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长效土霉素、修蹄和氟苯尼考治疗羊腐蹄病的随机临床试验:恢复时间的比较。

Randomized clinical trial of long-acting oxytetracycline, foot trimming, and flunixine meglumine on time to recovery in sheep with footrot.

机构信息

Department of Biological Sciences, University of Warwick, Coventry, UK.

出版信息

J Vet Intern Med. 2010 Mar-Apr;24(2):420-5. doi: 10.1111/j.1939-1676.2009.0450.x.

Abstract

BACKGROUND

Internationally, foot trimming is used by most farmers, and parenteral antibacterials by some, to treat sheep with footrot. Nonsteroidal anti-inflammatory drugs (NSAID) are sometimes used. No clinical trials have compared these treatments.

OBJECTIVES

To investigate the above treatments on time to recovery from lameness and foot lesions in sheep with footrot.

ANIMALS

Fifty-three sheep with footrot on a commercial farm in England.

METHODS

In a randomized factorial design, the sheep were allocated to 6 treatment groups. The treatments were oxytetracycline spray to all sheep (positive control) and one or more of parenteral administration of long-acting oxytetracycline, flunixine meglumine, and foot trimming on day 1 or 6 of diagnosis. Follow-up was for 15 days. Time to recovery from lameness and lesions was investigated with discrete-time survival models.

RESULTS

There was significant association (P < .05) between recovery from lameness and lesions. Sheep receiving antibacterials parenterally recovered faster from lameness (odds ratio [OR]: 4.92 [1.20-20.10]) and lesions (OR: 5.11 [1.16-22.4]) than positive controls, whereas sheep foot trimmed on day 1 (lameness-OR: 0.05 [0.005-0.51]; lesions-OR: 0.06 [0.008-0.45]) or day 6 of diagnosis (lameness OR: 0.07 [0.01-0.72]; lesions OR: 0.07 [0.01-04).56]) recovered more slowly than positive controls. NSAID had no significant effect on recovery.

CONCLUSIONS AND CLINICAL IMPORTANCE

If foot trimming on day 1 or 6 of diagnosis was stopped and parenteral antibacterials were used, then over 1 million sheep/annum lame with footrot in the United Kingdom would recover more rapidly with benefits to productivity. Globally, this figure would be much higher.

摘要

背景

在国际上,大多数农民会对患有腐蹄病的绵羊进行修蹄,一些农民则会使用注射用抗菌药物进行治疗。有时还会使用非甾体抗炎药(NSAID)。目前还没有临床试验比较过这些治疗方法。

目的

研究修蹄、注射用长效土霉素、氟苯尼考以及腐蹄病羊在诊断后第 1 天或第 6 天的初次治疗等方法对腐蹄病羊跛行和足部病变恢复的影响。

动物

英格兰一家商业农场的 53 只患有腐蹄病的绵羊。

方法

采用完全随机析因设计,将绵羊分为 6 个治疗组。所有绵羊均接受土霉素喷雾治疗(阳性对照),并在诊断后的第 1 天或第 6 天接受长效土霉素、氟苯尼考、修蹄中的一种或多种治疗。随访时间为 15 天。采用离散时间生存模型研究绵羊跛行和病变恢复的时间。

结果

跛行和病变的恢复之间存在显著关联(P <.05)。与阳性对照组相比,接受注射用抗菌药物治疗的绵羊跛行(优势比[OR]:4.92 [1.20-20.10])和病变(OR:5.11 [1.16-22.4])的恢复更快,而在诊断后的第 1 天(跛行-OR:0.05 [0.005-0.51];病变-OR:0.06 [0.008-0.45])或第 6 天(跛行-OR:0.07 [0.01-0.72];病变-OR:0.07 [0.01-04).56])接受修蹄的绵羊恢复速度较慢。NSAID 对恢复没有显著影响。

结论和临床意义

如果在诊断后的第 1 天或第 6 天停止修蹄,并使用注射用抗菌药物,那么英国每年有超过 100 万只患有腐蹄病的跛行绵羊将更快地恢复,从而提高生产力。在全球范围内,这个数字将会更高。

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