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Mastitis risk effect on the economic consequences of paratuberculosis control in dairy cattle: A stochastic modeling study

机译:乳牛的乳腺炎风险对副结核病控制经济后果的影响:一项随机模型研究

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摘要

The benefits and efficacy of control programs for herds infected with Mycobacterium avium subsp. paratuberculosis (MAP) have been investigated under various contexts. However, most previous research investigated paratuberculosis control programs in isolation, without modeling the potential association with other dairy diseases. This paper evaluated the benefits of MAP control programs when the herd is also affected by mastitis, a common disease causing the largest losses in dairy production. The effect of typically suggested MAP controls were estimated under the assumption that MAP infection increased the rate of clinical mastitis. We evaluated one hundred twenty three control strategies comprising various combinations of testing, culling, and hygiene, and found that the association of paratuberculosis with mastitis alters the ranking of specific MAP control programs, but only slightly alters the cost-benefit difference of particular MAP control components, as measured by the distribution of net present value of a representative U.S. dairy operation. In particular, although testing and culling for MAP resulted in a reduction in MAP incidence, that control led to lower net present value (NPV) per cow. When testing was used, ELISA was more economically beneficial than alternative testing regimes, especially if mastitis was explicitly modeled as more likely in MAP-infected animals, but ELISA testing was only significantly associated with higher NPV if mastitis was not included in the model at all. Additional hygiene was associated with a lower NPV per cow, although it lowered MAP prevalence. Overall, the addition of an increased risk of mastitis in MAP-infected animals did not change model recommendations as much as failing to consider.
机译:控制方案对禽鸟分枝杆菌亚群感染的控制程序的益处和功效。副结核病(MAP)已在各种情况下进行了研究。但是,大多数先前的研究都是单独研究结核病副控制方案,而没有建立与其他乳制品疾病潜在关联的模型。当牛群也受到乳腺炎的影响时,本文评估了MAP控制计划的好处,乳腺炎是导致乳制品生产损失最大的常见疾病。在MAP感染会增加临床乳腺炎发生率的假设下,估计通常建议的MAP对照的效果。我们评估了包括测试,剔除和卫生的各种组合的一百二十三种控制策略,发现副结核病与乳腺炎的关联改变了特定MAP控制程序的排名,但仅略微改变了特定MAP控制的成本效益差异组成部分,以美国代表性乳业运营净现值的分布来衡量。尤其是,尽管对MAP进行测试和剔除导致MAP发生率降低,但这种控制导致每头母牛的净现值(NPV)降低。当使用检测方法时,ELISA比其他检测方法更具经济效益,特别是如果明确地将乳腺炎模型化为被MAP感染的动物的可能性更大,但如果根本不将乳腺炎包括在模型中,则ELISA检测仅与较高的NPV显着相关。 。额外的卫生习惯与每头牛的NPV降低有关,尽管它降低了MAP患病率。总体而言,在MAP感染的动物中增加乳腺炎的风险并未改变模型建议,甚至没有考虑到。

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