Suppr超能文献

育肥牛场221头青年肉牛的胸部超声检查结果及其与呼吸道病原体的关联:一项横断面研究

Thoracic Ultrasonography Findings and Their Association With Respiratory Pathogens in 221 Young Beef Cattle at Fattening Farms: A Cross-Sectional Study.

作者信息

Rouault Maud, Foucras Gilles, Meurens François, Assié Sébastien

机构信息

Oniris, INRAE, BIOEPAR, Nantes, France.

IHAP, Université de Toulouse, INRAE, ENVT, Toulouse, France.

出版信息

J Vet Intern Med. 2025 Jul-Aug;39(4):e70141. doi: 10.1111/jvim.70141.

Abstract

BACKGROUND

Thoracic ultrasonography (TUS) could improve antibiotic treatment selection in cattle with respiratory diseases.

HYPOTHESIS/OBJECTIVES: Evaluate the association between respiratory pathogens and consolidations on TUS in feedlot cattle, at both individual and group levels.

ANIMALS

A total of 221 bulls, aged 8.8 months and weighing 322.5 ± 160 kg, from nine farms.

METHODS

Cross-sectional study including all data from clinical examinations and TUS collected weekly during the first month on feed. Pathogens were assessed by seroconversion (all animals) and qPCR on nasal swabs (sick animals). At the individual level, the association between pathogen detection and TUS consolidation was investigated using univariate logistic regression, and the ability of consolidation size to differentiate bacterial from non-bacterial pneumonia was assessed using receiver operating characteristic curves. Principal component analysis identified clusters at the group level based on pathogen detection and TUS results.

RESULTS

At the individual level, bulls infected with multiple pathogens (odds ratio [OR], 8.1; 95% confidence interval [CI], 2.21-29.8) or a single virus (OR, 5.49; 95% CI, 1.42-21.3) were more likely to have consolidations than those not infected. A total consolidation size > 14 cm in the scanned thoracic region differentiated bacterial from non-bacterial pneumonia with a sensitivity of 47.8% (95% CI, 36.4-83.3) and specificity of 94.1% (95% CI, 60.0-100.0). These results were consistent at the group level; clustering based on bacterial versus non-bacterial etiology correlated with the number and size of consolidations.

CONCLUSIONS AND CLINICAL IMPORTANCE

Consolidation size could help differentiate bacterial from non-bacterial pneumonia, guiding treatment at both individual and group levels.

摘要

背景

胸部超声检查(TUS)可改善患有呼吸道疾病牛的抗生素治疗选择。

假设/目标:在育肥牛个体和群体水平上,评估呼吸道病原体与TUS上实变之间的关联。

动物

来自9个农场的共221头公牛,年龄8.8个月,体重322.5±160千克。

方法

横断面研究,包括育肥第一个月每周收集的临床检查和TUS的所有数据。通过血清转化(所有动物)和鼻拭子qPCR(患病动物)评估病原体。在个体水平上,使用单变量逻辑回归研究病原体检测与TUS实变之间的关联,并使用受试者工作特征曲线评估实变大小区分细菌性肺炎与非细菌性肺炎的能力。主成分分析基于病原体检测和TUS结果在群体水平上识别聚类。

结果

在个体水平上,感染多种病原体(比值比[OR],8.1;95%置信区间[CI],2.21 - 29.8)或单一病毒(OR,5.49;95% CI,1.42 - 21.3)的公牛比未感染的公牛更易出现实变。扫描胸部区域的总实变大小>14厘米可区分细菌性肺炎与非细菌性肺炎,敏感性为47.8%(95% CI,36.4 - 83.3),特异性为94.1%(95% CI,60.0 - 100.0)。这些结果在群体水平上是一致的;基于细菌性与非细菌性病因的聚类与实变的数量和大小相关。

结论及临床意义

实变大小有助于区分细菌性肺炎与非细菌性肺炎,在个体和群体水平上指导治疗。

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验