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Successful treatment of feline pancreatolithiasis associated with an ascending Providencia rettgeri infection using a novel surgical technique 使用一种新型外科技术成功治疗了猫胰胆管炎,该病与普罗维登斯氏菌(Providencia rettgeri)上升型感染有关。
IF 1.3 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-07-15 DOI: 10.1111/avj.13358
JR Loh, N Cleland, R Korman

A 12-year-old female spayed Domestic Shorthair cat presented with a 4-day history of lethargy, inappetence and vomiting. Physical findings included a grade 2/6 heart murmur and cranial abdominal pain on palpation. Serum biochemistry revealed elevated total bilirubin and liver enzymes activities. Abdominal ultrasound revealed multiple pancreatoliths, cholelithiasis and dilation of the pancreatic duct. During exploratory laparotomy, catheterisation of the pancreatic duct with retrograde and orthograde flushing to remove the pancreatoliths was performed via a distal enterotomy and proximal left apical partial pancreatectomy respectively. Catheterisation and flushing of the common bile duct were performed to confirm patency prior to cholecystectomy. Bacterial culture of pancreatoliths, pancreatic tissue and bile grew a heavy, pure growth of Providencia rettgeri. Fluorescent immunostaining histopathology revealed clusters of rod-shaped bacteria within the pancreatic parenchyma and gall bladder mucosa. The cat received pradofloxacin for two weeks. She made a complete recovery and remained well at a six-month follow-up.

一只 12 岁的雌性绝育短毛猫在 4 天前出现嗜睡、食欲不振和呕吐症状。体格检查结果包括 2/6 级心脏杂音和触诊颅腹部疼痛。血清生化检查显示总胆红素和肝酶活性升高。腹部超声波检查发现多发性胰石、胆石症和胰管扩张。在探查性开腹手术中,通过远端肠管切开术和近端左心尖部分胰腺切除术,分别对胰管进行了导管插入术和逆行及正行冲洗,以清除胰石。在胆囊切除术前,对胆总管进行了导管插入和冲洗,以确认其通畅。胰石、胰腺组织和胆汁中的细菌培养出了大量纯净的普罗维登菌(Providencia rettgeri)。荧光免疫染色组织病理学检查显示,胰腺实质和胆囊粘膜内有成群的杆状细菌。猫咪接受了为期两周的普拉多沙星治疗。它完全康复,并在六个月的随访中保持良好状态。
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引用次数: 0
Immunoreactivity of eastern small eyed snake (Cryptophis nigrescens) venom towards species-specific antibodies of five medically important venomous Australian elapids 东部小眼蛇(Cryptophis nigrescens)毒液对五种具有重要医疗价值的澳大利亚毒蛇的物种特异性抗体的免疫反应。
IF 1.3 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-07-15 DOI: 10.1111/avj.13356
AM Padula

The eastern small eyed snake (Cryptophis nigrescens; CN) is an uncommon cause of snakebite in Australia despite the widespread distribution of the snake along the east coast of Australia. Diagnosis of envenomation relies on identification of the snake which is often not possible with animal snakebite cases. This study examined the immunoreactivity profile of CN venom towards specific rabbit IgG made against the medically relevant snake venom immunotypes found in Australia (tiger, brown, black, death adder and taipan). A simultaneous sandwich ELISA format was used to quantify CN venom binding to venom specific Protein A purified rabbit IgG. The binding profiles demonstrated weak binding of CN venom to rabbit IgG made against both tiger (N. scutatus) and black snake (P. australis) venoms with approximately 0.19% and 0.069% cross reactivity, respectively. However, the concentration of venom likely to be present in the urine of CN envenomed patients and the low cross reactivity suggest that envenomed veterinary patients are unlikely to be detected in the commercial snake venom detection kit. It is possible that CN envenomation is more common but may be underdiagnosed where snake venom antigen detection is relied upon solely. Serum biochemical abnormalities also overlap with other snake species found in the same geographical area. In respect of antivenom therapy, administration of tiger snake antivenom is supported by the binding data, but due to the low cross reactivity multiple vials may be required. Limited clinical evidence also supports the efficacy of tiger snake antivenom for envenomation by CN.

尽管东部小眼蛇(Cryptophis nigrescens; CN)广泛分布于澳大利亚东海岸,但在澳大利亚却并不常见。蛇咬伤的诊断依赖于对蛇的鉴定,而动物蛇咬伤病例往往无法做到这一点。本研究检测了CN蛇毒对特异性兔IgG的免疫反应谱,特异性兔IgG是针对在澳大利亚发现的医学相关蛇毒免疫类型(虎、褐、黑、死亡加藤蛇和奚班蛇)制成的。采用同步夹心酶联免疫吸附测定法量化 CN 毒液与毒液特异性蛋白 A 纯化兔 IgG 的结合情况。结合曲线显示,CN 毒液与针对虎蛇(N. scutatus)和乌梢蛇(P. australis)毒液的兔 IgG 的结合力较弱,交叉反应率分别约为 0.19% 和 0.069%。然而,氯化萘中毒患者尿液中可能存在的毒液浓度和较低的交叉反应性表明,商业蛇毒检测试剂盒不太可能检测到兽医患者中毒。氯化萘中毒可能更常见,但如果仅依靠蛇毒抗原检测,则可能诊断不足。血清生化异常也与同一地区发现的其他蛇类有重叠。在抗蛇毒血清治疗方面,结合数据支持使用虎蛇抗蛇毒血清,但由于交叉反应性低,可能需要使用多瓶抗蛇毒血清。有限的临床证据也证明了虎蛇抗蛇毒血清对氯化萘毒蛇咬伤的疗效。
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引用次数: 0
Emerging infectious disease prevention: Veterinary action required 预防新发传染病:需要兽医采取行动。
IF 1.3 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-06-16 DOI: 10.1111/avj.13355
RG Alders

Emerging and re-emerging infectious disease outbreaks have increased significantly over the past century, largely due to human actions, leading to distress, death and severe socio-economic implications. Coordinated actions by multiple sectors and disciplines are required to address these drivers. The challenge for the veterinary profession is to identify and prioritise the actions to which it can and should contribute. This review explores: the extent to which veterinary oaths promote attention to ecological sustainability; challenges faced during One Health implementation across diverse settings and possible solutions; and opportunities for veterinarians to assist with pandemic prevention by working to stop viral spillover at source. It aims to stimulate a discussion within the veterinary profession regarding how our current approaches: prevent or promote emerging infectious diseases and re-emerging infectious diseases; provide opportunities to improve our preventive contributions going forward; and can yield significant cobenefits.

在过去的一个世纪里,新发和再发传染病的爆发大幅增加,这主要是由于人类的行为,导致了痛苦、死亡和严重的社会经济影响。需要多个部门和学科采取协调行动来应对这些驱动因素。兽医行业面临的挑战是确定其能够并应该为之做出贡献的行动并确定其优先次序。本综述探讨了:兽医誓言在多大程度上促进了对生态可持续性的关注;在不同环境下实施 "同一健康 "时面临的挑战和可能的解决方案;以及兽医通过努力从源头阻止病毒外溢来协助预防大流行病的机会。本报告旨在激发兽医行业内的讨论,探讨我们目前的方法如何:预防或促进新发传染病和再次发生的传染病;提供机会,改进我们今后的预防工作;以及产生重大的共同利益。
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引用次数: 0
Frequency of workplace incidents and injuries in veterinarians, veterinary nurses and veterinary students and measures to control these 兽医、兽医护士和兽医专业学生工作场所事故和受伤的频率以及控制措施。
IF 1.3 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-06-06 DOI: 10.1111/avj.13354
L Johnson, L Fritschi

Background

Veterinarians, veterinary nurses and veterinary students work and train in a variety of environments and are exposed to a wide range of hazards.

Objectives

(1) To compare the rate of health and safety incidents and injuries between veterinarians, veterinary nurses and veterinary students. (2) To investigate the health and safety hazard controls present in Australian veterinary workplaces.

Study Design

A cross-sectional study, using an online questionnaire.

Methods

Anonymous links to the questionnaire were disseminated to Australian veterinarians, veterinary nurses and veterinary students.

Results

A total of 494 veterinarians, 484 veterinary nurses and 212 veterinary students completed the survey. Incidents and injuries were common, particularly sharps-related injuries and animal bites. Australian veterinary nurses and veterinarians experienced the studied incidents at similar rates to each other. Veterinary students experienced some incidents and injuries at rates higher than both veterinarians and veterinary nurses, including heatstroke, hypothermia, sunburn, electric shock, loss of consciousness, being rammed or pushed over by an animal and farm equipment injuries. Of the workplace hazard controls reported, first aid boxes were most commonly present, and safety meetings occurred least commonly. Veterinary nurses received Q fever and rabies vaccines much less frequently than veterinarians and veterinary students.

Conclusion

This study demonstrated that improvements need to be made to the occupational health and safety standards in the Australian veterinary sector. Veterinarians and veterinary nurses had suboptimal rates of access to many of the required and critical workplace health and safety controls. Improvements to the standard of health and safety training of veterinary students are indicated, given their higher rates of certain incidents and injury.

背景:目标:(1)比较兽医、兽医护士和兽医专业学生的健康与安全事故和受伤率。(研究设计:研究设计:横断面研究,采用在线问卷调查:方法:向澳大利亚兽医、兽医护士和兽医专业学生发送匿名问卷链接:共有 494 名兽医、484 名兽医护士和 212 名兽医专业学生完成了调查。事故和伤害很常见,尤其是与利器相关的伤害和动物咬伤。澳大利亚兽医护士和兽医经历所研究事件的比例相近。兽医学生经历的一些事故和伤害的发生率高于兽医和兽医护士,包括中暑、体温过低、晒伤、电击、失去知觉、被动物撞倒或推倒以及农场设备伤害。在报告的工作场所危害控制措施中,急救箱最常见,安全会议最不常见。兽医护士接种 Q 热疫苗和狂犬病疫苗的频率远远低于兽医和兽医专业学生:这项研究表明,澳大利亚兽医行业的职业健康和安全标准需要改进。兽医和兽医护士获得许多必要和关键的工作场所健康与安全控制措施的比例都不理想。鉴于兽医专业学生发生某些事故和受伤的比例较高,有必要提高他们的健康与安全培训标准。
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引用次数: 0
Critically appraised topic: the use of vaccination to control the spread of foot-and-mouth disease in Australian livestock in the event of an incursion 经过严格评审的专题:在澳大利亚牲畜口蹄疫入侵的情况下,使用疫苗接种来控制口蹄疫的传播。
IF 1.3 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-06-05 DOI: 10.1111/avj.13340
B Humphries, MP Ward

With recent outbreaks of foot-and-mouth disease (FMD) in Indonesia and Bali, industry, government and public concern for its incursion into Australia is increasing. The potential impact of an outbreak on the agricultural industry and national economy could be devastating. To date, research conducted in relation to FMD in Australia predominantly concerns simulations and models performed to predict various outcomes. This project critically appraises the current literature regarding the simulated use of vaccination and its effectiveness for controlling the spread of FMD in Australia in the event of an outbreak. Findings from 10 modelling studies suggest that vaccination is effective at controlling the size and duration of an outbreak (under certain conditions), however, there is less clarity about cost-effectiveness.

随着最近口蹄疫(FMD)在印度尼西亚和巴厘岛的爆发,业界、政府和公众对口蹄疫侵入澳大利亚的担忧与日俱增。疫情爆发对农业和国民经济的潜在影响可能是毁灭性的。迄今为止,有关澳大利亚口蹄疫的研究主要涉及为预测各种结果而执行的模拟和模型。本项目对有关模拟使用疫苗接种及其在澳大利亚口蹄疫爆发时控制口蹄疫传播效果的现有文献进行了批判性评估。10 项模拟研究的结果表明,(在某些条件下)接种疫苗可有效控制疫情的规模和持续时间,但成本效益方面的研究结果却不太明确。
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引用次数: 0
Analysis of substantiated welfare investigations in extensive farming systems in Victoria, Australia 澳大利亚维多利亚州粗放型养殖系统中经证实的福利调查分析。
IF 1.3 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-05-26 DOI: 10.1111/avj.13342
N Williams, L Hemsworth, S Chaplin, R Shephard, A Fisher

Substantiated incidents of poor welfare affecting cattle, sheep and goats (livestock) in non-dairy extensive farming systems continue to occur. This study sought to describe the common causes of poor welfare of livestock and the associated circumstances, by analysing 39 years of de-identified, livestock welfare investigation records. There were a total of 2179 alleged offenders (AOff), defined as individual/s that had an incident of poor welfare affecting livestock on at least one occasion. Approximately 27% of AOff were found to have poor welfare on more than one occasion. The majority of livestock welfare incidents were associated with neglect, more specifically, inadequate nutrition (56%), treatment (65%) and management/husbandry (83%). Records of malicious acts were rare (1%). In the analysis, cases were allocated to 10 animal welfare severity categories (AWSC) based on the number of incidents and visits, whether the AOff reoffended, or if the incident was ongoing and whether the welfare issue was likely to affect the whole herd. A significantly higher proportion of cases in the most severe AWSC had a failure to shear, mark, dip/drench, draft and wean/cull, were overstocked or were not providing proper and sufficient feed, compared to the least severe AWSC (P ≤ 0.05). Reoffending was significantly more likely when animals were found to be injured/unwell, recumbent, stuck in mud/yard/pen or in poor body condition, or when there was a failure to wean/cull, mark, dip/drench and draft. Some of the issues identified here may be risk factors more commonly identified on farms with poor livestock welfare.

在非乳畜牧业系统中,牛、绵羊和山羊(牲畜)福利不佳的确凿事件仍时有发生。本研究通过分析 39 年来去标识化的牲畜福利调查记录,试图描述牲畜福利差的常见原因和相关情况。共有 2179 名被控违规者(AOff),即至少有一次发生影响牲畜福利的不良事件的个人/团体。约有 27% 的违规者不止一次被发现福利不佳。大多数家畜福利事件与忽视有关,更具体地说,与营养不足(56%)、治疗(65%)和管理/饲养(83%)有关。恶意行为的记录很少(1%)。在分析中,根据事件和访问的次数、动物福利者是否再次犯罪、事件是否仍在继续、福利问题是否可能影响整个牛群等因素,将案例划分为 10 个动物福利严重程度类别(AWSC)。与最不严重的 AWSC 相比,在最严重的 AWSC 中,未进行剪毛、标记、浸泡/淋洗、牵引和断奶/淘汰、存栏过多或未提供适当和充足饲料的比例明显更高(P ≤ 0.05)。当发现动物受伤/不适、卧床不起、陷入泥泞/散养场/圈舍或体况不佳,或未进行断奶/宰杀、标记、浸泡/淋洗和牵引时,再次违规的可能性明显增大。这里发现的一些问题可能是牲畜福利差的农场更常见的风险因素。
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引用次数: 0
Prevalence of antimicrobial resistance at two private veterinary referral hospitals 两家私立兽医转诊医院的抗菌药耐药性流行情况。
IF 1.3 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-05-22 DOI: 10.1111/avj.13341
SO Border, CAD Morris, RE Donaldson

Antimicrobial resistance (AMR) is an emerging human and animal issue. The frequency of resistance to high importance antimicrobials, isolation of microbes of One Health importance and the nature and frequency of multi-drug resistant (MDR) profiles in Australian small animal referral practice have not been described previously. Medical databases of two private small animal referral hospitals in Queensland, Australia were reviewed for culture and susceptibility (C&S) results from 1 January to 31 December 2020. Hospital site (H1 and H2), culture sample, C&S results and MDR were documented for samples from services operating at both locations. There were 631 microbial isolates and 386 susceptibility profiles from 438 samples. The predominant organism was Staphylococcus pseudintermedius at H1 (n = 95) and Escherichia coli at H2 (n = 23). The majority of samples were integumentary (H1 n = 216, H2 n = 75) or urogenital (H1 n = 74, H2 n = 70). MDR isolates were reported at both hospitals, and were significantly more likely at H1 (69/262, 26.3% vs. 12/121, 9.9%; P < 0.001). High levels of AMR including MDR profiles were reported at the two hospitals evaluated, but they had significantly different resistance patterns and microbial profiles. These results highlight the need to practice appropriate antimicrobial stewardship in veterinary medicine, and are supportive for individual hospital surveillance with antibiograms.

抗菌药耐药性(AMR)是一个新出现的人类和动物问题。澳大利亚小型动物转诊实践中对重要抗菌药物产生耐药性的频率、对 "一体健康 "具有重要意义的微生物的分离情况以及耐多药(MDR)情况的性质和频率,以前都没有描述过。我们查阅了澳大利亚昆士兰州两家私立小型动物转诊医院的医疗数据库,以了解 2020 年 1 月 1 日至 12 月 31 日期间的培养和药敏性(C&S)结果。对两家医院的样本进行了医院地点(H1 和 H2)、培养样本、C&S 结果和 MDR 记录。从 438 个样本中分离出 631 个微生物和 386 个药敏谱。H1 的主要微生物是假中间葡萄球菌(95 个),H2 的主要微生物是大肠杆菌(23 个)。大多数样本为皮肤黏膜(H1 n = 216,H2 n = 75)或泌尿生殖系统(H1 n = 74,H2 n = 70)。两家医院都报告了 MDR 分离物,而在 H1,MDR 分离物的比例明显更高(69/262,26.3% vs. 12/121,9.9%;P
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引用次数: 0
Evidence-based practice in canine artificial insemination 犬类人工授精的循证实践。
IF 1.3 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-05-11 DOI: 10.1111/avj.13336
CJ Joonè

A number of methods are currently used to predict the optimal date of insemination of the breeding bitch, particularly with the use of frozen–thawed canine semen which has a far shorter lifespan than fresh semen. Aside from confirming cytological oestrus, vaginal cytology is of no assistance in predicting the most fertile day(s) in a bitch; however, a neglected avenue of research suggests that vaginal cytology may be of great importance in confirming the days of optimal fertility retrospectively. Similarly, vaginoscopy provides clues as to the stage of a bitch's cycle but is inadequate as a sole determinant of her most fertile days. Nevertheless, vaginoscopy is useful to identify very late oestrus and the onset of dioestrus, as well as Stage I of labour (cervical dilatation). Due to variations in the rate at which circulating progesterone concentrations rise in individual bitches, the reliability of circulating progesterone concentrations for determining the optimal day(s) of insemination with frozen–thawed semen decreases as values rise. Moreover, progesterone assay results can vary widely due to extrinsic factors such as the time of blood sampling, sample storage conditions and the assay employed. Finally, this review investigates evidence surrounding various insemination routes and suggests that well-performed vaginal insemination, even with frozen–thawed semen, may be an acceptable approach for cases where transcervical insemination is impractical.

目前有多种方法可用于预测繁殖母犬的最佳授精日期,尤其是使用冷冻解冻的犬精液,因为冷冻解冻精液的寿命远远短于新鲜精液。除了确认细胞学发情外,阴道细胞学检查对预测母犬的最佳受精日没有任何帮助;然而,一项被忽视的研究表明,阴道细胞学检查对回顾性确认最佳受精日可能非常重要。同样,阴道镜检查可提供母犬生理周期阶段的线索,但不足以单独确定母犬的最佳受精日。尽管如此,阴道镜检查对识别发情后期和发情初期以及第一产程(宫颈扩张)还是很有用的。由于每头母犬体内循环孕酮浓度的上升速度不同,用循环孕酮浓度来确定冷冻解冻精液的最佳授精日的可靠性会随着数值的上升而降低。此外,孕酮检测结果也会因采血时间、样本储存条件和所用检测方法等外在因素而有很大差异。最后,这篇综述调查了各种人工授精途径的相关证据,并提出,在经宫颈人工授精不可行的情况下,即使使用冷冻解冻精液,操作良好的阴道人工授精也可能是一种可接受的方法。
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引用次数: 0
Virulence-associated genes in faecal and clinical Escherichia coli isolates cultured from broiler chickens in Australia 澳大利亚肉鸡粪便和临床大肠埃希氏菌分离物中的病毒相关基因。
IF 1.3 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-05-09 DOI: 10.1111/avj.13339
L Awawdeh, R Forrest, C Turni, R Cobbold, J Henning, J Gibson

A healthy chicken's intestinal flora harbours a rich reservoir of Escherichia coli as part of the commensal microbiota. However, some strains, known as avian pathogenic E. coli (APEC), carry specific virulence genes (VGs) that enable them to invade and cause extraintestinal infections such as avian colibacillosis. Although several VG combinations have been identified, the pathogenic mechanisms associated with APEC are ill-defined. The current study screened a subset of 88 E. coli isolates selected from 237 pre-existing isolates obtained from commercial poultry flocks in Australia. The 88 isolates were selected based on their enterobacterial repetitive intergenic consensus (ERIC) and antimicrobial resistance (AMR) profiles and included 29 E. coli isolates cultured from chickens with colibacillosis (referred to as clinical E. coli or CEC) and 59 faecal E. coli (FEC) isolates cultured from clinically healthy chickens. The isolates were screened for the presence of 35 previously reported VGs. Of these, 34 were identified, with iucA not being detected. VGs focG, hlyA and sfa/foc were only detected in FEC isolates. Eight VGs had a prevalence of 90% or above in the CEC isolates. Specifically, astA (100%); feoB (96.6%); iutA, iss, ompT, iroN and hlyF (all 93.1%); and vat (89.7%). The prevalence of these were significantly lower in FEC isolates (astA 79.7%, feoB 77.9%, iutA 52.5%, iss 45.8%, ompT 50.9%, iroN 37.3%, hlyF 50.9% and vat 42.4%). The odds ratios that each of these eight VGs were more likely to be associated with CEC than FEC ranged from 7.8 to 21.9. These eight VGs may be used to better define APEC and diagnostically detect APEC in Australia. Further investigations are needed to identify the roles of these VGs in pathogenicity.

作为共生微生物群的一部分,健康鸡的肠道菌群中含有丰富的大肠埃希氏菌。然而,一些被称为禽致病性大肠杆菌(APEC)的菌株携带特异性毒力基因(VGs),使其能够入侵并引起肠道外感染,如禽大肠杆菌病。虽然已经确定了几种 VG 组合,但与 APEC 相关的致病机制尚不明确。目前的研究筛选了从澳大利亚商业禽群中获得的 237 个已有分离物中选出的 88 个大肠杆菌分离物子集。这 88 个分离物是根据其肠杆菌重复基因间共识(ERIC)和抗菌药耐药性(AMR)特征筛选出来的,其中包括 29 个从患有大肠杆菌病(称为临床大肠杆菌或 CEC)的鸡中培养出来的大肠杆菌分离物和 59 个从临床健康鸡中培养出来的粪便大肠杆菌(FEC)分离物。对这些分离物进行了筛查,以确定是否含有 35 种以前报道过的 VG。其中 34 个已被鉴定,iucA 未被检测到。VGs focG、hlyA 和 sfa/foc 只在 FEC 分离物中检测到。有 8 种 VG 在 CEC 分离物中的流行率达到或超过 90%。具体包括:astA(100%);feoB(96.6%);iutA、iss、ombT、iroN 和 hlyF(均为 93.1%);以及 vat(89.7%)。这些基因在 FEC 分离物中的流行率明显较低(astA 79.7%、feoB 77.9%、iutA 52.5%、iss 45.8%、ombT 50.9%、iroN 37.3%、hlyF 50.9%和 vat 42.4%)。这八种 VG 与 CEC 相关的几率比与 FEC 相关的几率大,从 7.8 到 21.9 不等。在澳大利亚,这八种 VG 可用于更好地定义 APEC 和诊断性检测 APEC。还需要进一步调查,以确定这些 VGs 在致病性中的作用。
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引用次数: 0
Copper hepatopathies in Australian dogs 澳大利亚犬的铜肝病
IF 1.3 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-04-29 DOI: 10.1111/avj.13338
J Mutton, S Yeomans, J White

Introduction

To evaluate hepatopathies in Australian dogs according to the World Small Animal Veterinary Association (WSAVA) guidelines. Specifically, to describe the prevalence and survival of dogs with copper-associated hepatopathy.

Materials and methods

Medical records from the Small Animal Specialist Hospital were reviewed to identify dogs with liver disease and liver biopsy between November 2008 and November 2021. Liver histopathology reports were reviewed with a board-certified veterinary pathologist and classified according to the WSAVA guidelines. Histopathology reports and clinical records were reviewed to ascertain the most important histological process for statistical analysis. Copper-associated hepatopathy was defined as (i) histological evidence of copper accumulation in centrilobular areas (Zone 3) associated with hepatocyte necrosis, inflammation with copper-laden macrophages and chronic hepatitis (ii) histochemical copper staining showing hepatocyte copper accumulation in the centrilobular areas and iii) hepatic copper measurement with concentrations greater than 600 μg/g dry weight of liver. Dogs with primary inflammatory parenchymal disease included dogs with copper-associated hepatopathy, idiopathic chronic hepatitis, non-specific reactive hepatitis, chronic bacterial hepatitis and immune-mediated chronic hepatitis. Descriptive statistics were performed for all dogs. Age, weight and clinicopathologic data were compared between dogs with copper-associated hepatopathy and dogs with other causes of chronic primary inflammatory parenchymal liver disease (Kruskal–Wallis test). Survival times were calculated and compared (Kaplan–Meier curves and log rank test) between dogs with copper-associated hepatopathy and dogs with other chronic primary inflammatory parenchymal liver diseases. Breed was evaluated to determine the breed most commonly affected with copper-associated hepatopathy and identify any breed in which this disease has not previously been described.

Results

Sixty-seven (43 female, 24 male) dogs with a median age of 7.8 years (quartile [Q] Q1-Q3 4.5–9.6 years) were included. Thirteen dogs had copper-associated hepatopathy, eight dogs had idiopathic chronic hepatitis, eight dogs had non-specific reactive hepatitis, seven dogs had disorders associated with portal hypertension, five dogs had chronic bacterial hepatitis and four dogs had immune-mediated chronic hepatitis. Compared with dogs with other causes of chronic primary inflammatory parenchymal liver disease, dogs with copper-associated hepatopathy tended to be younger (6.73 vs. 8.01 years, P = 0.057) and heavier (19.8 vs. 9.6 kg, P = 0.052

引言根据世界小动物兽医协会(WSAVA)指南评估澳大利亚犬只的肝病。材料和方法对小动物专科医院的医疗记录进行审查,以确定在 2008 年 11 月至 2021 年 11 月期间患有肝病并进行了肝活检的犬只。肝脏组织病理学报告由一名获得兽医病理学家资格认证的兽医进行审查,并根据 WSAVA 指南进行分类。对组织病理学报告和临床记录进行审查,以确定最重要的组织学过程,从而进行统计分析。铜相关性肝病的定义是:(i) 组织学证据显示中央叶区(3 区)有铜积聚,并伴有肝细胞坏死、含铜巨噬细胞的炎症和慢性肝炎;(ii) 组织化学铜染色显示中央叶区有肝细胞铜积聚;(iii) 肝脏铜测量值大于 600 μg/g 干重。患有原发性炎症实质疾病的犬包括铜相关性肝病、特发性慢性肝炎、非特异性反应性肝炎、慢性细菌性肝炎和免疫介导的慢性肝炎。对所有犬只进行了描述性统计。比较了铜相关性肝病和其他原因引起的慢性原发性炎症性实质肝病的狗的年龄、体重和临床病理数据(Kruskal-Wallis 检验)。计算并比较铜相关性肝病患犬与其他慢性原发性炎症性实质肝病患犬的存活时间(Kaplan-Meier 曲线和对数秩检验)。对犬的品种进行了评估,以确定最常患铜相关性肝病的犬种,并找出以前未曾描述过这种疾病的犬种。结果共纳入 67 只犬(43 只雌犬,24 只雄犬),中位年龄为 7.8 岁(四分位 [Q] Q1-Q3 4.5-9.6 岁)。其中 13 只狗患有铜相关性肝病,8 只狗患有特发性慢性肝炎,8 只狗患有非特异性反应性肝炎,7 只狗患有门静脉高压症相关疾病,5 只狗患有慢性细菌性肝炎,4 只狗患有免疫介导的慢性肝炎。与其他原因引起的慢性原发性炎症性实质肝病的狗相比,铜相关性肝病的狗往往更年轻(6.73 岁对 8.01 岁,P = 0.057)、更重(19.8 千克对 9.6 千克,P = 0.052)。ALT (P = 0.30)、ALP (P = 0.18)和总胆红素(P = 0.13)在两组之间的比较没有统计学差异。结论铜相关性肝病在患有慢性肝病的澳大利亚犬中很常见,与其他原因引起的原发性炎症性实质肝病相比,铜相关性肝病多发于年龄较小、体重较大的犬。临床病理学对于区分铜相关性肝病和其他原因引起的慢性原发性炎症性实质肝病并无帮助。如果铜相关性肝病得到治疗,预后会很好。这是首次报告澳大利亚查理士王小猎犬患铜相关性肝病。
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引用次数: 0
期刊
Australian Veterinary Journal
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