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布鲁氏菌流产亚种S19和RB51疫苗株在现场研究中的有效性的系统评价。

Systematic review on the effectiveness of Brucella abortus S19 and RB51 vaccine strains in field studies.

作者信息

Serpa Gonçalves Maysa, de Oliveira Marina Martins, Andrade Rafaella Silva, de Oliveira Luciana Faria, Guimarães Alessandro de Sá, Godfroid Jacques, Lage Andrey Pereira, Dorneles Elaine Maria Seles

机构信息

Departamento de Medicina Veterinária, Faculdade de Zootecnia e Medicina Veterinária, Universidade Federal de Lavras - UFLA, Lavras, Minas Gerais, Brazil.

Instituto Mineiro de Agropecuária - IMA, Minas Gerais, Brazil.

出版信息

Vaccine. 2025 Jan 25;45:126649. doi: 10.1016/j.vaccine.2024.126649. Epub 2024 Dec 21.

Abstract

Brucella abortus S19 and RB51 are the most used vaccines to control bovine brucellosis worldwide; therefore, this study aimed to perform a systematic review on the effectiveness of these two vaccine strains in field studies. The literature review was conducted on April 3rd 2020 on six databases (CABI, Cochrane, PubMed, Scielo, Scopus and Web of Science) and included papers published between 1976 and 2016. The search strategy recovered a total of 5846 papers on databases and 6 papers were included due to specialists' suggestions. After selection, 17 papers were included, in which 33 trials were identified. Most trials [63.63 % (21/33)] used prevalence panel design (cross-sectional), while the others were cohort studies. S19 strain was used in most of the trials [75.76 % (25/33)], mainly by subcutaneous route [84.00 % (21/25)] and in adult cattle [76.00 % (19/25)]. RB51 strain was administrated only by the subcutaneous route and in both young and adult animals. For case definition, complement fixation [60.60 % (20/33)] and rivanol [30.30 % (10/33)] were the most used tests. Twenty of the 33 trials (60.61 %) showed significant effect of vaccination on brucellosis control, with lower incidence of infection in the vaccinated groups (in cohort trials) or reduced prevalence after vaccination (in prevalence panels); however, the great heterogeneity observed among the studies precluded a meta-analysis from the data extracted. In addition, most trials [57.57 % (19/33)] adopted other control measures (test-and-slaughter or isolation of positive animals from the herd) in association with vaccination, which harmed the better understand of the isolated effect of vaccination for brucellosis control in field in these studies. In conclusion, the result from this review suggests that both S19 and RB51 vaccine strains are effective in reducing brucellosis incidence in both calves and adults, as well as abortion rates, mainly when associated to other control policies.

摘要

布鲁氏菌流产亚种S19和RB51是全球控制牛布鲁氏菌病最常用的疫苗;因此,本研究旨在对这两种疫苗株在田间研究中的有效性进行系统评价。于2020年4月3日在六个数据库(CABI、Cochrane、PubMed、Scielo、Scopus和Web of Science)上进行文献综述,纳入1976年至2016年间发表的论文。检索策略在数据库中总共检索到5846篇论文,根据专家建议纳入6篇论文。筛选后,纳入17篇论文,其中确定了33项试验。大多数试验[63.63%(21/33)]采用患病率抽样设计(横断面研究),其他为队列研究。大多数试验[75.76%(25/33)]使用S19株,主要通过皮下途径[84.00%(21/25)],用于成年牛[76.00%(19/25)]。RB51株仅通过皮下途径给药,用于幼龄和成年动物。对于病例定义,补体结合试验[60.60%(20/33)]和利凡诺试验[30.30%(10/33)]是最常用的检测方法。33项试验中的20项(60.61%)显示疫苗接种对布鲁氏菌病控制有显著效果,接种组感染发生率较低(队列试验中)或接种后患病率降低(患病率抽样研究中);然而,研究中观察到的巨大异质性使得无法对提取的数据进行荟萃分析。此外,大多数试验[57.57%(19/33)]在疫苗接种的同时采用了其他控制措施(检测并扑杀或从畜群中隔离阳性动物),这不利于更好地了解这些研究中疫苗接种对田间布鲁氏菌病控制的单独效果。总之,本综述结果表明,S19和RB51疫苗株在降低犊牛和成年牛布鲁氏菌病发病率以及流产率方面均有效,主要是在与其他控制策略联合使用时。

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