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基于过氧化氢酶的尿液检测法在新生犊牛中检测菌尿症和菌血症。

Detection of bacteriuria and bacteremia in newborn calves by a catalase-based urine test.

机构信息

Ecole Nationale Vétérinaire de Toulouse, Université de Toulouse, Toulouse Cedex, France NBVC, Dardilly Cedex, France.

出版信息

J Vet Intern Med. 2010 Nov-Dec;24(6):1532-6. doi: 10.1111/j.1939-1676.2010.0602.x. Epub 2010 Oct 12.

Abstract

BACKGROUND

Bacteremia occurs frequently in newborn calves. The predictive value of clinical signs is low, suggesting the use of calf-side diagnostic tests.

OBJECTIVES

To investigate testing of urine catalase activity (Uriscreen test) for bacteriuria and bacteremia detection.

ANIMALS

Five colostrum-free calves and 3 colostrum-fed control calves.

METHODS

Controlled experimental trial. Colostrum-free calves were inoculated PO with Escherichia coli O78+. A clinical score was established to define the onset of the illness. Blood and urine (cystocentesis) samplings and cultures, and Uriscreen tests, were performed 4-6 times from inoculation to death. Three control calves received the same management as 3 inoculated calves, but with colostrum and without inoculation.

RESULTS

Bacteremia was demonstrated in all of the inoculated colostrum-free calves and in none of the control calves. The E. coli O78+ strain, E. coli, and Klebsiella spp. were recovered from 4/5, 5/5, and 2/5 inoculated colostrum-free calves, respectively. Urine cultures were negative for the 2 groups at the start of the experiment; 5/5 colostrum-deprived inoculated calves were positive for E. coli thereafter whereas 3/3 controls remained negative. Concordance of Uriscreen tests with bacteremia and bacteriuria was 0.86 and 0.88, respectively. Kappa value of agreement between Uriscreen and bacteremia and bacteriuria was 0.73 and 0.76, respectively. Sensitivity of Uriscreen for bacteremia and bacteriuria was 80.0 and 86.6%, respectively, and specificity was 92.8 and 88.8%, respectively.

CONCLUSIONS AND CLINICAL RELEVANCE

The results suggest that Uriscreen can be used for detection of bacteremia in neonatal calves in connection with a constant bacteriuria.

摘要

背景

新生牛犊经常发生菌血症。临床症状的预测价值较低,表明需要使用犊牛侧诊断测试。

目的

研究尿液过氧化氢酶活性(Uriscreen 试验)检测菌尿和菌血症的效果。

动物

5 头未哺乳牛犊和 3 头哺乳对照牛犊。

方法

对照实验。未哺乳牛犊经口接种大肠杆菌 O78+。建立临床评分以定义疾病发作。从接种到死亡,进行 4-6 次血样和尿样(膀胱穿刺)采集和培养以及 Uriscreen 检测。3 头对照牛犊接受与 3 头接种牛犊相同的管理,但接受了初乳且未接种。

结果

所有接种的未哺乳牛犊均出现菌血症,而对照组牛犊均未出现菌血症。从 4/5 头接种的未哺乳牛犊中分离出大肠杆菌 O78+、大肠杆菌和克雷伯氏菌属,从 5/5 头接种的未哺乳牛犊中分离出大肠杆菌 O78+和大肠杆菌,从 2/5 头接种的未哺乳牛犊中分离出克雷伯氏菌属。两组在实验开始时尿液培养均为阴性;此后,5/5 头未哺乳接种的牛犊尿液培养均呈大肠杆菌阳性,而 3/3 头对照牛犊尿液培养均为阴性。Uriscreen 试验与菌血症和菌尿的一致性分别为 0.86 和 0.88。Uriscreen 与菌血症和菌尿的一致性 Kappa 值分别为 0.73 和 0.76。Uriscreen 检测菌血症和菌尿的敏感性分别为 80.0%和 86.6%,特异性分别为 92.8%和 88.8%。

结论和临床意义

结果表明,Uriscreen 可用于检测与持续菌尿相关的新生牛犊菌血症。

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