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喀麦隆阿达马瓦和北部地区本地牛布鲁氏菌病的血清流行率及相关危险因素

Seroprevalence and Associated Risk Factors of Brucellosis among Indigenous Cattle in the Adamawa and North Regions of Cameroon.

作者信息

Awah-Ndukum J, Mouiche M M M, Bayang H N, Ngwa V Ngu, Assana E, Feussom K J M, Manchang T K, Zoli P A

机构信息

School of Veterinary Medicine and Sciences, University of Ngaoundéré, Ngaoundéré, Cameroon.

Institute of Agricultural Research for Development, Veterinary Research Laboratory, Wakwa Regional Center, Ngaoundéré, Cameroon.

出版信息

Vet Med Int. 2018 Jan 8;2018:3468596. doi: 10.1155/2018/3468596. eCollection 2018.

Abstract

A cross-sectional seroprevalence study was conducted on cattle in the North and Adamawa Regions of Cameroon to investigate the status of bovine brucellosis and identify potential risk factors. The diagnosis was carried out using the Rose Bengal Plate test (RBPT) and indirect ELISA (i-ELISA), while questionnaires were used to evaluate risk factors for bovine brucellosis in cattle. The Bayesian approach was used to evaluate the diagnostic tests' sensitivity and specificity. The overall individual level ( = 1031) and herd level ( = 82) seroprevalence were 5.4% (0.4-10.5) and 25.6% (16.2-35.0), respectively. Bayesian analysis revealed sensitivity of 58.3% (26.4-92.7) and 89.6% (80.4-99.4) and specificity of 92.1% (88.7-95.2) and 95.7% (91.1-99.7) for RBPT and i-ELISA, respectively. Management related factors such as region, locality, herd size, and knowledge of brucellosis and animal related factors such as sex and age were significantly associated with seropositivity of brucellosis. Zoonotic brucellosis is a neglected disease in Cameroon. The study highlights the need for control measures and the need to raise public awareness of the zoonotic occurrence and transmission of bovine brucellosis in the country. An integrated disease control strategy mimicking the one health approach involving medical personnel, veterinarians, related stakeholders, and affected communities cannot be overemphasized.

摘要

在喀麦隆北部和阿达马瓦地区对牛群进行了一项横断面血清流行率研究,以调查牛布鲁氏菌病的状况并确定潜在风险因素。诊断采用玫瑰红平板试验(RBPT)和间接酶联免疫吸附测定(i-ELISA),同时使用问卷评估牛布鲁氏菌病的风险因素。采用贝叶斯方法评估诊断试验的敏感性和特异性。个体水平(n = 1031)和畜群水平(n = 82)的总体血清流行率分别为5.4%(0.4 - 10.5)和25.6%(16.2 - 35.0)。贝叶斯分析显示,RBPT的敏感性为58.3%(26.4 - 92.7),特异性为92.1%(88.7 - 95.2);i-ELISA的敏感性为89.6%(80.4 - 99.4),特异性为95.7%(91.1 - 99.7)。与管理相关的因素,如地区、地点(当地)、畜群规模以及对布鲁氏菌病的了解,和与动物相关的因素,如性别和年龄,均与布鲁氏菌病血清阳性显著相关。人畜共患布鲁氏菌病在喀麦隆是一种被忽视的疾病。该研究强调了采取控制措施的必要性,以及提高该国公众对牛布鲁氏菌病人畜共患发生和传播的认识的必要性。不能过分强调一种模仿“同一健康”方法的综合疾病控制策略,该策略涉及医务人员、兽医、相关利益攸关方和受影响社区。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e98/5817279/23c8350e5b49/VMI2018-3468596.001.jpg

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