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马来西亚半岛牛布鲁氏菌病血清阳性危险因素的病例对照研究。

A case-control study of risk factors for bovine brucellosis seropositivity in Peninsular Malaysia.

作者信息

Anka Mukhtar Salihu, Hassan Latiffah, Khairani-Bejo Siti, Zainal Mohamed Abidin, Mohamad Ramlan Bin, Salleh Annas, Adzhar Azri

机构信息

Department of Veterinary Pathology and Microbiology, Faculty of Veterinary Medicine, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.

Department of Agribusiness and information system, Faculty of Agriculture, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.

出版信息

PLoS One. 2014 Sep 29;9(9):e108673. doi: 10.1371/journal.pone.0108673. eCollection 2014.

Abstract

Bovine brucellosis was first reported in Peninsular Malaysia in 1950. A subsequent survey conducted in the country revealed that the disease was widespread. Current knowledge on the potential risk factors for brucellosis occurrence on cattle farms in Malaysia is lacking. Therefore, we conducted a case-control study to identify the potential herd-level risk factors for bovine brucellosis occurrence in four states in the country, namely Kelantan, Pahang, Selangor and Negeri Sembilan. Thirty-five cases and 36 controls of herds were selected where data on farm management, biosecurity, medical history and public health were collected. Multivariable logistic regression identified that Brucella seropositive herds were more likely to; have some interaction with wildlife (OR 8.9, 95% CI = 1.59-50.05); originated from farms where multiple species such as buffalo/others (OR 41.8, 95% CI = 3.94-443.19) and goat/sheep (OR 8.9, 95%Cl = 1.10-71.83) were reared, practice extensive production system (OR 13.6, 95% CI 1.31-140.24) and have had episodes of abortion in the past (OR 51.8, 95% CI = 4.54-590.90) when compared to seronegative herds. Considering the lack of information on the epidemiology of bovine brucellosis in peninsular Malaysia and absence of information on preventing the inception or spread of the disease, this report could contribute to the on-going area-wise national brucellosis eradication program.

摘要

牛布鲁氏菌病于1950年在马来西亚半岛首次被报道。该国随后进行的一项调查显示,这种疾病广泛传播。目前缺乏关于马来西亚养牛场布鲁氏菌病发生潜在风险因素的知识。因此,我们开展了一项病例对照研究,以确定该国四个州(即吉兰丹、彭亨、雪兰莪和森美兰)牛布鲁氏菌病发生的潜在畜群水平风险因素。选取了35个病例畜群和36个对照畜群,收集了有关农场管理、生物安全、病史和公共卫生的数据。多变量逻辑回归分析确定,与血清学阴性畜群相比,布鲁氏菌血清阳性畜群更有可能:与野生动物有某种接触(比值比8.9,95%置信区间=1.59 - 50.05);来自饲养水牛/其他多种物种(比值比41.8,95%置信区间=3.94 - 443.19)和山羊/绵羊(比值比8.9,95%置信区间=1.10 - 71.83)的农场,采用粗放式生产系统(比值比13.6,95%置信区间1.31 - 140.24),并且过去有过流产事件(比值比51.8,95%置信区间=4.54 - 590.90)。鉴于马来西亚半岛缺乏牛布鲁氏菌病流行病学信息,且缺乏预防该病发生或传播的信息,本报告可为正在进行的全国性区域布鲁氏菌病根除计划做出贡献。

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