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2017 年乌干达全国牲畜裂谷热血清流行病学调查。

A Countrywide Seroepidemiological Survey of Rift Valley Fever in Livestock, Uganda, 2017.

机构信息

Department of Arbovirology, Emerging and Reemerging Infectious Diseases, Uganda Virus Research Institute, Entebbe, Uganda.

Department of Biosecurity, Ecosystems and Veterinary Public Health, Makerere University, Kampala, Uganda.

出版信息

Am J Trop Med Hyg. 2023 Jul 31;109(3):548-553. doi: 10.4269/ajtmh.22-0504. Print 2023 Sep 6.

Abstract

In 2016, an outbreak of Rift Valley fever was reported in the Kabale District in Uganda for the first time in 48 years. Three human cases were confirmed by polymerase chain reaction, and subsequent serological investigations revealed an overall IgG seropositivity of 13% in humans and 13% in animals. In response to this reemergence, we designed a countrywide survey to determine the seropositivity of anti-Rift Valley fever virus (RVFV) IgG antibodies in livestock. Samples were collected from 27 districts and tested for RVFV anti-IgG antibodies. A total of 3,181 livestock samples were tested, of which 54.4% were cattle (1,732 of 3,181), 34.3% were goats (1,091 of 3,181), and 11.3% were sheep (358 of 3,181). Overall RVFV seropositivity was 6.9% (221 of 3,181). Seroprevalence was greater in cattle (10.7%) compared with goats (2.6%) and sheep (2.0%), among females (7.5%) compared with males (5.2%), and among adults (7.6%) compared with juveniles (4.9%) and nurslings (6.4%). Exotic breeds and animals with a history of abortion or stillbirth also had greater odds of RVFV seropositivity. Animals grazed under tethering and paddocking had greater RVFV seropositivity compared with animals that grazed communally, and livestock in the western and eastern regions had the greatest seroprevalence. In a multivariate regression model, animal species (odds ratio [OR], 6.4; 95% CI, 3.5-11.4) and age (OR, 2.3; 95% CI, 1.4-3.6) were associated significantly with RVFV seropositivity. This study could be important in developing risk-based surveillance for early outbreak detection to limit the spread of RVFV in both human and animal populations.

摘要

2016 年,乌干达卡巴莱区首次报告了 48 年来的裂谷热疫情。3 例人类病例通过聚合酶链反应得到确认,随后的血清学调查显示人类和动物的总 IgG 血清阳性率分别为 13%和 13%。针对这种再次出现的情况,我们设计了一项全国性调查,以确定牲畜中抗裂谷热病毒 (RVFV) IgG 抗体的血清阳性率。从 27 个区采集样本并检测 RVFV 抗 IgG 抗体。共检测了 3181 份牲畜样本,其中 54.4%为牛(3181 份中的 1732 份),34.3%为山羊(3181 份中的 1091 份),11.3%为绵羊(3181 份中的 358 份)。总体 RVFV 血清阳性率为 6.9%(3181 份中的 221 份)。与山羊(2.6%)和绵羊(2.0%)相比,牛的血清阳性率更高(10.7%),与雄性(5.2%)相比,雌性的血清阳性率更高(7.5%),与幼畜(4.9%)和哺乳期(6.4%)相比,成年动物的血清阳性率更高。外来品种和有流产或死产史的动物 RVFV 血清阳性率也更高。栓系放牧和围场放牧的动物比集体放牧的动物具有更高的 RVFV 血清阳性率,西部和东部地区的牲畜血清阳性率最高。在多变量回归模型中,动物种类(优势比[OR],6.4;95%置信区间,3.5-11.4)和年龄(OR,2.3;95%置信区间,1.4-3.6)与 RVFV 血清阳性率显著相关。这项研究对于制定基于风险的监测以早期发现疫情,从而限制 RVFV 在人类和动物群体中的传播可能很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d4c/10484263/8fb864101bd5/ajtmh.22-0504f1.jpg

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