Schnurrenberger P R, Swango L J, Bowman G M, Luttgen P J
Can J Comp Med. 1980 Jul;44(3):239-43.
Five cases of probable bovine papular stomatitis in faculty and students in a university veterinary clinic precipitated an intensive surveillance program. A senior class of veterinary medical students was questioned at the beginning of their clinical training to determine their history of exposure to cattle and presence of lesions resembling bovine papular stomatitis. Fifty-nine of the 115 students reported having had their hands in the mouths of cattle frequently. One of the 59 had experienced a hand lesion resembling bovine papular stomatitis. This class was maintained under close surveillance for bovine papular stomatitis-like lesions during the final 12 months of their clinical experience in veterinary school. One case developed in 8483 person days spent in the three high risk areas of beef cattle service, dairy cattle service and large animal anesthesiology. These two bovine papular stomatitis cases compare in frequency with five class members who had been vaccinated as a result of exposure to rabid animals and two class members with brucella antibodies in their sera. The findings suggest bovine papular stomatitis infections are not unusual in veterinary students but the mild clinical manifestations make the condition relatively unimportant.
某大学兽医诊所的教职工和学生中出现了5例疑似牛丘疹性口炎病例,这促使开展了一项强化监测计划。在临床培训开始时,对兽医专业高年级学生进行了询问,以确定他们接触牛的病史以及是否存在类似牛丘疹性口炎的病变。115名学生中有59人报告经常将手伸进牛嘴里。这59人中有1人曾出现过类似牛丘疹性口炎的手部病变。在他们兽医学院临床实习的最后12个月里,对这个班级进行了密切监测,观察是否出现类似牛丘疹性口炎的病变。在肉牛服务、奶牛服务和大型动物麻醉学这三个高风险领域度过的8483人日中出现了1例病例。这两例牛丘疹性口炎病例的发生频率与因接触狂犬病动物而接种疫苗的5名班级成员以及血清中有布鲁氏菌抗体的2名班级成员相当。研究结果表明,牛丘疹性口炎感染在兽医专业学生中并不罕见,但临床表现轻微,使得这种疾病相对不太重要。