Bartels Chris J M, Huinink Irene, Beiboer Marten L, van Schaik Gerdien, Wouda Willem, Dijkstra Thomas, Stegeman Arjan
Animal Health Service Ltd., P.O. Box 9, 7400 AA, Deventer, The Netherlands.
Vet Parasitol. 2007 Sep 1;148(2):83-92. doi: 10.1016/j.vetpar.2007.06.004. Epub 2007 Jul 20.
Ninety-six of 108 randomly selected Dutch dairy herds had one or more cows with a positive serostatus for N. caninum. In these 96 herds, we have quantified the probabilities of vertical transmission (VT) and horizontal transmission (HT) of N. caninum infection by combining serostatus and pedigree data in 4091 dam-daughter pairs. The probability of animals infected by vertical transmission during pregnancy (Prob(VT)) was calculated as the proportion of seropositive daughters among daughters of seropositive dams. The probability of animals infected by horizontal transmission (Prob(HT)) was the proportion of seropositive daughters among daughters of seronegative dams. These probabilities were calculated after the frequencies of observed dam-daughter combinations were corrected for (1) imperfect test-characteristics, (2) underestimation of horizontal transmission in situations that seronegative dams were horizontally infected after the birth of their daughters and (3) overestimation of vertical transmission in situations that seronegative daughters born from seropositive dams were horizontally infected. The incidence rate for horizontal transmission was calculated based on Prob(HT) and the average age of the animals in these herds. Based on the analysis of dam-daughter serology, Prob(VT) was 61.8% (95% CI: 57.5-66.0%) and Prob(HT) was 3.3% (95% CI: 2.7-3.9%). After adjusting the observed frequencies for imperfect test-characteristics, underestimation of horizontal transmission and overestimation of vertical transmission, Prob(VT) decreased to 44.9% (95% CI: 40.0-49.9%) while Prob(HT) increased to 4.5% (95% CI: 3.9-5.2%). Prob(HT) corresponded with an incidence rate for horizontal transmission of 1.4 (95% CI: 1.2-1.7) infections per 100 cow-years at risk. When stratifying herds for the presence of farm dogs, Prob(HT) was higher (5.5% (95% CI: 4.6-6.4%)) in herds with farm dogs than in herds without farm dogs (2.3% (95% CI: 1.5-3.4%)). When stratifying for within-herd seroprevalence, Prob(HT) was higher (10.3% (95% CI: 8.6-12.2%)) in herds with high (> or =10%) within-herd seroprevalence compared with herds with low (<10%) within-herd seroprevalence (2.0% (95% CI: 1.5-2.6%)). Although there was this relation between Prob(HT) and within-herd seroprevalence (crude OR(PREV) = 5.7 (95% CI: 4.0-7.9)), in herds without farm dogs, this relationship was no longer statistical significant (OR(PREV|DOG-) = 1.9 (95% CI: 0.7-5.5)). It indicated that the association between seroprevalence and Prob(HT) depended largely on the presence of farm dogs. In addition, when looking for the presence of specific age-groups with significantly higher seroprevalence compared with the rest of the herd, there were 7 herds in which two or more horizontally-infected animals were present in specific age-groups. This was an indication of a recent point-source exposure to N. caninum. These results reiterate the current control strategies to apply strict dog-management measures as well as to minimize within-herd seroprevalence by monitoring serostatus of animals.
在随机选取的108个荷兰奶牛群中,有96个群存在一头或多头血清学检测呈阳性的犬新孢子虫感染奶牛。在这96个牛群中,我们通过结合4091对母女的血清学状态和系谱数据,对犬新孢子虫感染的垂直传播(VT)和水平传播(HT)概率进行了量化。孕期经垂直传播感染的动物概率(Prob(VT))通过血清学阳性奶牛所生女儿中血清学阳性女儿的比例来计算。经水平传播感染的动物概率(Prob(HT))是血清学阴性奶牛所生女儿中血清学阳性女儿的比例。这些概率是在对观察到的母女组合频率进行校正后计算得出的,校正因素包括:(1)检测特性不完善;(2)血清学阴性奶牛在女儿出生后发生水平感染的情况下水平传播被低估;(3)血清学阳性奶牛所生血清学阴性女儿发生水平感染的情况下垂直传播被高估。水平传播的发病率是根据Prob(HT)和这些牛群中动物的平均年龄计算得出的。基于对母女血清学的分析,Prob(VT)为61.8%(95%置信区间:57.5 - 66.0%),Prob(HT)为3.3%(95%置信区间:2.7 - 3.9%)。在对检测特性不完善、水平传播低估和垂直传播高估进行观察频率校正后,Prob(VT)降至44.9%(95%置信区间:40.0 - 49.9%),而Prob(HT)升至4.5%(95%置信区间:3.9 - 5.2%)。Prob(HT)对应的水平传播发病率为每100头奶牛年1.4次感染(95%置信区间:1.2 - 1.7)。当根据农场犬的存在情况对牛群进行分层时,有农场犬的牛群中Prob(HT)更高(5.5%(95%置信区间:4.6 - 6.4%)),高于没有农场犬的牛群(2.3%(95%置信区间:1.5 - 3.4%))。当根据牛群内血清阳性率进行分层时,牛群内血清阳性率高(≥10%)的牛群中Prob(HT)更高(10.3%(95%置信区间:8.6 - 12.2%)),相比之下牛群内血清阳性率低(<10%)的牛群中Prob(HT)为2.0%(95%置信区间:1.5 - 2.6%)。尽管Prob(HT)与牛群内血清阳性率之间存在这种关系(粗略优势比(PREV)= 5.7(95%置信区间:4.0 - 7.9)),但在没有农场犬的牛群中,这种关系不再具有统计学意义(优势比(PREV|DOG-)= 1.9(95%置信区间:0.7 - 5.5))。这表明血清阳性率与Prob(HT)之间的关联很大程度上取决于农场犬的存在。此外,当寻找与牛群其他部分相比血清阳性率显著更高的特定年龄组时,有7个牛群在特定年龄组中存在两头或更多水平感染的动物。这表明近期存在犬新孢子虫的点源暴露。这些结果重申了当前的控制策略,即采取严格的犬管理措施,并通过监测动物的血清学状态将牛群内血清阳性率降至最低。