Cummings K J, Warnick L D, Alexander K A, Cripps C J, Gröhn Y T, McDonough P L, Nydam D V, Reed K E
Department of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA.
J Dairy Sci. 2009 Aug;92(8):3766-74. doi: 10.3168/jds.2009-2093.
The objectives of this study were to estimate the incidence of salmonellosis among a large sample of dairy herds in the northeastern United States (both at the animal level and the herd level), to describe the serotypes and antimicrobial resistance profiles of the positive samples, and to determine whether various herd-level factors were important predictors of incidence. Participating veterinarians enrolled 831 dairy herds and submitted fecal samples from 2,565 female dairy cattle for Salmonella culture because of suspicion of clinical disease. Estimates of animal-level incidence rates were calculated for each age group as the number of cases per animal time at risk, and an estimate of herd-level incidence rate was calculated as the number of positive herds per herd time at risk. Descriptive analysis of serotype data and level of antimicrobial resistance was performed, and Poisson regression analysis was used to study associations between the within-herd incidence of salmonellosis and certain predictor variables (herd size, housing type, vaccination status, and prior history of Salmonella infection). Salmonella was isolated from 576 (22.5%) samples representing 93 herds. The animal-level incidence rates for preweaned female calves, heifers, and adult cows were 8.1, 0.04, and 1.8 cases per 1,000 animal-years, respectively. The herd-level incidence rate was 8.6 positive herds per 100 herd-years. Salmonella Newport was the predominant serotype, accounting for 41% of the cases, followed by Salmonella Typhimurium. Over 68% of all isolates were resistant to 5 or more antimicrobial agents. Herd size was the only significant predictor of the incidence of salmonellosis in a multivariable model; herds with at least 400 female dairy cattle had a higher incidence rate than smaller herds. Our results shed light on the impact of salmonellosis on the dairy industry in the northeastern United States, and they help clarify the role of dairy cattle as a source of Salmonella serotypes that are also important human pathogens.
本研究的目的是估计美国东北部大量奶牛群中沙门氏菌病的发病率(包括动物水平和牛群水平),描述阳性样本的血清型和抗菌药物耐药谱,并确定各种牛群水平因素是否为发病率的重要预测指标。参与研究的兽医登记了831个奶牛群,并因怀疑有临床疾病而提交了2565头雌性奶牛的粪便样本进行沙门氏菌培养。计算每个年龄组动物水平发病率的估计值,即每动物年风险时间的病例数,并计算牛群水平发病率的估计值,即每牛群年风险时间的阳性牛群数。对血清型数据和抗菌药物耐药水平进行了描述性分析,并使用泊松回归分析研究沙门氏菌病牛群内发病率与某些预测变量(牛群规模、饲养类型、疫苗接种状况和沙门氏菌感染既往史)之间的关联。从代表93个牛群的576份(22.5%)样本中分离出沙门氏菌。断奶前雌性犊牛、小母牛和成年母牛的动物水平发病率分别为每1000动物年8.1例、0.04例和1.8例。牛群水平发病率为每100牛群年8.6个阳性牛群。纽波特沙门氏菌是主要血清型,占病例的41%,其次是鼠伤寒沙门氏菌。超过68%的分离株对5种或更多抗菌药物耐药。在多变量模型中,牛群规模是沙门氏菌病发病率的唯一显著预测指标;至少有400头雌性奶牛的牛群发病率高于较小的牛群。我们的结果揭示了沙门氏菌病对美国东北部奶牛业的影响,并有助于阐明奶牛作为沙门氏菌血清型来源的作用,这些血清型也是重要的人类病原体。