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氟尼辛葡甲胺作为乳用犊牛腹泻辅助治疗药物的评估。

Evaluation of flunixin meglumine as an adjunct treatment for diarrhea in dairy calves.

作者信息

Barnett Staci C, Sischo William M, Moore Dale A, Reynolds James P

机构信息

Department of Population Health and Reproduction, Veterinary Medicine Teaching and Research Center, School of Veterinary Medicine, University of California, Tulare, CA 93274, USA.

出版信息

J Am Vet Med Assoc. 2003 Nov 1;223(9):1329-33. doi: 10.2460/javma.2003.223.1329.

Abstract

OBJECTIVE

To assess the use of flunixin meglumine as an adjunct treatment for diarrhea in calves.

DESIGN

Clinical trial.

ANIMALS

115 calves with diarrhea that were 1 to 21 days old at enrollment.

PROCEDURE

Calves that developed diarrhea were randomly assigned to receive no flunixin meglumine (controls), a single dose of flunixin meglumine (2.2 mg/kg [1.0 mg/lb]), or 2 doses of flunixin meglumine administered 24 hours apart. Serum IgG concentration and PCV were measured prior to enrollment in the trial. Calves were evaluated daily to determine rectal temperature, fecal consistency, demeanor, and skin elasticity score. The primary analytic outcome was days of sickness (morbid-days).

RESULTS

Calves with fecal blood and treated with a single dose of flunixin meglumine had fewer morbid-days and antimicrobial treatments, compared with controls. Although not significant, calves given 2 doses of flunixin meglumine in 24 hours had fewer morbid-days than untreated control calves. Regardless of severity of diarrhea, calves without fecal blood did not benefit from the use of flunixin. For calves with fecal blood, failure of passive transfer (low serum IgG concentration) was an independent risk factor for increased morbid-days.

CONCLUSIONS AND CLINICAL RELEVANCE

Treatment with a single dose of flunixin meglumine resulted in fewer antimicrobial treatments and morbid-days in calves with fecal blood. As observed in other studies, calves with failure of passive transfer were at high risk for poor outcomes. This emphasizes the importance of developing and implementing effective colostrum delivery programs on dairy farms.

摘要

目的

评估氟尼辛葡甲胺作为犊牛腹泻辅助治疗药物的应用效果。

设计

临床试验。

动物

115头腹泻犊牛,入组时年龄为1至21日龄。

方法

发生腹泻的犊牛被随机分配,不接受氟尼辛葡甲胺治疗(对照组)、接受单剂量氟尼辛葡甲胺(2.2毫克/千克[1.0毫克/磅])或间隔24小时给予2剂氟尼辛葡甲胺。在试验入组前测量血清IgG浓度和红细胞压积。每天对犊牛进行评估,以确定直肠温度、粪便稠度、行为表现和皮肤弹性评分。主要分析结果为患病天数(发病日数)。

结果

与对照组相比,粪便带血且接受单剂量氟尼辛葡甲胺治疗的犊牛发病日数和抗菌药物治疗次数较少。尽管差异不显著,但在24小时内给予2剂氟尼辛葡甲胺的犊牛发病日数比未治疗的对照犊牛少。无论腹泻严重程度如何,粪便不带血的犊牛使用氟尼辛并未受益。对于粪便带血的犊牛,被动转运失败(血清IgG浓度低)是发病日数增加的独立危险因素。

结论及临床意义

单剂量氟尼辛葡甲胺治疗可减少粪便带血犊牛的抗菌药物治疗次数和发病日数。正如其他研究中所观察到的,被动转运失败的犊牛预后不良风险较高。这强调了在奶牛场制定和实施有效的初乳投喂计划的重要性。

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