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美国东北部奶牛临床疾病后粪便中沙门氏菌排出的持续时间。

The duration of fecal Salmonella shedding following clinical disease among dairy cattle in the northeastern USA.

作者信息

Cummings K J, Warnick L D, Alexander K A, Cripps C J, Gröhn Y T, James K L, McDonough P L, Reed K E

机构信息

Department of Population Medicine and Diagnostic Sciences, Cornell University, Ithaca, NY 14853, United States.

出版信息

Prev Vet Med. 2009 Nov 1;92(1-2):134-9. doi: 10.1016/j.prevetmed.2009.07.002. Epub 2009 Aug 7.

Abstract

The objectives of this study were to determine the duration of fecal Salmonella shedding among dairy cattle in the northeastern United States following laboratory-confirmed clinical disease and to evaluate whether age group or serotype was associated with either shedding period or mortality. Study farms included 22 dairy herds that had at least two previous salmonellosis cases confirmed by fecal culture. Veterinarians continued to submit culture samples from clinical suspects following herd enrollment, and fecal samples from positive cattle were collected monthly until three sequential negative results were obtained or until loss to follow-up. There were 357 culture-positive clinical cases that each involved a single serotype during the shedding period. The Kaplan-Meier median duration of fecal Salmonella shedding was 50 days, and the maximum was 391 days. S. Newport was the predominant serotype, accounting for 51% of the cases. Age group and serotype were not significant predictors of Salmonella shedding duration in a Cox proportional hazards model, when stratifying by herd. However, the proportion of adult cows shedding for at least two consecutive monthly samples was significantly greater than the proportion of female calves shedding for this duration (Fisher's exact test p-value<0.01). Age group was also associated with mortality in this study; calves with salmonellosis were more likely to die than cows as estimated by a logistic regression model which controlled for herd as a random effect (p-value=0.04).

摘要

本研究的目的是确定美国东北部奶牛在实验室确诊临床疾病后粪便中沙门氏菌的排菌持续时间,并评估年龄组或血清型是否与排菌期或死亡率相关。研究农场包括22个奶牛群,这些牛群此前至少有两例经粪便培养确诊的沙门氏菌病病例。在牛群入组后,兽医继续提交临床疑似病例的培养样本,对阳性牛的粪便样本每月收集一次,直至获得连续三次阴性结果或失访。在排菌期有357例培养阳性的临床病例,每例均涉及单一血清型。粪便中沙门氏菌排菌的Kaplan-Meier中位持续时间为50天,最长为391天。纽波特沙门氏菌是主要血清型,占病例的51%。在按牛群分层的Cox比例风险模型中,年龄组和血清型不是沙门氏菌排菌持续时间的显著预测因素。然而,连续至少两个月粪便样本呈阳性的成年母牛比例显著高于此期间粪便样本呈阳性的雌性犊牛比例(Fisher精确检验p值<0.01)。在本研究中,年龄组也与死亡率相关;通过控制牛群为随机效应的逻辑回归模型估计,患沙门氏菌病的犊牛比母牛更易死亡(p值=0.04)。

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Prevalence of fecal shedding of Salmonella spp in dairy herds.奶牛群中沙门氏菌属粪便排菌率
J Am Vet Med Assoc. 2002 Mar 1;220(5):645-9. doi: 10.2460/javma.2002.220.645.

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