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

机译:巴基斯坦的牛布鲁克病;小农农民环境危险因素的参与分析

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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:进行了横截面研究以估算巴基斯坦七个地区的小农农场牛布鲁氏菌的血清升迁,鉴定血液系阳性的畜群和个人水平危险因素,并评估农民与风险因素的参与水平。在七个地区的总共有1063个牛和水牛属于420群牛群。玫瑰孟加拉(RBT),间接酶联免疫吸附试验(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渣血清症的血清学诊断。使用Logistic回归分析研究了牧群和动物水平危险因素和血清阳性之间的关联。此外,群体管理实践分数创造,以量化对造成布鲁氏菌传播风险的管理实践的数量,并在每个地区内的血清阳性和负畜群之间进行了比较。整体群体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%),分别在所有地区采样。患有最后三个月堕胎的历史的畜群比没有这样的历史(或?=?2.06,95%CI,1.09-3.89),患有我们的研究结果和鉴定临床疾病正在发生的验证在这个地区。还发现群体有五到八个水牛(或?= 3.80,95%CI,1.69-8.49),以及超过八个水牛(或?= 3.81,95%CI,1.51-9.58)的那些更可能对布鲁斯岛呈阳性而不是牛群中存在较少(一到二到三到四到四到四到四个)的水牛。发现在农场和去年购买动物的其他家畜的存在未与血清阳性无关。本研究的调查结果支持开发针对每个地区疾病状况的目标干预策略。

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