Chhetri Bimal K, Berke Olaf, Pearl David L, Bienzle Dorothee
Department of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada.
Department of Mathematics and Statistics, University of Guelph, Guelph, ON, Canada.
BMC Vet Res. 2015 Feb 10;11:30. doi: 10.1186/s12917-015-0339-3.
Feline immunodeficiency virus (FIV) and feline leukemia virus (FeLV) are reported to have similar risk factors and similar recommendations apply to manage infected cats. However, some contrasting evidence exists in the literature with regard to commonly reported risk factors. In this study, we investigated whether the known risk factors for FIV and FeLV infections have a stronger effect for either infection. This retrospective study included samples from 696 cats seropositive for FIV and 593 cats seropositive for FeLV from the United States and Canada. Data were collected during two cross sectional studies, where cats were tested using IDEXX FIV/FeLV ELISA kits. To compare the effect of known risk factors for FIV infection compared to FeLV, using a case-case study design, random intercept logistic regression models were fit including cats' age, sex, neuter status, outdoor exposure, health status and type of testing facility as independent variables. A random intercept for testing facility was included to account for clustering expected in testing practices at the individual clinics and shelters.
In the multivariable random intercept model, the odds of FIV compared to FeLV positive ELISA results were greater for adults (OR = 2.09, CI: 1.50-2.92), intact males (OR = 3.14, CI: 1.85-3.76), neutered males (OR = 2.68, CI: 1.44- 3.14), cats with outdoor access (OR = 2.58, CI: 1.85-3.76) and lower for cats with clinical illness (OR = 0.60, 95% CI: 0.52-0.90). The variance components obtained from the model indicated clustering at the testing facility level.
Risk factors that have a greater effect on FIV seropositivity include adulthood, being male (neutered or not) and having access to outdoors, while clinical illness was a stronger predictor for FeLV seropositivity. Further studies are warranted to assess the implications of these results for the management and control of these infections.
据报道,猫免疫缺陷病毒(FIV)和猫白血病病毒(FeLV)具有相似的风险因素,且针对感染猫的管理适用相似的建议。然而,文献中存在一些关于常见风险因素的对比证据。在本研究中,我们调查了已知的FIV和FeLV感染风险因素对其中任一感染是否具有更强的影响。这项回顾性研究纳入了来自美国和加拿大的696只FIV血清阳性猫和593只FeLV血清阳性猫的样本。数据收集于两项横断面研究期间,在这些研究中,使用IDEXX FIV/FeLV ELISA试剂盒对猫进行检测。为了比较已知的FIV感染风险因素与FeLV感染风险因素的影响,采用病例-病例研究设计,拟合随机截距逻辑回归模型,将猫的年龄、性别、绝育状态、户外暴露情况、健康状况和检测机构类型作为自变量。纳入检测机构的随机截距以考虑个体诊所和庇护所检测实践中预期的聚类情况。
在多变量随机截距模型中,与FeLV阳性ELISA结果相比,FIV阳性的优势比在成年猫中更高(OR = 2.09,CI:1.50 - 2.92),未绝育雄性猫中更高(OR = 3.14,CI:1.85 - 3.76),绝育雄性猫中更高(OR = 2.68,CI:1.44 - 3.14),有户外接触机会的猫中更高(OR = 2.58,CI:1.85 - 3.76),而临床患病猫中更低(OR = 0.60,95% CI:0.52 - 0.90)。从模型中获得的方差成分表明在检测机构层面存在聚类情况。
对FIV血清阳性有更大影响的风险因素包括成年、雄性(绝育或未绝育)和有户外接触机会,而临床疾病是FeLV血清阳性更强的预测因素。有必要进一步开展研究以评估这些结果对这些感染的管理和控制的意义。