Carmichael L E
James A. Baker Institute for Animal Health, College of Veterinary Medicine, Cornell University, Ithaca, New York 14853, USA.
Adv Vet Med. 1999;41:289-307. doi: 10.1016/s0065-3519(99)80022-6.
The most important canine viral infections are distemper and CPV-2. Problems of variable CD vaccine safety and efficacy persist, but CD vaccines have greatly reduced the prevalence of disease and cases in vaccinated dogs are now rare. Canine hepatitis (ICH, CAV-1 infection) also has been controlled well by vaccines for more than 35 years and it is now rare; the sporadic cases seen in the 1990s have usually occurred in unvaccinated dogs. CAV-2 vaccines should, therefore, continue to be given since they have proved to be safe and effective, and prevent hepatitis as well as adenoviral tracheobronchitis. Failure to vaccinate would likely result in increase in cases of ICH, a serious disease, but never as significant as distemper and CPV infection. "Are we vaccinating too often?" The question is complex, but the dominant opinion is "yes" (Smith, 1995). The question cannot be responded to unequivocally, however, since manufacturers employ different strains that vary in their immunizing capacity and, probably, duration of immunity. This question was frequent with distemper in the 1960s. At that time, many veterinarians tested batches of the vaccine they used by providing pre- and postvaccinal sera to competent diagnostic laboratories. That practice appeared to benefit veterinarians and dogs, as well as the quality of vaccines. Unfortunately, many owners and some veterinarians seem to hold the view that infectious diseases such as parvovirus infection can be controlled by frequent vaccination alone. The common practice of dog breeders of vaccinating their animals several times each year is senseless. Revaccination for distemper and parvovirus infection is suggested at 1 year of age, but recommendations regarding the frequency of most vaccinations given after that time are unclear. Since most distemper and CPV-2 vaccines probably provide immunity that endures several years, vaccination at 3- to 5-year intervals, after the first year, seems a reasonable practice until more data on duration of immunity become available. "Are too many kinds of vaccines being promoted for dogs?" Distemper and parvovirus vaccines are essential; canine adenovirus vaccines are recommended since the few cases brought to our attention in recent years have been in unvaccinated dogs. Vaccination against respiratory infections is recommended for most dogs, especially those in kennels, or if they are to be boarded. Need has not been clearly established for coronavirus vaccines; Lyme disease vaccines (see below) are useful in preventing illness in areas where the disease exists, but are unnecessary elsewhere since dogs respond rapidly to appropriate antibiotics; current Leptospira bacterins are without benefit since they contain serovars that fail to protect in most areas (noted below). Lyme disease (LD) was not considered here, but newer recombinant (OspA) vaccines are now available that appear to be safe and effective for at least 1 year and they have not caused vaccine-induced postvaccinal lameness, which has been documented with certain whole-cell Lyme disease bacterins. Lyme disease vaccines should be restricted to dogs in, or entering, endemic areas where infested ticks reside. More than 85% of LD cases occur in the mid-Atlantic and Northeastern States, about 10% in six Midwestern states (Michigan, Minnesota, and Wisconsin), and a smaller percentage in restricted areas of northern California and the Pacific Northwest. Leptospirosis also was not discussed here, but vaccines are commonly reported as a cause of anaphylaxis and current vaccines do not contain the serovars prevalent in most regions. The vast majority of cases diagnosed at the New York State Diagnostic Lab at Cornell are grippotyphosa and pomona serovars and there have been no recent cases caused by canicola or icterohemorrhagiae serovars. Because leptospirosis is an important disease of dogs, there is an urgent need for more research and the development of safer vaccines that contain the prevalent
最重要的犬类病毒感染是犬瘟热和犬细小病毒2型(CPV - 2)。犬瘟热疫苗(CD疫苗)的安全性和有效性存在差异的问题依然存在,但CD疫苗已大大降低了疾病的流行率,现在接种疫苗的犬只中发病病例很少见。犬传染性肝炎(ICH,犬腺病毒1型感染)也已通过疫苗得到了35年以上的良好控制,现在也很少见;20世纪90年代出现的散发病例通常发生在未接种疫苗的犬只中。因此,犬腺病毒2型(CAV - 2)疫苗应继续接种,因为它们已被证明是安全有效的,既能预防肝炎,也能预防腺病毒性气管支气管炎。不进行疫苗接种可能会导致ICH病例增加,ICH是一种严重疾病,但绝不会像犬瘟热和CPV感染那样严重。“我们接种疫苗太频繁了吗?”这个问题很复杂,但主流观点是“是的”(史密斯,1995年)。然而,这个问题无法明确回答,因为制造商使用的毒株不同,其免疫能力以及可能的免疫持续时间也不同。20世纪60年代,犬瘟热疫苗经常出现这个问题。当时,许多兽医通过向专业诊断实验室提供接种疫苗前后的血清来检测他们使用的疫苗批次。这种做法似乎对兽医、犬只以及疫苗质量都有益处。不幸的是,许多犬主和一些兽医似乎认为,像细小病毒感染这样的传染病仅通过频繁接种疫苗就能得到控制。犬只饲养者每年给动物多次接种疫苗的常见做法是毫无意义的。建议在1岁时对犬瘟热和细小病毒感染进行再次接种,但之后大多数疫苗接种频率的建议并不明确。由于大多数犬瘟热和CPV - 2疫苗可能提供数年的免疫力,在第一年之后,每隔3至5年接种一次疫苗似乎是合理的做法,直到有更多关于免疫持续时间的数据可用。“是否有太多种类的犬用疫苗被推广?”犬瘟热和细小病毒疫苗是必不可少的;建议接种犬腺病毒疫苗,因为近年来我们注意到的少数病例都发生在未接种疫苗的犬只中。建议大多数犬只接种预防呼吸道感染的疫苗,特别是那些养在犬舍中的犬只,或者如果它们要寄养的话。冠状病毒疫苗的需求尚未明确确定;莱姆病疫苗(见下文)在疾病流行地区对预防疾病有用,但在其他地区则不必要,因为犬只对适当的抗生素反应迅速;目前的钩端螺旋体菌苗没有益处,因为它们所含的血清型在大多数地区无法提供保护(下文提到)。这里没有考虑莱姆病(LD),但现在有更新的重组(OspA)疫苗,它们似乎至少1年内是安全有效的,并且没有引起疫苗诱导的接种后跛行,而某些全细胞莱姆病细菌疫苗曾有过这种情况的记录。莱姆病疫苗应仅限于处于或进入有蜱虫出没的流行地区的犬只。超过85%的莱姆病病例发生在大西洋中部和东北部各州,约10%发生在六个中西部州(密歇根州、明尼苏达州和威斯康星州),在加利福尼亚州北部和太平洋西北部的特定地区病例较少。这里也没有讨论钩端螺旋体病,但疫苗通常被报告为过敏反应的一个原因,并且目前的疫苗不包含大多数地区流行的血清型。康奈尔大学纽约州诊断实验室诊断的绝大多数病例是犬型钩端螺旋体和波摩那血清型,最近没有由犬黄疸出血型或犬型钩端螺旋体血清型引起的病例。由于钩端螺旋体病是犬类的一种重要疾病,迫切需要更多的研究以及开发包含流行血清型的更安全的疫苗。