孟加拉国Chattogram地区奶牛牛结核病的血清流行病学研究

Mohammad Belayet Hossain, Md. Abu Sayeed, Md. Shohel Al Faruk, Md. Mamun-Ur-Rashid Khan, Md. Aftabuddin Rumi̇, M. A. Hoque
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摘要

牛分枝杆菌引起的牛结核病(bTB)是一个全球性的公共卫生问题和具有重要商业意义的人畜共患疾病。许多野生和家养动物,包括牛,易患这种致命疾病,并在跨物种传播中发挥重要作用。为了更好地了解奶牛中的bTB,还需要进行bTB血清学研究,以便在孟加拉国确定有效的bTB控制策略。然而,在孟加拉国,血清流行病学研究要么不存在,要么有限(特别是Chattogram)。为了确定奶牛中bTB的血清患病率和相关可能的危险因素,进行了一项血清学横断面研究(动物和农场水平)。在本次调查中,我们估计bTB的血清患病率为7.5%(N=442),并确定了一个动物水平和两个农场水平的可能危险因素。个体动物危险因素包括牛源(自有畜群:OR=3.4, 95%CI: 1.4-8.1, p=0.006),农场危险因素包括种群规模(较大:OR= 26.2, 95%CI: 2.2-319.1, p=0.010)和放养密度(低、中等:OR=19.6, 95%CI: 1.5-261.5, p=0.024)。在面对面的住房系统中,bTB血清阳性的风险也更高(OR=4.5)。该研究的主要发现得到了彻底的探讨,这些发现将有助于孟加拉国预防和控制结核。此外,早期发现阳性病例,以及及时清除病例和采取良好的农场管理措施,可有助于防止结核向新的人类或牛宿主传播。在孟加拉国等欠发达国家,与当地公共卫生官员的协调努力对于实施有效的结核病控制计划至关重要。
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Sero-epidemiology of bovine tuberculosis in dairy cattle in Chattogram, Bangladesh
Mycobacterium bovis-caused bovine tuberculosis (bTB) is a global public health concern and commercially significant zoonotic disease. Many wild and domesticated animals, including cattle, are susceptible to this fatal disease and play an important role in cross-species transmission. To gain a better understanding of bTB in dairy cattle, a bTB serological study is also necessary in order to identify efficient bTB control strategies in Bangladesh. In Bangladesh, however, seroepidemiological research is either non-existent or limited (particularly Chattogram). To determine the seroprevalence of bTB and related possible risk factors in dairy cattle, a serological cross-sectional study was conducted (both animal and farm level). We estimated the seroprevalence of bTB was 7.5%(N=442) in this investigation, which also identified one animal-level and two farm-level possible risk factors. Individual animal risk factors included cattle source (own stock: OR=3.4, 95% CI: 1.4-8.1, p=0.006), and farm risk factors included population size (Larger: OR= 26.2, 95% CI: 2.2-319.1, p=0.010) and stocking density (Low and moderate: OR=19.6, 95%CI: 1.5-261.5, p=0.024). In the face-in housing system, there was also a higher risk of bTB seropositivity (OR=4.5). The research's key findings are thoroughly explored, and the findings will aid in the prevention and control of bTB in Bangladesh. In addition, early detection of positive cases, as well as their prompt removal and good farm management practices, can assist in preventing the spread of bTB to new human or bovine hosts. In underdeveloped nations like Bangladesh, a coordinated effort with local public health officials is critical for implementing an efficient TB control program.
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