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肯尼亚牛分枝杆菌病的病因及公共卫生意义

The etiology and public health significance of mycobacteriosis of cattle in Kenya.

作者信息

Kuria Joseph K N, Akwalu Samuel Kamwilu, Muema Lucy Mbeke

机构信息

Department of Veterinary Pathology, Microbiology and Parasitological, Faculty of Veterinary Medicine, University of Nairobi, Nairobi, Kenya.

Department of Animal Health, Animal Health and Industry Training Institute Kabete, Ministry of Agriculture and Irrigation, Nairobi, Kenya.

出版信息

Int J Mycobacteriol. 2018 Jul-Sep;7(3):251-256. doi: 10.4103/ijmy.ijmy_80_18.

Abstract

BACKGROUND

Zoonotic tuberculosis, commonly referred to as bovine, tuberculosis is mainly caused by Mycobacterium bovis subsp. bovis, a member of the mycobacterium tuberculosis complex (MTBC). Infection in humans resembles that caused by Mycobacterium tuberculosis. Mycobacteria Other Than Tuberculous (MOTTs) are also increasingly being associated with tuberculosis humans but reports of infections in animals are scarce, their zoonotic potential being largely ignored. The study aimed to determine the aetiology and public health importance of mycobacteriosis in slaughter cattle in Kenya.

METHODS

Routine postmortem meat inspection was performed on a subpopulation of 1000 meat carcasses selected randomly from among 7,564 in a municipal abattoir, between January and July, 2015. Carcasses were examined for tuberculous lesions which were then examined for acid-fast bacilli, (AFB), cultured for isolation of mycobacteria and the isolates characterized by DNA analysis.

RESULTS

Of the carcasses examined, 218 (21.8%) had lesions in various parts of the carcasses. Acid-fast bacilli were observed in 63/218 of the lesions and suspected mycobacteria isolated from 35 of them. The isolates were identified as M. fortuitum (12), M. bovis subsp. bovis (3), M. shimoidei (2) M. asciaticum, M. interjectuctum, M. szulgai, M. celatum and M. kansaasii at one (1) each. Thirteen (13) of the isolates could not be speciated.

CONCLUSION

The MOTTs identified in the study have been liked to various types of mycobacteriosis in humans. The study therefore highlights the pathogenic and zoonotic potential of MOTTs, indicating that zoonotic tuberculosis should not be restricted to Mycobacterium bovis subsp.bovis.

摘要

背景

人畜共患结核病,通常称为牛结核病,主要由牛分枝杆菌亚种牛分枝杆菌引起,它是结核分枝杆菌复合群(MTBC)的成员之一。人类感染与结核分枝杆菌引起的感染相似。非结核分枝杆菌(MOTTs)也越来越多地与人类结核病相关,但动物感染的报告很少,其人畜共患潜力在很大程度上被忽视。该研究旨在确定肯尼亚屠宰牛中分枝杆菌病的病因及公共卫生重要性。

方法

2015年1月至7月期间,对从市立屠宰场7564头牛中随机选取的1000头牛的尸体进行常规宰后肉品检验。检查尸体是否有结核病变,然后检查抗酸杆菌(AFB),培养以分离分枝杆菌,并通过DNA分析对分离株进行鉴定。

结果

在所检查的尸体中,218头(21.8%)在尸体各部位有病变。在63/218个病变中观察到抗酸杆菌,从其中35个病变中分离出疑似分枝杆菌。分离株鉴定为偶然分枝杆菌(12株)、牛分枝杆菌亚种牛分枝杆菌(3株)、志摩分枝杆菌(2株)、亚洲分枝杆菌、中间分枝杆菌、苏尔加分枝杆菌、塞拉分枝杆菌和堪萨斯分枝杆菌各1株。13株分离株无法进行种属鉴定。

结论

该研究中鉴定出的非结核分枝杆菌与人类各种类型的分枝杆菌病有关。因此,该研究突出了非结核分枝杆菌的致病性和人畜共患潜力,表明人畜共患结核病不应局限于牛分枝杆菌亚种牛分枝杆菌。

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