Department of Pathobiology and Population Sciences, Royal Veterinary College, Hatfield, UK.
Centre for Preventive Medicine, Animal Health Trust, Newmarket, UK.
Vet Rec. 2021 Dec;189(12):e948. doi: 10.1002/vetr.948. Epub 2021 Sep 27.
Previously national surveillance data for monitoring strangles (Streptococcus equi infection) in UK horses was limited. Improved awareness and knowledge of positive diagnoses would permit the optimisation of biosecurity protocols, decreasing the prevalence of strangles.
Seven UK laboratories reported positive strangles diagnoses between 1 January 2015 and 31 December 2019 based on identifying Streptococcus equi via agent detection assays from field-based practitioner-submitted samples. Associated clinical history and animal signalment were collected where provided, and descriptive analysis undertaken.
Within the study period, 1617 laboratory-confirmed diagnoses occurred from samples submitted by 315 veterinary practices. Of these, 51.6% were swabs and 44.0% guttural pouch lavages. Diagnoses were primarily based on qPCR alone (59.6%), qPCR and culture (35.8%), or culture alone (4.6%). A total of 1791 clinical signs were reported for 713 diagnoses, where nasal discharge (31.3%) and pyrexia (20.5%) were most frequently reported. Regions with the highest number of diagnoses included North Yorkshire (n = 75, 4.6%), Staffordshire (n = 71, 4.4%) and West Sussex (North East) (n = 63, 3.9%).
This study presents important insights into the diagnosis and clinical features of strangles in UK horses, even though limited and/or missing clinical history and signalment on laboratory submission forms restricts the completeness of the data.
此前,英国对马类传染性咽峡炎(马链球菌感染)的国家监测数据有限。提高对阳性诊断的认识和了解将允许优化生物安全协议,降低传染性咽峡炎的流行率。
根据来自现场从业者提交的样本中通过检测试剂鉴定马链球菌,7 家英国实验室在 2015 年 1 月 1 日至 2019 年 12 月 31 日期间报告了 1617 例实验室确诊的传染性咽峡炎病例。在提供的情况下收集了相关的临床病史和动物特征,并进行了描述性分析。
在研究期间,来自 315 家兽医诊所提交的样本中,实验室确认了 1617 例诊断。其中,51.6%是拭子,44.0%是咽喉囊冲洗液。诊断主要基于 qPCR 单独(59.6%)、qPCR 和培养(35.8%)或培养单独(4.6%)。对 713 例诊断报告了 1791 种临床症状,其中鼻腔分泌物(31.3%)和发热(20.5%)最常报告。诊断数量最多的地区包括北约克郡(n=75,4.6%)、斯塔福德郡(n=71,4.4%)和西萨塞克斯郡(东北)(n=63,3.9%)。
本研究提供了英国马传染性咽峡炎诊断和临床特征的重要见解,尽管实验室提交表上的临床病史和特征有限或缺失,限制了数据的完整性。