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Evaluation of the diagnostic and prognostic utility of ultrasonography at first diagnosis of presumptive bovine respiratory disease

机译:超声在初步诊断为推测性牛呼吸道疾病中的诊断和预后价值评估

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摘要

This project investigated the use of ultrasonography at first diagnosis of presumptive early bovine respiratory disease (BRD) in feedlot cattle from western Canada. One hundred seventy-four cattle (116 cases and 58 controls) at high risk of developing BRD were enrolled in a prospective longitudinal study over 2 y (2006–2007). Cattle with clinical signs relating to the respiratory system and assessed as sick at the time of feedlot arrival (arrival fever cases) or assessed as sick in the pen 3 to 30 d post-arrival (post-arrival fever cases, post-arrival no fevers cases) were eligible for enrollment. Control animals were identified at the time of case enrollments. Ultrasonography was done using a 3.5 sector transducer at enrollment and at 2, 4, and 6 wk post-enrollment. Lung lesions were identified at least 1 time over the course of the trial in 32/116 (28%) cases and 9/58 (16%) controls. At enrollment, lung lesions were identified in 20/115 (17%) cases and 2/55 (4%) controls (data unreadable n = 4). Post-arrival fever cases (14/48) were the most likely to have a lesion identified using ultrasound. In arrival fever cases, average daily gain (enrollment to last ultrasound, average 34 d) was improved (P = 0.007) in cattle identified with a lesion at enrollment using ultrasound compared with those not identified with a lesion at that time, potentially demonstrating the effects of gut fill at arrival weighing, as these sicker animals may have eaten less prior to arrival and, therefore, had more room for improvement in weight over time due to restoration of normal gut fill. None of the ultrasound time points explored (enrollment, 2, 4, or 6 wk post-enrollment) were associated with the animal health outcomes of interest (subsequent treatment, chronicity, wastage, or mortality) for cattle enrolled at arrival or post-arrival.Ultrasonography using a 3.5 sector transducer was not particularly effective as a prognostic/diagnostic tool for early detection of BRD, but may be useful in targeted populations of animals with respiratory disease of longer duration (such as chronic pens).
机译:该项目调查了超声检查在加拿大西部饲育牛的初步诊断为推测性早期牛呼吸道疾病(BRD)中的用途。一项为期2年(2006-2007年)的前瞻性纵向研究纳入了74例发展为BRD的高风险牛(116例,58例对照)。具有与呼吸系统有关的临床体征的牛,在育肥场到来时被评估为患病(到达发热病例),或在到达后3至30天被评估为在笔中患病(到达后发热病例,到达后无发热)案例)有资格参加。在病例登记时确定了对照动物。在注册时以及注册后第2、4和6周使用3.5扇区换能器进行超声检查。在试验过程中,至少有1次在32/116(28%)的病例和9/58(16%)的对照中发现了肺部病变。在入组时,在20/115(17%)的病例和2/55(4%)的对照中发现了肺部病变(数据不可读n = 4)。到达后发烧的病例(14/48)最有可能通过超声检查发现病变。在到达发烧病例中,与当时未发现病变的牛相比,在入选时发现病变的牛的平均日增重(入组最后一次超声,平均34 d)得到改善(P = 0.007),这可能表明由于这些病态的动物在到达之前可能吃得更少,因此由于恢复正常的肠道填充量,随着时间的推移,体重会有更大的改善空间,因此它们在到达体重时会产生肠填充物的效果。探索的超声时间点(入选后,入选后2、4,或6周)均与到达或到达后入选的牛的感兴趣的动物健康结果(后续治疗,慢性,浪费或死亡)无关使用3.5扇区换能器的超声检查作为早期检测BRD的预后/诊断工具并不是特别有效,但可能对具有较长持续时间的呼吸道疾病的动物(例如慢性围栏)有用。

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