zoonotic infection

人畜共患感染
  • 文章类型: Journal Article
    与犬伤口相关的耐甲氧西林假中间体葡萄球菌的抗菌治疗是一项重要挑战。本研究的目的是建立犬伤口感染模型,Lubbock慢性伤口生物膜(LCWB),专注于假中介,从建立的涉及金黄色葡萄球菌的人体模型中汲取灵感。耐甲氧西林假中间芽孢杆菌115(MRSP)和铜绿假单胞菌700株,与狗的伤口隔离,分别用于在24、48和72小时设置LCWB。LCWB在体积方面进行了评估,体重,和微生物CFU/mg。通过SEM和CLSM成像评估LCWB中的微生物空间分布。LCWB生产的最佳孵育时间(3.38cm3±0.13),体重(0.86gr±0.02)和CFU/mg(最高为7.05x106CFU/mg±2.89x105)为48h。SEM和CLSM图像显示在48小时时主要的有活力的微生物定植,其中非混合细菌在表面上具有MRSP的普遍性,并且在伤口的深度中具有铜绿假单胞菌700的普遍性。获得的研究结果表明,假中间菌在LCWB模型中共同生长铜绿假单胞菌的能力,代表了体外复制动物慢性伤口的合适模型。
    Antimicrobial treatment of methicillin-resistant Staphylococcus pseudintermedius associated with canine wounds represents an important challenge. The aim of this study was to create a canine wound infection model, Lubbock Chronic Wound Biofilm (LCWB), with a focus on S. pseudintermedius, drawing inspiration from the established human model involving S. aureus. Methicillin-resistant S. pseudintermedius 115 (MRSP) and Pseudomonas aeruginosa 700 strains, isolated from dog wounds, were used to set up the LCWB at 24, 48 and 72h. The LCWBs were evaluated in terms of volume, weight, and microbial CFU/mg. The microbial spatial distribution in the LCWBs was assessed by SEM and CLSM imaging. The best incubation time for the LCWB production in terms of volume (3.38 cm3 ± 0.13), weight (0.86 gr ± 0.02) and CFU/mg (up to 7.05 x 106 CFU/mg ± 2.89 x 105) was 48h. The SEM and CLSM images showed a major viable microbial colonization at 48h with a non-mixed bacteria with a prevalence of MRSP on the surface and P. aeruginosa 700 in the depth of the wound. The obtained findings demonstrate the capability of S. pseudintermedius to grow together P. aeruginosa in the LCWB model, representing the suitable model to reproduce the animal chronic wound in vitro.
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  • 文章类型: Journal Article
    背景:流感病毒可引起人畜共患感染,从而构成公共卫生风险。甲型和乙型流感病毒的监测是在全球范围内进行的;然而,关于流感C和D病毒的信息是有限的。几个国家已经对人类丙型流感病毒进行了纵向监测,但是没有对人类的D型流感病毒进行长期监测。因此,与D型流感病毒相关的公共卫生风险仍然未知。
    方法:我们建立了双重实时RT-PCR来检测C型和D型流感病毒,并分析了2018年1月至2023年3月期间从日本2144名患有呼吸道疾病的患者收集的呼吸道标本。我们分离了病毒并进行了血凝抑制试验,以检查抗原性和焦点减少试验,以确定对帽依赖性核酸内切酶抑制剂baloxavirmarboxil的敏感性。
    结果:我们检测到三种属于C/Kanagawa或C/圣保罗谱系的C型流感病毒,最近在全球流传。没有一个标本对D型流感病毒呈阳性。C/横滨/1/2022应变,从具有最高病毒RNA载量的标本中分离,属于C/神奈川谱系,显示出与参考C/神奈川谱系菌株相似的抗原性,并且对巴洛沙韦敏感。
    结论:我们的双重实时RT-PCR可用于从同一样本中同时检测C和D型流感病毒。将D型流感病毒添加到C型流感病毒的监测中,将有助于评估该病毒带来的公共卫生风险。
    BACKGROUND: Influenza viruses can cause zoonotic infections that pose public health risks. Surveillance of influenza A and B viruses is conducted globally; however, information on influenza C and D viruses is limited. Longitudinal monitoring of influenza C virus in humans has been conducted in several countries, but there has been no long-term monitoring of influenza D virus in humans. The public health risks associated with the influenza D virus therefore remain unknown.
    METHODS: We established a duplex real-time RT-PCR to detect influenza C and D viruses and analyzed respiratory specimens collected from 2144 patients in Japan with respiratory diseases between January 2018 and March 2023. We isolated viruses and conducted hemagglutination inhibition tests to examine antigenicity and focus reduction assays to determine susceptibility to the cap-dependent endonuclease inhibitor baloxavir marboxil.
    RESULTS: We detected three influenza C viruses belonging to the C/Kanagawa- or C/Sao Paulo-lineages, which recently circulated globally. None of the specimens was positive for the influenza D virus. The C/Yokohama/1/2022 strain, isolated from the specimen with the highest viral RNA load and belonging to the C/Kanagawa-lineage, showed similar antigenicity to the reference C/Kanagawa-lineage strain and was susceptible to baloxavir.
    CONCLUSIONS: Our duplex real-time RT-PCR is useful for the simultaneous detection of influenza C and D viruses from the same specimen. Adding the influenza D virus to the monitoring of the influenza C virus would help in assessing the public health risks posed by this virus.
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  • 文章类型: Case Reports
    蜱传脑炎病毒(TBEV)是影响人类中枢神经系统的黄病毒感染的重要原因,主要通过蜱叮咬和食用未经巴氏消毒的牛奶传播。本研究旨在评估TBEV的患病率,并确定TBEV在家畜奶中的新天然病灶。在这项横断面研究中,从农场饲养的牲畜中收集未经巴氏灭菌的牛奶样品,并使用嵌套逆转录聚合酶链反应分析TBEV的存在和亚型,同时使用ELISA检测抗TBEV总IgG抗体。研究结果表明,在山羊和绵羊牛奶中,TBEV的患病率最高。而在牛奶样品中未检测到TBEV。所有鉴定的菌株均为西伯利亚亚型。此外,在羊奶中检测到的抗-TBEV抗体患病率最高.这些结果揭示了伊朗TBEV的新焦点,强调在食用前对牛奶进行热处理(巴氏灭菌)以减轻TBEV感染风险的重要性。
    Tick-borne encephalitis virus (TBEV) is a significant cause of flaviviral infections affecting the human central nervous system, primarily transmitted through tick bites and the consumption of unpasteurized milk. This study aimed to assess the prevalence of TBEV and identify new natural foci of TBEV in livestock milk. In this cross-sectional study, unpasteurized milk samples were collected from livestock reared on farms and analysed for the presence and subtyping of TBEV using nested reverse transcription-polymerase chain reaction , alongside the detection of anti-TBEV total IgG antibodies using ELISA. The findings revealed that the highest prevalence of TBEV was observed in goat and sheep milk combined, whereas no TBEV was detected in cow milk samples. All identified strains were of the Siberian subtype. Moreover, the highest prevalence of anti-TBEV antibodies was detected in sheep milk. These results uncover new foci of TBEV in Iran, underscoring the importance of thermal processing (pasteurization) of milk prior to consumption to mitigate the risk of TBEV infection.
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  • 文章类型: Journal Article
    背景:戊型肝炎病毒(HEV)基因型3是几个欧洲国家急性病毒性肝炎的主要原因。它主要是通过摄取受污染的猪肉来获得的,但也有报道通过输血传播。虽然大多数HEV感染,包括那些通过血液制品,通常是自我限制的,在免疫功能低下的人中,它们可能成为慢性的。因此,必须识别HEV感染的献血,以防止传播给脆弱的接受者。
    目的:在决定是否对所有瑞士献血进行HEVRNA筛查之前,我们进行了一项为期2年的全国患病率研究.
    方法:在5个地区献血机构的12-24个样本中对所有献血进行了筛选,和HEVRNA阳性池随后解析为个人捐赠指数捐赠(X).病毒载量,HEVIgG和IgM血清学,并确定HEV基因型。对未来的对照捐赠(X+1)和捐赠者以前的存档捐赠(X-1)进行了后续调查。
    结果:在2018年10月至2020年9月之间,筛查了541,349次献血,确定了125次确认的阳性献血(患病率1:4331献血)。在献血的时候,HEVRNA阳性个体无症状.中位病毒载量为554IU/mL(范围:2.01-2,500,000IU/mL)。男性(88;70%)的感染频率高于女性(37;30%),与瑞士捐赠者的性别分布相比(57%男性/43%女性,p<0.01)。在106例基因分型病例中(85%),均属于基因型3。两种HEV亚基因型占主导地位;3h3(以前为3s)和3c。其余的亚基因型都已知在欧洲传播。确定了五个3ra基因型,这是与兔子有关的变体。总的来说,85(68%)X捐赠对HEVIgM和IgG呈阴性。其余40例(32%)为HEVIgG和/或IgM阳性,与活动性感染一致。我们在89个可用和分析的档案样品中的87个中没有发现先前HEV的标记物(X-1)。在X-1捐赠中,两名捐赠者为HEVIgG阳性,表明免疫力不足以防止HEV再感染。收集90例(72%)分析的X+1捐赠的时间在X捐赠后2.9至101.9周(中位数为35周)之间变化。不出所料,没有一个测试的HEVRNA阳性。大多数供体(89;99%)抗HEVlgG/lgM呈阳性(即,血清转换)。HEVlgM阳性(23;26%)表明在HEV感染后lgM抗体的常长持续。
    结论:在研究的第一年收集的数据为决定建立强制性HEVRNA通用筛查所有瑞士在小池中献血的决定提供了依据。为所有接受者提供更安全血液的重要一步,尤其是那些免疫抑制的人。
    Hepatitis E virus (HEV) genotype 3 is the major cause of acute viral hepatitis in several European countries. It is acquired mainly by ingesting contaminated pork, but has also been reported to be transmitted through blood transfusion. Although most HEV infections, including those via blood products, are usually self-limiting, they may become chronic in immunocompromised persons. It is thus essential to identify HEV-infected blood donations to prevent transmission to vulnerable recipients.
    Prior to the decision whether to introduce HEV RNA screening for all Swiss blood donations, a 2-year nationwide prevalence study was conducted.
    All blood donations were screened in pools of 12-24 samples at five regional blood donation services, and HEV RNA-positive pools were subsequently resolved to the individual donation index donation (X). The viral load, HEV IgG and IgM serology, and HEV genotype were determined. Follow-up investigations were conducted on future control donations (X + 1) and previous archived donations of the donor (X - 1) where available.
    Between October 2018 and September 2020, 541,349 blood donations were screened and 125 confirmed positive donations were identified (prevalence 1:4331 donations). At the time of blood donation, the HEV RNA-positive individuals were symptom-free. The median viral load was 554 IU/mL (range: 2.01-2,500,000 IU/mL). Men (88; 70%) were more frequently infected than women (37; 30%), as compared with the sex distribution in the Swiss donor population (57% male/43% female, p < 0.01). Of the 106 genotyped cases (85%), all belonged to genotype 3. Two HEV sub-genotypes predominated; 3h3 (formerly 3s) and 3c. The remaining sub-genotypes are all known to circulate in Europe. Five 3ra genotypes were identified, this being a variant associated with rabbits. In total, 85 (68%) X donations were negative for HEV IgM and IgG. The remaining 40 (32%) were positive for HEV IgG and/or IgM, and consistent with an active infection. We found no markers of previous HEV in 87 of the 89 available and analyzed archive samples (X - 1). Two donors were HEV IgG-positive in the X - 1 donation suggesting insufficient immunity to prevent HEV reinfection. Time of collection of the 90 (72%) analyzed X + 1 donations varied between 2.9 and 101.9 weeks (median of 35 weeks) after X donation. As expected, none of those tested were positive for HEV RNA. Most donors (89; 99%) were positive for anti-HEV lgG/lgM (i.e., seroconversion). HEV lgM-positivity (23; 26%) indicates an often-long persistence of lgM antibodies post-HEV infection.
    The data collected during the first year of the study provided the basis for the decision to establish mandatory HEV RNA universal screening of all Swiss blood donations in minipools, a vital step in providing safer blood for all recipients, especially those who are immunosuppressed.
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  • 文章类型: Journal Article
    恰加斯病(CD)是由鞭毛原生动物引起的媒介传播的被忽视的人畜共患疾病(NZD),克氏锥虫,影响整个美国的各种哺乳动物物种,包括人类和家畜。然而,由于人口流动和新的传播途径的增加,克氏杆菌感染目前被认为是全球健康问题,不再局限于流行国家。狗通过非常有效地充当水库并允许寄生虫在流行地区的传播而在家庭循环中起着重要作用。尽管近年来取得了重大进展,仍然没有针对人类和动物疾病的疫苗,治疗人类CD的药物很少,并且没有治疗犬CD的标准方案。在这次审查中,我们强调了人类和犬科锥虫病的不同维度和相互联系。狗,它们被认为是在社区中传播克氏虫感染的最重要的peridomestic库和前哨,开发临床上与人类CD相似的CD。因此,综合方法,基于一个健康的概念,汇集基因组学的进步,免疫学,和流行病学可以导致疫苗的有效开发,新的治疗方法,以及应对CD的创新控制策略。
    Chagas disease (CD) is a vector-borne Neglected Zoonotic Disease (NZD) caused by a flagellate protozoan, Trypanosoma cruzi, that affects various mammalian species across America, including humans and domestic animals. However, due to an increase in population movements and new routes of transmission, T. cruzi infection is presently considered a worldwide health concern, no longer restricted to endemic countries. Dogs play a major role in the domestic cycle by acting very efficiently as reservoirs and allowing the perpetuation of parasite transmission in endemic areas. Despite the significant progress made in recent years, still there is no vaccine against human and animal disease, there are few drugs available for the treatment of human CD, and there is no standard protocol for the treatment of canine CD. In this review, we highlight human and canine Chagas Disease in its different dimensions and interconnections. Dogs, which are considered to be the most important peridomestic reservoir and sentinel for the transmission of T. cruzi infection in a community, develop CD that is clinically similar to human CD. Therefore, an integrative approach, based on the One Health concept, bringing together the advances in genomics, immunology, and epidemiology can lead to the effective development of vaccines, new treatments, and innovative control strategies to tackle CD.
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
    巴氏杆菌病是一种常见的人畜共患感染,发生在动物咬伤或抓伤(B/S)后。我们比较了6例非B/S巴氏杆菌病患者与14例B/S感染患者的临床特征。在所有六种非B/S感染中,用基质辅助激光解吸/电离飞行时间质谱鉴定了多杀性巴氏杆菌,而14个B/S感染中的13个是用诊断试剂盒鉴定的。非B/S感染为肺炎(n=3),皮肤和软组织感染(n=2),和菌血症(n=1)。肺炎发生在两名患有潜在肺部疾病的患者中,1例脑梗死患者发生呼吸机相关性肺炎。从肝硬化(Child-PughC级)和糖尿病患者的血液样本和鼻拭子中分离出多杀性巴氏杆菌。一名患有糖尿病和正常压力脑积水的患者出现蜂窝织炎,摔倒后有一个开放性伤口,还有一名糖尿病和足部溃疡患者。三名非B/S感染患者没有宠物,也没有近期动物接触事件。非B/S感染患者的中重度合并症发生率明显高于B/S感染患者(100%和14.3%,分别,p<0.001)。总之,慢性肺病患者可以发生非B/S感染,有创机械通气,或开放性伤口,或者免疫功能低下的人,不管明显的动物暴露。与B/S感染相比,非B/S巴氏杆菌病应被认为是机会主义的。
    Pasteurellosis is a common zoonotic infection that occurs after an animal bite or scratch (B/S). We compared the clinical features of six patients with non-B/S pasteurellosis with those of 14 patients with B/S infections. Pasteurella multocida was identified with matrix-assisted laser desorption/ionization time-of-flight mass spectrometry in all six non-B/S infections, whereas 13 of the 14 B/S infections were identified with diagnostic kits. The non-B/S infections were pneumonia (n = 3), skin and soft tissue infections (n = 2), and bacteremia (n = 1). Pneumonia occurred in two patients with underlying pulmonary disease, whereas ventilator-associated pneumonia developed in one patient with cerebral infarction. Pasteurella multocida was isolated from a blood specimen and nasal swab from a patient with liver cirrhosis (Child-Pugh class C) and diabetes. Cellulitis developed in one patient with diabetes and normal-pressure hydrocephalus, who had an open wound following a fall, and in one patient with diabetes and a foot ulcer. Three patients with non-B/S infections had no pet and no episode of recent animal contact. The rate of moderate-to-severe comorbidities was significantly higher in patients with non-B/S infections than in those with B/S infections (100% and 14.3%, respectively, p < 0.001). In conclusion, non-B/S infections can develop in patients with chronic pulmonary disease, invasive mechanical ventilation, or open wounds, or who are immunocompromised, irrespective of obvious animal exposure. In contrast to B/S infections, non-B/S pasteurellosis should be considered opportunistic.
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  • 文章类型: Journal Article
    鉴于2019年冠状病毒病(COVID-19)的出现,人畜共患病已成为科学界的焦点。动物不仅对这种感染有关键作用,而且对于许多其他最近出现和重新出现的病毒性疾病,其中它们可以代表中间宿主和/或动物共患病扩散的载体。今天,大约三分之二的人类感染源于动物;因此,寻找新的广谱抗病毒分子是强制性的,控制和根除未来的疫情。宿主防御肽,来自两栖动物的皮肤分泌物,似乎是普通抗菌药物的正确替代品。它们是具有两亲性性质的阳离子肽,被广泛描述为抗菌剂,但关于它们抗病毒潜力的报道较少。在本研究中,我们评估了五种两栖动物肽的活性,即RV-23,AR-23,Hylin-a1,Deserticolin-1和Hylaseptin-P1,针对一组广泛的包膜动物病毒。RV-23,AR-23和Hylin-a1对牛和山羊疱疹病毒具有很强的杀病毒作用,犬瘟热病毒,牛病毒性腹泻病毒,和Schmallenberg病毒.我们的结果将这三种肽鉴定为潜在的抗病毒药物,对几种动物病毒具有推定的治疗作用。
    Given the emergence of the coronavirus disease 2019 (COVID-19), zoonoses have raised in the spotlight of the scientific community. Animals have a pivotal role not only for this infection, but also for many other recent emerging and re-emerging viral diseases, where they may represent both intermediate hosts and/or vectors for zoonoses diffusion. Today, roughly two-thirds of human infections are derived from animal origins; therefore, the search for new broad-spectrum antiviral molecules is mandatory to prevent, control and eradicate future epidemic outbreaks. Host defense peptides, derived from skin secretions of amphibians, appear as the right alternative to common antimicrobial drugs. They are cationic peptides with an amphipathic nature widely described as antibacterial agents, but less is reported about their antiviral potential. In the present study, we evaluated the activity of five amphibian peptides, namely RV-23, AR-23, Hylin-a1, Deserticolin-1 and Hylaseptin-P1, against a wide panel of enveloped animal viruses. A strong virucidal effect was observed for RV-23, AR-23 and Hylin-a1 against bovine and caprine herpesviruses, canine distemper virus, bovine viral diarrhea virus, and Schmallenberg virus. Our results identified these three peptides as potential antiviral-led candidates with a putative therapeutic effect against several animal viruses.
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  • 文章类型: Case Reports
    我们报告了一例60岁的无症状男性,有居住在刚果盆地时食用未煮熟的蛇肉的病史,并且先前的影像学检查显示有多个腹部钙化。患者在结肠镜检查筛查过程中发现了多个上皮下结肠病变,病变的显微镜检查显示粘膜下层有钙化结节,上面覆盖正常粘膜。然而,钙化结节内未发现寄生虫。鉴于食用未煮熟的蛇肉的历史以及腹部多发钙化的典型影像学特征,患者的影像学异常很可能是由于先前的Armilliferarmillatus感染,通过食用未煮熟的蛇肉获得的寄生虫感染。患者在评估时无症状,未给予抗寄生虫治疗。
    We report a case of a 60-year-old asymptomatic male with history of consumption of uncooked snake meat while living in the Congo basin and prior imaging showing multiple abdominal calcifications. Patient had multiple subepithelial colonic lesions identified during screening colonoscopy and microscopic examination of the lesions demonstrated a calcified nodule in the submucosa with overlying normal mucosa. However, no parasite was identified within the calcified nodule. Given the history of consumption of uncooked snake meat and the typical radiographic feature of multiple abdominal calcifications, it is very likely that the patient\'s radiographic abnormalities are due to prior Armillifer armillatus infection, a parasitic infection acquired from consumption of uncooked snake meat. Patient was asymptomatic at the time of evaluation and was not given anti-parasitic treatment.
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  • 文章类型: Journal Article
    背景:布鲁氏菌病是一种严重的人畜共患传染病。人类通过接触受感染的动物或其产品而感染疾病。在沙特阿拉伯,布鲁氏菌病被认为是一种地方病,从2003年到2018年,每年的发病率为每10万人口15.34。由于对人类健康的毁灭性后果,提高认识是预防布鲁氏菌病的重要组成部分。我们的研究旨在评估知识,意识,以及塔伊夫市居民对布鲁氏菌病的态度,沙特阿拉伯。
    方法:描述性,2022年6月至10月进行的横断面调查针对塔伊夫市的人口,沙特阿拉伯。数据是通过在线问卷收集的,其中包括关于社会人口特征的问题,关于布鲁氏菌病的认识,对动物的行为和态度,和消费以动物为基础的产品。
    结果:共纳入743名参与者。参与者年龄在18-70岁之间,63.4%为女性,79.4%的人受过大学教育。只有450名参与者对第一个问题回答是:“你知道布鲁氏菌病吗?或者你听说过吗?”因此,他们被要求回答知识问题。结果发现,在450名参与者中,46.9%的人表现出“差”的知识水平。年龄在26-55岁之间的参与者表现出明显高于其他年龄组的“良好”知识(p=0.001)。男性表现出的“良好”知识(30.6%)明显高于女性(14.9%)(p<0.001)。动物饲养员的做法和态度(16.2%)令人满意,因为其中一半以上没有参与动物出生(53.4%),50.7%的人没有参加人工流产分娩,大约61%的人在照顾动物时使用手套。这些做法并不令人满意,因为53.4%的参与者报告说他们“总是”吃他们饲养的动物的肉,64.4%的人报告说他们亲自宰杀牛群中的绵羊或牛。
    结论:我们的研究表明,大多数参与者都知道布鲁氏菌病;然而,同时,关于布鲁氏菌病的知识水平不令人满意。
    BACKGROUND: Brucellosis is a serious zoonotic infectious disease. Humans contract the disease by coming into contact with infected animals or their products. In Saudi Arabia, brucellosis is considered to be an endemic disease, with an annual incidence of 15.34 per 100,000 population from 2003 to 2018. Because of the devastating consequences for human health, raising awareness is an essential component in preventing brucellosis. Our study aims to assess the knowledge, awareness, and attitudes regarding brucellosis among the residents of Taif City, Saudi Arabia.
    METHODS: A descriptive, cross-sectional survey conducted in June-October 2022 targeted the population of Taif City, Saudi Arabia. The data were collected by an online questionnaire, which included questions on sociodemographic characteristics, awareness regarding brucellosis, behavior and attitude toward animals, and consuming animal-based products.
    RESULTS: A total of 743 participants were included. The participants were 18-70 years old, 63.4% were females, and 79.4% had a university education. Only 450 participants answered yes to the first question: \"Do you know about brucellosis or have you heard about it?\" Therefore, they were asked to answer knowledge questions. It was found that out of 450 participants, 46.9% demonstrated a \"poor\" knowledge level. Participants aged 26-55 years old demonstrated significantly more \"good\" knowledge than the other age groups (p = 0.001). Males demonstrated significantly more \"good\" knowledge (30.6%) than females (14.9%) (p < 0.001). The practices and attitudes of animal breeder participants (16.2%) were satisfactory because more than half of them did not participate in the birth of animals (53.4%), 50.7% did not participate in the birth with abortion, and approximately 61% used gloves when taking care of animals. The practices were unsatisfactory because 53.4% of the participants reported that they \"always\" eat the meat of animals they keep, and 64.4% reported that they personally slaughter sheep or cows from the herd.
    CONCLUSIONS: Our study showed that most of the participants were aware of brucellosis; however, at the same time, the knowledge level regarding brucellosis was not satisfactory.
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