Pascual-Linaza A V, Gordon A W, Stringer L A, Menzies F D
Surveillance and Antimicrobial Resistance, Department of Agriculture,Environment and Rural Affairs,Dundonald House,Belfast,UK.
Biometrics Branch,Agri-Food and Biosciences Institute,Belfast,UK.
Epidemiol Infect. 2017 Apr;145(5):995-1005. doi: 10.1017/S0950268816003095. Epub 2016 Dec 28.
Post-mortem examination continues to play an important surveillance role in the bovine tuberculosis (bTB) eradication programme in Northern Ireland. It is estimated that 18-28% of new bTB herd breakdowns are disclosed by the detection of bTB lesions in animals routinely slaughtered. The purpose of this study was to compare the performance of different slaughterhouses in Northern Ireland in detecting bTB-lesioned animals at routine slaughter (LRS) and to apply the findings to maximize the sensitivity of bTB slaughterhouse surveillance. Univariate statistical analysis on cattle slaughtered in Northern Ireland during 2011-2013 revealed that the risk of LRS disclosure varied between slaughterhouses, ranging from 0·08% to 0·54%. Furthermore, the risk of confirmation of these LRS as bTB varied between slaughterhouses, ranging from 57·9% to 72·4%. Logistic regression modelling of selected risk factors found that the risk of LRS disclosure increased with age, and was higher in purchased animals, during winter months, in animals coming from high bTB incidence areas and in animals slaughtered from herds with a bTB restriction in the last 2-3 years. Adjusting for these selected factors, the risk of LRS disclosure and bTB confirmation changed very little from the univariable analysis, suggesting that differences in disclosure risks between slaughterhouses were likely to be due to factors related to the slaughterhouses, rather than to the risk status of the animals presented. Examination of procedures within these slaughterhouses is recommended to identify ways that could increase the sensitivity of their bTB surveillance.
尸体剖检在北爱尔兰的牛结核病(bTB)根除计划中继续发挥着重要的监测作用。据估计,在常规屠宰的动物中检测到bTB病变,从而发现了18%-28%的新bTB牛群疫情。本研究的目的是比较北爱尔兰不同屠宰场在常规屠宰(LRS)时检测bTB病变动物的表现,并应用研究结果来最大化bTB屠宰场监测的敏感性。对2011年至2013年期间在北爱尔兰屠宰的牛进行的单变量统计分析显示,LRS披露的风险在不同屠宰场之间有所不同,范围从0.08%到0.54%。此外,这些LRS被确认为bTB的风险在不同屠宰场之间也有所不同,范围从57.9%到72.4%。对选定风险因素的逻辑回归建模发现,LRS披露的风险随着年龄的增长而增加,在购买的动物中更高,在冬季月份,在来自高bTB发病率地区的动物以及在过去2-3年内有bTB限制的牛群中屠宰的动物中更高。对这些选定因素进行调整后,LRS披露和bTB确认的风险与单变量分析相比变化很小,这表明屠宰场之间披露风险的差异可能是由于与屠宰场相关的因素,而不是由于所呈现动物的风险状况。建议检查这些屠宰场内的程序,以确定可以提高其bTB监测敏感性的方法。