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The Effect of Clinical Outbreaks of Salmonellosis on the Prevalence of Fecal Salmonella Shedding Among Dairy Cattle in New York

机译:沙门氏菌病临床暴发对纽约奶牛粪便沙门氏菌发生率的影响

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摘要

The objective of this study was to determine if the within-herd prevalence of fecal Salmonella shedding is higher in dairy herds with clinical outbreaks of disease, as compared to herds with subclinical infections only. Data were collected prospectively from dairy herds throughout New York that had at least 150 lactating cows and that received clinical service from participating veterinarians. After enrollment, Salmonella surveillance consisted of both environmental screening and disease monitoring within the herd. Herds positive by either environmental or fecal culture were sampled during three visits to estimate the within-herd prevalence of Salmonella. We characterized isolates by serovar and antimicrobial resistance pattern. Among 57 enrolled herds, 44 (77%) yielded Salmonella-positive samples during the study period; 27 (61%) of the positive herds had Salmonella isolated from environmental samples only, and 17 (39%) had one or more laboratory-confirmed clinical cases. The within-herd prevalence of fecal Salmonella shedding ranged from 0 to 53%. Salmonella Cerro was the predominant serovar, accounting for 56% of all isolates. Antimicrobial resistance ranged from zero to nine drugs, and 14 (32%) of the positive farms generated multidrug-resistant isolates. Herds with laboratory-confirmed clinical cases had a higher prevalence of fecal Salmonella shedding than herds that only generated positive environmental samples, as estimated by a Poisson regression model (prevalence ratio, 2.7; p = 0.01). An association between dairy herd outbreaks of salmonellosis and a higher prevalence of asymptomatic shedding should help guide strategies for reducing the public health threat of Salmonella, as the ability to recognize high-risk herds by clinical laboratory submissions presents an obvious opportunity to maximize food safety at the preharvest level. This is in contrast with other foodborne zoonotic pathogens, such as Campylobacter jejuni and Escherichia coli O157:H7, which occur widely in adult cattle without accompanying clinical disease.
机译:这项研究的目的是确定与仅具有亚临床感染的畜群相比,在具有临床疾病暴发的奶牛群中,粪沙门氏菌的畜群内流行率是否更高。前瞻性地从整个纽约的奶牛群收集数据,这些奶牛群至少有150头泌乳牛,并从参与调查的兽医那里获得了临床服务。入选后,沙门氏菌的监视包括环境筛选和群内疾病监测。在三次访问中对环境或粪便培养呈阳性的牛群进行采样,以估计沙门氏菌在牛群内的流行情况。我们通过血清型和抗菌素耐药性模式鉴定了分离株。在研究期间,在57个已入组的牛群中,有44个(77%)产生了沙门氏菌阳性样本。阳性牛群中有27名(61%)仅从环境样本中分离出沙门氏菌,另有17名(39%)患有一例或多例经实验室确认的临床病例。粪便中沙门氏菌脱落的群内患病率为0%至53%。沙门氏菌是主要的血清型,占所有分离株的56%。抗菌素耐药性范围从零到九种药物,阳性养殖场中有14个(32%)产生了多药耐药菌。根据Poisson回归模型估计,具有实验室确诊临床病例的人群粪便沙门氏菌发生率高于仅产生阳性环境样本的人群(患病率2.7; p = 0.01)。沙门氏菌病的奶牛群暴发和无症状流血的高流行之间的关联应有助于指导减少沙门氏菌对公共健康的威胁的策略,因为通过临床实验室提交物识别高风险群的能力为最大限度地提高食品安全性提供了明显的机会。收获前的水平。这与其他食源性人畜共患病病原体形成对比,例如空肠弯曲菌和大肠杆菌O157:H7,它们在成年牛中广泛存在而没有伴随临床疾病。

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