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Bovine brucellosis in Pakistan; an analysis of engagement with risk factors in smallholder farmer settings

机译:巴基斯坦的牛布鲁氏菌病;小农户环境中参与风险因素的分析

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摘要

A cross‐sectional study was conducted to estimate the seroprevalence of bovine brucellosis in smallholder farms in seven regions in Pakistan, identify herd and individual level risk factors for seropositivity and assess the level of engagement of farmers with risk factors. In total, 1063 cattle and buffalo belonging to 420 herds in seven districts were sampled. The Rose Bengal test (RBT), indirect enzyme‐linked immunosorbent assay (I‐ELISA) and competitive enzyme‐linked immunosorbent assay (C‐ELISA) were used for the serological diagnosis of bovine brucellosis on all the serum samples. The associations between herd‐and animal‐level risk factors and seropositivity were investigated using logistic regression analyses. In addition, herd management practice scores, created to quantify the number of management practices undertaken that pose a risk for Brucella transmission, were calculated and compared between seropositive and negative herds within each district. Overall herd and animal prevalence were estimated to be 16.2% (95% CI, 13–20%) and 8.7% (95% CI, 7.2–10.6%), respectively, across all districts sampled. Herds with a history of last trimester abortion were found to be more likely to be positive than herds without such history (OR = 2.06, 95% CI, 1.09–3.89), providing validation of our findings and identifying that clinical disease is occurring in this region. It was also identified that herds with five to eight buffalo (OR = 3.80, 95% CI, 1.69–8.49), and those with more than eight buffalo (OR = 3.81, 95% CI, 1.51–9.58) were more likely to be positive for Brucella than those with less (one to two and three to four) buffaloes present in the herd. The presence of other domestic animals at the farm and purchasing animals in last year were found to have no association with seropositivity. The findings of this study support the need for the development of targeted intervention strategies specific to the disease status of each district.
机译:进行了一项横断面研究,以评估巴基斯坦七个地区小农户的牛布鲁氏菌病的血清流行率,确定牛群和个体的血清阳性率危险因素,并评估农民对这些因素的参与水平。总共对七个地区的420个牛群的1063头牛和水牛进行了采样。玫瑰孟加拉试验(RBT),间接酶联免疫吸附测定(I‐ELISA)和竞争性酶联免疫吸附测定(C‐ELISA)用于所有血清样品的牛布鲁氏菌病血清学诊断。使用逻辑回归分析研究了畜牧水平和动物水平的危险因素与血清阳性之间的关系。此外,还计算并比较了每个区域内血清阳性和阴性猪群的牛群管理实践评分,以量化采取布鲁氏菌传播风险的管理实践的数量。在所有抽样地区中,总体畜群和动物患病率估计分别为16.2%(95%CI,13–20%)和8.7%(95%CI,7.2-10.6%)。发现有上三个月流产史的牛群比没有此病史的牛群更可能呈阳性(OR = 2.06,95%CI,1.09–3.89),这提供了我们的发现的证实并确定了这种疾病的发生区域。还确定了具有五到八个水牛(OR = 3.80,95%CI,1.69–8.49)的牛群和具有八个以上水牛(OR = 3.81,95%CI,1.51-9.58)的牛群更可能是布鲁塞拉氏菌的阳性率要高于牛群中存在(一到两个和三到四个)水牛的阳性率。发现该农场中其他家畜的存在和去年购买动物的活动与血清阳性无关。这项研究的结果支持需要针对每个地区的疾病状况制定针对性的干预策略。

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