Munyeme M, Muma J B, Skjerve E, Nambota A M, Phiri I G K, Samui K L, Dorny P, Tryland M
Department of Disease Control, University of Zambia, School of Veterinary Medicine, P.O. Box 32379, Lusaka, Zambia.
Prev Vet Med. 2008 Jul 15;85(3-4):317-28. doi: 10.1016/j.prevetmed.2008.03.006. Epub 2008 May 2.
We conducted a cross-sectional study from August 2003 to February 2004 to identify risk factors for bovine tuberculosis (BTB) in the Kafue basin of Zambia. We investigated a total of 106 herds of cattle for presence of BTB using the comparative intradermal tuberculin test (CITT) while an interviewer-administered questionnaire was used to gather epidemiological data on herd structure, management and grazing strategies. BTB prevalence at herd level was estimated and possible risk factors were investigated using the multiple logistic regression model. The true herd level prevalence of BTB was estimated at 49.8% (95% CI: 37.9, 61.7%). The logistic regression model showed that cattle herd BTB status was highly associated with area and husbandry practices. When compared to Kazungula, cattle herds in Blue Lagoon were more likely to test positive for BTB when other factors such as management practices were controlled (OR=10.5). In terms of grazing strategies, transhumant herds (TH) had higher odds (OR=3.0) of being positive compared to sedentary herds (OR=1.0). The results in this study provide preliminary information about potential risk factors that were found to be associated with BTB status in cattle.
2003年8月至2004年2月,我们开展了一项横断面研究,以确定赞比亚卡富埃盆地牛结核病(BTB)的风险因素。我们使用比较皮内结核菌素试验(CITT)对总共106个牛群进行了牛结核病检测,同时使用一份由访谈员管理的问卷收集有关牛群结构、管理和放牧策略的流行病学数据。我们估计了牛群层面的牛结核病患病率,并使用多元逻辑回归模型调查了可能的风险因素。牛结核病在牛群层面的实际患病率估计为49.8%(95%置信区间:37.9, 61.7%)。逻辑回归模型显示,牛群的牛结核病状况与地区和饲养方式高度相关。与卡宗古拉相比,在控制了管理方式等其他因素后,蓝湖的牛群检测出牛结核病呈阳性的可能性更大(比值比=10.5)。在放牧策略方面,与定居牛群(比值比=1.0)相比,游牧牛群(TH)呈阳性的几率更高(比值比=3.0)。本研究结果提供了有关与牛群牛结核病状况相关的潜在风险因素的初步信息。