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抗炎治疗对山羊乳房内接种大肠杆菌后细菌清除的影响。

The influence of anti-inflammatory therapy on bacterial clearance following intramammary Escherichia coli challenge in goats.

作者信息

Anderson K L, Hunt E, Davis B J

机构信息

Department of Food Animal and Equine Medicine, College of Veterinary Medicine, North Carolina State University, Raleigh 27606.

出版信息

Vet Res Commun. 1991;15(2):147-61. doi: 10.1007/BF00405146.

Abstract

Coliform mastitis in dairy cattle frequently results in systemic disease with occasional deaths in association with endotoxic shock. Systemic anti-inflammatory therapy has been used to alter the course of endotoxic shock in severe cases. Use of anti-inflammatory therapy has been questioned on the basis that such treatment may compromise immune function and decrease clearance of bacteria from infected mammary glands. The purpose of this investigation was to determine whether anti-inflammatory therapy influenced bacterial clearance following intramammary challenge of lactating goats with Escherichia coli. Standardized quantities of a pathogenic coliform culture were infused through the teat canal into one half of the mammary gland in 18 goat does. The does were then randomly assigned to receive one of three intravenous treatments: saline (controls), one dose of steroid (dexamethasone), or two doses of a non-steroidal anti-inflammatory agent (flunixin meglumine). The clinical signs, milk production, complete blood counts, serum clinical chemistry values, milk bacterial cultures and milk somatic cell concentrations were monitored sequentially. Goats treated with anti-inflammatory agents exhibited some improvement in clinical response to challenge with E. coli (e.g. rectal temperature, degree of appetite suppression) as compared to saline controls. There were no significant differences between treatments in the degree of inflammation present in the mammary glands or supramammary lymph nodes examined at necropsy. The most important finding was that anti-inflammatory therapy did not adversely influence the clearance of E. coli from challenged glands.

摘要

奶牛的大肠菌性乳腺炎常常导致全身性疾病,偶尔会因内毒素休克而死亡。在严重病例中,全身性抗炎疗法已被用于改变内毒素休克的病程。抗炎疗法的使用受到质疑,因为这种治疗可能会损害免疫功能并减少感染乳腺中细菌的清除。本研究的目的是确定抗炎疗法是否会影响用大肠杆菌对泌乳山羊进行乳房内攻毒后的细菌清除。将标准化数量的致病性大肠菌培养物通过乳头管注入18只母山羊一侧的乳腺中。然后将这些母山羊随机分配接受三种静脉治疗之一:生理盐水(对照组)、一剂类固醇(地塞米松)或两剂非甾体抗炎药(氟尼辛葡甲胺)。依次监测临床症状、产奶量、全血细胞计数、血清临床化学值、乳汁细菌培养和乳汁体细胞浓度。与生理盐水对照组相比,用抗炎药治疗的山羊对大肠杆菌攻毒的临床反应有一定改善(如直肠温度、食欲抑制程度)。在尸检时检查的乳腺或乳腺上淋巴结的炎症程度在各治疗组之间没有显著差异。最重要的发现是,抗炎疗法不会对受攻击乳腺中大肠杆菌的清除产生不利影响。

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