埃塞俄比亚中部高地选定地点奶牛及其饲主的布鲁氏菌病血清流行率

Temesgen Kassa Getahun, Beksisa Urge, Gezahegn Mamo
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摘要

2019年12月至2020年5月,在埃塞俄比亚奥罗米亚中部高地的选定地点进行了一项横断面研究,目的是确定最近流产病例的奶牛及其所有者和农场工人的血清患病率并确定布鲁氏菌病的潜在危险因素。采用RBPT和CFT联合检测,牛布鲁氏菌病和人布鲁氏菌病的总血清阳性率分别为0.61% (95%CI: 0.016-2.09)和1.21% (95%CI: 0.032-4.27)。流产后期(OR = 14.74, p= 0.0002)、胎膜残留(OR = 32.74, p=0.006)、市场置换(OR = 16.55, p=0.002)和产房栏存在(OR = 11.511, p=0.027)与奶牛布鲁氏菌感染血清阳性显著相关。人的居住环境(OR = 1.8, p= 0.002)、接触流产胎(OR = 21.19, p= 0.017)、饮用流产牛(OR = 5.72, 0.019)和残留胎膜(OR = 4.22, p= 0.029)的生乳对人布鲁氏菌病血清阳性均有显著影响。对284名受访者进行了结构化访谈。因此,大多数应答者不了解牛布鲁氏菌病及其人畜共患效应(93.3%),相比之下,大多数应答者饮用生奶。鉴于这种低流行率,建议实施带有补偿的检测和屠宰策略。就人类布鲁氏菌病而言,应实行一种卫生方针框架。
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Seroprevalence of Brucellosis in dairy animals and their owners in selected sites, Central Highlands of Ethiopia
A cross-sectional study was conducted from December, 2019 to May, 2020 with the aim of determining seroprevalence and identifying the potential risk factors of brucellosis in dairy cows with recent cases of abortion and their owners and farm workers in selected sites in the central highland of Oromia, Ethiopia. The overall seroprevalence of bovine and human brucellosis was 0.61% (95%CI: 0.016–2.09) and 1.21% (95%CI: 0.032–4.27) using combined RBPT and CFT tests, respectively. The late stage of abortion (OR = 14.74, p =0.0002), retained fetal membrane (OR = 32.74, p=0.006), market-based stock replacement (OR = 16.55, p=0.002), and presence of parturition pen (OR = 11.511, p=0.027) were found to be significantly associated with seropositivity for Brucella infection in dairy cattle. Human housing (OR = 1.8, p = 0.002), contact with aborted fetus (OR = 21.19, p = 0.017), and drinking raw milk from aborted (OR = 5.72, 0.019) and retained fetal membrane (OR = 4.22, p= 0.029) cows all had a significant influence on human brucellosis seropositivity. A structured interview question was administered to 284 respondents. Accordingly, most respondents had no knowledge of bovine brucellosis and their zoonotic effects (93.3%) in contrast most of them drink raw milk. Implementation of a test and slaughter strategy with compensation is recommended with this low prevalence. In the case of human brucellosis, implementing one health approach framework should be practiced.
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