Chen Yuancai, Huang Jianying, Qin Huikai, Wang Lu, Li Junqiang, Zhang Longxian
College of Veterinary Medicine, Henan Agricultural University, No. 15 Longzihu University Area, Zhengdong New District, Zhengzhou 450002, China.
College of Veterinary Medicine, Henan Agricultural University, No. 15 Longzihu University Area, Zhengdong New District, Zhengzhou 450002, China.
Acta Trop. 2023 Apr;240:106843. doi: 10.1016/j.actatropica.2023.106843. Epub 2023 Feb 3.
Cryptosporidium is a significant zoonotic pathogen that often occurs in dairy cattle. We conducted a systematic review and meta-analysis of the prevalence of Cryptosporidium parvum infection in dairy calves worldwide to help improve global animal husbandry and public policy implementation. Published articles were obtained from PubMed and Web of Science from January 1, 2000 to December 31, 2021. The prevalence of C. parvum infection in dairy calves was estimated using a random effects model, and the sources of heterogeneity were explored using meta-regression. In total, 118 datasets were included in the final quantitative analysis. The results showed that the global prevalence of C. parvum in dairy calves was 21.9% (7755/42,890; 95% confidence interval: 19.9-23.9%). C. parvum infection was high in pre-weaned dairy calves (24.9%, 6706/29,753) and diarrhea dairy calves (33.6%, 1637/6077). In countries with low dairy stocking density (<10 cows/farm), the prevalence of C. parvum in dairy calves was also relatively low (15.2%, 1960/16,584). Three subtype families [IIa (72.2%, 2293/3177), IId (27.4%, 872/3177), and IIl (0.4%, 12/3177)] were detected in dairy calves globally from selected studies. C. parvum IIa was the dominant zoonotic subtype. In the IIa subtype family of C. parvum, the proportions of subtypes from high to low (top nine) were IIaA15G2R1 (32.4%, 742/2293), IIaA18G3R1 (11.8%, 271/2293), IIaA13G2R1 (8.2%, 187/2293), IIaA16G1R1 (6.4%, 147/2293), IIaA20G1R1 (3.5%, 81/2293), IIaA16G3R1 (3.4%, 78/2293), IIaA17G2R1 (2.7%, 62/2293), IIaA18G1R1 (2.5%, 58/2293), and IIaA15G1R1 (2.4%, 56/2293). In the IId subtype family of C. parvum, the proportions of subtypes (top four) were IIdA19G1 (36.0%, 314/872), IIdA15G1 (27.3%, 238/872), IIdA20G1 (16.2%, 141/872), and IIdA14G1 (13.0%, 113/872). Furthermore, IId is commonly found in China (771/872). The study results indicated that the IIa subtype family is globally prevalent, while IId is found in Asia, Europe, and Africa and IIl is only found in Europe. Diarrhea in dairy calves is associated with C. parvum infection and a significantly higher prevalence is observed in diarrheic calves. Age and stock density are two significant risk factors in the prevalence of C. parvum in dairy calves. The prevention and control of this zoonosis in dairy calves should receive greater attention, especially in regions with a high degree of intensive dairy farming.
隐孢子虫是一种重要的人畜共患病原体,常见于奶牛。我们对全球范围内奶牛犊牛感染微小隐孢子虫的患病率进行了系统评价和荟萃分析,以帮助改善全球畜牧业和公共政策的实施。从2000年1月1日至2021年12月31日在PubMed和Web of Science上获取已发表的文章。使用随机效应模型估计奶牛犊牛感染微小隐孢子虫的患病率,并通过荟萃回归探索异质性来源。最终定量分析共纳入118个数据集。结果显示,全球奶牛犊牛感染微小隐孢子虫的患病率为21.9%(7755/42,890;95%置信区间:19.9 - 23.9%)。在断奶前的奶牛犊牛中微小隐孢子虫感染率较高(24.9%,6706/29,753),腹泻的奶牛犊牛中感染率更高(33.6%,1637/6077)。在奶牛存栏密度低(<10头/农场)的国家,奶牛犊牛感染微小隐孢子虫的患病率也相对较低(15.2%,1960/16,584)。从选定研究中检测到全球奶牛犊牛中存在三个亚型家族[IIa(72.2%,2293/3177)、IId(27.4%,872/3177)和IIl(0.4%,12/3177)]。微小隐孢子虫IIa是主要的人畜共患亚型。在微小隐孢子虫的IIa亚型家族中,从高到低(前九个)亚型的比例分别为IIaA15G2R1(32.4%,742/2293)、IIaA18G3R1(11.8%,271/2293)、IIaA13G2R1(8.2%,187/2293)、IIaA16G1R1(6.4%,147/2293)、IIaA20G1R1(3.5%,81/2293)、IIaA16G3R1(3.4%,78/2293)、IIaA17G2R1(2.7%,62/2293)、IIaA18G1R1(2.5%,58/2293)和IIaA15G1R1(2.4%,56/2293)。在微小隐孢子虫的IId亚型家族中,亚型(前四个)的比例分别为IIdA19G1(36.0%,314/872)、IIdA15G1(27.3%,238/872)、IIdA20G1(16.2%,141/872)和IIdA14G1(13.0%,113/872)。此外,IId在中国较为常见(771/872)。研究结果表明,IIa亚型家族在全球普遍存在,而IId在亚洲、欧洲和非洲均有发现,IIl仅在欧洲发现。奶牛犊牛腹泻与微小隐孢子虫感染有关,腹泻犊牛中的患病率显著更高。年龄和存栏密度是奶牛犊牛感染微小隐孢子虫患病率的两个重要风险因素。应更加关注奶牛犊牛这种人畜共患病的预防和控制,尤其是在奶牛养殖高度集约化的地区。