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利用全身疾病体征评估患有急性大肠杆菌性乳腺炎的奶牛的疾病严重程度。

Use of systemic disease signs to assess disease severity in dairy cows with acute coliform mastitis.

作者信息

Wenz J R, Barrington G M, Garry F B, Dinsmore R P, Callan R J

机构信息

Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins 80523, USA.

出版信息

J Am Vet Med Assoc. 2001 Feb 15;218(4):567-72. doi: 10.2460/javma.2001.218.567.

Abstract

OBJECTIVE

To evaluate the use of systemic disease signs for classifying severity of acute coliform mastitis in dairy cows.

DESIGN

Prospective cohort study.

ANIMALS

144 dairy cows.

PROCEDURE

Cows were examined at the time of initial identification of disease (time 0) and classified as having mild, moderate, or severe disease on the basis of rectal temperature, hydration status, rumen contraction rate, and attitude. A CBC and serum biochemical analyses were performed, and milk samples were submitted for bacterial culture at time 0 and 48 hours later.

RESULTS

69 cows were classified as having mild disease, 44 as having moderate disease, and 31 as having severe disease. Median WBC and neutrophil counts were significantly lower in cows with moderate or severe disease at time 0 than in cows with mild disease. Band neutrophil count was significantly higher at 48 hours and serum calcium concentration was significantly lower at time 0 and at 48 hours in cows with severe or moderate disease, compared with cows with mild disease. Twenty-eight, 51, and 77% of cows with mild, moderate, and severe disease, respectively, had > 100,000 colony-forming units/ml of milk at time 0. The odds that a cow with severe disease would die or be culled were 3.6 times the odds for a cow with moderate disease and 11.2 times the odds for a cow with mild disease.

CONCLUSIONS AND CLINICAL RELEVANCE

Results suggest that a classification scheme based on readily observable systemic disease signs can be used to classify disease severity in cows with acute coliform mastitis.

摘要

目的

评估利用全身性疾病体征对奶牛急性大肠杆菌性乳腺炎的严重程度进行分类。

设计

前瞻性队列研究。

动物

144头奶牛。

步骤

在疾病初次确诊时(时间0)对奶牛进行检查,并根据直肠温度、水合状态、瘤胃收缩率和精神状态将其分为轻度、中度或重度疾病。在时间0进行全血细胞计数和血清生化分析,并采集牛奶样本进行细菌培养,48小时后再次采集。

结果

69头奶牛被分类为轻度疾病,44头为中度疾病,31头为重度疾病。在时间0时,中度或重度疾病奶牛的白细胞和中性粒细胞计数中位数显著低于轻度疾病奶牛。与轻度疾病奶牛相比,重度或中度疾病奶牛在48小时时的杆状核中性粒细胞计数显著更高,在时间0和48小时时血清钙浓度显著更低。在时间0时,分别有28%、51%和77%的轻度、中度和重度疾病奶牛每毫升牛奶中的菌落形成单位>100,000。重度疾病奶牛死亡或被淘汰的几率是中度疾病奶牛的3.6倍,是轻度疾病奶牛的11.2倍。

结论及临床意义

结果表明,基于易于观察的全身性疾病体征的分类方案可用于对患有急性大肠杆菌性乳腺炎的奶牛的疾病严重程度进行分类。

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