Haimi-Hakala Minna, Hälli Outi, Laurila Tapio, Raunio-Saarnisto Mirja, Nokireki Tiina, Laine Taina, Nykäsenoja Suvi, Pelkola Kirsti, Segales Joaquim, Sibila Marina, Oliviero Claudio, Peltoniemi Olli, Pelkonen Sinikka, Heinonen Mari
Department of Production Animal Medicine, University of Helsinki, Paroninkuja 20, 04920 Saarentaus, Finland.
Finnish Food Safety Authority Evira, PO Box 198, 60101 Seinäjoki, Finland.
Porcine Health Manag. 2017 Aug 23;3:19. doi: 10.1186/s40813-017-0065-2. eCollection 2017.
The objective of our study was to clinically and etiologically investigate acute outbreaks of respiratory disease in Finland. Our study also aimed to evaluate the clinical use of various methods in diagnosing respiratory infections under field conditions and to describe the antimicrobial resistance profile of the main bacterial pathogen(s) found during the study.
A total of 20 case herds having finishing pigs showing acute respiratory symptoms and eight control herds showing no clinical signs suggesting of respiratory problems were enrolled in the study. Researchers visited each herd twice, examining and bleeding 20 pigs per herd. In addition, nasal swab samples were taken from 20 pigs and three pigs per case herd were necropsied during the first visit. Serology was used to detect (APP), swine influenza virus (SIV), porcine reproductive and respiratory syndrome virus (PRRSV), porcine respiratory coronavirus (PRCV) and antibodies. Polymerase chain reaction (PCR) was used to investigate the presence of porcine circovirus type 2 (PCV2) in serum and SIV in the nasal and lung samples. Pathology and bacteriology, including antimicrobial resistance determination, were performed on lung samples obtained from the field necropsies.
According to the pathology and bacteriology of the lung samples, APP and were the main causes of respiratory outbreaks in 14 and three herds respectively, while the clinical signs in three other herds had a miscellaneous etiology. SIV, APP and PCV2 caused concurrent infections in certain herds but they were detected serologically or with PCR also in control herds, suggesting possible subclinical infections. APP was isolated from 16 (80%) case herds. Marked resistance was observed against tetracycline for APP, some resistance was detected against trimethoprim/sulfamethoxazole, ampicillin and penicillin, and no resistance against florfenicol, enrofloxacin, tulathromycin or tiamulin was found. Serology, even from paired serum samples, gave inconclusive results for acute APP infection diagnosis.
APP was the most common cause for acute respiratory outbreaks in our study. SIV, , PCV2 and certain opportunistic bacteria were also detected during the outbreaks; however, viral pathogens appeared less important than bacteria. Necropsies supplemented with microbiology were the most efficient diagnostic methods in characterizing the studied outbreaks.
我们研究的目的是对芬兰的呼吸道疾病急性暴发进行临床和病因学调查。我们的研究还旨在评估在现场条件下各种方法在诊断呼吸道感染中的临床应用,并描述研究期间发现的主要细菌病原体的抗菌药物耐药情况。
共有20个有育肥猪出现急性呼吸道症状的病例猪群和8个无呼吸道问题临床症状的对照猪群纳入研究。研究人员对每个猪群进行了两次走访,对每个猪群的20头猪进行检查和采血。此外,在首次走访期间,从20头猪采集鼻拭子样本,并对每个病例猪群的3头猪进行剖检。采用血清学方法检测副猪嗜血杆菌(APP)、猪流感病毒(SIV)、猪繁殖与呼吸综合征病毒(PRRSV)、猪呼吸道冠状病毒(PRCV)和抗体。采用聚合酶链反应(PCR)检测血清中猪圆环病毒2型(PCV2)以及鼻拭子和肺样本中SIV的存在情况。对现场剖检获得的肺样本进行病理学和细菌学检查,包括抗菌药物耐药性测定。
根据肺样本的病理学和细菌学检查结果,APP和分别是14个和3个猪群呼吸道暴发的主要原因,而其他3个猪群的临床症状病因多样。SIV、APP和PCV2在某些猪群中引起混合感染,但在对照猪群中也通过血清学或PCR检测到,提示可能存在亚临床感染。从16个(80%)病例猪群中分离出APP。观察到APP对四环素具有明显耐药性,对甲氧苄啶/磺胺甲恶唑、氨苄西林和青霉素有一定耐药性,对氟苯尼考、恩诺沙星、泰拉霉素或替米考星未发现耐药性。血清学检测,即使是配对血清样本,对于急性APP感染诊断也未得出明确结果。
在我们的研究中,APP是急性呼吸道暴发最常见的原因。在暴发期间还检测到SIV、、PCV2和某些机会性细菌;然而,病毒病原体似乎不如细菌重要。辅以微生物学检查的剖检是表征所研究暴发的最有效诊断方法。