Chaffin M Keith, Cohen Noah D, Martens Ronald J
Department of Large Animal Medicine and Surgery, College of Veterinary Medicine, Texas A&M University, College Station, TX 77843-4475, USA.
J Am Vet Med Assoc. 2003 Feb 15;222(4):476-85. doi: 10.2460/javma.2003.222.476.
To determine whether foal management practices, environmental management, and preventative health practices are risk factors for development of Rhodococcus equi pneumonia in foals.
Prospective matched case-control study.
2,764 foals on 64 equine breeding farms with 9,991 horses.
During 1997, participating veterinarians completed paired data collection forms for comparison; 1 for an affected farm (containing > or = 1 foal with pneumonia caused by R equi) and 1 for a control farm. Information collected pertained to stabling facilities, environmental management, foal husbandry, and preventative equine health practices.
Matched farm data compared by use of conditional logistic regression indicated that personnel on affected farms were more likely to attend foal births, test foals for adequacy of passive immunity, administer plasma or other treatments to foals to supplement serum immunoglobulin concentrations, administer hyperimmune plasma prophylactically to foals, vaccinate mares and foals against Streptococcus equi infection, and use multiple anthelmintics in deworming programs. Affected farms were also more likely to have foals that developed other respiratory tract disorders and were approximately 4 times as likely to have dirt floors in stalls used for housing foals as were control farms.
Rhodococcus equi pneumonia does not appear to be associated with poor farm management or a lack of attention to preventative health practices. Housing foals in stalls with dirt floors may increase the risk for development of R equi pneumonia.
确定马驹管理措施、环境管理和预防性健康措施是否为马驹发生马红球菌肺炎的风险因素。
前瞻性配对病例对照研究。
64个养马繁育场的2764匹驹,这些繁育场共有9991匹马。
1997年期间,参与研究的兽医完成配对数据收集表以供比较;一份针对受影响的农场(包含≥1匹因马红球菌引起肺炎的马驹),另一份针对对照农场。收集的信息涉及厩舍设施、环境管理、马驹饲养管理以及预防性马匹健康措施。
使用条件逻辑回归比较配对的农场数据表明,受影响农场的工作人员更有可能参与马驹出生护理、检测马驹被动免疫是否充足、给马驹输注血浆或进行其他治疗以补充血清免疫球蛋白浓度、给马驹预防性输注高免血浆、给母马和马驹接种疫苗以预防马链球菌感染,以及在驱虫程序中使用多种驱虫药。受影响的农场中马驹发生其他呼吸道疾病的可能性也更高,且用于饲养马驹的厩舍地面为泥土地面的可能性约为对照农场的4倍。
马红球菌肺炎似乎与农场管理不善或缺乏对预防性健康措施的关注无关。将马驹饲养在地面为泥土地面的厩舍中可能会增加发生马红球菌肺炎的风险。