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Duration of Subclinical Mastitis Prior to Occurrence of Non-severe Clinical Mastitis — Results of a Preliminary Analysis

机译:在发生非严重临床乳腺炎之前亚临床乳腺炎的持续时间 - 初步分析的结果

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Clinical mastitis is a significant problem even on dairy farms with a low somatic cell count (SCC). In the U.S. the distribution of etiologies of environmental mastitis pathogens is divided among Gram negative, no-growth, and Gram-positive pathogens with each group representing about one-third of clinical cases (Ruegg, 2018). Recommendations for antimicrobial treatment vary depending on etiology, severity, parity, duration of subclinical infection preceding the clinical case and environmental factors. Research has identified that few non-severe cases that are no growth or caused by E. coli will benefit from antimicrobial therapy (Fuenzalida and Ruegg, 2019). Among Gram-positive organisms, environmental streptococci often represent the majority of the cases and antimicrobial therapy has typically been recommended (Lago et. al., 2011). In recent years, advances in diagnostic technology have shown that environmental streptococci are a heterogenous group composed of a greater variety of organisms thatpreviously identified and treatment recommendation need to be reconsidered. We are currently conducting a negatively controlled randomized clinical trial to evaluate treatment strategies for Grampositive mastitis pathogens using Matrix-assisted last desorption/ionization time-of-flight (MALDI-Tof) to differentiate among pathogens. While the larger study is on-going, the objective of this analysis using partial data from this trial was to evaluate differences in duration of subclinical mastitis prior tooccurrence of a non-severe clinical case based on etiology of the clinical case.
机译:即使乳制品农场(SCC)的乳制品,临床乳腺炎也是一个重要问题。在美国,环境乳腺炎病原体的病因分布在革兰氏阴性,无生长和革兰氏阳性病原体中分配,每个群体代表临床病例的每组(Ruegg,2018)。抗微生物治疗的建议根据临床案例和环境因素前的亚临床感染的病因,严重程度,平价,持续时间而变化。研究发现,由于大肠杆菌没有生长或由大肠杆菌引起的少数非严重病例将受益于抗微生物治疗(Fuiszalida和2019年)。在革兰氏阳性生物中,环境链球菌通常代表大部分病例和抗微生物治疗,通常建议(LAGO et.Al。,2011)。近年来,诊断技术的进步表明,环境链球菌是一种由各种各样的生物组成的异源性群,所以需要重新考虑和治疗建议。我们目前正在进行一个负面受控随机临床试验,以评估使用基质辅助最后解吸/电离 - 飞行时间(MALDI-TOF)进行碾压性乳腺炎病原体的治疗策略,以区分病原体。虽然较大的研究正在进行中,但是使用来自该试验的部分数据的这种分析的目的是评估基于临床情况的病因的非严重临床案例的亚临床乳腺炎的持续时间差异。

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