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澳大利亚屠宰场屠宰的肉牛中细粒棘球蚴(细粒棘球绦虫严格种)病的八年回顾性研究。

An eight-year retrospective study of hydatid disease (Echinococcus granulosus sensu stricto) in beef cattle slaughtered at an Australian abattoir.

机构信息

School of Animal and Veterinary Sciences, Faculty of Science, Charles Sturt University, Wagga Wagga, NSW 2678, Australia; Graham Centre for Agricultural Innovation (NSW Department of Primary Industries and Charles Sturt University), Wagga Wagga, NSW 2650, Australia.

School of Animal and Veterinary Sciences, Faculty of Science, Charles Sturt University, Wagga Wagga, NSW 2678, Australia; Graham Centre for Agricultural Innovation (NSW Department of Primary Industries and Charles Sturt University), Wagga Wagga, NSW 2650, Australia.

出版信息

Prev Vet Med. 2019 Dec 1;173:104806. doi: 10.1016/j.prevetmed.2019.104806. Epub 2019 Oct 19.

Abstract

A retrospective study was conducted on 1,178,329 cattle slaughtered at an eastern Australian abattoir between 2010 and 2018. The data were searched for records in which a diagnosis of hydatid disease was made by routine meat inspection and apparent prevalence was calculated. True prevalence of hydatid disease in any organ was then estimated using previously reported sensitivity and specificity for diagnosis of hepatic hydatid disease by routine meat inspection. Mixed effects logistic regression was conducted to assess putative associations between dentition (age), sex, and feed-type (grass- or grain-fed), and hydatid disease reported at slaughter, with origin (Property Identification Code [PIC] region) included as a random effect. Regression was also conducted on subsets stratified by dentition and feed-type to account for measurement bias resulting from differences in sensitivity and specificity between groups of cattle. Discrete-Poisson models (SaTScan, v.9.5) were used to detect spatio-temporal clustering of hydatid-positive cattle within PIC regions. The apparent prevalence of hydatid disease reported in any organ was 8.8% (n = 104,038; 95% confidence interval [CI] 8.8-8.9%). The liver, lungs, heart, spleen, and kidneys were reported infected with hydatid cysts. Of cattle reported infected with hydatid cysts, 75.6% had both the liver and lungs reported infected. True prevalence was estimated to be 33.0% (95% CI 24.4-44.4%). Significant interaction between dentition and feed-type was identified. Risk of reported hydatid disease was highest in both eight-tooth grass- and eight-tooth grain-fed cattle (OR 17.5, 95% CI 17.0-18.1, reference level [ref] zero-tooth; OR 4.8, 95% CI 4.4-5.2, ref zero-tooth, respectively). Sex was also significantly associated with reported cases of hydatid disease at slaughter, with the highest odds in females (two-tooth group, OR 1.2, 95% CI 1.1-1.2, ref male). Three spatio-temporal clusters of hydatid-positive regions were identified. The most likely cluster was located in north eastern New South Wales from June 2012 to September 2015 (log likelihood ratio 4774, P < 0.001). This study indicates a higher prevalence of hydatid disease than previously recognised and demonstrates that an effect of sex cannot be ruled out. The identification of clusters could indicate periods when hosts of Echinococcus were more abundant, or localised climatic events that facilitated transmission to cattle. Given the high prevalence, the financial impact of hydatid disease on the Australian beef industry and risk factors associated with variation in spatial distribution should be determined to target interventions.

摘要

对 2010 年至 2018 年间在澳大利亚东部一个屠宰场屠宰的 1178329 头牛进行了回顾性研究。通过常规肉检对诊断为包虫病的记录进行了数据搜索,并计算了明显流行率。然后,使用先前报道的常规肉检诊断肝包虫病的敏感性和特异性,估算任何器官中包虫病的真实流行率。采用混合效应逻辑回归评估了牙列(年龄)、性别和饲料类型(草饲或谷饲)与屠宰时报告的包虫病之间的假定关联,并将起源(物业识别码[PIC]地区)作为随机效应纳入其中。还根据牙列和饲料类型进行了分层回归,以解释由于不同牛群之间的敏感性和特异性差异而导致的测量偏差。离散泊松模型(SaTScan,v.9.5)用于检测 PIC 区域内包虫病阳性牛的时空聚集。报告的任何器官中包虫病的明显流行率为 8.8%(n=104038;95%置信区间[CI]8.8-8.9%)。肝脏、肺、心脏、脾脏和肾脏被报告感染了包虫囊肿。在报告感染包虫囊肿的牛中,75.6%的牛肝脏和肺部均被报告感染。真实流行率估计为 33.0%(95%CI 24.4-44.4%)。确定了牙列和饲料类型之间存在显著的相互作用。在八齿草饲和八齿谷饲牛中,报告的包虫病风险最高(OR 17.5,95%CI 17.0-18.1,参考水平[ref]零齿;OR 4.8,95%CI 4.4-5.2,ref 零齿,分别)。性别也与屠宰时报告的包虫病病例显著相关,女性(两齿组)的可能性最高(OR 1.2,95%CI 1.1-1.2,参考雄性)。确定了三个包虫病阳性区域的时空聚类。最有可能的聚类位于新南威尔士州东北部,时间从 2012 年 6 月至 2015 年 9 月(对数似然比 4774,P<0.001)。本研究表明包虫病的流行率高于先前的认识,并表明不能排除性别因素的影响。聚类的识别可能表明棘球蚴宿主更丰富的时期,或有利于向牛传播的局部气候事件。鉴于高流行率,应确定包虫病对澳大利亚牛肉行业的经济影响以及与空间分布变化相关的风险因素,以便有针对性地进行干预。

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