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1.
Epidemiol Infect ; 151: e187, 2023 10 25.
Article in English | MEDLINE | ID: mdl-37876041

ABSTRACT

SNP addresses are a pathogen typing method based on whole-genome sequences (WGSs), assigning groups at seven different levels of genetic similarity. Public health surveillance uses it for several gastro-intestinal infections; this work trialled its use in veterinary surveillance for salmonella outbreak detection. Comparisons were made between temporal and spatio-temporal cluster detection models that either defined cases by their SNP address or by phage type, using historical data sets. Clusters of SNP incidents were effectively detected by both methods, but spatio-temporal models consistently detected these clusters earlier than the corresponding temporal models. Unlike phage type, SNP addresses appeared spatially and temporally limited, which facilitated the differentiation of novel, stable, or expanding clusters in spatio-temporal models. Furthermore, these models flagged spatio-temporal clusters containing only two to three cases at first detection, compared with a median of seven cases in phage-type models. The large number of SNP addresses will require automated methods to implement these detection models routinely. Further work is required to explore how temporal changes and different host species may impact the sensitivity and specificity of cluster detection. In conclusion, given validation with more sequencing data, SNP addresses are likely to be a valuable addition to early warning systems in veterinary surveillance.


Subject(s)
Salmonella Infections , Salmonella typhimurium , Humans , Salmonella typhimurium/genetics , Salmonella Infections/epidemiology , Disease Outbreaks/veterinary , Whole Genome Sequencing , Public Health Surveillance
2.
Zoonoses Public Health ; 70(6): 523-541, 2023 09.
Article in English | MEDLINE | ID: mdl-37337320

ABSTRACT

Campylobacter is a major cause of food poisoning and is typically the most common cause of gastroenteritis in the UK. Data collected at broiler farm and abattoir level, for slaughter batches that were sampled for UK-wide monitoring, were used to generate two epidemiological risk factor models. A total of 483 batches slaughtered between January 2016 and March 2017 were used in the analysis, coming from 19 abattoirs representing more than 85% of UK broiler production. For each selected slaughter batch, one carcase was sampled after primary chilling and 10 randomly sampled birds had caecal samples collected at the evisceration point. Samples were used for Campylobacter identification and quantification. Two multivariable mixed-effects models were designed, one with the binary outcome for the detection of a highly contaminated (>1000 colony forming units (CFU)/g) Campylobacter-positive carcase, whereas the other used the Campylobacter colony count (CFU/g) carcase outcome. The results suggest that caecal colonization within the batch was a key factor for the occurrence of Campylobacter on carcases, and many factors that were identified in the model were also likely to be related to colonization or related to the risk of introduction of Campylobacter from partial depopulation (referred to as thinning) of ~30% of the flock approximately 1 week before full flock depopulation events. The amount of neck skin in the sample was another key factor identified and was included in both models as a risk factor. The models have also identified other factors which may be related to the general health and husbandry on-farm (use of prebiotics or vaccines, and identification of the product used for drinking line cleaning), whereas the other factors may identify control points related to transmission within a farm. The identification of these variables could help focus control efforts on-farm, especially for relatively easy improvements, such as improving the provision of house-specific bird-weighing buckets/cages in houses.


Subject(s)
Campylobacter Infections , Campylobacter , Animals , Food Microbiology , Chickens , Campylobacter Infections/epidemiology , Campylobacter Infections/veterinary , Risk Factors , Abattoirs , United Kingdom/epidemiology
3.
Sci Rep ; 11(1): 13789, 2021 07 02.
Article in English | MEDLINE | ID: mdl-34215759

ABSTRACT

Sustainable livestock production requires links between farm characteristics, animal performance and animal health to be recognised and understood. In the pig industry, respiratory disease is prevalent, and has negative health, welfare and economic consequences. We used national-level carcass inspection data from the Food Standards Agency to identify associations between pig respiratory disease, farm characteristics (housing type and number of source farms), and pig performance (mortality, average daily weight gain, back fat and carcass weight) from 49 all in/all out grow-to-finish farms. We took a confirmatory approach by pre-registering our hypotheses and used Bayesian multi-level modelling to quantify the uncertainty in our estimates. The study findings showed that acquiring growing pigs from multiple sources was associated with higher respiratory condition prevalence. Higher prevalence of respiratory conditions was linked with higher mortality, and lower average daily weight gain, back fat and pig carcass weight. Our results support previous literature using a range of data sources. In conclusion, we find that meat inspection data are more valuable at a finer resolution than has been previously indicated and could be a useful tool in monitoring batch-level pig health in the future.


Subject(s)
Animal Welfare , Respiratory Tract Diseases/physiopathology , Swine Diseases/physiopathology , Weight Gain/physiology , Animal Husbandry , Animals , Bayes Theorem , Farms , Respiratory Tract Diseases/complications , Swine , Swine Diseases/pathology
4.
Vet Microbiol ; 258: 109125, 2021 Jul.
Article in English | MEDLINE | ID: mdl-34033985

ABSTRACT

An important element in the control of antimicrobial resistance (AMR) is reduction in antimicrobial usage. In the veterinary sector individual antimicrobial treatment of livestock, rather than the use of group treatment, can help achieve this goal. The aim of this study was to investigate how cessation of group antimicrobial treatment impacted the prevalence of AMR in commensal Escherichia coli in pigs at one farm over an 11-month period. Minimum inhibitory concentrations of eight antimicrobials were determined for 259 E. coli isolates collected during the study. A significant reduction in the prevalence of multidrug resistance and a significant increase in the proportion of full susceptibility to the panel of nine antimicrobials tested was seen after 11 months. Whole genome sequencing of 48 multidrug resistant isolates revealed E. coli clones that persisted across multiple visits and provided evidence for the presence of plasmids harbouring AMR genes shared across multiple E. coli lineages. E. coli were also isolated from on-farm environmental samples. Whole genome sequencing of one multidrug resistant isolate obtained from cleaning tools showed it was clonal to pig-derived E. coli that persisted on the farm for 11 months. In this study we provide evidence that withdrawal of group antimicrobial use leads to significant reductions in key indicators for AMR prevalence and the importance of the farm environment as a reservoir of resistant bacteria. These findings support policy makers and producers in the implementation of measures to control AMR and reduce antimicrobial use.


Subject(s)
Anti-Bacterial Agents/administration & dosage , Drug Resistance, Bacterial , Escherichia coli/drug effects , Swine/microbiology , Animal Feed , Animal Husbandry , Animals , Environmental Microbiology , Farms , Whole Genome Sequencing
5.
Prev Vet Med ; 178: 104984, 2020 May.
Article in English | MEDLINE | ID: mdl-32302777

ABSTRACT

Determining the size, location and structure of a livestock population is an essential aspect of surveillance and research as it provides understanding of the representativeness and coverage of any project or scheme. It is an important input for a variety of epidemiological analyses, for example, allowing generation of more accurate sample size calculations for estimating prevalence or freedom from disease, cost-benefit analyses for control measures to reduce or eradicate livestock disease, or development of between-herd network models to estimate the impact of movement of animals between farms on the spread of livestock diseases. The work described here provides information on how British pig movement data was compared against other datasets related to the British pig population to define its appropriateness for defining pig holding demographics. The data were then used to identify the location of pig holdings and the estimated herd size (split into five categories). Two methods are described that were used to classify the holding type of the identified pig holdings. The first method was an epidemiological method that used expert opinion to determine a set of rules based on movement characteristics to classify each holding. The second method was a machine learning approach that used k means cluster analysis to automatically estimate the holding type based on a set of proxy indicators. Each method had a good accuracy rate, when compared to matched holdings present in data provided by the Annual June Agricultural Survey, but all misclassified some holdings. While both of the methods on their own provided a reasonable estimate, it was concluded that a consensus model, considering the results of both models and the Survey, provided the most accurate result. However, the machine learning approach was beneficial, as although some technical expertise was needed to set up the model, it was considerably faster to implement than the other method, as well as being quicker and easier to adapt and re-run with updated information.


Subject(s)
Animal Husbandry , Housing, Animal/statistics & numerical data , Sus scrofa , Transportation , Animals , England , Female , Machine Learning , Male , Scotland , Spatio-Temporal Analysis , Wales
6.
Epidemiol Infect ; 148: e30, 2020 02 18.
Article in English | MEDLINE | ID: mdl-32066511

ABSTRACT

The prevalence of many diseases in pigs displays seasonal distributions. Despite growing concerns about the impacts of climate change, we do not yet have a good understanding of the role that weather factors play in explaining such seasonal patterns. In this study, national and county-level aggregated abattoir inspection data were assessed for England and Wales during 2010-2015. Seasonally-adjusted relationships were characterised between weekly ambient maximum temperature and the prevalence of both respiratory conditions and tail biting detected at slaughter. The prevalence of respiratory conditions showed cyclical annual patterns with peaks in the summer months and troughs in the winter months each year. However, there were no obvious associations with either high or low temperatures. The prevalence of tail biting generally increased as temperatures decreased, but associations were not supported by statistical evidence: across all counties there was a relative risk of 1.028 (95% CI 0.776-1.363) for every 1 °C fall in temperature. Whilst the seasonal patterns observed in this study are similar to those reported in previous studies, the lack of statistical evidence for an explicit association with ambient temperature may possibly be explained by the lack of information on date of disease onset. There is also the possibility that other time-varying factors not investigated here may be driving some of the seasonal patterns.


Subject(s)
Abattoirs , Animal Welfare , Environmental Exposure , Health Status , Swine Diseases/epidemiology , Swine , Temperature , Animals , Bites and Stings/epidemiology , Bites and Stings/veterinary , England/epidemiology , Respiratory Tract Infections/epidemiology , Respiratory Tract Infections/veterinary , Risk Assessment , Wales/epidemiology
7.
BMC Public Health ; 19(1): 849, 2019 Jun 28.
Article in English | MEDLINE | ID: mdl-31253135

ABSTRACT

BACKGROUND: Lyme disease is emerging in Canada due to expansion of the range of the tick vector Ixodes scapularis from the United States. National surveillance for human Lyme disease cases began in Canada in 2009. Reported numbers of cases increased from 144 cases in 2009 to 2025 in 2017. It has been claimed that few (< 10%) Lyme disease cases are reported associated with i) supposed under-diagnosis resulting from perceived inadequacies of serological testing for Lyme disease, ii) expectation that incidence in Canadian provinces and neighbouring US states should be similar, and iii) analysis of serological responses of dogs to the agent of Lyme disease, Borrelia burgdorferi. We argue that performance of serological testing for Lyme disease is well studied, and variations in test performance at different disease stages are accounted for in clinical diagnosis of Lyme disease, and in surveillance case definitions. Extensive surveillance for tick vectors has taken place in Canada providing a clear picture of the emergence of risk in the Canadian environment. This surveillance shows that the geographic scope of I. scapularis populations and Lyme disease risk is limited but increasing in Canada. The reported incidence of Lyme disease in Canada is consistent with this pattern of environmental risk, and the differences in Lyme disease incidence between US states and neighbouring Canadian provinces are consistent with geographic differences in environmental risk. Data on serological responses in dogs from Canada and the US are consistent with known differences in environmental risk, and in numbers of reported Lyme disease cases, between the US and Canada. CONCLUSION: The high level of consistency in data from human case and tick surveillance, and data on serological responses in dogs, suggests that a high degree of under-reporting in Canada is unlikely. We speculate that approximately one third of cases are reported in regions of emergence of Lyme disease, although prospective studies are needed to fully quantify under-reporting. In the meantime, surveillance continues to identify and track the ongoing emergence of Lyme disease, and the risk to the public, in Canada.


Subject(s)
Lyme Disease/epidemiology , Population Surveillance , Animals , Borrelia burgdorferi/immunology , Canada/epidemiology , Dogs/immunology , Humans , Incidence
8.
J Appl Microbiol ; 126(4): 1081-1095, 2019 Apr.
Article in English | MEDLINE | ID: mdl-30693606

ABSTRACT

AIMS: This study investigated the occurrence and genetic diversity of Enterobacteriaceae with extended-spectrum ß-lactamase (ESBL)-, AmpC- and carbapenemase-mediated resistance in British beef cattle, and related risk factors. METHODS AND RESULTS: Faecal samples (n = 776) were obtained from farms in England and Wales (n = 20) and Scotland (n = 20) in 2015. Isolates from selective agars were identified by MALDI ToF mass spectrometry. Selected isolates were characterized by multiplex PCR (blaCTX -M, blaOXA , blaSHV and blaTEM genes), whole-genome sequencing (WGS), minimum inhibitory concentrations and pulsed-field gel electrophoresis. None of the faecal samples yielded carbapenem-resistant Escherichia coli. Ten (25%) of the farms tested positive for ESBL-producing CTX-M Enterobacteriaceae, 15 (37·5%) of the farms were positive for AmpC phenotype E. coli and none were positive for carbapenem-resistant E. coli. WGS showed a total of 30 different resistance genes associated with E. coli, Citrobacter and Serratia from ESBL agars, and colocation of resistance genes with blaCTX -M1 . Buying bulls and bringing in fattening cattle from another farm were identified as significant risk factors for positive samples harbouring CTX-M Enterobacteriaceae or AmpC phenotype E. coli respectively. CONCLUSIONS: Beef cattle on a proportion of farms in GB carry ESBL-producing Enterobacteriaceae. Factors, such as operating as a closed herd, may have an important role in reducing introduction and transmission of resistant Enterobacteriaceae. The results indicate management factors may play an important role in impacting ESBL prevalence. In particular, further study would be valuable to understand the impact of maintaining a closed herd on reducing the introduction of resistant Enterobacteriaceae. SIGNIFICANCE AND IMPACT OF THE STUDY: This is the first study showing the presence of ESBL-producing Enterobacteriaceae in British beef cattle.


Subject(s)
Drug Resistance, Bacterial , Enterobacteriaceae/drug effects , Enterobacteriaceae/isolation & purification , Red Meat/microbiology , beta-Lactams/pharmacology , Animals , Anti-Bacterial Agents/pharmacology , Cattle , Drug Resistance, Bacterial/genetics , Enterobacteriaceae/genetics , Enterobacteriaceae/metabolism , Farms/statistics & numerical data , Feces/microbiology , Food Microbiology , Genes, Bacterial/genetics , United Kingdom , beta-Lactamases/genetics
9.
Prev Vet Med ; 160: 54-62, 2018 Nov 15.
Article in English | MEDLINE | ID: mdl-30388998

ABSTRACT

Pork and pork products are a major source of human salmonellosis in the United Kingdom (UK). Despite a number of surveillance programmes, the prevalence of Salmonella in the UK slaughter pig population remains over 20%. Here, we present the results of a Cost-Benefit Analysis comparing five on-farm control strategies (where the cost is the cost of implementation and the benefits are the financial savings for both the human health and pig industries). The interventions considered were: wet feed, organic acids in feed, vaccination, enhanced cleaning and disinfection and movement of outdoor breeding units. The data originate from published papers and recent UK studies. The effectiveness was assessed by adapting a previous risk assessment, originally developed for the European Food Safety Authority. Using this method, none of the intervention strategies produced a net cost-benefit. Our results suggest that the cost of implementation outweighed the savings for all interventions, even if the effectiveness could be improved. Therefore, to achieve a net cost-benefit it is essential to reduce the cost of interventions. Analyses concluded that large cost reductions (up to 96%) would be required. Use of organic acids required the smallest reduction in cost (22.7%) to achieve a net cost benefit. Uncertainty analysis suggested that a small net gain might be possible, for some of the intervention measures. But this would imply that the model greatly underestimated some key parameters, which was considered unlikely. Areas of key uncertainty were identified as the under-reporting factor (i.e. the proportion of community cases of Salmonella) and the source attribution factor (i.e. the proportion of human Salmonella cases attributable to pork products).


Subject(s)
Salmonella Infections, Animal/prevention & control , Swine Diseases/prevention & control , Animal Husbandry/economics , Animal Husbandry/methods , Animals , Cost-Benefit Analysis , Costs and Cost Analysis , Prevalence , Salmonella Infections, Animal/economics , Salmonella Infections, Animal/epidemiology , Swine , Swine Diseases/economics , Swine Diseases/epidemiology , Swine Diseases/microbiology , United Kingdom/epidemiology
10.
Epidemiol Infect ; 146(15): 1909-1915, 2018 11.
Article in English | MEDLINE | ID: mdl-30099969

ABSTRACT

Salmonella prevalence in UK pigs is amongst the highest in Europe, highlighting the need to investigate pig farms which have managed to maintain a low Salmonella seroprevalence. A total of 19 pig farms that had a consistently low (<10%) seroprevalence over 4 years (named Platinum farms) were compared against 38 randomly selected Control farms, chosen to match the same distribution of production types and geographical distribution of the Platinum farms. Each farm was visited and floor faeces and environmental samples were collected. It was shown that Control farms had a significantly higher median percentage of pooled faecal samples positive for Salmonella compared with the Platinum farms (12.1% and 0.4% for pooled faecal samples, respectively) and were more likely to have serovars of public health importance detected (S. Typhimurium/ monophasic variants or S. Enteritidis). Considering the comprehensive on-farm sampling, the identification of farms negative for Salmonella, along with the identification of those that had maintained low prevalence over a long period is important. The risk factor analyses identified pelleted feed, feed deliveries crossing farm perimeter and regular antibiotic use as associated with being a Control farm. Performance data indicated that Platinum farms were performing better for slaughter live weight than Controls. Limited assessments of available pig movement records suggested that the source of pigs was not key to Platinum status, but further study would be needed to confirm this finding. These results emphasise that maintaining very low prevalence on UK farms is achievable.


Subject(s)
Farms , Salmonella Infections, Animal/epidemiology , Salmonella/isolation & purification , Swine Diseases/epidemiology , Animals , Case-Control Studies , Feces/microbiology , Prevalence , Risk Factors , Salmonella/classification , Serogroup , Swine , United Kingdom/epidemiology
11.
J Appl Microbiol ; 125(2): 596-608, 2018 Aug.
Article in English | MEDLINE | ID: mdl-29741287

ABSTRACT

AIMS: In 2015, colistin-resistant Escherichia coli and Salmonella with the mcr-1 gene were isolated from a pig farm in Great Britain. Pigs were subsequently monitored over a ~20-month period for the occurrence of mcr-1-mediated colistin resistance and the risk of mcr-1 E. coli entering the food chain was assessed. METHODS AND RESULTS: Pig faeces and slurry were cultured for colistin-resistant E. coli and Salmonella, tested for the mcr-1 gene by PCR and selected isolates were further analysed. Seventy-eight per cent of faecal samples (n = 275) from pigs yielded mcr-1 E. coli after selective culture, but in positive samples only 0·2-1·3% of the total E. coli carried mcr-1. Twenty months after the initial sampling, faecal samples (n = 59) were negative for E. coli carrying mcr-1. CONCLUSIONS: The risk to public health from porcine E. coli carrying mcr-1 was assessed as very low. Twenty months after cessation of colistin use, E. coli carrying mcr-1 was not detected in pig faeces on a farm where it was previously present. SIGNIFICANCE AND IMPACT OF THE STUDY: The results suggest that cessation of colistin use may help over time to reduce or possibly eliminate mcr-1 E. coli on pig farms where it occurs.


Subject(s)
Anti-Bacterial Agents , Colistin , Drug Resistance, Bacterial , Escherichia coli Infections , Escherichia coli Proteins/genetics , Escherichia coli , Animals , Anti-Bacterial Agents/pharmacology , Anti-Bacterial Agents/therapeutic use , Colistin/pharmacology , Colistin/therapeutic use , Escherichia coli/drug effects , Escherichia coli/genetics , Escherichia coli Infections/drug therapy , Escherichia coli Infections/epidemiology , Escherichia coli Infections/microbiology , Escherichia coli Infections/veterinary , Feces/microbiology , Longitudinal Studies , Swine
13.
J Appl Microbiol ; 124(1): 274-285, 2018 Jan.
Article in English | MEDLINE | ID: mdl-29024207

ABSTRACT

AIMS: The control of Salmonella in pig production is necessary for public and animal health, and vaccination was evaluated as a strategy to decrease pig prevalence. METHODS AND RESULTS: The study examined the efficacy of a live Salmonella Typhimurium vaccine, administered to sows on eight commercial farrow-to-finish herds experiencing clinical salmonellosis or Salmonella carriage associated with S. Typhimurium or its monophasic variants. Results of longitudinal Salmonella sampling were compared against eight similarly selected and studied control farms. At the last visit (~14 months after the start of vaccination), when all finishing stock had been born to vaccinated sows, both faecal shedding and environmental prevalence of Salmonella substantially declined on the majority of vaccinated farms in comparison to the controls. A higher proportion of vaccine farms resolved clinical salmonellosis than controls. However, Salmonella counts in positive faeces samples were similar between nonvaccinated and vaccinated herds. CONCLUSIONS: The results suggest that maternal vaccination is a suitable option for a Salmonella Typhimurium reduction strategy in farrow-to-finish pig herds. SIGNIFICANCE AND IMPACT OF THE STUDY: Salmonella vaccines have the potential to reduce the prevalence of Salmonella in pigs and result in a reduction of human cases attributed to pork.


Subject(s)
Immunity, Maternally-Acquired , Salmonella Infections, Animal/prevention & control , Salmonella Vaccines/administration & dosage , Salmonella typhimurium/immunology , Swine Diseases/prevention & control , Animals , Farms , Feces/microbiology , Female , Humans , Prevalence , Red Meat , Salmonella Infections, Animal/immunology , Salmonella Infections, Animal/microbiology , Salmonella Vaccines/immunology , Salmonella typhimurium/genetics , Salmonella typhimurium/physiology , Sus scrofa , Swine , Swine Diseases/immunology , Swine Diseases/microbiology , Vaccination/veterinary , Vaccines, Attenuated/administration & dosage , Vaccines, Attenuated/immunology
14.
Epidemiol Infect ; 145(10): 1983-1992, 2017 07.
Article in English | MEDLINE | ID: mdl-28502264

ABSTRACT

Anecdotal evidence has suggested that outdoor-kept pigs show an improvement to health and productivity after being moved to a new site. This study explores whether Salmonella occurrence reduced and was sustained after moving to a new site. Nine farms were followed for a year in which four sampling visits were completed. The highest detection of Salmonella was from pooled faecal dropping from pigs, run-off/ pooled water, rodents and wild birds. Descriptive summaries showed that the prevalence of both all Salmonella and serovars of public health importance were lower at all visits after the move. Some variability was shown in results from individual farms, but a year after the move, six farms still maintained a lower prevalence. A risk factor model showed that the prevalence at visits 2 and 3 after the move was significantly lower than baseline, after accounting for a number of significant factors that were included in the model. These were sample type and seasonality (included as a priori), presence of coughing in the sampled group and Glasser's disease on the farm, and the use of tent or kennel accommodation. This finding provides important evidence that more frequent site moves may help reduce Salmonella prevalence in outdoor herds.


Subject(s)
Animal Husbandry/methods , Salmonella Infections, Animal/epidemiology , Salmonella/physiology , Swine Diseases/epidemiology , Animals , Longitudinal Studies , Prevalence , Risk Factors , Salmonella Infections, Animal/microbiology , Salmonella Infections, Animal/prevention & control , Seasons , Swine , Swine Diseases/microbiology , Swine Diseases/prevention & control , Transportation , United Kingdom/epidemiology
15.
Brachytherapy ; 16(2): 330-341, 2017.
Article in English | MEDLINE | ID: mdl-28159553

ABSTRACT

PURPOSE: Androgen suppression combined with elective nodal and dose-escalated radiation therapy recently demonstrated an improved biochemical failure-free survival in men who received external beam radiation therapy (EBRT) plus a brachytherapy boost (BB) compared with dose-escalated external beam radiotherapy (DE-EBRT). We sought to analyze the factors predictive for use of EBRT + BB as compared with DE-EBRT and report resulting survival outcomes on a national level using a hospital-based registry. METHODS AND MATERIALS: We identified 113,719 men from the National Cancer Database from 2004 to 2013 with intermediate- or high-risk prostate cancer who were treated with EBRT + BB or DE-EBRT. We performed univariate and multivariate analyses of all available factors potentially predictive of receipt of treatment selection. Survival was evaluated in a multivariable model with propensity adjustment. RESULTS: For intermediate-risk patients, utilization of BB decreased from 33.1% (n = 1742) in 2004 to 12.5% (n = 766) in 2013 and for high-risk patients, utilization dropped from 27.6% (n = 879) to 10.8% (n = 479). Numerous factors predictive for use of BB were identified. Cox proportional hazards analysis was performed-adjusting for age, Charlson-Deyo comorbidity score, T stage, prostate-specific antigen, Gleason score, and sociodemographic factors-and demonstrated BB use was associated with a hazard ratio of 0.71 (95% confidence interval, 0.67-0.75; p < 0.0005) and 0.73 (95% confidence interval, 0.68-0.78; p < 0.0005) for intermediate- and high-risk patients, respectively. CONCLUSIONS: There has been a concerning decline in the utilization of BB for intermediate- and high-risk prostate cancer patients despite an association with improved on overall survival. Numerous factors predictive for use of BB have been identified.


Subject(s)
Brachytherapy/methods , Prostatic Neoplasms/radiotherapy , Aged , Androgen Antagonists/therapeutic use , Brachytherapy/statistics & numerical data , Brachytherapy/trends , Chemotherapy, Adjuvant , Databases, Factual , Humans , Male , Middle Aged , Multivariate Analysis , Neoplasm Grading , Proportional Hazards Models , Prostate-Specific Antigen/blood , Prostatic Neoplasms/drug therapy , Prostatic Neoplasms/pathology , Socioeconomic Factors , Survival Analysis , Treatment Outcome
16.
Article in English | MEDLINE | ID: mdl-27260804

ABSTRACT

The study examined the effects of a licensed live Salmonella Typhimurium vaccine, administered to sows and gilts on three commercial pig units experiencing clinical salmonellosis associated with S. Typhimurium or its monophasic variant. After vaccination, clinical salmonellosis resolved and shedding of S. Typhimurium declined markedly and persistently on all breeding or breeding-finishing units, during the one- to two-year monitoring period. On two finishing units supplied in part by one of the vaccinated herds, pigs from the vaccinated herd were less likely to shed Salmonella than those from non-vaccinating herds, and Salmonella counts in faeces were also lower from the vaccine-linked animals. Non-Typhimurium Salmonella serovars were isolated typically in fewer than 10% of samples, and showed no clear temporal changes in frequency. Vaccination of dams alone with S. Typhimurium was associated with reduced shedding of closely-related serovars among all age groups in this commercial setting.


Subject(s)
Salmonella Infections, Animal/prevention & control , Salmonella Vaccines/administration & dosage , Salmonella typhimurium/immunology , Swine Diseases/prevention & control , Vaccination/veterinary , Animals , Bacterial Shedding , Breeding , Enzyme-Linked Immunosorbent Assay , Feces/microbiology , Female , Longitudinal Studies , Salmonella Infections, Animal/microbiology , Salmonella typhimurium/isolation & purification , Salmonella typhimurium/physiology , Serogroup , Swine , Swine Diseases/microbiology , Vaccines, Attenuated/administration & dosage
17.
Epidemiol Infect ; 144(9): 1818-29, 2016 07.
Article in English | MEDLINE | ID: mdl-26830233

ABSTRACT

A longitudinal study in England and Wales of two dairy, five beef-fattener and three beef-suckler herds was carried out to identify risk factors for young cattle excreting verocytotoxin-producing Escherichia coli O157 (VTEC O157). A total of 1383 cattle, selected into cohorts at 0-24 months were sampled between March 2000 and February 2001. Mixed-effects logistic regression was employed to identify significant associations between VTEC O157 isolation from rectal faecal samples and explanatory factors (P < 0·001 unless shown). The results revealed a positive association with feeding root crops and a negative association with animals fed silage, milk (P = 0·001) or grain (P = 0·027). Cattle in suckler herds (P = 0·001) and those changing group between sampling visits were identified as negatively associated with VTEC O157 presence. The recovery of VTEC O157 varied throughout the year. However, the winter period from December to February was a risk factor in the multivariable analysis. Cattle in pens were 4·7 times more likely to shed VTEC O157 than those group-housed or at pasture. VTEC O157 detected in pooled environmental faecal pats and biofilm of the water supply within a group's enclosure were positively associated with an animal's VTEC O157 status in the multivariable logistic regression, as was detection of VTEC O157 in the pooled faecal pats at the previous visit.


Subject(s)
Bacterial Shedding , Carrier State/epidemiology , Carrier State/microbiology , Escherichia coli Infections/veterinary , Escherichia coli O157/isolation & purification , Animal Feed , Animal Husbandry/methods , Animals , Cattle , England/epidemiology , Escherichia coli Infections/epidemiology , Escherichia coli Infections/microbiology , Feces/microbiology , Female , Longitudinal Studies , Male , Rectum/microbiology , Risk Factors , Seasons , Wales/epidemiology
18.
Epidemiol Infect ; 144(7): 1538-49, 2016 05.
Article in English | MEDLINE | ID: mdl-26586451

ABSTRACT

An abattoir-based study was undertaken between January and May 2013 to estimate the prevalence of Salmonella spp. and Yersinia spp. carriage and seroprevalence of antibodies to Toxoplasma gondii and porcine reproductive and respiratory syndrome virus (PRRSv) in UK pigs at slaughter. In total, 626 pigs were sampled at 14 abattoirs that together process 80% of the annual UK pig slaughter throughput. Sampling was weighted by abattoir throughput and sampling dates and pig carcasses were randomly selected. Rectal swabs, blood samples, carcass swabs and the whole caecum, tonsils, heart and tongue were collected. Salmonella spp. was isolated from 30·5% [95% confidence interval (CI) 26·5-34·6] of caecal content samples but only 9·6% (95% CI 7·3-11·9) of carcass swabs, which was significantly lower than in a UK survey in 2006-2007. S. Typhimurium and S. 4,[5],12:i:- were the most commonly isolated serovars, followed by S. Derby and S. Bovismorbificans. The prevalence of Yersinia enterocolitica carriage in tonsils was 28·7% (95% CI 24·8-32·7) whereas carcass contamination was much lower at 1·8% (95% CI 0·7-2·8). The seroprevalence of antibodies to Toxoplasma gondii and PRRSv was 7·4% (95% CI 5·3-9·5) and 58·3% (95% CI 53·1-63·4), respectively. This study provides a comparison to previous abattoir-based prevalence surveys for Salmonella and Yersinia, and the first UK-wide seroprevalence estimates for antibodies to Toxoplasma and PRRSv in pigs at slaughter.


Subject(s)
Porcine Reproductive and Respiratory Syndrome/epidemiology , Salmonella Infections, Animal/epidemiology , Toxoplasmosis, Animal/epidemiology , Yersinia Infections/veterinary , Abattoirs , Animals , Antibodies, Protozoan/blood , Antibodies, Viral/blood , Cross-Sectional Studies , Female , Male , Porcine Reproductive and Respiratory Syndrome/virology , Porcine respiratory and reproductive syndrome virus/isolation & purification , Prevalence , Salmonella/isolation & purification , Salmonella Infections, Animal/microbiology , Seroepidemiologic Studies , Swine , Swine Diseases/epidemiology , Swine Diseases/microbiology , Swine Diseases/parasitology , Swine Diseases/virology , Toxoplasma/isolation & purification , Toxoplasmosis, Animal/parasitology , United Kingdom/epidemiology , Yersinia/isolation & purification , Yersinia Infections/epidemiology , Yersinia Infections/microbiology
19.
Prev Vet Med ; 123: 32-38, 2016 Jan 01.
Article in English | MEDLINE | ID: mdl-26678120

ABSTRACT

Identifying and ranking cattle herds with a higher risk of being or becoming infected on known risk factors can help target farm biosecurity, surveillance schemes and reduce spread through animal trading. This paper describes a quantitative approach to develop risk scores, based on the probability of infection in a herd with bovine tuberculosis (bTB), to be used in a risk-based trading (RBT) scheme in England and Wales. To produce a practical scoring system the risk factors included need to be simple and quick to understand, sufficiently informative and derived from centralised national databases to enable verification and assess compliance. A logistic regression identified herd history of bTB, local bTB prevalence, herd size and movements of animals onto farms in batches from high risk areas as being significantly associated with the probability of bTB infection on farm. Risk factors were assigned points using the estimated odds ratios to weight them. The farm risk score was defined as the sum of these individual points yielding a range from 1 to 5 and was calculated for each cattle farm that was trading animals in England and Wales at the start of a year. Within 12 months, of those farms tested, 30.3% of score 5 farms had a breakdown (sensitivity). Of farms scoring 1-4 only 5.4% incurred a breakdown (1-specificity). The use of this risk scoring system within RBT has the potential to reduce infected cattle movements; however, there are cost implications in ensuring that the information underpinning any system is accurate and up to date.


Subject(s)
Animal Husbandry/methods , Tuberculosis, Bovine/epidemiology , Animals , Cattle , Commerce , Cost-Benefit Analysis , England/epidemiology , Prevalence , Risk Assessment , Transportation , Tuberculosis, Bovine/microbiology , Wales/epidemiology
20.
Epidemiol Infect ; 144(1): 19-24, 2016 Jan.
Article in English | MEDLINE | ID: mdl-25990008

ABSTRACT

A survey of Coxiella burnetii infection (Q fever) in sheep flocks and goat herds in Great Britain was undertaken. A total of 5791 sheep (384 flocks) and 522 goats (145 herds) were examined for C. burnetii antibodies using an ELISA. Overall, 53 sheep (37 flocks), and four goats (four herds), tested positive. Estimates of individual animal, between-flock/-herd and within-flock/-herd crude prevalences were 0·9%, 10·2% and 9·0%, respectively, for sheep, and 0·8%, 3% and 26·3%, respectively, for goats. With sheep, the likelihood of an animal testing positive increased with total flock size (P = 0·002) and number of breeding ewes in the flock (P = 0·021). It also increased with number of goats within a 10 km radius (P = 0·038). There was no evidence for spatial clustering of positive herds above that expected by chance alone. No analysis of risk factors was attempted for goats because of the paucity of positives.


Subject(s)
Coxiella burnetii/isolation & purification , Goat Diseases/epidemiology , Q Fever/veterinary , Sheep Diseases/epidemiology , Animals , Enzyme-Linked Immunosorbent Assay/veterinary , Female , Goat Diseases/microbiology , Goats , Prevalence , Q Fever/epidemiology , Q Fever/microbiology , Risk Factors , Seroepidemiologic Studies , Sheep , Sheep Diseases/microbiology , United Kingdom/epidemiology
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