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环境中感染分枝杆菌的污染。

Environmental contamination with Mycobacterium avium subsp. paratuberculosis in endemically infected dairy herds.

机构信息

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

出版信息

Prev Vet Med. 2011 Oct 1;102(1):1-9. doi: 10.1016/j.prevetmed.2011.06.009. Epub 2011 Jul 19.

DOI:10.1016/j.prevetmed.2011.06.009
PMID:21775002
Abstract

Environmental contamination with Mycobacterium avium subsp. paratuberculosis (MAP) is thought to be one of the primary sources of infection for dairy cattle. The exact link between fecal shedding of MAP by individual cows and environmental contamination levels at the herd level was explored with a cross-sectional analysis of longitudinally collected samples on 3 dairy farms. Composite samples from multiple environmental sites in 3 commercial dairy herds in the Northeast US were cultured quarterly for MAP, providing 1131 samples (133 (11.8%) were culture-positive), and all adult animals in the herds were tested biannually by fecal culture (FC), for 6 years. Of the environmental sites sampled, manure storage areas and shared alleyways were most likely to be culture-positive. Environmental sample results were compared to FC results from either the concurrent or previous sampling date at both the herd and the pen level. At the herd level, a 1 log unit increase in average fecal shedding increased the odds of a positive non-pen environmental sample by a factor of 6 and increased the average amount of MAP in non-pen samples by 2.9 cfu/g. At the pen level, a 1 log unit increase in average fecal shedding in the pen increased the odds of a positive environment by a factor of 2.4 and the average amount of MAP was increased by 3.5 cfu/g. We were not able to model the relationship between non-pen environmental sample status and the distance between shedding animals and the sample's location, and neighboring pens did not significantly affect the results of the pen-level analysis. The amount of MAP in pen-level samples and the probability of a pen testing positive for MAP were both positively but non-significantly correlated with the number of animals in the pen shedding >30 cfu/g of MAP. At least 6 environmental samples met the criteria for the U.S. Voluntary Bovine Johne's Disease Control Program on 47 of the 72 sampling dates; of these, 19 of the 47 FC-positive sampling dates were positive by the 6-sample environmental testing method, resulting in a herd sensitivity of 0.40 (95% CI: 0.26-0.54). None of the 3 FC-negative sampling dates produced positive environmental samples. Although environmental sampling can be used as a tool in understanding the level of MAP infection in a herd or pen, it did not appear to be a sensitive diagnostic method for herd positivity in these low prevalence herds, and its use may require caution.

摘要

环境中分枝杆菌副结核亚种(MAP)的污染被认为是奶牛感染的主要来源之一。本研究通过对 3 个奶牛场进行纵向采集样本的横断面分析,探讨了个体奶牛粪便中 MAP 的排放与畜群水平环境污染程度之间的关系。在美国东北部的 3 个商业奶牛场的畜群中,每季度从多个环境地点采集复合样本进行 MAP 培养,共采集 1131 个样本(133 个(11.8%)为培养阳性),并对畜群中的所有成年动物进行了 6 年的粪便培养(FC)双年度检测。在采样的环境地点中,粪便储存区和共用过道最有可能呈培养阳性。环境样本的结果与畜群和畜栏水平上同时或之前采样日期的 FC 结果进行了比较。在畜群水平上,粪便中平均排泄物的对数单位增加 1 个单位,使非畜栏环境样本呈阳性的几率增加 6 倍,并使非畜栏样本中的 MAP 平均含量增加 2.9 cfu/g。在畜栏水平上,畜栏内平均粪便排泄量增加 1 个对数单位,使环境呈阳性的几率增加 2.4 倍,MAP 平均含量增加 3.5 cfu/g。我们无法对非畜栏环境样本状态与排泄物动物与样本位置之间的距离之间的关系进行建模,并且相邻畜栏对畜栏水平分析的结果没有显著影响。畜栏样本中的 MAP 含量和畜栏检测 MAP 呈阳性的概率与排泄 >30 cfu/g MAP 的动物数量呈正相关,但无统计学意义。在 72 个采样日期中的 47 个日期,至少有 6 个环境样本符合美国自愿牛副结核病控制计划的标准;在这些样本中,有 19 个 FC 阳性采样日期的 6 个样本环境检测方法呈阳性,导致畜群敏感性为 0.40(95%CI:0.26-0.54)。在 3 个 FC 阴性采样日期中,没有一个样本产生阳性环境样本。尽管环境采样可以作为了解畜群或畜栏中 MAP 感染水平的工具,但在这些低流行畜群中,它似乎不是一种敏感的畜群阳性诊断方法,其使用可能需要谨慎。

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