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1970年至2009年间犬类钩端螺旋体病的发病情况变化

Signalment changes in canine leptospirosis between 1970 and 2009.

作者信息

Lee H S, Guptill L, Johnson A J, Moore G E

机构信息

Department of Comparative Pathobiology, College of Veterinary Medicine, Purdue University, West Lafayette, IN.

出版信息

J Vet Intern Med. 2014 Mar-Apr;28(2):294-9. doi: 10.1111/jvim.12273. Epub 2013 Dec 26.

Abstract

BACKGROUND

Previous studies have identified large breed, male, outdoor dogs of herding or working groups to be at increased risk for Leptospira infection. Exposure risk factors may change over time, altering the signalment of dogs most commonly diagnosed with leptospirosis.

OBJECTIVES

The objectives of this study were to evaluate possible signalment changes by decade in canine leptospirosis cases diagnosed at university veterinary hospitals in the United States and Canada using reports to the Veterinary Medical DataBase (VMDB) over a 40-year period (1970-2009).

ANIMALS

One thousand and ninety-one dogs with leptospirosis diagnosed among 1,659,146 hospital visits.

METHODS

Hospital prevalence of leptospirosis by decade was determined by age, sex, weight, and breed groups. Multivariable logistic regression models were created to evaluate the association between variables and the odds of disease for each decade.

RESULTS

Veterinary Medical DataBase hospital prevalence of leptospirosis in dogs, after a marked decrease in the 1970s and low rates in the 1980s, began increasing in the 1990s. Hospital prevalence significantly increased in dogs between 2 and 9.9 years of age (P < .05) and in male dogs (P < .05) in each decade since the 1980s. Among weight groups in the most recent decade (2000-2009), dogs weighing <15 pounds had the greatest odds of being diagnosed with leptospirosis (P = .003).

CONCLUSIONS AND CLINICAL IMPORTANCE

Hospital prevalence rates by age, weight, sex, and breed groups differed by decade. These changes may reflect changes in exposure risk, Leptospira vaccination practices for dogs, or both.

摘要

背景

先前的研究已确定,放牧或工作犬种的大型、雄性户外犬感染钩端螺旋体的风险增加。暴露风险因素可能随时间变化,从而改变最常被诊断为钩端螺旋体病的犬只的特征。

目的

本研究的目的是利用40年期间(1970 - 2009年)向兽医医学数据库(VMDB)提交的报告,评估美国和加拿大大学兽医院诊断的犬钩端螺旋体病病例每十年可能出现的特征变化。

动物

在1,659,146次就诊中诊断出1091只患有钩端螺旋体病的犬。

方法

按十年确定钩端螺旋体病的医院患病率,按年龄、性别、体重和品种组进行划分。创建多变量逻辑回归模型,以评估各十年中变量与疾病发生几率之间的关联。

结果

兽医医学数据库中犬钩端螺旋体病的医院患病率在20世纪70年代显著下降,80年代发病率较低,90年代开始上升。自20世纪80年代以来的每一个十年中,2至9.9岁的犬(P <.05)和雄性犬(P <.05)的医院患病率显著增加。在最近十年(2000 - 2009年)的体重组中,体重<15磅的犬被诊断为钩端螺旋体病的几率最高(P =.003)。

结论及临床意义

按年龄、体重、性别和品种组划分的医院患病率在不同十年有所不同。这些变化可能反映了暴露风险的变化、犬钩端螺旋体疫苗接种情况的变化,或两者兼而有之。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b6d/4857991/3bf9bb0ae45e/JVIM-28-294-g001.jpg

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