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埃塞俄比亚奶牛布鲁氏菌血清阳性率的荟萃分析。

Meta-analysis of Brucella seroprevalence in dairy cattle of Ethiopia.

作者信息

Asmare Kassahun, Krontveit Randi I, Ayelet Gelagay, Sibhat Berhanu, Godfroid Jacques, Skjerve Eystein

机构信息

School of Veterinary Medicine, Hawassa University, P.O. Box 05, Hawassa, Ethiopia,

出版信息

Trop Anim Health Prod. 2014 Dec;46(8):1341-50. doi: 10.1007/s11250-014-0669-3. Epub 2014 Sep 20.

Abstract

This meta-analysis estimates a single-group summary (effect size) for seroprevalence of Brucella spp. exposure in dairy cattle of Ethiopia. It also attempts to identify study-level variables that could explain the variation in apparent seroprevalence. The literature search was restricted to studies published in English language from January 2000 to December 2013. A template was designed to retrieve the most biologically plausible and consistent variables from the articles. A total of 29 published papers containing 40 animal-level studies were used in the analyses. The single-group summary of Brucella seroprevalence in cattle was estimated to reach 3.3 % with 95 % confidence interval (CI) (2.6-4.2 %). Of all the variables considered, region was the only specific factor identified to explain about 20 % of between-study variation. Accordingly, the region-based meta-analysis forest plot revealed the highest prevalence in central Ethiopia followed by southern part. The lowest prevalence estimate was observed in the western part of the country. The visual inspection of the funnel plot demonstrated the presence of possible publication bias which might dictate shortage of studies with higher prevalences or variance inflation due to infectiousness of Brucella. In conclusion, the quantitative review showed the seroprevalence to be low but widely distributed. More importantly, the review underscores the need for isolation and characterization of the circulating Brucella spp. to capture the type of Brucella spp. involved and its distribution in cattle in Ethiopia.

摘要

本荟萃分析估计了埃塞俄比亚奶牛布鲁氏菌属暴露血清阳性率的单组汇总值(效应量)。它还试图确定可能解释明显血清阳性率差异的研究水平变量。文献检索仅限于2000年1月至2013年12月以英文发表的研究。设计了一个模板,以便从文章中检索最具生物学合理性和一致性的变量。共有29篇发表的论文,包含40项动物水平的研究用于分析。估计牛布鲁氏菌血清阳性率的单组汇总值达到3.3%,95%置信区间(CI)为(2.6 - 4.2%)。在所有考虑的变量中,区域是唯一被确定可解释约20%研究间差异的特定因素。因此,基于区域的荟萃分析森林图显示埃塞俄比亚中部的患病率最高,其次是南部。该国西部的患病率估计最低。漏斗图的目视检查表明可能存在发表偏倚,这可能意味着缺乏患病率较高的研究,或者由于布鲁氏菌的传染性导致方差膨胀。总之,定量综述表明血清阳性率较低但分布广泛。更重要的是,该综述强调需要对循环的布鲁氏菌属进行分离和鉴定,以确定埃塞俄比亚牛群中涉及的布鲁氏菌属类型及其分布情况。

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