Trends and predictions for survival and mortality in individuals with Down syndrome in Brazil: A 21-year analysis.

BACKGROUND: Regional heterogeneities and sociodemographic characteristics affect mortality and population survival in Brazil. However, for individuals with Down syndrome (DS) this information remains unknown. In this study, we analysed survival and mortality rates among DS individuals in the five Brazilian geographic regions. In addition, we investigated whether there is an association between mortality and sociodemographic factors across administrative regions. METHODS: Data between 1996 and 2016, comprising 10 028 records of deaths of individuals with DS, were collected from database records of the Department of Informatics of the Unified Health System. Data on race/ethnicity, sex, age and years of schooling were defined for the association analyses. Survival data were analysed according to the Kaplan-Meier method and Cox regression model. RESULTS: The number of deaths among people with DS has increased in recent years. Children are more susceptible to death, especially in the first years of life. Individuals living in the northern region, Indigenous women and people with no years of schooling have higher mortality. In the Southeast and South region, for White and Yellow, survival is related to a higher level of education. Ethnic factors and years of schooling influence risk for mortality across the administrative regions. CONCLUSIONS: These findings show that sociodemographic characteristics affect survival and are associated with the risk of mortality for people with DS. In addition, this suggests that differences in access to health services among Brazilian regions, especially in the first years of life, may affect the survival of individuals with DS.

Nandrolone decanoate and resistance exercise affect prostate morphology and hormone receptor interface in adult rats with implications for the aging process.

BACKGROUND: Nandrolone decanoate (ND) is an anabolic-androgenic steroid, and its indiscriminate use leads to subclinical alterations in the hypothalamic-pituitary-gonadal axis and androgen-dependent organs. OBJECTIVES: To evaluate the effects of ND, either alone or in combination with resistance exercise (RE), on the levels of sex hormones, converting enzymes, and steroid receptors and the morphology of the ventral prostate (VP) in adult and aged rats. METHODS: Forty Sprague-Dawley adult and aged rats were divided into four groups each, sedentary and trained with and without ND. The groups received treatments over 8 weeks. Adult animals were sacrificed immediately following treatment completion, while the aged groups were left untreated until 300 days of age. RESULTS: Adult and aged animals showed reductions in testosterone levels following the different treatments, and 17ß-estradiol levels were decreased in the ND-treated groups. The level of 5α-reductase type 2 (5αR2) and aromatase was increased significantly in the prostates of adult animals that performed RE. However, aromatase levels were decreased in the prostates of aged animals that performed RE and were treated with ND, while 5αR2 levels were reduced in aged animals that performed RE without ND treatment. When sex receptors levels were examined, the aged and trained animals presented low androgen receptor (AR) levels. Estrogen receptors (ERs) levels were increased in the prostates of adult animals that received ND. ERß levels were reduced after treatments in aged animals. The heights of the prostatic epithelium were reduced in all adult treated animals, coinciding with increases in PCNA and PAR4 levels. DISCUSSION: ND and RE alter the levels of hormone, converting enzymes, and sex steroid receptors and the morphology of the VP. These effects were observed in both adult and aged rats. CONCLUSION: ND, either with or without RE, during post-puberty stage is able to interfere with the morphophysiology of the prostate.

Antimicrobial activity of Mimosa caesalpiniifolia Benth and its interaction with antibiotics against Staphylococcus aureus strains overexpressing efflux pump genes.

This study aimed to evaluate the antimicrobial activity of the dichloromethane fraction (DCMF) from the stem bark of Mimosa caesalpiniifolia and its effect on the activity of conventional antibiotics against Staphylococcus aureus strains overexpressing specific efflux pump genes. DCMF showed activity against S. aureus, Staphylococcus epidermidis and Candida albicans. Addition of DCMF at subinhibitory concentrations to the growth media enhanced the activity of norfloxacin, ciprofloxacin and ethidium bromide against S. aureus strains overexpressing norA suggesting the presence of efflux pump inhibitors in its composition. Similar results were verified for tetracycline against S. aureus overexpressing tetK, as well as, for ethidium bromide against S. aureus overexpressing qacC. These results indicate that M. caesalpiniifolia is a source of molecules able to modulate the fluoroquinolone- and tetracycline-resistance in S. aureus probably by inhibition of NorA, TetK and QacC respectively. SIGNIFICANCE AND IMPACT OF THE STUDY: Drug resistance is a common problem in patients with infectious diseases. Dichloromethane fraction from the stem bark of Mimosa caesalpiniifolia showed antimicrobial activity against Gram-positive bacterium Staphylococcus aureus and against Candida albicans, but did not show activity against Gram-negative specie Escherichia coli. Moreover, this fraction was able to potentiate the action of norfloxacin, ciprofloxacin and tetracycline against S. aureus strains overexpressing different efflux pump genes. Thus, Mimosa caesalpiniifolia is a source of efflux pump inhibitors which could be used in combination with fluoroquinolones or tetracycline in the treatment of infectious diseases caused by S. aureus strains overexpressing efflux pump genes.

Evolución cicatricial de herida lacerante con exposición ósea en equino. Reporte de caso / Healing evolution of lacerating wound with bone exposure in horse. Case report

RESUMEN Este manuscrito reporta un caso de laceración amplia con gran pérdida de piel en la porción dorso-medial del miembro pélvico derecho, con exposición parcial del metatarso y del tendón del músculo extensor digital común en una yegua de la raza Cuarto de Milla con 8 meses de edad. Se prescribió un tratamiento a base de antibióticos y anti-inflamatorios, con intervención de la herida en días alternados previa tranquilización con clorhidrato de detomidina. La contaminación inicial, asociada al tamaño y magnitud de la lesión, contribuyeron para que la herida demorase 170 días para cicatrizar. El uso repetido y prolongado de detomidina no causo alteraciones cardiovasculares en la paciente.

ABSTRACT This article reports a case of a large laceration with great loss of skin at the dorsal medial portion of the right pelvic member, with partial exposure of the metatarsal and the long extensor tendon of the fingers in a 8-month-old Quare Horse mare. A treatment was prescribed based on antibiotics and anti-inflammatory drugs, with an intervention of the wound on alternate days after tranquilization with detomidine. The initial contamination, associated with the size and magnitude of the injury, contributed to a delay of 170 days for the wound to heal. Repeated and prolonged use of detomidine did not cause any cardiovascular changes.

Robotic nerve-sparing radical hysterectomy.

AIM: The aim of this paper was to describe the robotic nerve-sparing technique and review the most recent data in the literature on this surgical approach. METHODS: Presentation of anatomical aspects regarding the nerve-sparing technique, besides discussion of the surgical steps as performed in our institution. RESULTS: Robotic-assisted nerve-sparing radical hysterectomy is a feasible approach for the treatment of cervical cancer patients, with remarkable advantages in terms of ergonomy, articulated movements and image magnification. All these features contribute for identification and preservation of the pelvic innervation, reducing the risk of surgical sequelae. CONCLUSION: Robotic nerve-sparing technique can be incorporated as a standard care without compromising radicality.

Economic analysis of vaccination to control bovine brucellosis in the States of Sao Paulo and Mato Grosso, Brazil.

Brucellosis is a zoonotic disease that causes important economic losses in Brazil, and the country has therefore established a national program for its control and eradication. Using data generated in the last national brucellosis survey, we conducted an economic analysis in two Brazilian States with different brucellosis status, Mato Grosso (with high prevalence) and Sao Paulo (with low prevalence). The economic analysis was based on the calculation of the additional benefits and costs of controlling bovine brucellosis through the vaccination of heifers aged between 3 and 8 months with S19 vaccine, considering maximal and minimal impacts of the disease. The analysis showed that vaccinating 90% of the replacement heifers aged 3-8 months of age offers the best economic performance in a vaccination program against bovine brucellosis if compared to vaccination rates of 70% and 80%. Moreover, regions with higher prevalences of bovine brucellosis would experience significant economic advantages when implementing a vaccination strategy to control the disease. This economic analysis will allow decision makers to plan more economically effective vaccination programs.

Detecting livestock production zones.

Communities are sets of nodes that are related in an important way, most likely sharing common properties and/or playing similar roles within a network. Unraveling a network structure, and hence the trade preferences and pathways, could be useful to a researcher or a decision maker. We implemented a community detection algorithm to find livestock communities, which is consistent with the definition of a livestock production zone, assuming that a community is a group of farm premises in which an animal is more likely to stay during its lifetime than expected by chance. We applied this algorithm to the network of animal movements within the state of Mato Grosso for 2007. This database holds information concerning 87,899 premises and 521,431 movements throughout the year, totaling 15,844,779 animals moved. The community detection algorithm achieved a network partition that shows a clear geographical and commercial pattern, two crucial features for preventive veterinary medicine applications; this algorithm provides also a meaningful interpretation to trade networks where links emerge based on trader node choices.

Evaluation of four DNA extraction protocols for Brucella abortus detection by PCR in tissues from experimentally infected cows with the 2308 strain.

This study compared 4 protocols for DNA extraction from homogenates of 6 different organs of cows infected with the Brucella abortus 2308 strain. The extraction protocols compared were as follows: GT (guanidine isothiocyanate lysis), Boom (GT lysis with the carrying suspension diatomaceous earth), PK (proteinase K lysis), and Santos (lysis by boiling and freezing with liquid nitrogen). Positive and negative gold standard reference groups were generated by classical bacteriological methods. All samples were processed with the 4 DNA extraction protocols and amplified with the B4 and B5 primers. The number of positive samples in the placental cotyledons was higher than that in the other organs. The cumulated results showed that the Santos protocol was more sensitive than the Boom (p=0.003) and GT (p=0.0506) methods and was similar to the PK method (p=0.2969). All of the DNA extraction protocols resulted in false-negative results for PCR. In conclusion, despite the disadvantages of classical bacteriological methods, the best approach for direct diagnosis of B. abortus in organs of infected cows includes the isolation associated with PCR of DNA extracted from the cotyledon by the Santos or PK methods.

Prevalence and risk-mapping of bovine brucellosis in Maranhão State, Brazil.

Between 2007 and 2009, a cross-sectional survey was carried out in Maranhão State, Brazil to estimate the seroprevalence of and risk factors for bovine brucellosis. In total, 749 herds and 6779 cows greater than two years of age were blood sampled. At the time of sampling a questionnaire to collect details on possible risk factors for bovine brucellosis was administered to the participating herd manager. A logistic regression model was developed to quantify the association between herd demographic and management characteristics and the herd-level brucellosis status. Spatial analyses were carried out to identify areas of the state where the presence of brucellosis was unaccounted-for by the explanatory variables in the logistic regression model. The estimated herd-level prevalence of brucellosis in Maranhão was 11.4% (95% CI 9.2-14) and the individual animal-level prevalence was 2.5% (95% CI 1.7-3.6). Herds with more than 54 cows older than two years of age, herds that used rented pasture to feed cattle, and the presence of wetlands on the home farm increased the risk of a herd being brucellosis positive. Infected farms were identified throughout the state, particularly in the central region and on the northwestern border. Spatial analyses of the Pearson residuals from the logistic regression model identified an area in the center of the state where brucellosis risk was not well explained by the predictors included in the final logistic regression model. Targeted investigations should be carried out in this area to determine more precisely the reasons for the unexplained disease excess. This process might uncover previously unrecognized risk factors for brucellosis in Maranhão.

Seroprevalence and risk factors of bovine herpesvirus 1 infection in cattle herds in the state of Paraná, Brazil.

Epidemiological data describing bovine herpesvirus 1 (BoHV-1) infection in Brazilian cattle herds are scarce. A cross-sectional study was conducted in the state of Paraná between December 2001 and July 2002 with the objective of estimating the apparent prevalence of BoHV-1-seropositive herds and animals and identifying the potential risk factors for infection in farms with breeding animals in the state of Paraná in Southern Brazil. The state was divided into seven regions based on the livestock production dynamics of the different areas. Sampling was performed in two stages. Initially, herds were randomly selected, followed by a random selection of animals within the selected herds. Blood samples were collected from 14803 females, aged ≥24 months, from 2018 BoHV-1 non-vaccinated herds. Serum samples were tested for antibodies against BoHV-1 using an indirect enzyme-linked immunosorbent assay (ELISA). The apparent prevalence of seropositivity in the herds and animals in Paraná was 71.3% (95% CI: 69.3-73.3) and 59.0% (95% CI: 56.2-61.8), respectively. Multiple logistic regression analysis revealed that risk factors associated with the presence of the infection were as follows: beef herds [OR = 1.58 (1.12-2.23)], natural service [OR = 1.48 (1.02-2.14)], purchase of animals [OR = 1.90 (1.52-2.37)], pasture rental [OR = 2.24 (1.51-3.33)], existence of calving pens [OR = 1.56 (1.20-2.03)] and records of abortion in the last 12 months [OR = 1.45 (1.08-1.95)]. These results indicate that BoHV-1 infection is widespread in the state of Paraná.

Tuberculosis determined by Mycobacterium bovis in captive waterbucks (Kobus ellipsiprymnus) in São Paulo, Brazil

Two waterbucks from São Paulo Zoo Foundation exhibited respiratory symptoms in July 2004. After euthanasia, granulommas in lungs and mediastinic lymph nodes were observed. Acid-fast bacilli isolated were identified as Mycobacterium bovis spoligotype SB0121 by PRA and spoligotyping. They were born and kept in the same enclosure with the same group, without any contact to other species housed in the zoo. This is the first detailed description of M. bovis infection in Kobus ellipsiprymnus.

Tuberculosis determined by Mycobacterium bovis in captive waterbucks (Kobus ellipsiprymnus) in SÃo paulo, Brazil.

Two waterbucks from São Paulo Zoo Foundation exhibited respiratory symptoms in July 2004. After euthanasia, granulommas in lungs and mediastinic lymph nodes were observed. Acid-fast bacilli isolated were identified as Mycobacterium bovis spoligotype SB0121 by PRA and spoligotyping. They were born and kept in the same enclosure with the same group, without any contact to other species housed in the zoo. This is the first detailed description of M. bovis infection in Kobus ellipsiprymnus.

Avaliação de testes sorológicos de triagem para diagnóstico da brucelose bubalina / Evaluation of screening serological tests for brucellosis diagnosis in buffaloes

The study compared the performance of three screening serological tests: buffered plate antigen (BPA), Rose-Bengal produced with 1119-3 Brucella abortus strain (RB1119-3), and Rose-Bengal produced with 99 Brucella abortus strain (RB99). Sera from 696 adult female animals were submitted to BPA, RB1119-3, RB99, 2-mercaptoethanol test (ME), and complement fixation test (FC). The gold standard was the combination of CF and ME. The Kappa values for BPA, RB99, and RB1119-3 were 0.82, 0.74, and 0.70, respectively. The relative sensitivity and specificity for the same tests were 0.98 and 0.96, 0.92 and 0.94, and 0.95 and 0.92, respectively. These results indicate that BPA is a better screening test than RB for buffalo, regardless of the B. abortus strain in RB.

Tipificação genética, através da técnica de spoligotyping, de isolados de Mycobacterium bovis em animais abatidos na região metropolitana de Salvador, Bahia, Brasil / Use of spoligotyping for genetic typing of Mycobacterium bovis isolates from slaughtered animals in the metropolitan area of Salvador, Bahia, Brazil

A tuberculose é uma enfermidade infecciosa crônica, que afeta mamíferos e aves e constitui um sério problema de saúde pública e animal. Objetivando realizar um levantamento molecular da enfermidade em bovinos abatidos em matadouros frigoríficos no Estado da Bahia, Brasil, foram analisadas as lesões pulmonares e de linfonodos mediastínicos de 43 carcaças de animais abatidos em três matadouros-frigoríficos localizados na Região Metropolitana de Salvador, Bahia. Sete isolados de Mycobacterium bovis foram identificados, através da técnica do spolygotyping, e discriminados em três diferentes espoligotipos (SB1055, SB0120 e SB0268) descritos no Brasil e em diversas áreas do mundo. Os resultados indicam que o método de diagnóstico utilizado pode contribuir para a criação de uma base de dados para o estudo epidemiológico da tuberculose bovina no Estado da Bahia.

Tuberculosis is an infectious chronic disease that affects mammals and birds and constitutes a serious problem for public and animal health. Pulmonary and mediastinic lymph node lesions of 43 animals slaughtered in 3 slaughterhouses in the metropolitan region of the city of Salvador, Bahia, Brazil, were analyzed with the objective of obtaining a molecular survey of the disease in bovines slaughtered in slaughterhouses in the state. Seven isolates ofMycobacterium bovis were identified through the spoligotyping technique and classified into 3 different spoligotypes (SB1055, SB0120, SB0268), described in Brazil and in many areas worldwide. The results indicate that the diagnostic method utilized may contribute to the creation of a database for the epidemiologic study of bovine tuberculosis in the state of Bahia.

Estudos de prevalência da brucelose bovina no âmbito do Programa Nacional de Controle e Erradicação de Brucelose e Tuberculose: Introdução / Prevalence studies on bovine brucelosis according to Brazilian National Program for the Control and Eradication of Bovine Brucellosis and Tuberculosis: Introduction

As estratégias de combate à brucelose bovina são bastante conhecidas e, até o momento, os resultados são divergentes. No Brasil, o Ministério da Agricultura, Pecuária e Abastecimento (MAPA) implementou, em 2001, o Programa Nacional de Controle e Erradicação da Brucelose e Tuberculose. Conhecer a situação epidemiológica da brucelose no início de um programa de controle permite: 1 - escolher as melhores estratégias de controle em função da frequência e padrão de distribuição da doença na população e 2 - acompanhar o programa com a finalidade de promover correções e evitar o desperdício de tempo e de recursos. Em razão disso, é necessário realizar estudos para dar suporte à escolha das melhores estratégias para os vários estados e regiões brasileiras e criar um mecanismo racional de verificação da efetividade das ações implementadas. Para tanto, o MAPA estabeleceu um Termo de Cooperação Técnica com a Faculdade de Medicina Veterinária da Universidade de São Paulo e envolveu também a Faculdade de Agronomia e Veterinária da Universidade de Brasília. Até o momento, foram concluídos os estudos de 15 unidades federativas, cujos resultados são apresentados nos artigos subsequentes. Além disso, há um 16º artigo que explora o impacto da vacinação de bezerras com a B19 na redução da prevalência da brucelose.

Although strategies for controlling and eradicating of bovine brucellosis are well known, the achievements vary widely. In 2001, the Brazilian Ministry of Agriculture, Livestock, and Food Supply (MAPA) started a new National Program for the Control and Eradication of Brucellosis and Tuberculosis (NPCEBT). In the beginning of a brucellosis control program, it is of utmost importance to gain insights into the epidemiological status of the disease in order to: (1) determine the sanitary measures according to the frequency and distribution patterns of the disease in the population; (2) monitor the development of the program and decide when to make adjustments, avoiding the waist of time and resources. As the epidemiological status of bovine brucellosis is not adequately known in Brazil, there was a case for undertaking cross-sectional studies targeted at identifying the best strategies for each state and region, as well as providing a basis for future appraisal of the NPCEBT. For this purpose, MAPA established a collaborative project with FMVZ-Universidade de São Paulo, which also included FAV-Universidade de Brasília. So far, 15 states completed the survey, whose results are described in the following papers. In addition, it is presented a paper that deals with modeling the impact of vaccination of heifers with strain 19 upon the reduction of brucellosis prevalence.

Situação epidemiológica da brucelose bovina no Estado da Bahia / Epidemiological situation of bovine brucellosis in the State of Bahia, Brazil

O trabalho consistiu em estratificar o Estado da Bahia em quatro regiões com características homogêneas (circuitos produtores) para que fossem amostradas aleatoriamente, em cada uma delas, 300 propriedades. Em cada propriedade foram escolhidas, de forma aleatória, 10 a 15 fêmeas bovinas adultas, das quais foi obtida uma amostra de sangue. No total, foram amostrados 10.816 animais, provenientes de 1.413 propriedades. O protocolo de testes utilizado foi o da triagem com o teste do antígeno acidificado tamponado (Rosa Bengala) e a confirmação dos positivos com o teste do 2-mercaptoetanol. O rebanho foi considerado positivo se pelo menos um animal reagiu às duas provas sorológicas. As prevalências de focos e a de fêmeas adultas soropositivas do Estado foram de 4,2 por cento [3,1-5,3 por cento] e 0,66 por cento [0,41-0,93 por cento], respectivamente. Para os circuitos produtores foram: circuito 1, 5,8 por cento [3,6-8,7 por cento] e 0,86 por cento [0,41-1,3 por cento]; circuito 2, 3,1 por cento [1,5-5,6 por cento] e 1,2 por cento [0,25-2,1 por cento]; circuito 3, 6,3 por cento [4,0-9,3 por cento] e 1,7 por cento [0,66-2,7 por cento]; e circuito 4, 0,60 por cento [0,07-2,2 por cento] e 0,07 [0,00-0,21 por cento]. Para a análise de fatores de riscos associados à doença foi aplicado um questionário epidemiológico em cada propriedade visitada. Os fatores de risco (odds ratio, OR) associados à condição de foco foram: compra de reprodutores (OR= 2,27) e presença de áreas alagadiças (OR= 1,76). A vacinação de fêmeas de três até oito meses de idade foi um fator de proteção (OR= 0,53).

A study to characterize the epidemiological situation of bovine brucellosis in the State of Bahia was carried out in 2004. The State was divided into four similar production regions, 300 herds were randomly sampled in each region, and 10 to 15 adult bovine females were sampled in each of these herds. A total of 10,816 serum samples from 1,413 herds were collected. The serum samples were screened for antibodies to Brucella spp. by the Rose-Bengal Test (RBT), and all RBT-positive sera were re-tested by the 2-mercaptoethanol test (2-ME) for confirmation. A herd was considered positive if at least one animal was positive on both RBT and 2-ME tests. The prevalence of infected herds and seropositive adult bovine females in Bahia State were: 4.2 percent [3.1-5.3 percent] and 0.66 percent [0.41-0.93 percent], respectively. In the production regions, prevalence of infected herds and animals were, respectively: region 1, 5.8 percent [3.6-8.7 percent] and 0.86 percent [0.41-1.3 percent]; region 2, 3.1 percent [1.5-5.6 percent] and 1.2 percent [0.25-2.1 percent]; region 3, 6.3 percent [4.0-9.3 percent] and 1.7 percent [0.66-2.7 percent]; and region 4, 0.60 percent [0.07-2.2 percent] and 0.07 percent[0.00-0.2 percent]. In each herd, an epidemiological questionnaire was applied. The risk factors (odds ratio, OR) associated with the presence of the infection were: purchase of breeding animals (OR = 2.27) and presence of flood areas (OR= 1.76). Vaccination of heifers from three to eight months of age was a protective factor (OR=0.53).

Situação epidemiológica da brucelose bovina no Distrito Federal / Epidemiological status of bovine brucellosis in the Federal District, Brazil

Realizou-se um estudo para caracterizar a situação epidemiológica da brucelose bovina no Distrito Federal (DF). No total foram amostrados 2.019 animais, provenientes de 278 propriedades. Em cada propriedade visitada aplicou-se um questionário epidemiológico para verificar o tipo de exploração e as práticas de criação e sanitárias que poderiam estar associadas ao risco de infecção pela doença. O protocolo utilizado foi o da triagem com o teste do antígeno acidificado tamponado e a confirmação dos positivos com o teste do 2-mercaptoetanol. O rebanho foi considerado positivo quando pelo menos um animal foi reagente às duas provas sorológicas. A prevalência no DF foi de 2,5 por cento [1,0-5,1 por cento] para propriedades e de 0,16 por cento [0,04-0,28 por cento] para animais. Em razão dos resultados encontrados, que permitem pensar em estratégias de erradicação, recomenda-se que o DF intensifique o diagnóstico de brucelose, tanto na forma de testes sorológicos sistemáticos como pela introdução de mecanismos de detecção rápida em laticínios, em ambos os casos a fim de aumentar o número de propriedades certificadas como livres da doença e melhorar a sensibilidade do sistema de vigilância ativa.

A study to characterize the epidemiological status of brucellosis was carried out in the Federal District of Brazil. A total of 2,019 serum samples from 278 herds were collected. In each herd, it was applied an epidemiological questionnaire focused on herd traits as well as husbandry and sanitary practices that could be associated with the risk of infection. The serum samples were screened for antibodies against Brucella spp. by the Rose-Bengal Test (RBT), and all positive sera were re-tested by the 2-mercaptoethanol test (2-ME). The herd was considered positive if at least one animal was positive on both RBT and 2-ME tests. Herd prevalence was estimated as 2.5 percent [1.0-5.1 percent] whereas animal prevalence was 0.16 percent [0.04-0.28 percent]. Given these results, that may warrant the implementation of eradication strategies, there is a case for intensifying the serological testing in the Federal District, coupled with the introduction of rapid detection methods by the dairy industries, with a view to increasing the number of accredited free herds and improving the sensitivity of the surveillance system..

Situação epidemiológica da brucelose bovina no Estado do Espírito Santo / Epidemiological situation of bovine brucellosis in the State of Espírito Santo, Brazil

Realizou-se um estudo para caracterizar a situação epidemiológica da brucelose bovina no Estado do Espírito Santo. O Estado foi dividido em dois circuitos produtores. Em cada circuito foram amostradas aleatoriamente cerca de 300 propriedades e, dentro dessas, foi escolhido de forma aleatória um número pré-estabelecido de animais, dos quais foi obtida uma amostra de sangue. No total, foram amostrados 5.351 animais, provenientes de 622 propriedades. Em cada propriedade amostrada foi aplicado um questionário epidemiológico para verificar o tipo de exploração e as práticas de criação e sanitárias que poderiam estar associadas ao risco de infecção pela doença. O protocolo de testes utilizado foi o da triagem com o teste do antígeno acidificado tamponado e o reteste dos positivos com o teste do 2-mercaptoetanol. O rebanho foi considerado positivo quando pelo menos um animal foi reagente às duas provas sorológicas. Para o Estado, as prevalências de focos e de animais infectados foram, respectivamente, de 9,0 por cento [7,0-11,6 por cento] e 3,5 por cento [1,9-6,4 por cento]. Para os circuitos, as prevalências de focos e de animais infectados foram, respectivamente, de: circuito 1, 6,8 por cento [4,5-10,2 por cento] e 3,4 por cento [1,3-8,6 por cento]; circuito 2, 10,9 por cento [7,9 por cento-14,8 por cento] e 3,7 por cento [2,1-6,3 por cento]. Os fatores de risco (odds ratio, OR) associados à condição de foco foram: utilização de inseminação artificial (OR = 7,05 [2,51-19,82]) e confinamento/semiconfinamento dos animais (OR = 2,98 [1,22-7,26]). A vacinação de fêmeas entre três e oito meses de idade foi um fator protetor (OR = 0,03 [0,01-0,1]).

A study to characterize the epidemiological status of brucellosis was carried out in the State of Espírito Santo. The State was divided in two regions. Three hundred herds were randomly sampled in each region and a pre-established number of animals were sampled in each of these herds. A total of 5,351 serum samples from 622 herds were collected. In each herd, it was applied an epidemiological questionnaire focused on herd traits as well as husbandry and sanitary practices that could be associated with the risk of infection. The serum samples were screened for antibodies against Brucella spp. by the Rose-Bengal Test (RBT), and all positive sera were re-tested by the 2-mercaptoethanol test (2-ME). The herd was considered positive if at least one animal was positive on both RBT and 2-ME tests. The prevalence of infected herds and animals in the State were, respectively, 9.0 percent [7.0-11.6 percent] and 3.5 percent [1.9-6.4 percent]. The prevalence of infected herds and animals in the regions were, respectively: region 1, 6.8 percent [4.5-10.2 percent] and 3.4 percent [1.3-8.6 percent]; and region 2, 10.9 percent [7.9-14.8 percent] and 3.7 percent [2.1-6.3 percent]. The risk factors (odds ratio, OR) associated with the presence of the infection were: use of artificial insemination (OR = 7.05 [2.51-19.82]) and intensive/semi-intensive management systems (OR = 2.98 [1.22-7.26]). Vaccination of heifers from three to eight months of age was a protective factor (OR = 0.03 [0.01-0.1]).