School of Veterinary Science, Massey University, Palmerston North, New Zealand.
Ministry of Agriculture, Jakarta, Indonesia.
Epidemiol Infect. 2020 May 18;148:e219. doi: 10.1017/S095026882000103X.
This study aimed to evaluate risk factors associated with shedding of pathogenic Leptospira species in urine at animal and herd levels. In total, 200 dairy farms were randomly selected from the DairyNZ database. Urine samples were taken from 20 lactating, clinically normal cows in each herd between January and April 2016 and tested by real-time polymerase chain reaction (PCR) using gyrB as the target gene. Overall, 26.5% of 200 farms had at least one PCR positive cow and 2.4% of 4000 cows were shedding Leptospira in the urine. Using a questionnaire, information about risk factors at cow and farm level was collected via face-to-face interviews with farm owners and managers. Animals on all but one farm had been vaccinated against Hardjo and Pomona and cows on 54 of 200 (27%) farms had also been vaccinated against Copenhageni in at least one age group (calves, heifers and cows). Associations found to be statistically significant in univariate analysis (at P < 0.2) were assessed by multivariable logistic regression. Factors associated with shedding included cattle age (Odds ratio (OR) 0.82, 95% CI 0.71-0.95), keeping sheep (OR 5.57, 95% confidence interval (CI) 1.46-21.25) or dogs (OR 1.45, 95% CI 1.07-1.97) and managing milking cows in a single as opposed to multiple groups (OR 0.45, 95% CI 0.20-0.99). We conclude that younger cattle were more likely to be shedding Leptospira than older cattle and that the presence of sheep and dogs was associated with an increased risk of shedding in cows. Larger herds were at higher risk of having Leptospira shedders. However, none of the environmental risk factors that were assessed (e.g. access to standing water, drinking-water source), or wildlife abundance on-farm, or pasture were associated with shedding, possibly due to low statistical power, given the low overall shedding rate.
本研究旨在评估动物和畜群水平与致病性钩端螺旋体物种尿液脱落相关的风险因素。总共从 DairyNZ 数据库中随机选择了 200 个奶牛场。2016 年 1 月至 4 月期间,从每个畜群的 20 头处于临床正常泌乳期的奶牛中采集尿液样本,并使用实时聚合酶链反应(PCR)检测,以gyrB 为靶基因。总的来说,200 个农场中有 26.5%至少有一头 PCR 阳性牛,4000 头奶牛中有 2.4%在尿液中排出钩端螺旋体。通过问卷调查,通过与农场所有者和经理进行面对面访谈,收集了牛和农场层面的风险因素信息。除了一个农场之外,所有动物都接种了针对 Hardjo 和 Pomona 的疫苗,在 200 个农场中的 54 个(27%)农场中,至少有一个年龄组(小牛、小母牛和奶牛)的牛接种了针对 Copenhageni 的疫苗。在单变量分析中发现具有统计学意义的关联(在 P < 0.2 时)通过多变量逻辑回归进行评估。与脱落相关的因素包括牛的年龄(优势比(OR)0.82,95%置信区间(CI)0.71-0.95)、饲养绵羊(OR 5.57,95%CI 1.46-21.25)或狗(OR 1.45,95%CI 1.07-1.97)以及将奶牛管理为单个而非多个群体(OR 0.45,95%CI 0.20-0.99)。我们得出的结论是,较年轻的牛比年老的牛更有可能排出钩端螺旋体,而绵羊和狗的存在与牛的脱落风险增加有关。较大的畜群感染钩端螺旋体的风险更高。然而,评估的环境风险因素(例如,接触静止水、饮用水源)、农场内野生动物的丰度或牧场与脱落无关,这可能是由于总体脱落率较低,统计能力较低所致。