Mastitis, Bovine

乳腺炎,牛
  • 文章类型: Journal Article
    β-胡萝卜素对牛繁殖力的影响已在各种研究中进行了调查;然而,在这个问题上尚未达成共识。在本研究中,我们系统地回顾和荟萃分析了1984年至2022年间发表的29篇出版物,重点是七项生育指标,奶牛的临床乳腺炎和产奶量。我们在11个参数中没有发现8个有统计学意义的结果(p>.05)。观察到牛奶产量具有统计学意义的结果(MD:305天内216.25kg,p=0.01,CI:50.73-381.77),首次服务妊娠(OR:1.38CI:1.08-1.76,p=.01)和临床乳腺炎(OR:0.59,CI:0.44-0.80,p=.006)支持补充β-胡萝卜素。荟萃回归显示,“血浆β-胡萝卜素水平”对“每次怀孕的服务”和剂量对“产奶量”的显着影响(p=.04和p=0)。在二元结果中,“剂量×天”和“对照组的血浆β-胡萝卜素浓度”对首次服务时的妊娠有积极影响(p=.02和.03)。总之,考虑到一些变量观察到的正点方向,而另一些变量观察到的结果微不足道,有必要进行更多的研究。我们注意到结果的高度异质性,并建议在解释结果时保持谨慎。
    The impact of beta-carotene on cattle fertility has been investigated in various studies; however, consensus on this issue has not been reached. In the present study, we systematically reviewed and meta-analysed 29 publications conducted between 1984 and 2022, focusing on seven fertility measures, clinical mastitis and milk yield in cows. We did not find statistically significant results in 8 out of 11 parameters (p > .05). Statistically significant results were observed for milk yield (MD: 216.25 kg in 305 days, p = .01, CI: 50.73-381.77), pregnancy at first service (OR: 1.38 CI: 1.08-1.76, p = .01) and clinical mastitis (OR: 0.59, CI: 0.44-0.80, p = .006) in favour of beta-carotene supplementation. The meta-regression revealed significant effects of \'plasma beta-carotene levels\' on \'service to per pregnancy\' and dose on \'milk yield\' (p = .04 and p = 0). In binary outcomes, \'dose × day\' and \'plasma beta-carotene concentration in the control group\' positively influenced pregnancy at first service (p = .02 and .03). In conclusion, given the positive point direction observed for some variables and insignificant results for others, there is a need for more studies. We note the very high heterogeneity of outcomes and suggest caution in interpreting results.
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  • 文章类型: Journal Article
    噬菌体编码的内溶素,肽聚糖水解酶分解革兰氏阳性细菌细胞壁,代表了一类开创性的新型抗菌药物,彻底改变了兽医学领域。野生型内溶素表现出模块化结构,由酶活性和细胞壁结合结构域组成,这使得基因工程策略能够产生嵌合融合蛋白或所谓的“工程内溶素”。这种生物技术方法已经产生了具有修改的裂解光谱的变体,在抗微生物剂开发中引入新的可能性。然而,不同组发现高度相似的内溶素,有时会导致不同名称的分配,从而使直接比较复杂化.这篇综述的目的是对野生型和工程内溶素进行基于同源性的比较,这些内溶素在引起牛乳腺炎的链球菌和葡萄球菌的背景下进行了表征,将蛋白质序列相似性≥95.0%的同源内溶素分组。通过野生型内溶素的同源组探索文献,然后根据其出版年份对工程内溶素进行时间顺序检查。这篇综述得出结论,野生型内溶素在生乳和体内环境中遇到了持续的挑战,导致该领域向内溶素工程的显著转变。现在,从在这些具有挑战性的条件下进行的筛选测定中选择显示出强大裂解活性的前导候选物。经常利用先进的高通量蛋白质工程方法。总的来说,这些最近的进展表明,内溶素将在未来十年内整合到抗生素库中,从而创新抗微生物治疗牛乳腺炎引起的链球菌和葡萄球菌。
    Bacteriophage-encoded endolysins, peptidoglycan hydrolases breaking down the Gram-positive bacterial cell wall, represent a groundbreaking class of novel antimicrobials to revolutionize the veterinary medicine field. Wild-type endolysins exhibit a modular structure, consisting of enzymatically active and cell wall-binding domains, that enable genetic engineering strategies for the creation of chimeric fusion proteins or so-called \'engineered endolysins\'. This biotechnological approach has yielded variants with modified lytic spectrums, introducing new possibilities in antimicrobial development. However, the discovery of highly similar endolysins by different groups has occasionally resulted in the assignment of different names that complicate a straightforward comparison. The aim of this review was to perform a homology-based comparison of the wild-type and engineered endolysins that have been characterized in the context of bovine mastitis-causing streptococci and staphylococci, grouping homologous endolysins with ≥ 95.0% protein sequence similarity. Literature is explored by homologous groups for the wild-type endolysins, followed by a chronological examination of engineered endolysins according to their year of publication. This review concludes that the wild-type endolysins encountered persistent challenges in raw milk and in vivo settings, causing a notable shift in the field towards the engineering of endolysins. Lead candidates that display robust lytic activity are nowadays selected from screening assays that are performed under these challenging conditions, often utilizing advanced high-throughput protein engineering methods. Overall, these recent advancements suggest that endolysins will integrate into the antibiotic arsenal over the next decade, thereby innovating antimicrobial treatment against bovine mastitis-causing streptococci and staphylococci.
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  • 文章类型: Journal Article
    乳腺炎显著影响奶牛的乳房组织,导致炎症,不适,牛奶产量和质量都下降了。这种情况可以归因于一系列通过多种途径进入乳腺的微生物剂。这种疾病的后果不仅限于动物福利,而且还扩展到畜牧业的财务生存能力。这篇评论提供了一个关于乳腺炎的历史镜头,追溯其文献可追溯至1851年,并检查其全球分布,重点是流行率和抗菌素耐药性(AMR)模式的区域差异。探索了与乳腺炎和AMR有关的特定微生物基因和群落,包括金黄色葡萄球菌,无乳链球菌,无乳链球菌,猪链球菌大肠杆菌,肺炎克雷伯菌,牛支原体,牛棒状杆菌,在其他人中。这些微生物已经进化出不同的策略来逃避宿主的免疫反应并中和通常使用的抗生素。使管理工作复杂化。这篇综述旨在全面概述当前关于乳腺炎和AMR的知识和研究差距,并强调需要采取“一个健康”方法来解决这一全球健康问题。这种方法需要多学科合作,以促进明智的抗生素使用,加强预防乳腺炎的措施,并加强对乳腺炎病原体中AMR的监测和监测。
    Mastitis significantly affects the udder tissue in dairy cattle, leading to inflammation, discomfort, and a decline in both milk yield and quality. The condition can be attributed to an array of microbial agents that access the mammary gland through multiple pathways. The ramifications of this ailment are not merely confined to animal welfare but extend to the financial viability of the livestock industry. This review offers a historical lens on mastitis, tracing its documentation back to 1851, and examines its global distribution with a focus on regional differences in prevalence and antimicrobial resistance (AMR) patterns. Specific microbial genes and communities implicated in both mastitis and AMR are explored, including Staphylococcus aureus, Streptococcus agalactiae,Streptococcus dysagalactiae, Streptococcus uberis Escherichia coli, Klebsiella pneumoniae, Mycoplasma bovis, Corynebacterium bovis, among others. These microorganisms have evolved diverse strategies to elude host immune responses and neutralize commonly administered antibiotics, complicating management efforts. The review aims a comprehensive overview of the current knowledge and research gaps on mastitis and AMR, and to highlight the need for a One Health approach to address this global health issue. Such an approach entails multi-disciplinary cooperation to foster judicious antibiotic use, enhance preventive measures against mastitis, and bolster surveillance and monitoring of AMR in pathogens responsible for mastitis.
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  • 文章类型: Meta-Analysis
    乳房链球菌是与奶牛乳腺炎相关的最常见的病原体之一,通常用抗菌药物(AM)治疗,有利于抗菌素耐药性(AMR)的出现。这项工作的目的是确定1983年至2022年在全球范围内从牛乳房内感染中分离出的S.uberis中表型AMR的比例,并通过系统回顾和元分析评估相关变量。60篇文章有资格进行定量审查。获得了94项独立研究。在更多的S.uberis菌株中评估的抗菌药物是青霉素(21,987株),苯唑西林(21,727株),红霉素(20,013株),和氨苄青霉素(19,354株)。这项荟萃分析中包含的大多数研究来自欧洲(44),其次是美国(25)非洲(10)亚洲(10)大洋洲(5)。在包括的文章中,1983年至2006年发表了22篇,2007年至2012年发表了23篇,2013年至2015年发表了25篇,2016年之后发表了24篇。青霉素,红霉素,四环素是>25项研究的抗菌药物。因此,以下分析仅对这些抗菌药物进行,呈现高异质性指数(I2)。仅解释了青霉素和四环素观察到的变异性,部分,来自大陆的起源。本研究中包含的任何潜在解释变量都不能解释红霉素的变异性。S.uberis对抗菌药物的耐药比例是高度可变的,并且可能受到许多因素的影响,而不是本荟萃分析中研究的因素。无法告知唯一的平均阻力比例。
    Streptococcus uberis is one of the most common pathogens associated with bovine mastitis, commonly treated with antimicrobials (AM), favoring the appearance of antimicrobial resistance (AMR). The objective of this work was to determine the proportion of phenotypic AMR among S. uberis isolated worldwide from bovine intramammary infections between the years 1983-2022, and to assess the variables associated by means of a systematic review and metanalysis. Sixty articles were eligible for quantitative review. Ninety-four independent studies were obtained. The antimicrobials evaluated in more S. uberis strains were penicillin (21,987 strains), oxacillin (21,727 strains), erythromycin (20,013 strains), and ampicillin (19,354 strains). Most of the studies included in this meta-analysis were from Europe (44), followed by America (25), Africa (10), Asia (10), and Oceania (5). Among the included articles, 22 were published from 1983 to 2006, 23 from 2007 to 2012, 25 from 2013 to 2015, and the remaining 24 after 2016. Penicillin, erythromycin, and tetracycline were the antimicrobials with >25 studies. Therefore, the following analyses were performed only for these antimicrobials, presenting a high heterogeneity index (I2). The variability observed for penicillin and tetracycline was only explained, partially, by continent of origin. The variability observed for erythromycin was not explained by any of the potential explanatory variables included in this study. The S. uberis proportion of resistance to antimicrobials is highly variable and probably influenced by many factors other than those studied in this meta-analysis, where it was not possible to inform a unique average proportion of resistance.
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  • 文章类型: Meta-Analysis
    背景:临床下乳腺炎(SCM)是影响乳制品行业的经济上最重要的疾病之一。与临床乳腺炎相比,SCM不会引起乳房的明显变化或牛奶的物理变化,和一个清晰的概述在非洲不同地区的流行和危险因素仍然缺乏。这项研究的目的是调查SCM的患病率,并评估非洲牛的相关危险因素和主要细菌病原体。
    方法:我们收集并系统地回顾了有关SCM的文献,从2010年1月到2020年12月在两个数据库(PubMed和WebofScience)中以英文发布,使用R统计软件中的“meta”和“metafor”软件包进行荟萃分析。
    结果:共检索了258项研究,在筛选结束时,82篇全文符合纳入荟萃分析的条件。在非洲五个地区的11个国家报告了SCM的流行情况,随机效应模型显示,加权合并患病率估计值(PPE)为48.2%(95%CI:43.6~52.8%).异质性很高,并且具有统计学意义,因为I2(观察到的变异比例)为98.1%(95%CI:98.0-98.3%),τ2(真实研究间方差)为0.0433(95%CI:0.0322-0.0611),CochranQ统计量为4362.8(p<0.0001)。亚组和荟萃回归分析显示,东非具有显著(p=0.0092)最高的SCMPPE(67.7%,95%CI:55.7-78.7),其次是西非(50.5%,95CI:31.4-69.5),最低的是北非(40.3%,95%:32.2-48.6)。SCM的其他重要调节因素是年龄(p<0.0001),品种(p=0.0002),牛的泌乳期(p=0.019)和胎次(p=0.0008)。葡萄球菌种类(患病率43.7%)是最主要的病原体,其次是链球菌(18.2%)和大肠杆菌(9.5%)。
    结论:本研究表明,非洲各地SCM患病率差异很大,尽管某些地区需要更多数据。报告的流行率清楚地表明了牛群中不适当的管理做法,也表明了SCM对乳制品行业构成的威胁。有关诱发因素的信息可以指导有效的管理和控制策略,以减少疾病的传播。
    BACKGROUND: Subclinical mastitis (SCM) is one of the most economically important diseases affecting the dairy industry. The SCM does not cause visible changes in the udder or physical changes of the milk as compared to clinical mastitis, and a clear overview of the prevalence and risk factors in the different regions of Africa is still lacking. The objective of this study was to investigate the prevalence of SCM and assess the associated risk factors and dominant bacterial pathogens among cattle in Africa.
    METHODS: We gathered and systematically reviewed literature concerning SCM, published in English from January 2010 through December 2020 in two databases (PubMed and Web of Science), and meta-analysis was conducted using the \'meta\' and \'metafor\' packages in the R statistical software.
    RESULTS: A total of 258 studies were retrieved and at the end of the screening, 82 full-texts were eligible for inclusion in the meta-analysis. The prevalence of SCM was reported in 11 countries in five regions of Africa, and the random-effects model showed that the weighted pooled prevalence estimate (PPE) was 48.2% (95% CI: 43.6-52.8%). Heterogeneity was high and statistically significant as I2 (proportion of observed variation) was 98.1% (95% CI: 98.0-98.3%), τ2 (true between-study variance) was 0.0433 (95% CI: 0.0322-0.0611), and the Cochran Q statistic was 4362.8 (p < 0.0001). Subgroup and meta-regression analyses showed that East Africa had significantly (p = 0.0092) the highest PPE of SCM (67.7%, 95% CI: 55.7-78.7) followed by West Africa (50.5%, 95%CI: 31.4-69.5), and the lowest was in North Africa (40.3%, 95%: 32.2-48.6). Other significant moderators for SCM were age (p < 0.0001), breed (p = 0.0002), lactation stage (p = 0.019) and parity (p = 0.0008) of cattle. Staphylococcus species (prevalence 43.7%) were the most predominant pathogens, followed by Streptococcus (18.2%) and Escherichia species (9.5%).
    CONCLUSIONS: The present study showed a high variation of SCM prevalence in various parts of Africa, although there is a need for more data in some regions. The reported prevalence is a clear sign of inappropriate management practices among cattle herds and an indicator of the threat that SCM poses to the dairy industry. The information about the predisposing factors may guide effective management and control strategies to reduce transmission of the disease.
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  • 文章类型: Journal Article
    停止泌乳(即,dry-off)是近年来备受关注的研究领域。干燥期是必要的,以优化乳腺的组织重塑,但代表了一个紧张的事件,结合日常生活中的几个变化,饮食,和新陈代谢。此外,现代奶牛在妊娠后期获得的高产奶量加剧了在干涸期间对相关操作的需求,因为牛奶的过度积累可能会危及干旱期的成功,对未来泌乳有潜在的负面影响。超过15公斤/天的生产水平是乳房健康的额外风险因素,延迟乳房退化,并恶化代谢应激和炎症反应。此外,减少农场动物抗生素使用的压力导致人们对干旱期的关注增加,鉴于从历史上看,大多数奶牛在断奶时都接受了预防性乳房内抗生素治疗,以降低随后泌乳中乳房内感染的风险.多年来已提出若干策略来应付这些挑战,旨在在干燥前逐步减少牛奶产量,同时促进乳房退化的开始。其中,最常见的是基于饲料或营养限制,挤奶频率的降低,或给予催乳素抑制剂。这些做法有不同的能力,通过不同的机制来减少牛奶产量,并对乳房健康带来若干影响。动物福利,行为,内分泌状态,新陈代谢,和炎症条件。本综述旨在全面概述高产奶牛的干旱阶段以及干旱时高奶产量的影响,并描述农民和兽医可能实施的策略,以综合方式优化这一关键阶段。
    The cessation of lactation (i.e., dry-off) in dairy cattle is an area of research that has received much focus in recent years. The dry period is necessary to optimize tissue remodeling of the mammary gland, but represents a stressful event, incorporating several changes in daily routine, diet, and metabolism. Moreover, the high milk yields achieved by modern cows in late gestation exacerbate the need for relevant manipulations in the days around dry-off, as excessive accumulation of milk might jeopardize the success of the dry period, with potential negative effects on future lactation. Production levels over 15 kg/d are an additional risk factor for udder health, delay mammary involution, and worsen metabolic stress and inflammatory responses. Furthermore, the pressure to reduce antibiotic usage in farm animals has resulted in increased attention on the dry period, given that historically most dairy cattle were provided prophylactic intramammary antibiotic treatment at dry-off as a means to reduce the risk of intramammary infections in the subsequent lactation. Several strategies have been proposed over the years to cope with these challenges, aiming to gradually reduce milk yield before dry-off, promoting at the same time the start of mammary involution. Among them, the most common are based on feed or nutrient restriction, a decrease in milking frequency, or administration of prolactin inhibitors. These practices have different capacities to reduce milk yield through different mechanisms and entail several implications for udder health, animal welfare, behavior, endocrine status, metabolism, and inflammatory conditions. The present review aims to provide a comprehensive overview of the dry-off phase in high-yielding cows and of the impact of high milk production at dry-off, and to describe possible strategies that might be implemented by farmers and veterinarians to optimize this critical phase in an integrated way.
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  • 文章类型: Journal Article
    考虑到亚临床乳腺炎的高患病率及其对牛奶产量的影响,专题研究需要为其控制提供战略数据。这项研究旨在通过汇编病原体的发生及其对抗生素的敏感性,调查巴西奶牛中与亚临床乳腺炎相关的最常见微生物。系统综述包括2009年至2019年发表的文章。选择了五十七篇评估22,287个牛奶样品的文章。巴西各地区的出版物数量和样本量并不一致。大多数研究和抽样都是在南里奥格兰德州进行的,而在北部和中西部地区的一些州没有发现任何研究。最常见的病原体是葡萄球菌属。它在所有研究中都是分离的,在分析的样品中平均患病率为49%。青霉素耐药性是巴西最常见的微生物耐药性,评估的分离株中平均有66%。此外,细菌对头孢氨苄的耐药性,头孢哌酮,红霉素,庆大霉素,新霉素,青霉素,四环素,甲氧苄啶在研究期间有所增加。鉴于领土延伸,病因学的多样性,缺乏代表性样本的研究,科学数据的汇编必须谨慎解释。进行了更多研究并有大量样本的地区,比如南方,提供了一个更接近现实的全面场景。然而,尽管农场的决策不能被科学研究所取代,它可以得到这些努力的支持。
    Considering the high prevalence of subclinical mastitis and its impacts on milk production, thematic studies are need to provide strategic data for its control. This study aimed at investigating the most frequent microorganisms associated with subclinical mastitis in dairy cows in Brazil through compiling the occurrence of the etiological agents and their sensitivity to antibiotics. The systematic review includes articles published between 2009 and 2019. Fiftyseven articles evaluating 22,287 milk samples were selected. The number of publications and the sample size were not homogeneous among Brazilian regions. Most of the studies and sampling were conducted in Rio Grande do Sul, whereas no studies were found in some states in the north and mid‑west regions. The most frequent pathogen was Staphylococcus spp. It was isolated in all studies and had an average prevalence of 49% in the analyzed samples. Resistance to penicillin was the most frequent microbial resistance found in Brazil, with an average of 66% among the isolates evaluated. Moreover, bacterial resistance to cephalexin, cefoperazone, erythromycin, gentamicin, neomycin, penicillin, tetracycline, and trimethoprim increased over the research period. Given the territorial extension, the etiological diversity, and the lack of studies with a representative sample, the compilation of scientific data must be interpreted with caution. Regions where a greater number of studies were conducted and with numerous samples, such as the South, provided a comprehensive scenario that is closer to reality. Nevertheless, although decision making on the farm cannot be replaced by scientific studies, it can be supported by such efforts.
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  • 文章类型: Meta-Analysis
    金黄色葡萄球菌(S。金黄色葡萄球菌)是细菌性牛乳腺炎的常见和主要病原体,造成了巨大的经济损失。这种病原体很容易对许多抗生素产生抗药性,导致动物持续不可治愈的乳房内感染(IMI)和多药耐药(MDR)菌株的发展。这项研究的目的是根据2000年至2021年的公布数据,评估伊朗引起牛乳腺炎的金黄色葡萄球菌菌株的抗菌素耐药性(AMR)的患病率。由于伊朗牛乳腺炎对金黄色葡萄球菌的AMR仍然缺乏信息,本研究的主要重点和亚组分析是对伊朗分离株进行的.根据系统评价和荟萃分析(PRISMA)的首选报告项目进行系统评价。根据最初的搜索,1006文章被识别。根据纳入和排除标准和删除重复项,最后分析了55篇英文文章和13篇波斯文(共68篇)。据报道,青霉素G的总体耐药率最高(所有分离株的p估计值=0.568,对于伊朗分离株,p估计=0.838),其次是氨苄青霉素(p-估计值=0.554,p-估计值=0.670所有分离株和伊朗分离株,分别)和阿莫西林(所有分离株和伊朗分离株的p估计值=0.391,p估计值=0.695,分别)。此外,耐药分离株的最低流行率与甲氧苄啶-磺胺甲恶唑有关(所有分离株和伊朗分离株的p估计值=0.108和0.118,分别)和庆大霉素(p估计=0.163和0.190,对于所有分离株和伊朗分离株,分别)。我们的分析表明,与所有分离株相比,伊朗分离株对所有抗生素的耐药性更高。这种差异在青霉素G的情况下是显著的,氨苄青霉素,和红霉素在5%。据我们所知,除了氨苄青霉素,随着时间的推移,伊朗分离物中所有研究的抗生素的AMR都有所增加。这种增加的速度对于青霉素G是显著的,阿莫西林,和四环素(p<0.1)。在乳腺炎类型方面没有检测到AMR的差异(临床与亚临床乳腺炎)几乎评估抗生素。总之,从IMI中分离出的AMR金黄色葡萄球菌的患病率很高,特别是对于使用青霉素G和氨苄西林等抗生素的牛乳腺炎.此外,根据近年来伊朗AMR金黄色葡萄球菌的增长率,应加强控制策略,以避免这种病原体和耐药性的传播。
    Staphylococcus aureus (S. aureus) is a frequent and major etiological agent of bacterial bovine mastitis, leading to high economic losses. This pathogen readily becomes resistant to many antibiotics, resulting in persistent noncurable intramammary infection (IMI) in animals and the development of multidrug-resistant (MDR) strains. The objectives of this study were to evaluate the prevalence of antimicrobial resistance (AMR) of S. aureus strains causing bovine mastitis in Iran according to published data from 2000 to 2021. As there is still a dearth of information on the AMR of S. aureus from Iranian bovine mastitis, the primary focus and subgroup analysis of the present study was performed on Iranian isolates. A systematic review was done according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Based on the initial search, 1006 article were identified. According to inclusion and exclusion criteria and removing duplications, 55 English articles and 13 Persian articles (a total of 68 articles) were finally analyzed. The highest overall prevalence of resistance was reported against penicillin G (p-estimate = 0.568 for all isolates, and p-estimate = 0.838 for Iranian isolates), followed by ampicillin (p-estimate = 0.554, and p-estimate = 0.670 for all isolates and Iranian isolates, respectively) and amoxicillin (p-estimate = 0.391, and p-estimate = 0.695 for all isolates and Iranian isolates, respectively). Besides, the lowest prevalence of resistant isolates was related to trimethoprim-sulfamethoxazole (p-estimate = 0.108 and 0.118 for all isolates and Iranian isolates, respectively) and gentamycin (p-estimate = 0.163 and 0.190, for all isolates and Iranian isolates, respectively). Our analysis showed that the Iranian isolates were more resistant to all antibiotics than those of all isolates. This difference was significant in the case of penicillin G, ampicillin, and erythromycin at 5%. To the best of our knowledge, except for ampicillin, AMR has increased over time for all the studied antibiotics in Iranian isolates. This increased rate was significant for penicillin G, amoxicillin, and tetracycline (p < 0.1). No differences in AMR were detected regarding the mastitis types (clinical vs. subclinical mastitis) for almost evaluated antibiotics. In conclusion, the prevalence of AMR S. aureus isolated from IMI was high particularly for bovine mastitis used antibiotics like penicillin G and ampicillin. Additionally, according to the increasing rate of AMR S. aureus in recent years in Iran, control strategies should be reinforced to avoid the spread of this pathogen and drug resistance.
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  • 文章类型: Journal Article
    临床乳腺炎(CM)的治疗和用于干牛治疗的抗微生物剂的使用是奶牛场中大多数动物定义的每日抗微生物剂使用(AMU)的原因。然而,在过去十年中取得的进步使得能够将非严重CM病例从抗菌治疗中排除,这些病例在没有抗菌药物的情况下治愈的可能性很高(没有细菌原因或革兰氏阴性,不包括克雷伯菌属。)和细菌学治愈率低的病例(慢性病例)。这些进步包括快速诊断测试的可用性和改进的乳房健康管理实践,降低了传染性CM病原体的发病率和感染压力。这篇综述为基于快速诊断测试结果的选择性CM治疗决策提供了基于证据的方案。审查体细胞计数和CM记录,并阐明了乳房健康方面的后果,AMU,农业经济。相对快速地识别病原体是选择性CM治疗方案中最重要的因素。许多报告的研究没有表明有害的乳房健康后果(例如,减少临床或细菌学治疗,体细胞计数增加,提高剔除率,或在哺乳期后期增加CM的复发)使用农场测试启动选择性CM治疗方案后。实施选择性CM治疗方案后,AMU减少的幅度取决于病原体的分布和方案特征。非严重CM病例的选择性治疗方法因地区而异,取决于管理系统和乳房健康计划的采用。采用选择性与一揽子CM治疗方案时,预计不会有经济损失或动物福利问题。因此,非严重病例的选择性CM治疗可以成为帮助奶牛场减少AMU的实用工具。
    Treatment of clinical mastitis (CM) and use of antimicrobials for dry cow therapy are responsible for the majority of animal-defined daily doses of antimicrobial use (AMU) on dairy farms. However, advancements made in the last decade have enabled excluding nonsevere CM cases from antimicrobial treatment that have a high probability of cure without antimicrobials (no bacterial causes or gram-negative, excluding Klebsiella spp.) and cases with a low bacteriological cure rate (chronic cases). These advancements include availability of rapid diagnostic tests and improved udder health management practices, which reduced the incidence and infection pressure of contagious CM pathogens. This review informed an evidence-based protocol for selective CM treatment decisions based on a combination of rapid diagnostic test results, review of somatic cell count and CM records, and elucidated consequences in terms of udder health, AMU, and farm economics. Relatively fast identification of the causative agent is the most important factor in selective CM treatment protocols. Many reported studies did not indicate detrimental udder health consequences (e.g., reduced clinical or bacteriological cures, increased somatic cell count, increased culling rate, or increased recurrence of CM later in lactation) after initiating selective CM treatment protocols using on-farm testing. The magnitude of AMU reduction following a selective CM treatment protocol implementation depended on the causal pathogen distribution and protocol characteristics. Uptake of selective treatment of nonsevere CM cases differs across regions and is dependent on management systems and adoption of udder health programs. No economic losses or animal welfare issues are expected when adopting a selective versus blanket CM treatment protocol. Therefore, selective CM treatment of nonsevere cases can be a practical tool to aid AMU reduction on dairy farms.
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  • 文章类型: Systematic Review
    非金黄色葡萄球菌和哺乳动物球菌(NASM)是奶牛亚临床乳腺炎的最常见原因之一,由NASM引起的乳房内感染(IMI)的损害程度仍在争论中。NASM对乳腺的不同影响可能与细菌种类之间的差异有关。NASM是人类和动物的正常和丰富的定殖者,只有在某些情况下才会致病。在过去的25年里,兽医对NASM的兴趣一直很强烈,由于机会性感染率的急剧增加。因此,这篇综述的目的是提供NASM作为乳腺炎原因的一般背景,以及防止和对抗这组细菌生物膜形成的最新进展,引入新的生物医学应用,可用于奶牛群,以降低慢性和复发性感染的风险,由于牛奶产量和质量下降,可能造成经济损失。生物膜感染的有效治疗需要通过抗生物膜和抗微生物剂的组合的双重方法。尽管对生物膜开发的研究主要集中在人类医学上,这项技术必须在兽医学中同时开发,特别是在乳品行业,IMI是非常普遍的。
    Non-aureus staphylococci and mammaliicocci (NASM) are one of the most common causes of subclinical mastitis in dairy animals and the extent of damage by intramammary infections (IMI) caused by NASM is still under debate. The different effects of NASM on the mammary gland may be associated with differences between bacterial species. NASM are normal and abundant colonizers of humans and animals and become pathogenic only in certain situations. The veterinary interest in NASM has been intense for the last 25 years, due to the strongly increasing rate of opportunistic infections. Therefore, the objective of this review is to provide a general background of the NASM as a cause of mastitis and the most recent advances that exist to prevent and fight the biofilm formation of this group of bacteria, introduce new biomedical applications that could be used in dairy herds to reduce the risk of chronic and recurrent infections, potentially responsible for economic losses due to reduced milk production and quality. Effective treatment of biofilm infection requires a dual approach through a combination of antibiofilm and antimicrobial agents. Even though research on the development of biofilms is mainly focused on human medicine, this technology must be developed at the same time in veterinary medicine, especially in the dairy industry where IMI are extremely common.
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