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牛呼吸疾病到达时接种疫苗对雄性奶牛犊牛超声确诊肺炎和生产参数的影响:一项随机临床试验。

Effect of on-arrival bovine respiratory disease vaccination on ultrasound-confirmed pneumonia and production parameters in male dairy calves: A randomized clinical trial.

机构信息

Department of Internal Medicine, Reproduction and Population Medicine, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820 Merelbeke, Belgium.

Department of Internal Medicine, Reproduction and Population Medicine, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820 Merelbeke, Belgium.

出版信息

J Dairy Sci. 2023 Dec;106(12):9260-9275. doi: 10.3168/jds.2023-23438. Epub 2023 Aug 23.

Abstract

The high degree of commingling and accumulation of stressors during and after transport makes prevention of bovine respiratory disease (BRD) extremely challenging in the veal and dairy beef industry. Upon arrival, vaccination for agents involved in BRD is practically most achievable, but its efficacy under such conditions in dairy veal calves is unknown. Given the high prevalence of subclinical pneumonia in these settings, the primary objective of the present study was to determine the effect of 2 vaccination protocols administered upon arrival against bovine respiratory syncytial virus (BRSV), bovine parainfluenza type 3 virus (BPI-3), and Mannheimia haemolytica on clinical BRD and lung ultrasonographic findings in dairy veal calves. In addition, the effects of vaccination on average daily live weight gain and cold carcass weight were determined. In this randomized clinical trial, 443 male dairy calves were assigned to one of 3 groups: a negative, placebo-controlled group (n = 151), a vaccination group with 2 subcutaneous injections 4 wk apart with an inactivated vaccine containing BRSV, BPI-3, and M. haemolytica (parenteral [PE] group; n = 149) and a second vaccination group receiving an intranasal live-attenuated vaccine containing BRSV and BPI-3 and 2 subcutaneous vaccinations with the same inactivated vaccine as the PE vaccination group (intranasal-parenteral [IN-PE] group; n = 143). Clinical scoring and quick thoracic ultrasonography (qTUS) were performed on all calves on arrival (wk 0), at the peak of respiratory disease (outbreak; wk 1), at the end of the first antimicrobial group treatment (wk 3), and at a long-term evaluation point (wk 10). Culture and nanopore sequencing on nonendoscopic bronchoalveolar lavage (nBAL) samples were used to identify pathogens involved in the outbreak. Upon arrival, 15.1% of the calves had lung consolidation ≥1cm and incidence quickly rose to 42.8% during the outbreak. In both the PE and IN-PE group, the odds of pneumonia in wk 10 were reduced by 62% (odds ratio [OR] = 0.38; 95% confidence interval [CI] = 0.23-0.64) and 41% (OR = 0.59; 95% CI = 0.37-0.96), respectively. Short-term cure rate (50.3%), as determined immediately after the first group antimicrobial treatment, was not influenced by vaccination. In contrast, long-term cure rate, determined at wk 10, was affected by vaccination with higher cure in the PE group compared with the control group (69.4% vs. 51.2%; OR = 2.2; 95% CI = 1.1-5.0). Average daily gain in the first 10 wk of production was not affected by vaccination. Vaccination resulted in an increase in cold carcass weight of 3.5 and 4.3 kg in the PE (95% CI = -0.9-7.9) and IN-PE group (95% CI = -0.17-8.7), respectively. In conclusion, under the conditions of the present study, vaccination upon arrival resulted in a reduced prevalence of pneumonia at wk 10 of production, likely caused both by an improved cure rate of secondary infections and a reduced incidence of new cases between outbreak and long-term evaluation. The present protocol, using qTUS for pneumonia detection and nBAL diagnostics for pathogen identification adds a new dimension to randomized clinical trials on respiratory disease in calves.

摘要

在运输过程中和运输后,应激源高度混合和积累,这使得犊牛和奶牛牛肉行业的牛呼吸道疾病 (BRD) 预防变得极具挑战性。到达后,实际上最有可能接种 BRD 相关病原体的疫苗,但在奶牛犊牛的这种情况下,其效果尚不清楚。鉴于这些环境中亚临床肺炎的高患病率,本研究的主要目的是确定在犊牛到达时接种 2 种疫苗方案(针对牛呼吸道合胞病毒 (BRSV)、牛副流感 3 型病毒 (BPI-3) 和曼海姆菌)对奶牛犊牛临床 BRD 和肺部超声检查结果的影响。此外,还确定了疫苗接种对平均日增重和冷胴体重量的影响。在这项随机临床试验中,将 443 头雄性奶牛犊随机分配到 3 组中的 1 组:阴性、安慰剂对照组(n = 151)、2 次皮下注射 4 周间隔的灭活疫苗组,该疫苗含有 BRSV、BPI-3 和曼海姆菌(肌肉内 [PE] 组;n = 149)和第 2 次疫苗接种组,接种含有 BRSV 和 BPI-3 的鼻内活疫苗和与 PE 疫苗接种组相同的 2 次皮下疫苗接种(鼻内-肌肉内 [IN-PE] 组;n = 143)。所有犊牛在到达时(第 0 周)、在呼吸道疾病高峰时(爆发;第 1 周)、在第一次抗菌药物治疗结束时(第 3 周)和在长期评估点(第 10 周)进行临床评分和快速胸部超声检查 (qTUS)。非内镜支气管肺泡灌洗 (nBAL) 样本的培养和纳米孔测序用于鉴定爆发中涉及的病原体。到达时,15.1%的犊牛有≥1cm 的肺实变,在爆发期间,发病率迅速上升至 42.8%。在 PE 和 IN-PE 组中,第 10 周肺炎的发病几率分别降低了 62%(比值比 [OR] = 0.38;95%置信区间 [CI] = 0.23-0.64)和 41%(OR = 0.59;95% CI = 0.37-0.96)。短期治愈率(50.3%),即在第一次抗菌药物治疗后立即确定,不受疫苗接种的影响。相比之下,长期治愈率(在第 10 周确定)受到疫苗接种的影响,PE 组的治愈率高于对照组(69.4%比 51.2%;OR = 2.2;95% CI = 1.1-5.0)。生产的前 10 周的平均日增重不受疫苗接种的影响。疫苗接种使 PE 组(95% CI = -0.9-7.9)和 IN-PE 组(95% CI = -0.17-8.7)的冷胴体重分别增加了 3.5 公斤和 4.3 公斤。综上所述,在本研究的条件下,到达时接种疫苗可降低第 10 周生产时肺炎的患病率,这可能是由于继发感染的治愈率提高和暴发与长期评估之间新病例的发病率降低所致。本方案使用 qTUS 进行肺炎检测和 nBAL 诊断进行病原体鉴定,为犊牛呼吸道疾病的随机临床试验增加了一个新的维度。

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