University of Bristol, School of Veterinary Sciences, Langford, Bristol BS40 5DU, UK.
Vet J. 2012 Sep;193(3):679-84. doi: 10.1016/j.tvjl.2012.06.053. Epub 2012 Aug 6.
Digital dermatitis (DD) is currently the most problematic infectious skin disease in dairy cattle associated with lameness. Reducing the disease prevalence through early detection and treatment is an essential management tool. The traditional detection method involves lifting and inspecting the feet in a cattle crush, but this is a time intensive and costly practice and impractical for regular detection of individual cases or monitoring herd prevalence. This study aimed to establish the accuracy of detecting and classifying DD lesions in traditional (pit) milking parlours compared with a borescope, and a gold standard lifted foot inspection. With the exception of one lesion, parlour screening was as accurate as the lifted foot inspection in determining the presence of 86 DD lesions on 160 hind feet (99% agreement; κ 0.99; sensitivity 1.00; specificity 0.99). Describing lesions by colour, depth or stage of lesion in the parlour or using the borescope reached substantial agreement with the gold standard. The stage of lesion was closely linked to colour and depth descriptors. There was greater agreement when categorising more advanced stages of disease progression. Borescope and parlour inspections led to both over and under recording of actual size, particularly in smaller lesions. Screening cows in traditional milking parlours for the presence of DD was found to be an accurate and practical means of detecting lesions. This method should be considered for on farm use to evaluate DD prevention and treatment strategies.
数字性皮炎(DD)是目前与跛行相关的奶牛最具问题性的传染性皮肤病。通过早期发现和治疗来降低疾病流行率是一种重要的管理工具。传统的检测方法包括在牛栏中抬起并检查脚部,但这是一种耗时且昂贵的做法,对于常规检测个别病例或监测畜群流行率并不实用。本研究旨在确定在传统(坑)挤奶厅中使用牛窥镜检测和分类 DD 病变的准确性,并与抬起脚检查的金标准进行比较。除了一个病变外,牛栏筛查在确定 160 只后脚的 86 个 DD 病变存在方面与抬起脚检查一样准确(99%一致性;κ0.99;敏感性 1.00;特异性 0.99)。在牛栏中通过颜色、深度或病变阶段来描述病变,或使用牛窥镜,与金标准达到了高度一致。病变阶段与颜色和深度描述符密切相关。在分类更严重的疾病进展阶段时,一致性更高。牛窥镜和牛栏检查都导致了实际大小的过度和不足记录,尤其是在较小的病变中。在传统挤奶厅中筛查奶牛是否存在 DD,被发现是一种准确且实用的检测病变的方法。这种方法应该在农场中使用,以评估 DD 的预防和治疗策略。