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1.
Vet Parasitol ; 322: 110005, 2023 Oct.
Article in English | MEDLINE | ID: mdl-37729829

ABSTRACT

While anthelmintic treatment in young calves at first vaccination has not proven repeatedly effective in improving weight gain, there is evidence that treatment 90 day prior to weaning can enhance weight gain. This is difficult in most California cow/calf operations as after initial vaccination, calves are not again handled until preconditioning just prior to weaning. In an attempt to increase weight gain without the need for anthelmintic retreatment prior to preconditioning, 130 cow/calf pairs were stratified and assigned to three treatments of eprinomectin extended release injection (150 d efficacy), doramectin conventional injection, and an untreated control. Dams and calves received the same treatment. All treatments were commingled on irrigated pasture in Northern California. Sampling included weight (d 0, 75, and 145), fecal parasite (d 0, 14, 75, and 145), cow body condition score (d 0, 75, and 145), and cow pregnancy detection (days bred). Calf weight gain was not impacted by anthelmintic treatment (P = 0.44). However, cow weight gain was impacted by treatment (P < 0.01), with eprinomectin extended release showing higher weight gain than both doramectin conventional and the control (ADG kg 0.29, 0.23, 0.22, respectively). Cow weight gain differences were expressed greater toward the end of the trial than early on. Fecal egg count sampling failed to explain the difference in cow weight gain. Cow body condition score (P = 0.15) and days bred (P = 0.50) were not significantly affected by treatment. Although cow weight gain increased with an extended release anthelmintic treatment, this effect did not seem to be evident in suckling calves on high quality irrigated pastures in Northern California when compared to a conventional injectable and control treatments. Neither anthelmintic treatment appeared beneficial over a control when administered to suckling calves during initial vaccination at approximately 90 days of age.

2.
Front Microbiol ; 14: 1086203, 2023.
Article in English | MEDLINE | ID: mdl-36910206

ABSTRACT

Antimicrobials are necessary for the treatment of bacterial infections in animals, but increased antimicrobial resistance (AMR) is becoming a concern for veterinarians and livestock producers. This cross-sectional study was conducted on cow-calf operations in northern California to assess prevalence of AMR in Escherichia coli and Enterococcus spp. shed in feces of beef cattle of different life stages, breeds, and past antimicrobial exposures and to evaluate if any significant factors could be identified that are associated with AMR status of the isolates. A total of 244 E. coli and 238 Enterococcus isolates were obtained from cow and calf fecal samples, tested for susceptibility to 19 antimicrobials, and classified as resistant or non-susceptible to the antimicrobials for which breakpoints were available. For E. coli, percent of resistant isolates by antimicrobial were as follows: ampicillin 100% (244/244), sulfadimethoxine 25.4% (62/244), trimethoprim-sulfamethoxazole 4.9% (12/244), and ceftiofur 0.4% (1/244) while percent of non-susceptible isolates by antimicrobial were: tetracycline 13.1% (32/244), and florfenicol 19.3% (47/244). For Enterococcus spp., percent of resistant isolates by antimicrobial were as follows: ampicillin 0.4% (1/238) while percent of non-susceptible isolates by antimicrobial were tetracycline 12.6% (30/238) and penicillin 1.7% (4/238). No animal level or farm level management practices, including antimicrobial exposures, were significantly associated with differences in isolate resistant or non-susceptible status for either E. coli or Enterococcus isolates. This is contrary to the suggestion that administration of antibiotics is solely responsible for development of AMR in exposed bacteria and demonstrates that there are other factors involved, either not captured in this study or not currently well understood. In addition, the overall use of antimicrobials in this cow-calf study was lower than other sectors of the livestock industry. Limited information is available on cow-calf AMR from fecal bacteria, and the results of this study serve as a reference for future studies to support a better understanding and estimation of drivers and trends for AMR in cow-calf operations.

3.
Vet Anim Sci ; 15: 100238, 2022 Mar.
Article in English | MEDLINE | ID: mdl-35243126

ABSTRACT

Neonatal calf diarrhea (NCD), also known as scours, is an important disease of preweaned calves that affects the production and welfare of beef herds. While hygiene and nutrition are important in reducing the incidence of NCD, vaccination of dams or calves is often employed for the prevention of NCD. The present scoping review summarizes the available peer-reviewed scientific English literature on vaccination of dams or calves for the prevention of NCD over the past decades. The online databases Medline, CAB Abstracts, and Biosis were searched for articles on the topic published between 1950 and 2020. Online software was used to systematically evaluate 2807 citations for inclusion through pre-determined criteria in a 2-step process. In the 113 articles included in the review, vaccines tested targeted the pathogens E. coli (n = 43), bovine rotavirus (BRV, n = 38), Salmonella (n = 29), bovine coronavirus (BCV, n = 14), bovine viral diarrhea virus (n= 7), and other pathogens (n = 8). Field trials for commercial vaccines have been published for the most important pathogens, and results on efficacy are variable for such vaccines targeting BRV, BCV, and E. coli. Meta-analyses exploring efficacy of these vaccines would be helpful to practitioners and producers. No field studies on commercial products have shown efficacy for Salmonella vaccines so that a meta-analysis would unlikely come to a different conclusion. Further research is needed on vaccines for protozoal pathogens like Cryptosporidium parvum as well as on the importance of several emerging enteric viruses in calves.

4.
Animals (Basel) ; 12(3)2022 Jan 29.
Article in English | MEDLINE | ID: mdl-35158660

ABSTRACT

The presented scoping review summarizes the available research evidence and identifies gaps in knowledge for bovine respiratory disease (BRD) prevention. Published literature on BRD from 1990 to April 2021 was searched in online databases, including Medline, CAB Abstracts, Scopus, Biosis, and Searchable Proceedings of Animal Conferences. Citations were systematically evaluated in a three-stage approach using commercial software and summarized in a scoping review format. A total of 265 publications were included in this review with herd/farm management (27.9%) as the most prevalent factors studied, followed by metaphylaxis (24.5%), vaccinations (24.1%), diet formulations, and nutritional supplementations (17.7%), animal characteristics (10.2%), and less common interventions and risk factors (6.4%). A high proportion of studies under herd/farm management (73%), metaphylaxis (86%), vaccinations (70%), animal characteristics (78%), and less common interventions and risk factors (59%) showed either significant effects on reducing BRD morbidity or significant differences of BRD between treatments. However, diet and nutritional supplementations reduced BRD only in 30% of research publications. Most studies on BRD were performed in feedlot populations, and more studies in cow-calf populations are needed. We further suggest meta-analyses on the use of yeast and trace mineral supplementation, and nitric oxide-releasing solution for BRD prevention.

5.
Animals (Basel) ; 11(11)2021 Nov 12.
Article in English | MEDLINE | ID: mdl-34827962

ABSTRACT

Wildfires are increasing in frequency and severity across the Western United States. However, there is limited information available on the impacts these fires are having on the livelihood of livestock producers and their animals. This work presents the results of a survey evaluating the direct and indirect impacts of the 2020 wildfire season on beef cattle, dairy cattle, sheep, and goat, producers in California, Oregon, and Nevada. Seventy completed surveys were collected between May and July 2021. While dairy producers reported no direct impacts from the fires, beef, sheep, and goat producers were impacted by evacuations and pasture lost to fires. Only beef producers reported losses due to burns and burn-associated deaths or euthanasia. Dairy, beef, sheep, and goat producers observed reduced conception, poor weight gain, and drops in milk production. All but dairy producers also observed pneumonia. Lower birthweights, increased abortion rates, and unexplained deaths were reported in beef cattle, sheep, and goats. This work documents the wide-ranging impacts of wildfires on livestock producers and highlights the need for additional work defining the health impacts of fire and smoke exposure in livestock, as well as the policy changes needed to support producers experiencing direct and indirect losses.

6.
Transl Anim Sci ; 5(4): txab162, 2021 Oct.
Article in English | MEDLINE | ID: mdl-34693213

ABSTRACT

Infectious bovine keratoconjunctivitis (IBK) is a painful ocular disease in cattle that is characterized by the presence of a corneal ulcer and production losses. A common industry practice is to cover an affected eye with a piece of cloth to reduce exposure to face flies and ultraviolet light with the goal of alleviating pain, accelerating healing, and reducing spread. To study the efficacy of eye patches in the treatment of IBK, a group of 216 clinically normal Angus crossbred steers were followed between April and August 2019 and evaluated weekly for the development of IBK. Eyes of cattle that developed IBK were enrolled with a blocked randomization scheme based on ulcer severity score to receive either an eye patch (treatment group) or no eye patch (control group). All treatment and control group animals received parenteral antimicrobial and nonsteroidal anti-inflammatory treatments and were housed in a pasture separated from the rest of the cohort for a maximum of 28 d or until clinical cure. Corneal ulcer areas were measured, and body weights were recorded twice weekly for steers in the treatment and control groups. Weights of all steers in the cohort were recorded three times during the trial period. The primary outcome, rate of corneal ulcer healing, was higher (P = 0.001) for lesions in eyes receiving an eye patch as determined by a linear mixed model that controlled for ulcer severity score at enrollment and previous IBK in the opposite eye. Median corneal ulcer healing time was 10 (IQR [Interquartile range] 7-17) d for patched eyes vs. 14 (IQR 7-21) d for unpatched eyes. In a Cox proportional hazards model adjusted for severity score at diagnosis, the hazard ratio for ulcer healing was 1.62 (95% CI: 1.02-2.56, P = 0.042) for eyes that received a patch compared to eyes that did not. Among all 216 steers in the cohort, those that were diagnosed with IBK had a numerically higher average daily gain (ADG) (0.45 [±SE 0.01] kg) vs. those that were not (0.42 [±SE 0.12] kg; P = 0.06). In enrolled steers that received a patch, the secondary outcome ADG was 0.47 (±SE 0.02) kg compared to 0.43 (±SE 0.02) kg in controls (P = 0.22). Weight gain may have been confounded by pasture during the treatment period. Results of this trial support the use of this low-cost intervention; further investigation into possible reasons for observed differences in weight gain may be warranted.

7.
Vet Clin North Am Food Anim Pract ; 37(2): 279-293, 2021 Jul.
Article in English | MEDLINE | ID: mdl-34049659

ABSTRACT

Infectious bovine keratoconjunctivitis (IBK) involves multiple factors and opportunistic pathogens, including members of the genus Moraxella, specifically M bovis. The causal role of M bovis is clear, where the presence of virulence factors that facilitate colonization (pili) and host cytotoxicity (RTX toxins) are well characterized, and IBK has been reproduced in many models. Experimental infection with M bovoculi has failed to reproduce IBK-typical lesions in cattle thus far. However, recent work using genomics and mass spectrometry have found genomic diversity and recombination within these species, making species differentiation complex and challenging the ability to assign IBK causality to these organisms.


Subject(s)
Cattle Diseases/microbiology , Keratoconjunctivitis, Infectious/microbiology , Moraxella/classification , Moraxellaceae Infections/veterinary , Animals , Cattle , Moraxella/genetics , Moraxellaceae Infections/microbiology
8.
Vet Clin North Am Food Anim Pract ; 37(2): 309-320, 2021 Jul.
Article in English | MEDLINE | ID: mdl-34049661

ABSTRACT

Environmental factors that contribute to the pathogenesis of infectious bovine keratoconjunctivitis (IBK) include face flies, ultraviolet (UV) radiation, and mechanical irritation from plant awns or dust. Limited research has shown face fly control to be associated with lower incidence of IBK. UV radiation is known to cause corneal irritation and damage in mammalian species. The increased formation of corneal dark cells has been observed following UV radiation in exposed calves. Moraxella bovis preferentially binds to corneal dark cells where it can be found in pits, which may be formed due to bacterial contact. Little is known about the efficacy of management of pasture plants on the prevention of IBK.


Subject(s)
Cattle Diseases/etiology , Diptera , Eye Foreign Bodies/veterinary , Keratoconjunctivitis, Infectious/etiology , Animal Husbandry , Animals , Cattle , Cattle Diseases/prevention & control , Ultraviolet Rays
9.
Vet Clin North Am Food Anim Pract ; 37(2): 295-308, 2021 Jul.
Article in English | MEDLINE | ID: mdl-34049660

ABSTRACT

Infectious bovine keratoconjunctivitis (IBK) is a multifactorial disease complex caused by opportunistic pathogens, classically those members of the genus Moraxella. However, IBK in some situations is associated with other potentially pathogenic agents, which include Mycoplasma bovoculi, Mycoplasma bovis, Ureaplasma diversum, bovine herpesviruses, and Chlamydia sp. Ocular infections that may resemble IBK are also caused by Listeria monocytogenes. These agents and their association with IBK are reviewed in this article.


Subject(s)
Bacteria/classification , Cattle Diseases/microbiology , Keratoconjunctivitis, Infectious/microbiology , Animals , Bacteria/genetics , Bacteria/metabolism , Cattle , Moraxella/classification , Virulence Factors/metabolism
10.
Vet Clin North Am Food Anim Pract ; 37(2): 341-353, 2021 Jul.
Article in English | MEDLINE | ID: mdl-34049664

ABSTRACT

Pili and cytotoxins are important virulence factors and antigens for Moraxella spp. Local and systemic immunity may play a role in the body's response to infectious bovine keratoconjunctivitis (IBK). No evidence exists that eliminating the carrier state for IBK is possible or beneficial. Evidence for efficacious transfer of passive immunity from dams to calves is conflicting. Autogenous vaccines and commercial vaccines for putative pathogens for IBK have not yet shown efficacy in blinded randomized field trials. Study design features, such as randomization, blinding, diagnostic criteria, and use of a placebo, reduce the risk of bias in vaccine studies for IBK.


Subject(s)
Bacterial Vaccines/immunology , Cattle Diseases/prevention & control , Keratoconjunctivitis, Infectious/prevention & control , Vaccination/veterinary , Animals , Bacterial Vaccines/administration & dosage , Cattle , Keratoconjunctivitis, Infectious/immunology
11.
Vet Clin North Am Food Anim Pract ; 37(2): 371-379, 2021 Jul.
Article in English | MEDLINE | ID: mdl-34049666

ABSTRACT

In this article, the authors summarize the future needs from a research perspective to make the greatest gains. They discuss the areas of research: diagnosis, epidemiology, economic impact, prevention, and treatment. In some areas, simple studies with little cost could be conducted that would quickly add to the evidence base. In other areas, substantial investment is needed if new study approaches, which do not repeat past studies' failures, are to be conducted. To maximize the value of research funding, it is essential to critically evaluate the information gains from prior studies and ensure that studies increase knowledge incrementally.


Subject(s)
Bacterial Vaccines/immunology , Cattle Diseases/drug therapy , Keratoconjunctivitis, Infectious/drug therapy , Animals , Cattle , Cattle Diseases/prevention & control , Keratoconjunctivitis, Infectious/prevention & control
12.
Anim Health Res Rev ; 21(2): 153-159, 2020 12.
Article in English | MEDLINE | ID: mdl-33323149

ABSTRACT

Bovine respiratory disease (BRD) is the leading natural cause of death in US beef and dairy cattle, causing the annual loss of more than 1 million animals and financial losses in excess of $700 million. The multiple etiologies of BRD and its complex web of risk factors necessitate a herd-specific intervention plan for its prevention and control on dairies. Hence, a risk assessment is an important tool that producers and veterinarians can utilize for a comprehensive assessment of the management and host factors that predispose calves to BRD. The current study identifies the steps taken to develop the first BRD risk assessment tool and its components, namely the BRD risk factor questionnaire, the BRD scoring system, and a herd-specific BRD control and prevention plan. The risk factor questionnaire was designed to inquire on aspects of calf-rearing including management practices that affect calf health generally, and BRD specifically. The risk scores associated with each risk factor investigated in the questionnaire were estimated based on data from two observational studies. Producers can also estimate the prevalence of BRD in their calf herds using a smart phone or tablet application that facilitates selection of a true random sample of calves for scoring using the California BRD scoring system. Based on the risk factors identified, producers and herd veterinarians can then decide the management changes needed to mitigate the calf herd's risk for BRD. A follow-up risk assessment after a duration of time sufficient for exposure of a new cohort of calves to the management changes introduced in response to the risk assessment is recommended to monitor the prevalence of BRD.


Subject(s)
Bovine Respiratory Disease Complex/prevention & control , Animals , Cattle , Cohort Studies , Dairying , Female , Prevalence , Risk Assessment , Risk Factors
13.
J Dairy Sci ; 102(8): 7329-7344, 2019 Aug.
Article in English | MEDLINE | ID: mdl-31202651

ABSTRACT

Clinical scoring systems for bovine respiratory disease (BRD) in weaned dairy calves have been developed in the past with calves experimentally infected with specific respiratory pathogens. In this prevalent case control study, a BRD clinical scoring system for weaned calves was developed using field data from 689 dairy calves housed in group pens on 5 dairies in California. Of the 689 calves in the study, 89 were selected because they appeared sick based on the display of lethargy, depression, or separation from the group, whereas the remaining 600 were randomly selected. Clinical signs were recorded for all calves, and BRD case status was determined by thoracic auscultation and ultrasound examinations, which were interpreted in parallel. Of the 689 calves, 238 were identified as BRD cases. Five survey-adjusted generalized linear mixed models with a logit link function, calf as the unit of analysis, and dairy as a random intercept were assessed using 3-fold cross-validation. The best model chosen based on performance and parsimony contained the variables cough (2 points), abnormal respiration (1 point), low body condition (5 points), sunken eyes (4 points), and a 24-h ambient temperature range >15°C (1 point) with a 2-point cutoff for a BRD suspect score. An alternative model did not contain a score for the covariate 24-h ambient temperature range and had a 1-point cutoff. The best model was tested on 174 observations not used for model training and resulted in 77.0% screening sensitivity, 100% diagnostic sensitivity, and 61.9% specificity. Adding rectal temperature ≥39.2°C (102.5°F) as a second-tier test increased specificity to 76.7% and lowered the screening sensitivity to 64.8% and diagnostic sensitivity to 76.9%. The alternative model had a screening sensitivity of 84.2%, diagnostic sensitivity of 100%, and specificity of 45.7%. Adding rectal temperature ≥39.2°C (102.5°F) as a second-tier test for score-positive animals improved specificity of the alternative model to 62.6% while lowering its screening sensitivity to 70.5% and diagnostic sensitivity to 76.9%. Use of a 2-tier California BRD postweaning scoring system may provide producers and veterinarians with a new tool to monitor BRD in group-housed dairy calves. Furthermore, the scoring system may aid in judicious medical intervention for BRD cases and reduce unnecessary treatments of animals with antimicrobials.


Subject(s)
Bovine Respiratory Disease Complex/diagnosis , Dairying/methods , Weaning , Animals , Auscultation , Body Composition , Body Temperature , California , Case-Control Studies , Cattle , Respiration , Sensitivity and Specificity , Ultrasonography/veterinary
14.
Theriogenology ; 128: 17-22, 2019 Apr 01.
Article in English | MEDLINE | ID: mdl-30716689

ABSTRACT

To compare the use of controlled intravaginal drug release (CIDR, EAZI-BREED™ CIDR® Sheep, USA, Zoetis) with the ram effect, a combination of CIDR and ram effect and the addition of P.G.600® to each of these scenarios on their contribution to inducing the onset of cyclicity and their ability to improve reproductive efficiency in a commercial sheep flock, a randomized clinical trial was conducted. Multiparous ewes (n = 283) were randomly assigned to one of six treatments prior to intact male introduction on day 0: only CIDR devices (day -5 to day 0) (n = 40), exposure to two vasectomized rams (d-14 to d0) (n = 55), CIDR (d-5 to d0) and an intramuscular injection of P.G.600® (d0) (n = 40), exposure to two vasectomized rams (d-14 to d0) and treated with CIDR devices (day -5 to day 0) (n = 40). exposure to vasectomized rams (d-14 to d0), CIDR (d-5 to d0) and an intramuscular injection ofP.G.600®, (d0) (n = 38), and a control group, without exposure to vasectomized rams, CIDRs or P.G.600® (n = 70). Ewes were exposed to intact males on day 0. Days to lambing from the earliest expected lambing date at 150 days post introduction of rams was compared between groups with survival analysis. The mean survival time was significantly shorter in all groups that used CIDR compared to the control group (P < 0.003, adjusted for multiple comparisons). The addition of a teaser ram or a P.G.600® injection did not change survival time. In a Cox proportional hazard model for time to lambing, the use of CIDR had a hazard ratio of 1.62 (95% CI: 1.07, 2.45, P = 0.23), while other variables (teaser ram, P.G.600®) were not significant. In a Poisson regression for the number of lambs born to each ewe, P.G.600® was not a significant variable, even when adjusted for age of ewe (P = 0.74). The combination of the ram effect and CIDRs did not have an additive effect. The use of CIDR shortened time to cyclicity in study ewes and may provide an attractive option to advance lambing season. Further studies on the economics of this method are warranted.


Subject(s)
Progesterone/therapeutic use , Sheep/physiology , Administration, Intravaginal , Animals , Breeding/methods , Estrous Cycle , Photoperiod , Poisson Distribution , Progesterone/administration & dosage , Proportional Hazards Models , Regression Analysis , Seasons
15.
J Am Vet Med Assoc ; 239(12): 1594-602, 2011 Dec 15.
Article in English | MEDLINE | ID: mdl-22129125

ABSTRACT

OBJECTIVE: To assess changes in body weight, carcass quality, and fecal pathogen shedding in cull dairy cows fed a high-energy ration for 28 or 56 days prior to slaughter. DESIGN: Randomized clinical trial. ANIMALS: 31 adult Holstein dairy cows. PROCEDURES: Cows were randomly assigned to a control (immediate slaughter) group or a 28-day or 56-day feeding group. Cows in the feeding groups received a high-energy feed and were weighed every 7 days. Carcasses were evaluated by USDA employees. Fecal and blood samples were collected at the start and end of the feeding periods. RESULTS: Body condition score and adjusted preliminary yield grade were significantly increased in both feeding groups, compared with values for the control group; body weight, hot carcass weight, dressing percentage, and ribeye area were significantly increased after 56 days, but not after 28 days, compared with values for the control group. Average daily gain and marbling score were significantly lower after feeding for 28 days versus after 56 days. Prevalence of Escherichia coli O157:H7 shedding in feces decreased from 14% to 5.6%, but this difference was not significant. Cows seropositive for antibodies against bovine leukemia virus that had signs of lymphoma and lame cows had a low average daily gain. Net loss was $71.32/cow and $112.80/cow for the 28-day and 56-day feeding groups, respectively. CONCLUSIONS AND CLINICAL RELEVANCE: Feeding market dairy cows improved body condition and carcass quality. Cows seropositive for antibodies against bovine leukemia virus that have signs of lymphoma and lame cows might be poor candidates for reconditioning.


Subject(s)
Animal Husbandry , Animal Nutritional Physiological Phenomena , Body Composition/physiology , Escherichia coli O157/isolation & purification , Feces/microbiology , Thinness/veterinary , Animal Feed , Animal Husbandry/economics , Animals , Bacterial Shedding , Cattle , Dairying , Diet/veterinary , Female , Lymphoma/veterinary , Weight Gain
16.
Quintessence Int ; 39(1): 17-22, 2008 Jan.
Article in English | MEDLINE | ID: mdl-18551212

ABSTRACT

OBJECTIVES: Oral bacteria implying a natural resistance may deteriorate the antibacterial efficacy of chlorhexidine on cariogenic microorganisms. Xylitol, mostly applied via chewing gum, is known to possess favorable plaque-reducing properties. The aim of this study was to investigate the effect of a xylitol rinse formulated as pure solution or combined with chlorhexidine on the viability of Streptococcus sanguis (early colonizer of human teeth) and Streptococcus mutans (the most causal strain for caries) during initial steps of biofilm formation. METHOD AND MATERIALS: After exposure to the test solutions, the bacteria suspended in human sterile saliva were allowed to attach to human enamel slides for 60 minutes in a preclinical flow chamber system. The bacterial vitality of suspended and attached cells was monitored using 2 fluorescent DNA stains by epifluorescence microscopy. Further parameters measured were the total bacterial cell counts on enamel slides and growth of suspended streptococci. RESULTS: The sensitivity of S mutans to pure chlorhexidine or in combination with xylitol is contrary to the natural resistance of S sanguis to chlorhexidine. The combination of xylitol/chlorhexidine showed a statistically significant antivital effect on S sanguis cells compared to the pure agents xylitol and chlorhexidine. The bacterial cell density on enamel and bacterial reproduction on agar plates were similarly affected by the combination of xylitol/chlorhexidine or the single substances. CONCLUSION: The newly discovered synergistic antivital effect of xylitol combined with chlorhexidine may contribute to the favorable potential of xylitol use for the improvement of new formulations of caries-preventive mouthrinses.


Subject(s)
Anti-Infective Agents, Local/pharmacology , Biofilms/drug effects , Cariostatic Agents/pharmacology , Chlorhexidine/pharmacology , Streptococcus mutans/drug effects , Streptococcus sanguis/drug effects , Xylitol/pharmacology , Anti-Infective Agents, Local/administration & dosage , Bacterial Adhesion , Cariostatic Agents/administration & dosage , Chlorhexidine/administration & dosage , Colony Count, Microbial , Dental Caries/microbiology , Dental Enamel/microbiology , Diffusion Chambers, Culture , Drug Combinations , Drug Resistance, Bacterial , Drug Synergism , Humans , Mouthwashes , Saliva/microbiology , Streptococcus mutans/growth & development , Streptococcus sanguis/growth & development , Xylitol/administration & dosage
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