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鉴定成年马因急性腹痛就诊时沙门氏菌脱落的预测因子。

Identification of predictors of Salmonella shedding in adult horses presented for acute colic.

机构信息

Department of Clinical Studies New Bolton Center, University of Pennsylvania School of Veterinary Medicine, Kennett Square, PA 19348, USA.

出版信息

J Vet Intern Med. 2012 Sep-Oct;26(5):1177-85. doi: 10.1111/j.1939-1676.2012.00984.x. Epub 2012 Aug 9.

Abstract

BACKGROUND

Colic has been associated with shedding of Salmonella. Horses with salmonellosis typically develop diarrhea, fever, and leukopenia. Overlooking additional predictors may result in failure to detect shedding horses and increase environmental contamination.

OBJECTIVES

Evaluate associations between signalment and clinicopathologic data during early hospitalization and Salmonella shedding in horses treated for acute colic.

ANIMALS

Horses with acute colic admitted to a referral hospital. A total of 59 horses shedding Salmonella compared to 108 Salmonella-negative horses.

METHODS

Retrospective case-control study evaluating patient and Salmonella culture data. Associations between variables and Salmonella shedding were identified using logistic regression. Two multivariable models were developed pertaining to (1) information available within 24 hours of admission and (2) clinical findings that developed later during hospitalization.

RESULTS

Variables retained for multivariable model 1 indicated that Warmbloods and Arabians had increased odds for shedding Salmonella, as did horses requiring surgery (OR, 2.52; 95% CI, 1.10-5.75) or having more severe gastrointestinal disease (OR, 2.59; 95% CI, 1.08-6.20). Retained variables for model 2 demonstrated that horses that were treated surgically (OR, 1.60; 95% CI, 0.70-3.62), developed fever >103°F (OR, 2.70; 95% CI, 0.92-7.87), had abnormal leukocyte count (OR, 1.38; 95% CI, 0.61-3.09), or became inappetent and lethargic (OR, 16.69; 95% CI, 4.08-68.24) had increased odds for shedding Salmonella.

CONCLUSIONS AND CLINICAL IMPORTANCE

In horses with acute colic that present without signs of diarrhea, fever, or leukopenia, additional predictors associated with shedding Salmonella could be used to more promptly identify horses likely to shed organisms.

摘要

背景

绞痛与沙门氏菌的脱落有关。患有沙门氏菌病的马通常会出现腹泻、发热和白细胞减少症。忽略其他预测因素可能导致未能检测到脱落的马匹并增加环境污染。

目的

评估在接受急性绞痛治疗的马中,早期住院期间的特征和临床病理数据与沙门氏菌脱落之间的关联。

动物

急性绞痛并入住转诊医院的马。共有 59 匹沙门氏菌脱落的马与 108 匹沙门氏菌阴性的马进行了比较。

方法

回顾性病例对照研究,评估患者和沙门氏菌培养数据。使用逻辑回归确定变量与沙门氏菌脱落之间的关联。开发了两个多变量模型,涉及(1)入院后 24 小时内可用的信息和(2)住院期间后期出现的临床发现。

结果

保留用于多变量模型 1 的变量表明,温血马和阿拉伯马脱落沙门氏菌的几率增加,需要手术的马(OR,2.52;95%CI,1.10-5.75)或胃肠道疾病更严重的马(OR,2.59;95%CI,1.08-6.20)也是如此。模型 2 保留的变量表明,接受手术治疗的马(OR,1.60;95%CI,0.70-3.62)、体温>103°F(OR,2.70;95%CI,0.92-7.87)、白细胞计数异常(OR,1.38;95%CI,0.61-3.09)或食欲不振和昏睡(OR,16.69;95%CI,4.08-68.24)的马,沙门氏菌脱落的几率增加。

结论和临床意义

在没有腹泻、发热或白细胞减少症迹象的急性绞痛马中,与沙门氏菌脱落相关的其他预测因素可用于更快速地识别可能脱落细菌的马。

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