 27G 25G 25G 25­ 27G 23­ 25G
Guineapig 25G 23­ 25G 25G 25­ 27G 23­ 25G
Hamster 25G 25G 25G 25­ 27G 23­ 25G
Rabbit 25G 21­ 25G 25G 23­ 25G 21­ 23G
Ferret 25G 21­ 23G 23­ 25G 21­ 25G 21­ 23G
Dog 25G 21­ 23G 21­ 23G 21­ 25G 21­ 23G
Cat 25G 21­ 23G 23G 21­ 25G 21­ 23G
Large primate 25G 21­ 25G 23­ 25G 21­ 25G 21­ 23G
Small primate 25G 23­ 25G 23­ 25G 21­ 25G 21­ 25G
Sheep 25G 19­ 23G 21G 19­ 21G 19­ 21G

Adapted from Wolfensohn and Lloyd (1998)

(see Table 3). T he gauge depends on the syringe, withdraw the needle a
the toughness of the tissues to be short distance and redirect it. T he
penetrated (especially skin) which in pain receptors are in the skin and so
turn depends on the species and the this is less painful than withdrawing
site. T he needle bore is determined the needle and re-injecting. After
by the viscosity of the formulati on injection withdraw the needle slowly
and the speed of adm inistration; the but ®rmly.
needle length depends on the depth of
injection.
(iii ) Le a k a ge : Fluid may leak from the site of
Change needles between anim als to
injection reducing accuracy of dosing.
avoid transfer of infection. Ensure a
sharp needle is always used. It may be better to inject at a distance
Consider cat heterizing the vein if from the entry site using a longer
repeat dosing over a short period. needle and to push the skin to one
side before entry so that a skin seal is
(ii) Ac cura te po sitio ning a nd inje c tio n formed. It helps to massage the site
te c h niq ue : Severe adverse effects can be after injection to disperse the sub-
caused if needles or gavage tubes are strat e, and also to apply pressure to
incorrectly placed, e.g. an intram uscular the site after injection.
dose injected intravenously can be fatal.
Tissues can be damaged if injections are (iv) Ble e d ing a fte r inj e c tio n: Sites of injec-
made clumsily. tion may bleed especially after intra-
venous dosing.
It is essential to study the anatom y of
the anim al, e.g. the joints for intra- Apply gentle but ®rm pressure with a
artic ular dosing; the length of the swab until the bleeding stops. Wipe
oesophagus for gavage, the position of traces of blood away to prevent
nerves for intramuscular dosing. excessive licking or gnawing at the
Accurate measurement of depth of injection site.
insertion can be made using stops or
mark s on needles/tubes.
Insert needles=tubes ®rmly but gently Vo lum e s =Size s o f c a psule s
and depress plunger gently. Once a
needle has been inserted withdraw (i) La rge vo lum e s: Administrat ion of large
the syringe plunger to ensure the volumes can be dif®cult in practice and
needle has not entered a blood vessel can cause adverse physiological effects,
unintentionally. If blood has entered compromising animal well-being.
Laboratory Animals (2001) 35
12 Joint Working Group on ReŽ nement

Table 4 Guidelines: maximum volumes for common routes of administration in the common laboratory
species

Routes and volumes

Oral (ml=kg) ip iva im (ml=kg=site) scb idc (ml=site)

10 10 5 0.05 2­ 5 0.05­ 0.1

The essential requirement when determining dosing volumes is that the volume given should minimize any discomfort or
welfare problem and should not cause any physiological or pathological change which compromises the experiment. As far as
an animal is concerned the lower the dose volume the better
Most current guidance gives different volumes for different species but in most cases there are no physiological reasons for
doing so. This was borne in mind when drawing up this table such that a single guideline volume was considered to be
applicable to most species for any given route. When determining volumes for less commonly used species and other routes the
anatomical and physiological characteristics of the species must always be considered

Notes: sc ˆ subcutaneous; ip ˆ intraperitoneal; iv ˆ intravenous; id ˆ intradermal; im ˆ intramuscular iva ˆ Bolus injection


carried out over a relatively short period of time (approximately one minute); scb ˆ Volume depends on the looseness of the
skin of the animal (and therefore the potential subcutaneous space). Multiple sites can be considered for administration of
greater volumes, although when repeated daily administration is intended, four sites should normally be considered the
maximum. Voume does not include Freund’s adjuvant administration. Freund’s limited to 0.1 ml CFA=site; idc ˆ Volume
depends on thickness of skin which varies with site and species. Maximum number of sites ˆ 6; im ˆ This is the volume for a
single site. The use of more than one site in more than one limb may cause multiple limb lameness; ip ˆ This is not a common
route in dogs, birds and primates

T he maxim um dose level in terms of Inject the smallest possible volume of


¯uid volume and sizes of capsules and adjuvant no more than 100 ml per site
tablets varies with the route and the (use concentrated antigen).
species. T he essential requirement is Choose an injection site where local
to ensure the volume given causes pathological responses cause least
minimum discom fort and does not pain, can be readily observed and
result in physiological or pathological treated if necessary (e.g. subcuta-
change which would compromise the neous).
experiment. As far as the animal is U se long booster intervals (at least
concerned, the lower the dose volume 4 weeks).
the better (see Table 4). Take advan tage of the antibody
memory response.
Minim ize animal numbers by
sequential rather than simultaneous
U se o f a d juva nts to e nh a nc e a nt ib o d y immunization s of anim als.
pro d ucti o n Choose anim al species that yield
large am ounts of blood (e.g. sheep and
(i ) Many adjuvan ts can be noxious to ani- goats ).
mals and produce signi®cant pathologi- Plan ahead and be patient; successful
cal lesions. Most information on the production of a good antiserum can
ef®cacy of different adjuvants is anecdo- take 6 months or more. However,
tal so it can be dif®cult to select the most note that anim als used to raise
appropriate (Jack son & Fox 1995, Animal antibodies should not be kept for
Welfare Inform ati on Center 1997, inde®nite periods of time without the
Leenars e t a l. 1997, Palmer e t a l. 1997 ). justi®cation of an authorized scien-
T he following recommendations are ti®c need.
reproduced from Palm er e t a l. (1997 ):
Choose the least harmful adjuvant. Ne o na ta l =Yo ung a nim a ls
Never use Freund’s complete adju-
vant (FC A) twice in the sam e anim al. (i) Re je cti o n: Neonatal =young animals may
In the UK, use of FCA requires be rejected or cannibalized by the mother
justi®cation to the Home Of®ce. after handling.
Laboratory Animals (2001) 35
Administration of substances 13

Be familiar with the maternal beha- dif®culties relating to the substance, the
viour of the species. technique and the procedure as a whole.
Use gloves when handling young A brief summary of each technique, suf®-
anim als to mask odours and avoid cient to identify the procedures described, is
mis-m othering. Handle all the young given with full descriptions provided only
in a litt er so that the mother cannot where such information is not easily avail -
discriminate between them. able in other publications (see Paget &
If appropriate to the species, remove T homson 1979, Kirk & Bistner 1985, Poole
the mother before returning the 1987, Rollin & Kessel 1990, Waynforth &
young. Put them in the front of the Flecknell 1992, Tuffery 1995, Wolfensohn &
cage and mix with bedding to mask Lloyd 1998 ).
odd scents, then return the mother.
Minimize disturbanc e when obser- 3.1 Intra-articular
ving anim als.
U se o f th e te ch niq ue
T his method is used for local dosing into the
Re stra in t
joint space (norm ally the sti¯e joint) either to
check the ef®cacy of drugs intended for
(i ) Restraint can be as, or even more,
clinical treatm ent of joint disease, or to
stressful than the procedure itself, parti-
model joint diseases. T he technique has a
cularly for anim als that are not used to
clinical application in veterinary thera-
being handled. Periods of restraint in
peutics (Kirk 1980 ).
tubes or stocks are liabl e to cause stress.
T here are particular problems with
inhalation restraint tubes; if these are not Sum m a ry o f th e pro to c o l
the correct size and shape for the anim als T he technique requires the anim als to
they can partly turn around, and are remain very still. Short-term anaesthesia for
likely to becom e distressed and may die. restraint is preferred in all species and is
essential for rodents, rabbits or dogs. In larger
Use the restraint procedure most species, injections are done using local
appropriate, i.e. least distressful, to anaesthesia at the site of needle insertion,
the animal and of minimum duration toget her with adequate restraint or sedation
(Poole 1987, van Zutphen e t a l. 1993, to stop the animal moving at a critical
Tuffery 1995). moment.
Habituat ion and/or training of the T he hair over the joint should be clipped,
anim al may help reduce stress (see the sti¯e joint palpated to estim ate the
Section 2.1.4 ). position of the joint space and the needle
Ensure staff are skilled at getti ng (without the syringe at tached) inserted
anim als to relax when being held; through the anterior aspect of the joint, i.e.
restraint should be ®rm, yet sensi- through or adjac ent to the patellar ligam ent.
tive. T he needle is then connected to the syringe
Ensure equipment such as restraint and the substance injected. Locati on within
tubes are the correct size and shape the space is felt as a sudden forward move-
for the anim al. ment of the needle after it has penetrated the
Never leave restrained anim als skin and the capsule of the knee joint. In
unatt ended. larger animals, synovial ¯uid should ¯ow
back along the needle.

3 ReŽ nement for individual routes


Po te ntia l pro b le m s a nd re ®ne m e nt
and procedures
T he technique can be very painful and can
Recommendations for re®nement are pro- cause damage to artic ular surfaces if not
vided for each of the common routes taking carried out with great care. However, proper
into account potential problems or attention to anatom y and aseptic technique
Laboratory Animals (2001) 35
14 Joint Working Group on ReŽ nement

should minimize the incidence of adverse As a scienti®c procedure on an indivi-


effects. dual anim al, this technique should be
used once only and on a single joint.
Incorrect placement of the needle may
damage the surrounding tissues and cause
3.2 Intracerebral (intracerebro-ventricular)
pain. Even when the needle is correctly
inserted dam age can occur. U se o f th e te ch niq ue
It is essential to have a good knowledge T his technique is used to deliver pharm aco-
of the anatom y of the joint. logical agents to the central nervous system
Use a needle size as small and ®ne as either where the blood-brain barri er must be
possible with respect to the species and crossed, or to avoid direct systemic effects.
the joint, e.g. 26G 63 =8" for rats. It is Intracerebral injection is also used to isolate
unlikely to be necessary to use needles or assay microorganisms.
greater than 21G even in larger species
such as the dog. Sum m a ry o f th e pro to c o l
If the anim al moves, the needle will T he route is used in neonatal and adult
damage sensitive tissues in and around the rodents and neonatal chicks. In adult rodents
joint. T his will be painful and may cause a stereotaxic frame is used for accuracy and
lam eness. to minimize tissue dam age.
Ensure the anim al is immobile when
carrying out the procedure. Use general Ne o na ta l ro d e nts a nd c h ic k s
anaesthesia. If this is not appropriate, Use a small bore, low volume (less than
accustom the anim al to the restraint 0.5 ml) plastic syringe with a 27G needle.
required so that it relaxes and remains Draw the inoculum into the syringe and
immobile during injection. check smooth operation of the plunger
Monitor the anim al for lameness after (avoidin g aerosol generation) before picking
completing the procedure. Give analge- up the anim al.
sics unless this will seriously compro- Mice, rats and chicks should be no more
mise the aims of the study. than 3 days of age. Hold the animal gently on
an absorbent towel =pad on a ®rm surface
Failure to apply good aseptic technique with the dorsal surface of the anim al held
will result in a septic arthritis. T his can uppermost between the gloved thumb and
cause severe lameness, heat and swelling fore®nger.
of the joint and is extremely painful. Insert the tip of the needle into the brain,
Sterile technique is essential: swab the usually from the front, at an angle of 45 , in
skin with antiseptic, wear sterile gloves the area of the anterior cranial fontanelle
and use sterile syringes and needles. (top, midline) and gently depress the plunger
Injected substances may distend the joint of the syringe to expel the dose. Return the
capsule causing pain. animal to its mother, check for adverse
Avoid over-distension of the joint with effects after one hour (to avoid too much
excessive volumes of substanceÐwhere im mediate disturbanc e) and monitor closely
possible, remove an equal volume of at least once per day post-injection for
synovial ¯uid before injecting. T he adverse effects of the technique or the
maximum volume that can be ad- inoculum.
ministered (assum ing aspiration of an T here is debate over whether the use of
equivalent volume of synovial ¯uid) is anaesthesia for animals of this age would be
15 ml for rats (Waynfort h & Flecknell appropriate, since this in itself can cause
1992 ); 200 ml for rabbits; 1 ml for dogs. distress which has to be balanc ed against the
stress of intracerebral injection. However,
T he more times the joint is penetrated by modern anaesthetics can be given safely by
repeat dosing the greater the risk of competent personnel and topical anaes-
introducing an infection and of trauma. thetics should not be a problem. T he per-
Laboratory Animals (2001) 35
Administration of substances 15

ception of pain in neonatal animals has been gain experience in handling them
the subject of considerable investigation and b e fo re starting procedures. To perform
advan ce in the last few years. In some spe- the procedure hold the anim al gently
cies, including rats and humans, the des- but ®rmly. It is easiest to do this by
cending inhibitory ®bres which mitigate the resting the animal on an absorbent
feeling of pain and raise the pain threshold do towel on a ®rm surface.
not develop until 2±3 weeks after birth. Some Practise minimal depression of syringe
neuroscientists now believe that neonatal plungers using fragile inanimate objects
anim als with immature nervous systems are (such as art i®cial sponges) which
more likely to feel pain than older animals. mimic the texture and the pressure
T he current non-use of anaesthesia in very needed to expel ¯uids.
young anim als is part of outdated wisdom Keep volumes of inoculum in the
based on `small things do not feel pain’. It syringe small. Fine control is not then
may also result from using methods of reduced by stretching the ®nger to
restraint which are relatively so powerful reach the plunger.
that we either do not realize the anim al is
Incorrect placement of the needle, (e.g.
struggling, or put this down to a response to
the restraint alone. insertion from the rear of the brain, from
the wrong angle, or too deeply) can kill the
animal.
Ad ult ro d e nts Know precisely where to inject the
A stereotaxic frame is needed to ensure that animal and to what depth. It may be
there is no lateral movement of the needle possible to put stops on the needle or
which would cause trauma. Anaesthesia is mark the needle in some way to assess
essential for this as is aseptic technique and depth.
sterile material. Injection volumes should
not exceed 2% of brain volume and should Needle sizes greater than 26G cause
always be given slowly enough to avoid excessive damage to the brai n of neonatal
increasing cerebrospinal ¯uid pressure. animals, and may kill them.
Penetrati on of the ventricle is readily asses- Do not use needles greater than 27G .
sed by the sudden reduction of bac k pressure Avoid inoculating viscous substances
in the injection line. Chronic placement of which would require larger needles.
cannulae allows injections, or continuous
Injection of an excessive volume can
intraventricular infusion, without need for
distend the brain and skull.
repeated anaesthesia.
Do not inject more than 20 ml in
neonatal rodents.
Po te nt ia l pro b le m s a nd re ®ne m e nts
Alternative methods of obtaining the results Substances with high protein content may
required should always be considered before cause the death of the animal.
using this route. T he procedure is not easy to Always check the protein content of the
perform and the most common adverse substance to be administered and avoid
effects result from clumsy technique. the intra-c erebral route if the protein
content is high.
Expelling small volumes of inoculum
gently from the syringe is dif®cult. T he Occasionally the mother rejects the young
skull of neonatal anim als is very thin and when they are returned to her. If there is
fragile and can easily be damaged, as can blood leaking from the injection site she
the brain, with haemorrhage occuring at may eat them.
the site of inoculation. Movement of the Minim ize disturbance of the litter after
animal during dosing will result in brain inoculat ion. Check after half an hour,
damage. one hour, and daily thereafter. Any
Neonatal anim als require very careful, animal showing unexpected neural
gentle handling and it is essential to de®cits, e.g. ataxis or paralysis, within

Laboratory Animals (2001) 35


16 Joint Working Group on ReŽ nement

the ®rst 24±36 h should be humanely Depress the syringe plunger as gently as
killed as this is most likely to possible. Con®rm correct locat ion by
be due to faulty technique. See also the bleb that results from the ¯uid
Section 2.3 (Neonatal =Young animals). injection parting the cutaneous layers.
T he density of the skin may make needle
3.3 Intradermal insertion dif®cult.
U se o f th e te ch niq ue Use the smallest and sharpest needle
Intraderm al injection is a technique com- that will penetrate the skin (27G for
monly used in studies of in¯ammation, sen- rodents; 25G for dogs and primates).
sitization and cutaneous blood-¯ow
An intradermal injection, even without
diagnosti cs, and in immunology. Often the
in¯ammati on, can cause distress if not
objective is to administer a putati ve antigen
performed correctly.
or in¯ammatory mediator and look for a
Consider the use of a local anaesthetic
reaction (oedema, swelling or redness) which
cream (e.g. EM LA cream ).
might occur rapidly or after a period of time
Minim ize adverse reactions by splitting
from minutes to days.
the dose over a few sites (but see below).
Do not inject an individual site more
Sum m a ry o f th e pro to c o l than once.
T he injection is made into the outer layers of
the skin, usually on the bac k. T he dorso- T he response from multiple injection sites
lateral skin should be closely shaved with may coalesce.
electric clippers (avoi ding any skin dam age) T he maximum number of sites should
at least one hour before injection. T he needle not normally exceed 6.
should be held almost parallel to the skin Ensure sites are suf®ciently far apart to
surface and advanced carefully a few milli- avoid coalescence. Consider using gen-
metres into the skin. If there is a sudden loss eral anaesthesia, particularly if more
of resistance to the passage of the needle, this than 6 sites are required.
is usually due to it passing subcutaneously. It When carrying out multiple injections
must be withdrawn and re-introduced. use a statist ically designed Latin square
Rotat ing the needle in the injection site just system to account for regional varia-
after insertion and im mediately prior to tions in skin thickness.
withdrawal helps minimize leakage of injec-
ted ¯uid. A successful injection will result in 3.4 Intramuscular
the form ation of a bleb. U se o f th e te ch niq ue
In general, intramuscular injection is used as
Po te nt ia l pro b le m s a nd re ®ne m e nts a route of systemic administrat ion. It is
Sympathetic restraint is very im portant. sometimes used in slow release studies
Good technique is essential to ensure intra- where implants or oily formulations are
dermal rather than subcutaneous adminis- employed to provide a depot from which a
trat ion. drug is gradually absorbed. It is also used in
testing vaccines and to administer anaes-
T he volume to be injected may be large and thetics, particularly to wild animals via a
there is no natural space to contain it. dart gun.
Injection volume should not normally
exceed 100 ml per site; 50 ml may be
Sum m a ry o f th e pro to c o l
preferable in some instances.
Two people may be required, one to hold the
It is easy to inject subcutaneously in error animal, the other to inject the material. T he
instead of intraderm ally. injection should be made into a suitable large
Good training is essential to ensure muscle mass, appropriate to the purpose of
accurate injection. If in doubt clip or the procedure and away from major blood
shave sites carefully to aid visibility. vessels and nerves to avoid damaging them.
Laboratory Animals (2001) 35
Administration of substances 17

T his will normally be into the lateral and there is any danger of the substances
cranial thigh muscles (the vastus group) being irritant.
rather than the hamstring muscles in the
hind limb. T he injection site in birds is the T he injection itself may cause the animal
thigh or pectoral muscles; in ®sh the dorsal serious distress.
musculat ure is used. In such instances, complete the injec-
T he animal’s leg should be held ®rmly and tion as quickly as possible or, if the pain
the needle inserted carefully and deliberat ely. reaction becomes violent, withdraw the
T he syringe plunger should be withdrawn needle to avoid unnecessary pain or
slightly prior to injecting to ensure the needle mechanical damage. T he injection
is not in a blood vessel. T he contents of the should be completed at another site
syringe should then be expelled slowly, the when the pain reaction has subsided
needle withdrawn and the site gently mas- and the animal has been calmed.
saged. Re-assess the necessity of using this
route and formulation.

Po te nt ia l pro b le m s a nd re ®ne m e nts Nerves (e.g. the sciatic nerve) can be


Intramuscular injections appear to cause damaged by incorrect placement of the
more pain than injections at other sites, both needle, or by a reaction to the substance
at the time and afterwards, as evidenced by administered. Traum a near to the sciatic
temporary limping. T here is also a greater nerve can lead to self-mutilation in rabbits.
chance that major nerve trunks or minor T he substance may be inadvertently
intramuscular nerves may inadvert ently be injected into a blood vessel within the
injured, as well as injury to muscle tissue muscle mass, and there is also a risk of
caused by the distension in a closed fascial injecting the mat erial into the fascial tissue
compartm ent. rat her than the muscle mass itself. T his
T he route should only be used if a less will introduce experimental variati on.
painful alternative is impossible, or if it is Movement of the point of the needle
required clinically. T he potential irritancy of whilst in the muscle can also cause
a substance if injected subcutaneously or damage, e.g. when withdrawing the plunger
intraperitoneally should not be a reason for to check for penetration of a blood vessel.
choosing the intramuscular route where it is Keep the animal very stillÐsensitive
equally likely to be irritant. Before using this restraint is essential, as is fam iliarity
technique carefully consider what you are with anatom y, particularly of the
trying to achieve, the likely dam age, whether muscle masses and routes of nerves.
there is an alt ernative, whether the techni- Take great care to avoid nerves and
que is a one-off, and whether repeat doses blood vessels when placing the needle.
will be required. T he sciatic nerve is situated deep in the
posterior (caudal ) fem oral muscle mass
If irritant substances are administered
and along the line of the bone, so for
intramuscularly the resulting tissue
preference inject into the muscle mass
necrosis at the injection site is likely to be
on the anterior of the thigh. Do not
painful since muscles are continually used
insert the needle too deeply (beyond
to maintain posture. Use of adjuvants can
1.5 cm in adult cat s and 2.5 cm in adult
compound the problem as they provide an
dogs).
ongoing irritant focus (see Section 2.3 ).
Do not use irritant substances. T he volume injected can physically dis-
Clip the injection site so that any local tend the muscle causing swelling at the
reactions can be seen. In birds, the injection site with associat ed damage and
feat hers can be dam pened with an pain. T his is a particular problem for small
alcohol solution and partedÐdo not mammals.
pluck feathers (see also Hawkins e t a l. T he volume that can be comfortably
2001 ). T his is particularly important if accommodat ed depends on the species
Laboratory Animals (2001) 35
18 Joint Working Group on ReŽ nement

and the shape and size of muscles. Do cally upwards. T he ori®ce of the adaptor
not use the technique for small anim als should be placed about 1 mm above the
(e.g. rats, mice or hamsters) unless there nostril. T he pipette plunger is then depressed
are exceptional circumstances when it so that a droplet fall s into the nostril. If the
should be used with extreme care. droplet fai ls to separate from the pipette it
It may be better to divide larger can be touched gently against the nasal ori-
volumes between, for exam ple, hind ®ce so that it drains into the nostril.
and front legs, or to have 4 sites and Two people are required to dose dogs. One
rotate around them. However, this holds the animal in a sitting position, the
must be bal anced against the potential other (the doser) angles the dog’s head
to cause multiple limb lam eness. Sites slightly (about 30 ) above the horizontal. For
should be separated by at least 4 cm. application use a syringe or a spray pump
Disperse aqueous substances after held in the doser’s other hand and positioned
injection by gentle massage. 2±3 mm inside the nostril, but not touching
the mucosa. T he spray pump is activated,
With good restraint and a familiar handler,
usually once or twice, and then removed.
large mam mals such as sheep and cattle,
T he dog’s head is held slightly upwards for
will normally remain still for injection but
about 30 s to allow the test material to drai n
pigs will not.
into the nasal passages. If a very small
Using a butt er¯y needle with a length of
volume is administered this may not be
polythene tubing will make injection
necessary.
easier as the operator can follow the pig
An equivalent procedure is used for pri-
roundthe pen andinject at the same time.
mates, although for large Old World
Feeding the anim al with some nuts
primates, three people are required, two to
simultaneously will also help.
hold the anim al and one to dose.
In ®sh, injection can dislodge scales.
It may be necessary to construct a
restrainer from a block of foam rubber Po te ntia l pro b le m s a nd re ®ne m e nts
or sponge. A `V’ shape large enough to T he technique imposes little stress if the
hold the ®sh is cut in the surface of the animal is well trained. If the ®rst at tem pt
block. T he `V’ is lined with wet tissues fails the technique can be repeated provided
and the whole block saturated with that the animal remains relaxed and
water (see also Brattelid & Smith 2000 ). unstressed.
Dosing is nearly always inaccurate since
3.5 Intranasal the animals often sneeze when the dose is
U se o f th e te ch niq ue administered. Sneezing can contaminate
Intranasal administrati on is used when other animals or staff with test materials.
investigating the respirat ory tract as a route Dose animals away from others that
of infection and when studying pharm aceu- could be contaminated and allow for
ticals absorbed from the mucosa. potential inaccuracies when calculating
the dose.
Sum m a ry o f th e pro to c o l If the anim al moves some of the material
T he test material is administered by allowing may miss the nasal ori®ce or the pipette
small droplets from an automat ic pipette or may jolt the nose and hurt the animal.
spray pump to fall into one or both nostrils. Train anim als to accept restraint and
T he technique can only be used to administer dosing (e.g. with saline) before com-
small volumes (e.g. 50 ml to rodents and rab- mencing the study. Hold the animal
bits, 500 ml to dogs). very still, with the administration
Small animals such as rodents are device very close to (i.e. within 1 mm),
restrained by scruf®ng. T hey must be still or within, the nostril. Brief parenteral
and relaxed with the nostrils pointing verti- anaesthesia=sedation may be preferable
Laboratory Animals (2001) 35
Administration of substances 19

when administering a single dose or carefully (see Section 2.3 ). Pilot studies
when dosing small rodents. are advisable.
A very steady hand is needed for this
technique. Practise the technique by T his is a dif®cult technique to perform
dosing into a small container and correctly, particularly in small rodents
weighing the dose delivered. (Lewis e t a l. 1966, Claasen 1994 ), because
it is dif®cult to ensure the dose is adm i-
3.6 Intraperitoneal nistered into the peritoneal cavity rather
than into the intestine, gut, urinary blad-
U se o f th e te ch niq ue der, muscle or other organ. Occasionally
Intraperitoneal injection is used to adminis- blood vessels may be damaged resulting in
ter relatively large volumes of soluble haemorrhage.
substances, such as anaesthetics, to small Good staff training is essential. To
anim als where these need to be rapidly avoid puncturing the abdom inal vis-
absorbed and where the intravenous or oral cera, introduce the needle rapidly at an
route is inappropriate. T his is a common angle of 30 , slightly left of the midline
route for administering substances to ®sh. umbilicus, about halfway between the
pubic symphysis and the xiphisternum
Sum m a ry o f th e pro to c o l (see Waynforth & Flecknell 1992 ). For
T he technique involves injection through the rodents, the technique may best be
abdom inal wall into the peritoneal cavity. It performed by holding the animals with
is described in detail for rats in Waynforth the head tilted downwards. Note that
and Flecknell (1992 ). with this technique withdrawal of the
For ®sh, intraperitoneal injections are best plunger will not usually be helpful as
given antero-laterally to the anus with the gut contents are too viscous to be drawn
depth of penetration gauged by maintaining a into the needle.
slight pressure on the syringe. Penetration
should cease as soon as the ¯uid injected Injection of too large a volume of substance
start s to ¯ow freely indicating the needle’s will distend the abdom en and cause dis-
presence in the peritoneal cavity. comfort.
T he volume of injection depends on the
Po te nt ia l pro b le m s a nd re ®ne m e nts size of the anim al and what it can
T his route should not be used routinely accommodat e. Use 10 ml =kg as a guide.
(except for administration of certain anaes-
Repeated use of this technique can cause
thetics) as other routes are conveniently
serious stress because of the restraint
accessible and usually preferred for research
required, the cumulative irritant effect,
purposes.
needle dam age and the potential for
T he technique is not recommended for
injecting into abdom inal organs.
anim als larger than rodents, nor for pregnant
Do not inject individual animals more
anim als since the needle can puncture the
than once per day. T he number of
gravid uterus. Never use this technique with
subsequent injections needs rigorous
birds because the substance may go into the
justi®cat ion. Brief anaesthesia can
air sacs.
make the technique more reliable and
Substances which are irritant can be life less stressful.
threatening when administered by this Where repeated=continuous adm inis-
route. T here can be appreciabl e reaction in trati on is required (for exam ple, where
the peritoneal cavity including pain, for- this is used to imitat e am bulat ory
mation of ®brous tissue and adhesions. peritoneal dial ysis in humans), con-
Many non-aqueous solvents cause swelling sider whether it would be less stress-
of edges of the liver lobes. ful to implant anim als with a
Consider the pH, irritancy, toxicity and minipump dose delivery system (see
compatibility of the substance very Section 3.11 ).
Laboratory Animals (2001) 35
20 Joint Working Group on ReŽ nement

3.7 Intratracheal necessary and whether it would be satisfac -


tory to administer the substance intranasally
U se o f th e te ch niq ue
or by inhalation instead.
Intratrac heal administrati on is used to study
T he technique has the potential to dam age
the effects of poorly soluble substances
the respiratory tract and is not appropriate for
(e.g. dust and ®bres) or poorly soluble drugs
repeated administration. Tracheotomy
in the airways of laboratory anim als.
should be considered if this is absolutely
necessary.
Sum m a ry o f th e pro to c o l
T he technique is usually used with ham sters, Putting any foreign mat erial directly into
rats, guineapigs and rabbits. It involves the respiratory tract can cause an adverse
administrat ion into the trachea via the oral reaction. Irritant materials can cause ser-
cavity, or into the lungs by tracheotomy to ious problems.
allow for repeat dosing. T here are a number Be aware of pH and other factors that
of references describing the technique in rats may affec t irritancy. Avoid using irri-
and rabbits (see Sedgwick 1988, Waynforth & tant materials (see Section 2.3).
Flecknell 1992, Cambron e t a l. 1995, Davies T he physical presence of the substance
e t a l. 1996 ) and primates (Morris e t a l. 1997 ). particularly as large volumes or amounts of
Tracheotomy is not covered in this report. solid can dam age the pharynx or cause
T he anim al should be anaesthetized and local lung irritat ion.
placed supine on a padded table. Intubation Do not exceed maximum volumes of
should be carried out with an appropriately 500 ml for rabbits and 40 ml for rats. T he
sized tube (e.g. orogastri c tube), the maxim um particle size of solids admi-
unin¯ated cuffed end being guided into the nistered should be dependent on their
trachea via a laryngoscope. It is im portant to not impeding the airways or acting as a
check correct placement by the movement of mechanical irritant.
inspired and expired air through the tube.
T he test substance is drawn into a syringe T he tongue can be damaged if not handled
which is then attac hed to an intravenous carefully. T he pharynx =larynx can be
catheter. T his is then placed inside the damaged by the passage of the tube and
endotracheal tube (which acts as a guide) and this can cause laryngospasm .
inserted to the point of bifurcation of the Take great care when handling the
airways. T his can be felt quite easily. tongue and when passing tubes. A good
An alternative technique which can be understanding of the anat omy of the
used for rats, is to place the anaesthetized animal is essential as is appropriate trai-
anim al in sternal recumbency with the bot- ning (e.g. using recently killed anim als).
tom jaw anchored behind the incisors and the Lubricat e the tube with a water soluble
top jaw raised by an elastic band placed sterile lubricant (Davies e t a l. 1996 ). A
behind the incisors. T his maintains a wide local anaesthetic spray can reduce the
gape to allow access to and visualization of chance of inducing laryngospasm.
the larynx by means of an adapt ed canine Monitor the animal closely during the
otoscope (Sedgwick 1988). A ¯exible catheter recovery period and for up to 3 h
can then be passed an appropriate distance thereaft er.
through the larynx for material to be instil-
led. Shining a ®breoptic light onto the neck
at the level of the larynx helps to trans- 3.8 Intravaginal
illuminat e the pharynx. U se o f th e te ch niq ue
T his technique has lim ited applicat ion since
Po te nt ia l pro b le m s a nd re ®ne m e nts it is used to imitate the route of exposure to a
Intratrac heal administrati on involves general pathogen (e.g. herpes, thrush) to pharmaceu-
anaesthesia so before using this route think ticals or other products such as IUDs, tam -
very carefully about whether it is really pons or pessaries.
Laboratory Animals (2001) 35
Administration of substances 21

Sum m a ry o f th e pro to c o l It may be useful to dilate the vagina


Viscous ¯uids and creams can be adminis- with a suitably lubricat ed (and warm!,
tered to rodents, rabbit s, dogs and primat es e.g. plastic) speculum. T his should be
using a sterile syringe inserted gently inserted gently between the lips of the
between the lips of the vulva and advanc ed vulva and thence into the vagina.
upwards and forwards into the lumen of the Gentle closure of the handles of the
vagina. An oral dosing catheter cut down to speculum will cause dilation of the
approxim ately 10 cm can be used instead of a vagina allowing easy adm inistration of
syringe for rabbits and rodents. the dose by ®nger, tam pon or tube.
Where a vaginal suppository is to be admi- T he animal may push the suppository bac k
nistered, this is held between the fore®nger out or incorrect placement may result in it
and thum b, and inserted gently between the fall ing out.
lips of the vulva and thence into the vagina. Check the animal at intervals after
Deeper insertion is then accomplished by returning her to her cage to ensure this
pushing the pessary or suppository forward has not happened (but remember, the
into the vagina using the index ®nger or other ejected suppository may be swallowed).
suitable probe, such as a smooth plastic rod.
T he animal may not retain the whole dose
if the volume is large, rendering the dosage
Po te nt ia l pro b le m s a nd re ®ne m e nts
inaccurate.
Substances may be absorbed through the Keep volumes smallÐless than 3 ml in
vaginal mucosa and this may result in dogs, less than 500 ml for rabbits, less
unintended systemic toxicity. than 50 ml for rodents.
Before dosing check available data on
absorption rates to assess potential 3.9 Intravenous and intra-arterial
adverse effects.
U se o f th e te ch niq ue
It may be dif®cult, particularly with smal- T he intravenous route is often used in phar-
ler animals, to gain entry into the vagina maco-toxi cological experiments to mimic
and the urethral ori®ce may be entered in the route of exposure to drug formulati ons,
error. T here is also a risk of penetrating the blood-replac ement products, nutrient solu-
vaginal wall with a syringe or rod, if the tions, infectious and diagnostic agents. It
depth or angle of insertion is incorrect. ensures that maximum plasm a exposure is
Take great care when inserting any- achieved as rapidly as possible and avoids the
thing into the vagina. It is very impor- possibility of pre-enterohepatic metabolism
tant to have a thorough knowledge of and eliminati on.
the anatom y of the anim al and in T he intra-arterial route is used infre-
particular the length of the vagina and quently, except to assess the possible con-
the position of the urethral ori®ce. sequences of accidental intra-arterial
During insertion, stay on the upper injection of a formulation intended for
(dorsal ) surface so as to avoid the intravenous administration.
urethral opening. It is important to
appreciate the relative position of the
Sum m a ry o f pro to c o ls
cervix within the pelvic cavit y, and to
advance the syringe suf®ciently far Int ra ve no us d o sing: A detai led description
forward (e.g. 8.5 cm in 6±15 kg bitc hes) of this route for rats is given in Waynforth
for the substance to be retained in the and Flecknell (1992 ) with additional infor-
vagina. mation on other common laboratory species
Check the substance is not in the in Paget and T homson (1979 ) and Tuffery
urethra by pulling bac k the plunger (1995 ). Further information on methods as
slightly to check for the presence of they are updated and re®ned is published in
urine. A wider catheter is less likely to journals such as La b o ra to ry Anim a ls, Th e
enter the urethra. To xi co lo gist and Hum a n & Expe rim e nta l
Laboratory Animals (2001) 35
22 Joint Working Group on ReŽ nement

Table 5 Intravenous injection (sites of injection, needle sizes and maximum volumes)

Species Typical catheter=needle size Usual (occasional) vein for injection

Mouse 20­ 25 g 25­ 27G65/8" Tail


Rat 200 g 23G61" Tail
Rabbit 2.5 kg 21G61" Marginal ear
Dog 6 kg 21­ 25G up to 1" Cephalic (saphenous)
Primate 21­ 25G up to 1" Cephalic (saphenous)
Bird 21­ 25G61" Brachial (jugular)
Waterfowl=pigeon 23­ 26G61" Tarsal

The choice of infusion device is partly determined by the volume to be infused, the rate of administration and the species.
Larger bore needles can be used for the heavier animals within a species group
Maximum volumes should typically be 4% and no more than 5% of circulating blood volume
Infusion volumes should be based on kidney function data; generally around 5% circulating blood volumes per hour, or
4 ml=kg=h

To xic o lo gy. T he principles of re®nement are anaesthesia. Other welfare issues relate to
similar to those that apply when taki ng blood restraint by tethering systems or the use of
samples and therefore another useful refer- jackets, restricted cage environments and
ence document is the BVA(AWF)=FRAME = single housing.
RSPCA=UFAW report on removal of blood Infusion techniques are an advanc ing ®eld
(Morton e t a l. 1993 ). which is outside the scope of this document.
In the majority of cases of intravenous T here are detai led descriptions of the prac-
administrat ion, substances are introduced by tical aspects of infusion in the literature (see
a single injection into a suitable peripheral Gregory 1995, van Wijk 1997, Laboratory
vein. Table 5 gives recommended sites and Animal Science Association 1998, Healing &
volumes for different species. Some degree of Smith 2000 ).
physical restraint is always required.

Intra -a rte ria l a d m inis tra tio n: Recommen- Po te ntia l pro b le m s a nd re ®ne m e nts
dations regarding sampling of art erial blood With this route there are many factors which
(see above) may also be relevant to adminis- can compromise the experimental objectives
trat ion of substances by this route. and increase the severity of the procedure.
Rabbits and dogs are used and restraint is
always necessary. For rabbits a sedative or
Th e sub sta nc e
neuroleptoanalgesic may be better than phy-
T he bufferi ng capacit y of the blood allows
sical restraint; dogs must be anaesthetized.
slow administration of solutions with a wide
T he usual sites are the central artery of the
range of pH (between 2±11 ) provided that
ear in rabbi ts and the fem oral artery for dogs.
contact with blood vessel walls is not pro-
Needle sizes and administrat ion volumes are
longed. Formulations for injection must be
similar to those recommended for intrave-
miscible with blood without precipitation.
nous dosing. Injections should be made under
Substances must not cause haemolysis or
aseptic conditions in the same direction as
coagulation, and not elicit degenerative or
the blood ¯ow and administered fai rly slowly
in¯am matory reactions in blood vessel walls
over approximately 30 s.
or surrounding perivascular tissues.

Infus io n te c h niq ue s: Infusion techniques Some materials can dam age blood vessels
(either intermitt ent or continuous) may be at the point of injection.
used as alternatives to repeated injections, Consider altering the form ulation
but this option should be considered very (e.g. increasing the dilution) and=or
carefully, since there are inherent welfare alt ering the vehicle. If this is not
problems relating to surgeryÐim plantation possible then consider ¯ushing the
of indwelling catheter may require a surgical equipment and blood vessel with saline
procedure which must be performed under before and after administration of the
Laboratory Animals (2001) 35
Administration of substances 23

test substances using a T-connector It is preferable to inject substances


with two syringes att ached. more slowly over a period of minutes.
T his may require addit ional restraint
T he consequences of intra-arterial admin- procedures rather than manual restraint
istrat ion of tissue irritating chemicals and so weigh the disadvantages of this
arterial-c onstricting substances are poten- against the bene®ts of the slower
tially cat astrophic. injection.
Never administer such mat erials by
this route. Compatibilit y testing with
blood is essential prior to dosing. Take Vo lum e s
care to ensure that there is no risk of
subsequent arterial haemorrhage on Adding large volumes of ¯uid to the blood
completion of the procedure. stream causes haemodilution, increased
Always dilute substances well, using a central venous pressure, alterations in
suitable form ulation and ¯ush the acid-base equilibrium and diuresis. It may
artery with saline after injection. also cause pulmonary oedema. T here will
be additional problems of toxicity and
T here may be unanticipated reactions in haemolysis with non-aqueous solutions.
some species. For example, some compo- Be aware of blood volume values for
nents of formulati ons (e.g. Tween 80, different species. To minimize adverse
polyvinylpyrroli dine, some liposomes) effects, avoid increasing the blood-
cause anaphylac tic-lik e reactions if ad- volume by more than 4% for rapid
ministered i.v. to dogs, but do not cause bolus injections (see Table 5) or infusing
such reactions in rodents and man. at greater than 4 ml =kg=h.
Check the potential effect of the sub-
stance and its vehicle with back ground
dat a in a range of species. Inj e c tio n te c h niq ue

Particulate mat ter may be present in the If the anim al moves during the course of
material being injected or unsuitable the injection thus dislodging the needle
material may precipitat e out between from the blood vessel, part of the test liquid
preparation and injection. may be injected perivascularly and=or
Filter the material, e.g. by including a subcutaneously producing a swelling of the
®lter in the injection line between skin adjacent to the vein =artery.
syringe and blood vessel (No te : ®lters Before carrying out the procedure,
can adsorb and retain test material.) always check that the animal is ade-
quately restrained and that the needle is
If the substance comes out of solution ®rmly af®xed to the syringe. Use of an
when injected into the tail vein, the tail over-the-needle catheter or a butter¯y
may blacken due to thrombosis. Lung needle with a length of connecting
oedema and=or embolism may also occur. tubing will reduce the risk of the needle
Ensure the substance is adequately dislodging from the syringe. If the
dissolved in an appropriate solvent and animal moves check the position of the
check its compatibilit y with blood needle. If it has come out of the vein
before start ing the procedure. withdraw it immediately and repeat the
injection at a different site.
T he effect of a compound can be in¯u- Use a local anaesthetic cream, e.g.
enced by the rate of adm inistration. EMLA (Flecknell e t a l. 1990 ), so that
Injecting intravenously and intra-arteriall y the animal does not feel any pain, thus
over a few seconds will result in transi- reducing the risk of it moving.
ently high levels of the substance in the If a perivascular injection occurs and if
blood with possibly toxic effects occurring the solution is irritant, counteract the
very rapidly. effect, e.g. by injecting buffered saline
Laboratory Animals (2001) 35
24 Joint Working Group on ReŽ nement

and local anaesthetic at the site as a make sure it has very good thermostatic
diluent. control. Observe the anim als con-
stantl y for signs of distress. T he max-
Bad injection technique may dam age the
imum warming period for mice is
vessel mak ing subsequent injections dif® -
5 min and for rats 15 min. As a guide,
cult.
no more than ®ve anim als should be
When using the ear vein make the ®rst
placed in the box at one time.
injection as near the tip as possible so
that the vein remains patent. In
rodents, give injections near the tip of
the tail rather than at the base since Inf usi o n te ch niq ue s
this is usually easier and therefore more Since this involves surgery, all the re®ne-
accurate. ments that apply to surgical techniques, e.g.
Rotate the injection sites for repeat appropriate use of anaesthesia, asepsis,
doses. appropriate wound closure methods and
dressings, and recovery environment, and
Intravasc ular injection can result in emboli
post-operative analgesia should be imple-
(e.g. skin fragm ents) depositing in the lung.
mented as appropriate. Some potential
T his is rarely of clinical signi®cance but
problem s and suggestions for re®nement
can affec t the histopathology.
are given below, but refer to the literature
Use a ®ne needle and inject with
for further details.
minimal traum a.
Surgical techniques for im plantati on of
Lo c a ting th e ve in =w a rm ing th e a nim a l catheters or infusion devices can traum a-
tize the animal and introduce infection.
T he vein may be dif®cult to see. Ensure staff are competent in the
Try dilatin g the vessel to render it more anaesthesia, surgery and after-c are
visible by rubbing the surface, warming required, including aseptic technique.
the ear or tail (e.g. in a warming box), or Reduce post-operative trauma by accli-
using certain sedatives, e.g. Hypnorm 2 matizing animals to jackets for several
(Janssen Pharm aceutica, Turnhoutse- days before surgery.
baan 30, 2340 Beerse, Belgium) in rab- T hink about how the animal’s beha-
bits. Carefull y removing the hair may viour will be affec ted by the catheter-
also improve visibility. ization and exteriorization site before
going ahead.
T he animal will overheat if intense heat is
used for too long.
Constant or frequent contact of an
Any warming technique must ensure a
implanted catheter with the blood vessel
carefully controlled maxim um tem -
wall can cause thrombo-em bolism.
perature. Warming the tail alone is less
Accurate placement of the catheter is
likely to cause a problem, although
essential, as is the involvement of an
locally applied warmth does not work
experienced veterinary surgeon. Make
as well as whole-body warming.
sure staff have appropriate training and
Do not use hair driers or heat lamps as
are fully competent in the procedures.
they can overheat animals and cause
Use of biocompatible materials is
skin burns.
essential.
Where a warming box is used, the ther-
mostat on the box can fail. T he anim als Technical problems may occur with infu-
may overheat leading to unnecessary stress sion equipment, e.g. if small volumes are
and, in extreme cases, death. given interm ittently, then pumps may be
T he chamber temperature should not inaccurate.
exceed 37 C. Calibrate and monitor the Ensure pumps are meshed in/warmed
temperature of the box carefully and up every time they are used.
Laboratory Animals (2001) 35
Administration of substances 25

Ensure adequate quality control proce- pound is required, e.g. in carcino-


dures are in place so that the selected genicity testing.
device delivers the formulation at the (ii) Oropharyngeal administration of cap-
correct volume and rate of ¯ow. sules, pills or ¯uidsÐthis method is
Sophisticated computer-controlled sys- used when a material is unpalat able or
tems are now avail able allowing remote when more accurate dosing is
control of pre-programmable pumping required.
devices. (iii) Oral gavageÐthis technique also
Do not use mechanical pumping avoids palatibilit y problems and is the
devices for mice as the ¯ow rate for most accurate method for administra-
such small animals cannot be ade- tion of substances into the gast ro-
quatel y controlled. intestinal tract.

T he use of tethering systems or portabl e T he method of choice will depend on the


jacket systems can be uncomfortabl e, species, the nutritional requirements and
restrict the animals’ movements or lim it physiological state of the animals, the pur-
the possibilities for social housing. pose of the experiment, and the accuracy of
Techniques which allow the pump and dosing required.
reservoir of dosing solution to be carried
3.10.1 Inc lus io n in a n a ni m a l’s fo o d o r w a te r
by the animal are preferred since
tethering is avoided. Use jackets which Sum m a ry o f th e pro to c o l
allow social housing of social species or T he substance is incorporated in the animal’s
redesign jack ets where no suitable ones food or water. Highly palatable substances are
exist. readily consumed when offered in this way, or
Check the ®t of jackets and tethering will be licked from the end of a dosing device
attach ments dail y. such as a syringe. Where anim als are fastidious
Use subcutaneous ports for discontin- eaters, it is essential to understand their
uous infusion, so that no restraint is feeding behaviour in order to determine the
necessary when the animal is not being best way of incorporating the substance into
infused. the diet. A pilot study to test the substances
acceptabil ity, measuring food consumption
and body weight may be necessary.
3.10 Oral routes
Po te ntia l pro b le m s a nd re ®ne m e nts
U se o f th e te ch niq ue T his is the least stressful method of admin-
T he oral route is commonly used when sys- istering a substance, but it can also be the
temic exposure is required and it is known least accurate. T here may be problems relat-
that there is good absorption from the gas- ing to the physico-chemical properties of the
trointestinal tract and there is little ®rst-pass substance, its palatabili ty and the feeding
metabolism in the liver. In toxicological behaviour of the species. However, the ease
investigations it is commonly used regardless of administration, together with the low
of ®rst-pass metabol ism. It is also used when level of stress on the anim al, may outweigh
studying a local effect in the gastrointestinal many of the disadvantages.
tract.
Substances can be introduced into an Pro pe rtie s o f th e sub sta nc e a nd its
animal’s mouth or stomach by: pa la ta b ility
T he stability of the substance or its homo-
(i) Inclusion in food or waterÐthis geneity in the diet may cause a variety of
method most closely mimics the practical and scienti®c problems and alter its
ingestion of substances in humans pharmocokinetics.
and is particularly appropriate where T he substance may: bind to ingredients in
lifetim e administrat ion of the com- the diet; be altered by the heat of the process
Laboratory Animals (2001) 35
26 Joint Working Group on ReŽ nement

if pelleted; react with other dietary compo- Do not feed pellets that are too hard.
nentsÐfor exam ple, with essential vitam ins Check the animals’ teeth regularly to
or am ino acids, rendering them unavailable ensure there are no dental problems.
to the animal; break down to more or less
T he substance may have limited nutri-
toxic derivati ves (see Sections 2.1.3 and 2.3).
tional value but still constitute a large
Irritant substances may dam age the proportion of food. T his upsets the normal
mucosa of the oesophagus and stom ach. dietary balanc e (e.g. vitam in, protein
A detailed knowledge of the properties levels). In rodent studies, up to 10% non-
of the substance in relation to the nutritional substances may be added to the
dosing route is essential. diet.
Always check bac kground dat a for Be aware of the nutritional require-
indicators of likely adverse effects on ments and physiological state of the
the species to be used. animals (e.g. growing, pregnant or lac-
Do not use irritant materials. tat ing animals). Monitor them closely
for signs of loss of condition or weight
T he substance may be unpalatable. If it loss.
imparts an unpleasant ¯avour to the food
or water, the animals’ consumption will be
reduced. If animals refuse to eat, it may be Spe c ie s fa stid io usne ss
necessary to withold the normal diet. Some species (e.g. non-human primates)
Careful preparation of the compound, readily detect dietary inclusions. Cats are
e.g. by micro-encapsulat ion, may also fasti dious feeders and it may be
remove many of the palatability dif®cult to hide substances in their food.
problems. Pigs have a highly developed sense of taste
Mask unpleasant ¯avours in water by and smell so similar problems arise. Rats
adding sugar (water bottles containing and mice may also refuse to eat novel
sugar solutions should be changed daily substances.
in order to minimize microbial growth). It is essential to be familiar with the
Another option is to use ¯avoured (e.g. feeding habits and preferences of indi-
blac kcurrant, orange) gelatin which rats vidual species.
and other animals appear to like. Gela- Primates can be trained in operant
tin has a melting point of around 60 C feeding techniques. T hey readily drink
but a solidi®cation point of around fruit juices so substances can be
25 C. It can therefore be used to dissolved in the juice and given directly.
dissolve water soluble substances (or Liquids can also be injected into a grape,
substances dissolved in a miscible an orange slice or banana. Powdered
solution) which are tem perature sensi- solids can be thoroughly mixed with a
tive. T he stock solution of a compound favourit e titbit; such offerings should be
can be added to give a ®nal concentra- small enough so that the anim als will
tion that the animal will comfortably consume them quickly without tak ing
and reliably eat. several bites (Schrier 1997).
Do not withold normal food for long Dogs eat food quickly so they can be
periods and always consider the meta- dosed before feeding and the food then
bolic rate, age and condition of the acts as a reward.
animals before doing so.

T he substance may cause dental problems, Ac cura c y o f d o sing


e.g. feeding wet mash to dogs for prolonged T he dose level and durati on of dosing cannot
periods can lead to accumulation of tartar always be accurately controlled when the
on teeth. In rodents, too coarse a ground compound is simply included in the daily
diet can cause gingivitis, tooth decay and diet. T he amount of substance consumed
pharyngeal penetration. will vary with the individual anim al’s food
Laboratory Animals (2001) 35
Administration of substances 27

and water intak e. Wat er intake is particularly ing animals of social interaction. Bal-
variable and dif® cult to measure. ance the requirement to standardize
T here are particular problems with the between treatm ent groups against the
feeding habits of certain species. Old World desirability of providing social =
primates will store food in their mouth pou- environmental enrichment.
ches for as long as 30 min, so it is dif® cult to
Animals are handled less frequently
say when it has been swallowed. Hamsters
because there is no need for restraint. T his
will store food in cheek pouches (and in their
may make the conduct of other procedures
cage) mak ing accurate dosage dif®cult. Rat s
more dif®cult.
eat over several hours whereas dogs consume
Overcome any problems resulting from
their food very quickly. T his creates
infrequency of handling animals by
problems in assessing duration of dosing.
asking for daily body weight measure-
Coprophagic animals present particular
ment as part of the technique or by
problems, e.g. recycling unabsorbed material
routinely handling the animals during
or its metabolites. (T his will always be a
husbandry procedures.
problem whichever route is chosen.)
In most species the dietary intake per unit 3.10.2 Do sin g d ire ctly into th e ph a rynx
body-weight reduces with age.
Try presenting smaller am ounts of food Sum m a ry o f th e pro to c o l
at regular intervals to ensure accurate T he technique is commonly used only in
doses are consumed. Use highly pala- cat s, dogs, ferrets, farm anim als and birds,
table food making sure animals are used although rabbits can also be dosed in this
to the new food and recognize it as a way (see Tuffery 1995, Wolfensohn & Lloyd
treat. 1998 ). A suspended, encapsulated, or solid
Vary the concentration in diet =water to amount of material is placed onto the back of
achieve a steady intake as `mg’ or the tongue and a swallowing re¯ex induced
`ml =kg’. Doses should be expressed in by stroking the throat. Fluids can be instilled
terms of the weight of the base (not of onto the tongue or poured in the labial =cheek
the salt) given per unit body weight or pouch at the angle of the jaw with the muzzle
body surface area. held upwards. To administer a capsule to a
Use special containers which enable the primate or rat, put the capsule on the end of a
amount of diet consumed to be more gavage tube and `blow’ it out (Lax e t a l. 1983 ).
accurately measured. T hese have been Rats need to be trained to accept the gavage
described for feeding mice, rats, guinea- tube ®rst.
pigs and hamsters (Poole 1987 ). Neonates can be dosed by allowing them to
suck the test compound as an emulsion from
T here may be cross-contam ination of diet PE50 plastic tubing. Volumes of 40±50 ml can
from spillage and=or dust and this can be given to 10-day-old mice, body weight
affec t accuracy. approximately 4±6 g. T he technique is more
Animals may need to be separated for stressful than oral dosing in food or water
feeding; careful ventilat ion =air¯ ow because restraint is necessary.
control may be necessary.
Po te ntia l pro b le m s a nd re ®ne m e nts
O th e r w e lfa re pro b le m s T he same problems occur as in 3.10.1 above.
In addition:
Animals may have to be singly housed to
assess dietary intake more precisely. If the substance has an unpleasant taste,
Always question the necessity for pre- the animal may develop a conditioned
cise measurement of dietary intake and response and vomit before being dosed.
thus for single housing. It may be Try mak ing the substance more palata-
relatively unimportant scienti®cally ble by ¯avouring it or by encapsula-
but cause unnecessary stress by depriv- tionÐchoose the correct size of capsule
Laboratory Animals (2001) 35
28 Joint Working Group on ReŽ nement

for the species. Treats can be given as a from the end of the gavage tube enter the
reward after dosing. lungs, or inapparent, e.g. ulceration in the
stomach.
Dosing may be inaccurate if substances are
Do not administer substances which
spilled, spat out (im mediately or as a
cause gastric irritation.
delayed response) or regurgitat ed.
Avoid direct contact of the tube with
Encapsulati on overcomes this problem
the oesophageal or stomach wall by
but be aware that capsules themselves
ensuring the correct length of gavage
may break, releasing the compound in
tube.
the wrong part of the gut.
Avoid generation of droplets which may
Dosing accidents, such as choking, can be inhaled and cause severe reactions. It
occur. is important to make sure there is no
Avoid choking by giving ¯uid in small droplet on the end of the tube as it is
aliquots (5 ml for dogs, 250±500 ml for pushed down the oesophagus. Blot or
rabbit s), allowing the animal to swal- wipe it with a tissue and ¯ush the tube
low between aliquots. with a small volume of water after
dosing so no irritant drops are inadver-
Repeat dosing may be more stressful for
tently released as the tube is removed.
the anim al and the opportunity for error is
increased. Compounds may froth and block the
Lim it the number of repeated doses trachea or cause a foreign body pneumonia
given per day to between 2 to 4. T his if administered into the lungs by mistake.
often mimics typical clinical usage and Take particular care to ensure the
may thus be a more accurate and gavage tube is in the stomach. Consider
appropriate method of dosing. maxim um volumes carefully for com-
Reduce stress by training the anim al to pounds that can froth.
cooperate in the procedure.

3.10.3 O ra l ga va ge
Th e te c h ni q ue
Sum m a ry o f th e pro to c o l
T he technique has been described in detail If the tube is incorrectly placed, if undue
for all the common laboratory species in a force is used, or if the animal moves, the
number of texts (Paget & T homson 1979, tube may penetrate the trachea or pass
Poole 1987, Waynforth & Flecknell 1992, through the oesophagus or stomach wall
Tuffery 1995 ). In summary, a feeding tube or into the thoracic or peritoneal cavity.
gun is passed into the oesophagus =stomach Subcutaneous abscesses may result from
and the substance to be dosed is gently infection tracking out from the mediast i-
expelled at a regular controlled rat e slow num, e.g. swellings in the axillary region.
enough to deter regurgitati on. T he tube is Repeated insertion of the tube for frequent
withdrawn gently to avoid re¯ex vomiting or dosing may cause in¯am mation and
regurgitation. ulceration of the oesophagus.
When a rigid gavage tube attach ed to a
Po te nt ia l pro b le m s a nd re ®ne m e nts syringe is being used, negative pressure
T his is the most stressful, and technically may draw in air, rat her than create a
dif® cult, method of oral administration, vacuum, if the tube has inadvertently been
although an experienced and skilled techni- inserted into the lungs rather than the
cian can make it seem deceptively easy. oesophagus or stom ach.
Keep the animal still and ensure the
Th e sub sta nc e best angle of the head and body to
facilitat e dosing. T his is very im portant
Substances may be irritant. T he effects and requires correct and sensitive
may be apparent e.g. wheezing if droplets restraint.
Laboratory Animals (2001) 35
Administration of substances 29

Be familiar with the anatom ical rela- Gags can cause discomfort.
tionships of the oropharynx and develop Only use gags if they make the techni-
the necessary high degree of skill before que easier to perform and less stressful
commencing dosing to ensure accurate for the anim al. Make sure any gags are
placement of the gavage tube. designed to be comfortable for the
Always use the correct size (length animal. Tapering one end makes it
and width ) of feeding tube to ensure easier to put into the mouth.
the dose enters the stomach and not the
T he animal may regurgitate the dose or
oesophagus. For exam ple, in dogs
vomit. T his is a particular problem with
the correct length corresponds to the
ferrets.
distance from the nose via the acromion
Always expel the contents of the gavage
of the shoulder to the tenth costochon-
tube at a controlled rate and withdraw
dral junctionÐcorrect placement is
the tube carefully. Monitor the anim al
con®rmed by the smell of the gut
carefully once it has been returned to
contents. In mice the tube should
the cage.
extend from the tip of the nose to the
last rib. Mark the length in advanc e.
Make allowance for young or small
individual animals. Wi th h o ld ing fo o d
Check for condensation which may be
visible if the tube has inadvertently Food is often withheld overnight, for as
been placed in the trachea. long as 18 h, in order to empty the animal’s
Use tubes with a small smooth knob on stomach before dosing. T his is a long time,
the end to prevent penetration of the particularly for rat s or other anim als whose
gut wall. Flexibl e catheters are prefer- normal feeding behaviour is `litt le and
able to rigid tubes and plastic can be often’ and whose feeding time is at night.
used instead of metal (but consider T hink carefully about the reasons for
possible reactions between the com- witholding food. It is rarely justi®edÐa
pound and the tube). recent study by Vermeulen e t a l. (1997 )
Consider lubricating tubes with petro- demonstrated that the stomach of male
leum jelly or medical paraf® n to ease rat s was empty after 6 h without foodÐ
passage. and requires a good scienti®c reason
If any resistance is felt during insertion (i.e. if the absorpti on of the compound
of the needle, or if there is any sign of varies depending on whether the animal
choking or distress, withdraw the tube is fed or fasted). If food is withdrawn,
and re-start the procedure. water should always be offered.
Always monitor the anim al for a short Authority may be required from licen-
period after returning it to its c age to cing authorities or Animal Care and
check for any adverse reaction to the Use Committ ees for food withdrawal
procedure and to check whether re- together with precise instructions for
gurgitation or vomiting occurs. If time of next feed.
animals die following oral dosing
perform a necropsy exam inati on to
ascertain the cause of death and Yo ung a nim a ls
eliminate poor technique as a Extreme care should be taken with young
factor. animals. T here are special considerations
If you suspect you have dosed into the with respect to their size, disturbance of
lungs hold the anim al’s chest close to litt ers and time of dosing after ingesting
your ear and listen for `gurgling’ or milk. Dosing pre-weaned animals is
`rasping’ sounds. If the dose has gone dif®cult and should be avoided if possible.
into the lungs kill the anim al to prevent Gavaging rats less than 6 days old should be
further suffering. avoided.
Laboratory Animals (2001) 35
30 Joint Working Group on ReŽ nement

Prim a te s of the back bone. T he incision should be


Oral gavage of Old World primates should positioned about 1±2 cm caudal to the esti-
only be considered in cases where it is mated caudal end of the minipump when this
essential to ensure that the full dose of a drug is in place. A pair of haemostats (straight
reaches the stomach at the same tim e. It is a artery forceps) is inserted through the inci-
straightforward procedure pro vid e d staff are sion under the skin in a cranial direction and
highly skilled and experienced in carrying it the jaws on the haemostats opened to make a
out. T he stress of the technique is com- subcutaneous pocket for the minipump. T he
pounded by the stress of the restraint minipump should be inserted, delivery end
required and staff m ust be well trained and ®rst, into the subcutaneous pocket. T he skin
competent in this too. Lubrication of the wound is closed with wound staples (not
tube will ease its passage. nickel) or sutures. Appropriate peri-operative
If at all possible, oral gavage should be monitoring and care must be provided.
avoided and substances should be adminis- Some protocols may require the removal or
tered orally by other means. replacement of the minipump after a speci-
®ed period. T his should also be done under
general anaesthesia using aseptic technique
3.11 Osmotic minipumps and with analgesia. T he original incision is
U se o f th e te ch niq ue opened, the pump removed with forceps, and
Osmotic minipumps can be used to allow the wound sutured.
continuous drug delivery over long periods Some manufac turers/distribut ers of mini-
(T heeuwes & Yum 1976, Nau 1985, Collins pumps (ALZA Corporation 1990 ) provide a
1987) and to avoid the stress of repeat dosing. video which demonstrates the basic tech-
nique for subcutaneous implantation plus
other applications, such as intraperitoneal
Sum m a ry o f th e pro to c o l im plantati on and connection to catheters for
Commercially avai lable pumps are designed intravenous infusion. T hese provide infor-
to deliver different durati ons of dosing. A mation on practical surgery but do not
steady out¯ow of test mat erial can be pro- address welfare issues.
duced for up to 2 weeks. Minipumps are It is possible to supply the mat erial for
commonly used in rat s, mice, guineapigs, dosing to an establishment and then buy the
ham sters and rabbi ts, alt hough they can be animals already im planted. However, note
implanted in virtually any species. In mice, that the transport of surgically prepared and
minipumps are large relat ive to the body size dosed animals also has welfare implications
of the animal, but are tolerated well, provided which must be tak en into account.
they are sited in a position which does not
interfere with the animal’s movement. T he
Po te ntia l pro b le m s a nd re ®ne m e nts
device is inserted subcutaneously, or occa-
T he method can have signi®cant animal
sionally intraperitoneally, with a single
welfare bene®ts over repeated dosing by
surgical procedure. Aseptic technique,
other routes where restraint and infusion or
anaesthesia and analgesia are necessary.
injection may be required, but this must be
Analgesia should be administered as soon
balan ced against the stress of surgery. T he
as the animal is anaesthetized. It will have
most likely adverse effects of the technique
then become effective by the time the animal
are those due to toxicity of the compound or
regains consciousness. T he hair should be
drug contained in the minipump.
gently removed from the dorsal area with ®ne
electric clippers and the skin cleaned with an A reaction to the minipump may be seen if
antiseptic skin preparation. A skin incision, its surface is abraded. Weight loss may
about 1 cm long, should be made on the occur.
dorsum of the animal midway between the Handle pumps very carefully. When
head and base of the tail. T he pump should be monitoring body weight in small ani-
placed along the axis of the body to one side mals, remember to take account of the
Laboratory Animals (2001) 35
Administration of substances 31

weight of the minipump and the com- should be considered in each case (see
pound. Any weight loss should not be Section 2.3 ). Pilot studies are advisable to
expected to exceed that seen aft er assess and avoid potential adverse effects.
anaesthesia alone. Inhalation administration of substances is
described in detail by Phalen (1984 ), (see also
T he technique necessitates anaesthesia
Kennedy e t a l. 1989, Waynforth & Flecknell
and surgery both of which are potentially
1992 ).
traumatic procedures. Most wounds
should heal well but wound breakdowns
3.12.1 Wh o le b o d y e xpo sure
may occasionally occur.
T his technique should only be carried Sum m a ry o f th e pro to c o l
out by experienced and competent staff. Animals are exposed to the substance either
Training in anaesthesia, aseptic surgical in a specially designed inhalati on cham ber,
technique, and peri-operative care, or where exposure is for many hours per day
including post-operative analgesia, is (i.e. close to continuous exposure), in cages
essential. with similar dimensions to their normal
Monitor the anim al carefully aft er housing. T he cages may be made of mesh (to
implantation. It may be necessary to ensure circulation of the atm osphere) and
house the animal on its own for 24 h for there may be other minor modi®cati ons.
the skin to seal adequately.
Po te ntia l pro b le m s a nd re ®ne m e nts
Only small volumes can be administered
T here should be litt le or no more distress
so the form ulation is often very concen-
from the technique than occurs for stock
trated. It may precipitat e in contact with
animals in holding rooms, provided standard
body ¯uids and the pump can becom e
cages are used. However, any restrictions on
blocked as a result.
available space, food or water or on the nat-
Check (in vitro ) that precipitat ion will
ure of the physical and social environment
not occur.
may cause distress, as may the noise from
ventilation or dosing equipment.
3.12 Respiratory routes
It may not be easy to regularly monitor
U se o f th e te ch niq ue animals in inhalation cham bers.
T he respiratory route is used frequently in Use clear polycarbonate cages to faci l-
toxicology and is selected when it is the route itate observati on of animals and/or place
of human exposure for the test substance. It cages in optim al relation to lighting and
is also used to administer certain vaccines windows. Monitor the animals’ behav-
and medicam ents particularly when effects iour very closely for signs of distress,
on the respiratory tract are required or when possibly using video equipm ent.
very rapid systemic absorption is needed. T he
Some inhalati on cham ber designs have no
range of experimental exposure techniques in
litter trays so as not to impede air circula-
anim als re¯ects the variation of human
tion. T he rats in lower levels may then
exposure. T his can vary from a few seconds
receive the faeces and urine from rats
(some vaccines and medicaments) to vir-
housed higher in the chamber.
tually continuous exposure, 24 h per day
T his design of cage is unacceptable and
7 days per week (for airborne environmental
should not be used.
pollutants). Exposure may be:
Inhalation chambers are designed for the
(i ) Whole body
purpose of the procedure rather than the
(ii) Nose only
comfort of the animals. T he ¯oor space
(iii) Mask
may be reduced and the opportunity for
T he potential adverse effects of the sub- environmental enrichment is restricted.
stance on the respiratory tract are common to Look for ways of improving the comfort
all, and factors such as pH and irritancy of the cage and enriching the environ-
Laboratory Animals (2001) 35
32 Joint Working Group on ReŽ nement

ment. Return anim als to conventional 3.12.2 No se o nly/ Sno ut o nl y e xpo sure
cages between exposures. U se o f th e te ch niq ue
Where exposures last for several hours (e.g. T his technique is a more precise method of
1±6 h) per day, food and water are generally dosing than whole-body exposure. It is
withheld. normally only used with rats, mice and
Ideally, do not withhold food and hamsters.
especially not water for more than
6±8 h/day depending on the species, Sum m a ry o f th e pro to c o l
particularly if exposure is over several Animals are placed in clear polycarbonat e
days. Water should be continuously conical tubes so that the snout protrudes
available. from a hole at the point of the cone. Tubes
are made in a range of sizes to matc h the
T he generation of test atmospheres usually
sizes of rodent to be exposed. T he Bat elle
uses clean, ®ltered, dried air. In the longer
type tube includes a backstop with a hole
term, this can result in a low relative
through which the rodent’s tail is passed.
humidit y in the inhalation chamber and
T his prevents the animal reversing out of the
thus the risk of ringtail in young rodents.
tube. Vents in the side of the tube allow the
Ensure humidity is adequately con-
animal to remain cool and reduces the build-
trolled ( > 40% ) and that the air supply
up of water vapour.
cannot fail.
Animals are sometim es washed and dried Po te ntia l pro b le m s a nd re ®ne m e nts
or otherwise cleaned to remove test mat- T his technique is inevitably stressful because
erial deposited on the fur after completion of of the tube restraint. Deaths can and will
exposure. T his adds to their overall stress. occur if this is not carried out competently.
Ascertain whether deposition of test
Tubes that are not the correct size and
material is really a problem in terms of
shape for the animal may allow the animal
exposure and do not wash anim als if it
to turn partly around. T hey will then
is not necessary. If anim als do have to
become distressed and may die or inhala-
be cleaned the cleaning agent should be
tion exposure will fail.
carefully selected so as not to cause
T he shape of tubes is obviously critical,
adverse effects.
so the construction of `in-house’
devices should not be attem pted with-
Food and water can be contaminated with
out a thorough appreciation of require-
the substance.
ments and preliminary tests not
Design food and water containers to
involving anim als.
minimize contam ination and/or
Ensure the ®t of the anim al in the cone
measure the content of test material in
is such that it cannot turn round.
food/water. T here may be no need to
Always monitor the animals continu-
expose anim als with their food/water
ously whilst in the tubes to identify and
present if exposure is only for short
help any that are in distress.
periods.
Placing a rat or mouse in a tube may seem
T he apparatus used to generate test atmo-
simple and require little training. How-
spheres may be noisy, either in the audible
ever, poor technique can result in un-
or ultrasound range.
necessary stress and even the deat h of
Be alert to this possibility when asses-
animals.
sing animals’ behaviour. Measure
Ensure all staff are trained and com-
ultrasound as well as normal frequen-
petent in the procedure.
cies and do not use noisy equipment
more than once in 24 h. Habituate the Animals may be restrained for long periods
animal to the cham ber to avoid stress of each day for many months in some
a novel environment. toxicological studies.
Laboratory Animals (2001) 35
Administration of substances 33

Habit uate animals to the tubes to and nostrils. A tube goes through the mask
minimize stress. T he period of restraint and into the anim al’s mouth over the tongue.
should be built up over several days T he positioning of the tube relati ve to the
before exposures to test mat erial begin; tongue can be checked by looking down the
however, even if the anim als becom e tube. T he remainder of the equipment
used to the tubes, the ®rst day of actual includes a one-way inhalation valve; a pres-
dosing can be very stressful. sure sensor (this may be necessary to detect
Only keep animals in tubes for the inspiration so that a pressure pack, i.e. a
minimum time consistent with scien- dosing pack with air pressure delivery, can be
ti®c requirements. T his should not `ac tivat ed’ coincident with inspiration); and a
exceed 4 h. Reduce time in the tube by one-way exhalation valve. T he precise nature
ensuring the anim als that are ®rst in, of the dosing, air supply and venting equip-
are also ®rst out. Try to have more than ment will vary with the test material (i.e.
one skilled person to load and unload liquid, solid, gas), pressure pack, accuracy of
animals thereby reducing the overall dosing and the need to expose the nasal pas-
restraint tim e. sages.
No te : For metered dose inhaler (MDI) dos-
Faeces and urine accumulate in the tubes
ing for short-term exposure, an oropharyn-
during exposure.
geal tube may be used instead of a mask. T his
During long-term exposures monitor
rests on top of the larynx enabling the
and remove faeces and urine. Make sure
respiration to be monitored.
tubes are washed well after use.
Po te ntia l pro b le m s a nd re ®ne m e nts
3.12.3 Ma sk e xpo sure
T he restraint required can mak e this tech-
U se o f th e te ch niq ue nique potentially highly stressful, especially
Fac e masks are used frequently for inhalation when it is for long periods.
exposure in dogs and primates. T he tech-
nique is broadly (but not entirely) equivalent Wearing a mask will be unpleasant for the
to snout only exposure of rodents. animal. It can cause discomfort and/or may
leak.
Make sure the masks are designed for
Sum m a ry o f th e pro to c o l
comfort and acceptabil ity. Check them
Exposure can be once or several times dai ly
regularly to ensure they ®t each indivi-
(up to 5 exposures per day) and might be for a
dual anim al comfortably and securely.
mat ter of seconds per occasion or up to one
Where oropharyngeal tubes are
hour per day in a single session for several
incorporated, smaller dogs will require
weeks or months.
shorter and narrower tubes.
Animals must be restrained and if exposure
Train anim als to accept the restraint
is brief (seconds or a few minutes) it is best to
and then the face mask before the study
do this manually. Dogs require two people,
starts. T his may take up to 3 weeks and
one to hold, one to dose, although if anim als
adequat e time must be allowed for this.
are trained a single technician can suf®ce.
Individual animals that do not adapt
Large primates may require three people. For
(i.e. that show distress) should not be
longer exposures dogs may either be held on
put on study.
the lap of an anim al technician or may be
held in slings whilst wearing the masks. T he test material, e.g. dry powders, can
Primates can be restrained in chairs. Animals cause drying of mucosal surfaces and result
in slings or chairs must NEVER be left in discomfort to the anim als. In primat es
unattended, although one person may be able this can lead to breath holding and faint ing.
to supervise several well trained animals at a Inspect the anim als’ oral cavity before
time. each exposure and reduce the dose and
Fac e masks generally have a rubber sleeve period of inhalati on exposure. Form u-
to provide an airtight ®t around the mouth lat e in aqueous if at all possible.
Laboratory Animals (2001) 35
34 Joint Working Group on ReŽ nement

Mechanical equipment can fail . tions to adjuvant s, particularly Freunds


Check equipment regularly. Always complete adjuvant, can have a com-
ensure the animal will be able to pounding effect on the injection. For
breathe in the event of an equipment example, such a reaction in the skin
failure. over the respiratory muscles in the
¯ank of rabbits can make breathing
3.13 Subcutaneous painful.
Carefull y consider the nature of the
U se o f th e te ch niq ue adjuvant and the protocol with refer-
Subcutaneous injection is commonly used ence to literature such as Jackson and
for the parenteral adm inistration of many Fox (1995), Animal Welfare Inform ation
substances. T he route provides for slow Center (1997 ) and Palmer e t a l. (1997 ).
release avoiding ®rst-pass liver metaboli sm See Section 2.3 for detailed recommen-
and may be used to im itate the route of dations.
administrat ion of a pharm aceutical.
Using skin antiseptics to try to `sterilize’
the skin may cause unnecessary damage or
Sum m a ry o f th e pro to c o l
disturbanc e of the skin’s commensal
T he site for a single injection for rodents and
organisms.
rabbits is normally the scapular region. In
Normally there is no need to clean the
dogs and cats the preferred site is behind the
site, except perhaps in farm animals.
neck or occasionally in the sub-lumbar fossa
Ensure substances for injection are
on the ¯ank, or behind the neck. In primates
sterile (and warm ) and use a new needle
the injection is made under a fold of skin on
for each anim al.
the anim al’s bac k. In birds, subcutaneous
injections can be given into the medial aspect Incorrect or fumbled insertion of the
of the thigh where there is usually ample needle can hurt the anim al, or puncture a
space and where the position of the needle blood vessel, or deliver the substance
can be clearly seen if the feathers are dam- incorrectly. If the anim al moves, an
pened with alcohol. T here should be no unwanted intramuscular injection or
need to pluck feathers (Hawkins e t a l. 2001 ). puncture of a blood vessel may occur. T his
See Waynforth and Flecknell (1992), Tuffery is a particular problem with dogs.
(1995 ) and Wolfensohn and Lloyd (1998 ) for a Hold the animal very still. Introduce
description of the technique. the needle point into the subcutaneous
space with a ®rm but rapid movement.
Po te nt ia l pro b le m s a nd re ®ne m e nts Point the needle towards the side of the
neck with the bevel upwards. Pull the
T his technique is ve ry painful if the pH or plunger bac k to mak e sure the needle
osmolarity is wrong, or if the mat erial is has not entered a blood vessel.
irritant or cytotoxi c. Tissue necrosis can
occur. If osmolarity is incorrect, tissue T he volume of ¯uid that can be accom-
¯uids may diffuse into the site. modated varies with the size of anim al, the
Where the effect of test substances is site, looseness of the skin and the physico-
unknown good pilot studies are essen- chemical nature of the substance.
tial. Adverse reactions must be fully Choose a site where there is most
resolved before repeat dosing. loose skin to accommodat e the volume
Select the site with care. If adverse and associated skin movement (see
effects may occur clip the hair/fur Table 4). Multiple sites can be consid-
around the site to enable early detection ered for adm inistrat ion of greater
of problems so that they will be easier volumes although, when repeated daily
to resolve. adm inistration is intended, four sites
Ensure the solution is sterile and that should normally be considered the
pH and osmolarity are correct. Reac- maxim um.

Laboratory Animals (2001) 35


Administration of substances 35

When carrying out repeat dose studies, the cell cultures if appropriate, then test
substance may accumulate at a single site. one anim al ®rst.
Use smaller volumes for repeat dose In general, do not place irritant sub-
than for single dose studies. Massage stances on the skin, unless checking
the skin overlying the injection site to the irritancy potential is the reason for
disperse any ¯uid. the test. In such cases monitor the
Change sites for repeat dose studies. animal particularly carefully and be
prepared to remove the animal from the
3.14 Topical—dermal study if it becomes distressed.
It may be possible to quanti fy the
U se o f th e te ch niq ue erythema and identify an earlier end-
T he dermal route is used to investigat e both point by an intravenous injection of
local and systemic effects following dermal methylene blue.
absorpti on and metabolism. It may be used in Apply test substances uniformly cover-
testing potential therapeutic agents for skin ing no more than 10% of the body
disease, or in checking the potential to cause surface (e.g. 5 cm65 cm for rat s,
skin irritation or sensitization/allergenicity. 12 cm614 cm for rabbits and
7 cm610 cm for guineapigs). T he area
Sum m a ry o f th e pro to c o l of applicat ion for highly toxic sub-
Alm ost without exception regulatory tox- stances should be much less. Avoid
icology guidelines now only call for the eyes and genital areas.
conduct of dermal toxicity tests on the intact
Unintended skin abrasi on may occur when
skin.
clipping or shaving the hair. T his can
T he most commonly used species are the
increase potential irritancy for the anim al
rabbit, rat, mouse and guineapig. Adequate
and introduce experimental error by
restraint of conscious animals is required.
increasing rate of absorption. Oil or grease
Liquids may be applied diluted or undiluted.
from clippers can effect the response to the
Solid test material s should be pulverized and
test substance.
moistened to a paste with saline or an
Only use animals with clean, intact and
appropriat e solvent which will not `degrease’
ungrazed skin. Take great care when
the skin. T he application site may or may not
clipping or shaving the anim al, and
be occluded or semi-occluded depending on
make sure clippers are clean. Prepare
the most likely pattern of exposure.
the site 24 h previously to allow the
Occlusion or semi-occlusion permits use of
animal tim e to recover.
greater dose volumes, and in general also
increases absorption. At the end of the expo- For some tests the skin is deliberately
sure period the dressings should be carefully abraded before applying the test substance.
removed and the site is usually washed clean Always question the necessity to con-
with warm water and gently dried. duct this more severe procedure and
If the site is not occluded anim als can be make speci®c referral to the Regulatory
prevented from ingesting material, either by Authority that dem ands it. If there is no
locating the applicati on close to the head or alt ernati ve then check whether applica-
by application of an Elizabethan collar. tion and removal of sellotape provides
suf®cient abrasion (but note that this
Po te nt ia l pro b le m s w ith re ®ne m e nts can also cause discomfort ). In any case it
is normally suf®cient to remove the
Irritant substances can cause serious epidermis, e.g. by light scratching with
adverse effects. a needle not suf®cient to cause bleeding.
A step-wise approach is essential
(Home Of®ce 1994). First check phy- Volumes larger than about 500 ml tend to
sico-chemical properties for irritant run off the bac k of smaller animals,
potential, then assess this further in defeating the object of the experiment.

Laboratory Animals (2001) 35


36 Joint Working Group on ReŽ nement

T he maximum dose of a test material used for investigation of pharm aceuticals


that is required by regulatory authori- intended for long-term use in the human eye.
ties for toxicological studies is 2 g/kg.
Administer this in volumes of less than
Sum m a ry o f th e pro to c o l
500 ml.
Very useful guidance on the conduct of eye
Dressings can affec t movement. Overtight irritation studies have been produced by the
dressings can cause excessive abdom inal UK Home Of®ce (1994 ) and there is a
pressure which may lead to internal requirement in the UK to follow these
damage that is not apparent. guidelines. T he principles are universally
Ensure dressings are not too tight and applicable.
do not restrict the movement of the Substances can be applied to the eye by two
animal or cause excessive abdom inal methods: direct application into the con-
pressure. T he maxim um time of occlu- junctival sac, or directly on to the cornea.
sion should be 24 h. No te : T he standard T he conjunctival exposure method has been
Magnusson and Kligman test requires commonly adopted because of ease of appli-
48 h occlusion (Organization of Eco- cat ion. However, the current thinking is that
nomic Co-operation and Development conjunctival exposure is inappropriate under
1992 ). many circumstances, especially when the
test material is a powder which may become
Removal of adhesive dressings can pull the
entrapped in the conjunctival sac resulting in
animals’ hair or skin which can cause pain.
mechanical dam age to the eye. T he corneal
Do not apply highly adhesive mat erials
exposure method more closely mimics acci-
to the hair or skin if they are to be
dental human exposure as occurs for example
removed before the animal is killed.
in chemical accidents.
Determine the least painful method of
A stepwise tier system approach (Home
removing dressings by practising on
Of®ce 1994 ) should always be followed
yourself before applying a dressing to
where there is any chance of irritation or
the anim al. Consider whether light
other damage. Do not proceed to using
anaesthesia or sedat ion would be bene-
animals until initial physico-chemical char-
®cial.
act erization, in vitro cytotoxic ity or other
studies, and dermal tolerance assays have
T he use of collars in rats appears to be
particularly stressful. been conducted. An initial study in one
animal using one eye only should always be
Avoid using collars for rats by applying
carried out.
the substance to a small area of skin
Various applicat ors for corneal exposure
close to the head.
have been developed but for routine purposes
All animals need to be trained to accept
the eyelids are gently retract ed and the test
a collar.
formulati on is applied directly to the cornea.
T he treated eye may be irrigat ed with water
20±30 s after application of the test sub-
3.15 Topical—ocular stance. Animals must then be observed very
closely with at least 24 h allowed for dam age
U se o f th e te ch niq ue
to become apparent.
Substances are applied to the eye in order to
assess potential irritant effects. Applicat ion
to the conjunctival mucous membranes and Po te ntia l pro b le m s a nd re ®ne m e nts
the corneal epithelium is also used to achieve T his test has the potential to cause animals
high local concentrations of drugs for ocular serious distress. Substances which are severe
therapy. T he rabbit is universally used for eye skin irritant s must never be tested in the eye.
irritation studies, even though there are Animals should be closely monitored for
shortcomings and exceptions in predict- adverse effects throughout the procedure. If a
ability. Dogs and primat es are sometim es severe adverse reaction occurs the animal
Laboratory Animals (2001) 35
Administration of substances 37

should be killed and no further anim als the legal requirement for the test before
should be used. carrying out the procedure.

Substances may cause opacity, serious Volumes in excess of 50 ml may over-


irritation, pain, in¯ammation or ulcera- estimate human sensitivity according to
tion. T he main area of concern is related to some scienti®c opinion and may simply
effects on the cornea, conjunctiva and iris over¯ow from the eye.
alt hough if the applied material can pene- Anatom ic and physiological considera-
trate deeper into the eye other structures tions suggest that the maxim um prac-
may also be affec ted. ticable volume which can be instilled
Do not apply known corrosive sub- into the rabbit conjunctival sac is
stances, those with a high oxidation 30±50 ml (No te : 100 ml is required in
potential, detergents, or known irri- OECD guidelines), so question the
tants, to the eye (Hom e Of®ce 1994). requirement for larger volumes. A low
Always check the physico-chemical volume eye test can be considered using
properties for evidence of irritancy. T he 10 ml.
pH limits are 2±11.5 but neutral pH is Animals dosed and then held to assess
best (see Section 2.3 ). recovery may suffer continuing distress.
T he eye can be anaesthetized the ®rst T he necessity for assessment of recov-
tim e that the substance is adm inis- ery should always be questioned and
tered by applicat ion of a topical anaes- established with the regulatory author-
thetic so that if any unexpected ity. Monitor animals very carefully and
irritati on does occur the anim al will consider giving system ic analgesics
not feel it (Seabaugh e t a l. 1993 ). If the (Fi elder e t a l. 1987).
anaesthetic is incompatible with the
compound or there are more general
doubts, use a general anaesthetic for 3.16 Footpad
the ®rst test. T his route has a high disturban ce index
Be aware of the scale of likely responses (Barc lay e t a l. 1988 ), and it is strongly
and be able to recognize and respond recommended that it is not used unless pro-
rapidly and appropriately to the adverse ven to be the o nly effective one for achieving
effects as set out in the Home Of®ce a speci®c objective.
1994 guidelines. Footpads were used as a site of injection for
Insoluble, hard substances may cause antibody production, popliteal lymph node
mechanical damage when applied to the assays, adjuvant art hritis, assessment of
conjunctiva. analgesic agents and investigation of
Do not place rough, hard, insoluble mechanisms of pain and in¯ammation, and
substances in animals’ eyes. Crystals mycobacterial research, but alternati ve
should be micronized. routes for virtually all these applications are
now considered satisfac tory (Bennett e t a l.
Irrigation may affec t the outcome of the 1992, Leenars e t a l. 1997 ). For exam ple, for
test and, if this has not been taken into antibody production, other subcutaneous
account in the experimental protocol, then sites and careful selection of adjuvant almost
the test may have to be repeated using always allows adequate titres to be obtained
more animals. and the use of footpad injections for this
T he effect of irrigation on the test (as purpose is considered unnecessary. For
opposed to the effect on the animal) is popliteal lym ph node assays, most investi-
dependent on the chemical, the con- gat ors now consider that injection into any
centration, the time lag between expo- tissue which drai ns into the lymph node will
sure and initiation of the irrigation, and give good results. Alternat ive assays for skin
on the volume of irrigation. Always sensitization have been developed, such as
weigh these factors carefully vis aÁ vis skin painting, local lym ph node assay and
Laboratory Animals (2001) 35
38 Joint Working Group on ReŽ nement

mouse ear swelling test. To induce adjuvant injected into the footpad, and not into
arthriti s, intradermal and subcutaneous other tissues in the foot.
routes are now considered effective enough
to replace the footpad.
It is dif®cult to ®nd a practical way of 3.17 Uncommon routes
avoiding the footpad route of injection for T here are a number of routes that have lim-
assessment of analgesic agents and investi- ited use for speci®c scienti®c purposes (e.g.
gations of mechanisms of pain and in¯am- intra-an al; intrabursal; intrahepati c; intra-
mat ion. Such experiments are short term and neural; intra-oc ular; intra-oesophageal/intra-
may involve injection of hyperalgesic or gastri c; intrapenile; intrarenal ; intraspinal;
in¯ammatory agents (such as prostaglandins intrat hecal; intravesicular; peri-, epi- and
or carageenan) into the footpad which sets up subdural; retrovulvar; and rumen ®stula). T he
an in¯ammatory reaction, or mimics it, and general principles of best practice detailed in
so sensitizes the animal to a subsequent Section 2 of this report apply to these, as do
painful stimulus, such as paw pressure. Paw many of the problems and re®nements
swelling and paw withdrawal tim e can then described in the rest of the report.
be measured. T he Working Group would like to hear
In the case of Myc o b a c te rium le pra e , from anyone carryi ng out these techniques
infection has to be in the footpads because with a view to publishing an addendum to
this is the only site which permits growth of this report.
the organism.

4 Special considerations for wild


animals
Sum m a ry o f th e pro to co l fo r Myc o b a cte rium
le pra e An increasing number of publications
Myc o b a c te rium le pra e is inoculated sub- address the use of wild animals for research,
cutaneously into the hind footpads. T he both in the laboratory and ®eld. Information
bac teria are contained in a saline suspension is available with regard to their capture and
and a maximum of 10 ml is injected. T he transport, the ethics of wild animal use and
resulting infection is lim ited to the footpads the ecological effect of removing animals
and can be easily quanti® ed. No macroscopic (Bekoff 1995, Putm an 1995, Tribe & Spiel-
lesions develop. In the case of nude mice, man 1996, Gaunt & Oving 1999, Hawkins e t
infection develops to a higher level and some a l. 2001 ). Information on the adm inistration
footpad swelling may occur. of substances to wild animals is, however,
sparse and mainly relates to anaesthetic
Injecting into both footpads interferes
regimens. T he same principles regarding the
with locomotion, therefore never inject
substance and technique apply as when using
more than one foot.
laboratory anim als. In addition, the following
Monitor anim als closely. Any anim al
points are important.
showing swelling of the footpad accom-
panied by weight loss, or decreased ¯uid When administering substances to wild
intake, or subdued behaviour patterns animals that are to remain in, or be
and/or im pairm ent of normal mobility returned to, the wild, their contact with
should be humanely killed. people should be kept to a minimum. If,
Animals m ust be given soft bedding. Grid however, the anim al is to be retained in
¯oors should not be used. Food and water captivity and repeatedly dosed, then it
should be placed adjacent to the bed to becomes less stressful if the animal is
avoid them having to walk far if the foot familiarized and accustomed to people.
is painful (Wolfensohn & Lloyd 1998 ). Food rewards can be very helpful in
Limit the frequency and severity of familiarization and training.
adverse effects by lim iting the dose Familiarit y with the natural behaviour
volume and ensuring that the material is and habitat of the species is essential in
Laboratory Animals (2001) 35
Administration of substances 39

order to decide the least stressful way of the substance to their normal diet (see
handling them. Wild mice, for example, Section 3.10.1 ) or smearing it onto their fur
often panic and leap about trying to where they are likely to lick themselves
escape if handled in open areas in bright when grooming. For predat ory species it is
light, whilst those handled under dim or often possible to present the substance in
red lighting and allowed to stay in shadow dead prey. For example, a solution or sus-
are much calm er. T his ®nding is common pension of the substance in a 5% (bovine
to many nocturnal species. spongiform encephalopathy free) gelatin
Anaesthesia or sedation of wild species solution can be injected into the abdom en of
prior to administration of substances is a dead, pre-chilled, chick. T he gelatin will set
desirable to minimize the stress of hand- inside the chick with no leakage and this can
ling associated with such procedures. then be fed to the animal. When an injection
After sedati on the animal should be left has to be used then the subcutaneous route is
quietly alone with little stim ulation until usually the least painful and least stressful.
the drug has taken effect. T his can often T he most stressful procedure is intraperi-
be achieved simply by covering the cage toneal administration and this should be
or container with a blanket. Full recovery avoided. Intramuscular injection is generally
from sedation must be ensured before quick and less stressful but may involve
release otherwise the animals’ chance of persistent localized pain or necrosis, which
survival will be reduced. in some species may lead to self-mutilation
Many species of mam mal will willingly and inability to escape a predator should the
go into a dark space such as a bag or box animal subsequently be released to the wild.
and use should be made of this behaviour
to reduce overall stress of a technique. Ac k no w le d gm e nt The authors would like to thank
T he animals may then be injected Mr D. Rutty who attended as a Home Of®ce Observer.
through the bag or within the box if it is
equipped with a restraining mechanism.
Note: During the preparation of this report it came to
For example, wild rabbits may be held in a
the Working Group’s attention that EFPIA (European
blac k cloth bag with just their ears Federation of Pharm aceutical Industries Associations)
protruding and the marginal ear vein can and ECVAM (European Centre for the Validation of
then be injected. Wild rat s will run into Alternative Methods) were also produc ing `A Good
blac k bags or tubes and can then be Practice Guide to the Administration of Substances
transported into ventilated fume cham- and Removal of Blood, including Routes and
bers to be anaesthetized by inhalati on. Volumes’, to be published in the Jo urna l o f Applie d
To xico lo gy. Both reports are aimed at ensuring good, if
Squirrels often retreat into a nest box
not best, practice.
when approached and can be transferred
from this into a ventilated chamber.
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