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Franz E, van Bruggen AH. Ecology ofE. coliO157:H7 andSalmonella entericain the Primary Vegetable Production Chain. Crit Rev Microbiol 2008; 34:143-61. [DOI: 10.1080/10408410802357432] [Citation(s) in RCA: 136] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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52
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Berends I, Graat E, Swart W, Weber M, van de Giessen A, Lam T, Heuvelink A, van Weering H. Prevalence of VTEC O157 in dairy and veal herds and risk factors for veal herds. Prev Vet Med 2008; 87:301-10. [DOI: 10.1016/j.prevetmed.2008.05.004] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2007] [Revised: 04/29/2008] [Accepted: 05/09/2008] [Indexed: 11/25/2022]
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53
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Heithoff DM, Enioutina EY, Bareyan D, Daynes RA, Mahan MJ. Conditions that diminish myeloid-derived suppressor cell activities stimulate cross-protective immunity. Infect Immun 2008; 76:5191-9. [PMID: 18765736 PMCID: PMC2573365 DOI: 10.1128/iai.00759-08] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2008] [Revised: 08/07/2008] [Accepted: 08/21/2008] [Indexed: 01/04/2023] Open
Abstract
Immunity conferred by conventional vaccines is restricted to a narrow range of closely related strains, highlighting the unmet medical need for the development of vaccines that elicit protection against multiple pathogenic serotypes. Here we show that a Salmonella bivalent vaccine comprised of strains that lack and overproduce DNA adenine methylase (Dam) conferred cross-protective immunity to salmonella clinical isolates of human and animal origin. Protective immunity directly correlated with increased levels of cross-reactive opsonizing antibodies and memory T cells and a diminished expansion of myeloid-derived suppressor cells (MDSCs) that are responsible for the immune suppression linked to several conditions of host stress, including chronic microbial infections, traumatic insults, and many forms of cancer. Further, aged mice contained increased numbers of MDSCs and were more susceptible to Salmonella infection than young mice, suggesting a role for these cells in the immune declines associated with the natural aging process. These data suggest that interventions capable of reducing MDSC presence and activities may allow corresponding increases in B- and T-cell stimulation and benefit the ability of immunologically diverse populations to be effectively vaccinated as well as reducing the risk of susceptible individuals to infectious disease.
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Affiliation(s)
- Douglas M Heithoff
- Department of Molecular, Cellular and Developmental Biology, University of California, Santa Barbara, CA 93106, USA
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54
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Delhalle L, De Sadeleer L, Bollaerts K, Farnir F, Saegerman C, Korsak N, Dewulf J, De Zutter L, Daube G. Risk factors for Salmonella and hygiene indicators in the 10 largest Belgian pig slaughterhouses. J Food Prot 2008; 71:1320-9. [PMID: 18680928 DOI: 10.4315/0362-028x-71.7.1320] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
A survey was conducted to collect data on Salmonella prevalence, Escherichia coli counts (ECCs), and aerobic bacteria colony counts (ACCs) on pig carcasses after chilling at the 10 largest Belgian pig slaughterhouses during 2000 through 2004. Potential risk factors of contamination associated with production parameters, technical descriptions of the installations, and cleaning and disinfection methods were assessed during investigations in the slaughterhouses. These variables were used first in a univariate analysis and then were extended to a multivariate analysis with a logistic mixed regression model for Salmonella and a linear mixed model for ECCs and ACCs with slaughterhouses as the random effect. The results indicated high variability concerning Salmonella contamination among the 10 slaughterhouses, with prevalence ranging from 2.6 to 34.3% according to the area of origin. The median ECC and median ACC ranged from -0.43 to 1.11 log CFU/cm2 and from 2.37 to 3.65 log CFU/cm2, respectively. The results of the logistic and linear regressions revealed that some working practices such as scalding with steam, second flaming after polishing, and complete cleaning and disinfection of the splitting machine several times a day were beneficial for reducing Salmonella prevalence, ECCs, and ACCs. Changing the carcass hooks just before chilling, using water as the cleaning method, and a higher frequency of disinfection of the lairage seemed to be protective against E. coli in the multivariate mixed linear model. The monitoring of critical points, slaughterhouse equipment, good slaughtering practices, and effective washing and disinfection are the keys to obtaining good microbiological results.
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Affiliation(s)
- L Delhalle
- Food Science Department, Microbiology Section, Faculty of Veterinary Medicine, University of Liège, Sart-Tilman, B43bis, 4000 Liège, Belgium.
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55
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Maunsell F, Donovan GA. Biosecurity and risk management for dairy replacements. Vet Clin North Am Food Anim Pract 2008; 24:155-90. [PMID: 18299037 PMCID: PMC7134781 DOI: 10.1016/j.cvfa.2007.10.007] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Biosecurity, biocontainment, and disease risk management on dairy replacement operations are time- and labor-intensive, planned programs. Oftentimes the value of these programs is realized only after disease is introduced to a facility or a disease outbreak occurs. There is no “one-plan-fits-all;” each plan must be tailored to meet the needs of management's goals and expectations and problems specific to a production enterprise or geographic region. A standard framework applicable to biosecurity programs includes: (1) hazard identification, (2) exposure assessment, (3) risk characterization, and (4) risk management. The discussion presented here helps lay the framework for development and implementation of biosecurity and risk-management programs within dairy replacement facilities.
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Affiliation(s)
- Fiona Maunsell
- Department of Infectious Diseases and Pathology, College of Veterinary Medicine, University of Florida, P.O. Box 110880, Gainesville, FL 32611, USA.
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56
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Mohler V, Heithoff D, Mahan M, Walker K, Hornitzky M, Shum L, Makin K, House J. Cross-protective immunity conferred by a DNA adenine methylase deficient Salmonella enterica serovar Typhimurium vaccine in calves challenged with Salmonella serovar Newport. Vaccine 2008; 26:1751-8. [DOI: 10.1016/j.vaccine.2008.01.018] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2007] [Revised: 01/09/2008] [Accepted: 01/14/2008] [Indexed: 10/22/2022]
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57
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Heithoff DM, Shimp WR, Lau PW, Badie G, Enioutina EY, Daynes RA, Byrne BA, House JK, Mahan MJ. Human Salmonella clinical isolates distinct from those of animal origin. Appl Environ Microbiol 2008; 74:1757-66. [PMID: 18245251 PMCID: PMC2268321 DOI: 10.1128/aem.02740-07] [Citation(s) in RCA: 60] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2007] [Accepted: 01/19/2008] [Indexed: 12/18/2022] Open
Abstract
The global trend toward intensive livestock production has led to significant public health risks and industry-associated losses due to an increased incidence of disease and contamination of livestock-derived food products. A potential factor contributing to these health concerns is the prospect that selective pressure within a particular host may give rise to bacterial strain variants that exhibit enhanced fitness in the present host relative to that in the parental host from which the strain was derived. Here, we assessed 184 Salmonella enterica human and animal clinical isolates for their virulence capacities in mice and for the presence of the Salmonella virulence plasmid encoding the SpvB actin cytotoxin required for systemic survival and Pef fimbriae, implicated in adherence to the murine intestinal epithelium. All (21 of 21) serovar Typhimurium clinical isolates derived from animals were virulent in mice, whereas many (16 of 41) serovar Typhimurium isolates derived from human salmonellosis patients lacked this capacity. Additionally, many (10 of 29) serovar Typhimurium isolates derived from gastroenteritis patients did not possess the Salmonella virulence plasmid, in contrast to all animal and human bacteremia isolates tested. Lastly, among serovar Typhimurium isolates that harbored the Salmonella virulence plasmid, 6 of 31 derived from human salmonellosis patients were avirulent in mice, which is in contrast to the virulent phenotype exhibited by all the animal isolates examined. These studies suggest that Salmonella isolates derived from human salmonellosis patients are distinct from those of animal origin. The characterization of these bacterial strain variants may provide insight into their relative pathogenicities as well as into the development of treatment and prophylactic strategies for salmonellosis.
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Affiliation(s)
- Douglas M Heithoff
- Department of Molecular, Cellular and Developmental Biology, University of California, Santa Barbara, CA 93106, USA
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58
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The effect of heterogeneous infectious period and contagiousness on the dynamics of Salmonella transmission in dairy cattle. Epidemiol Infect 2008; 136:1496-510. [PMID: 18198002 DOI: 10.1017/s0950268807000209] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
The objective of this study was to address the impact of heterogeneity of infectious period and contagiousness on Salmonella transmission dynamics in dairy cattle populations. We developed three deterministic SIR-type models with two basic infected stages (clinically and subclinically infected). In addition, model 2 included long-term shedders, which were defined as individuals with low contagiousness but long infectious period, and model 3 included super-shedders (individuals with high contagiousness and long infectious period). The simulated dynamics, basic reproduction number (R0) and critical vaccination threshold were studied. Clinically infected individuals were the main force of infection transmission for models 1 and 2. Long-term shedders had a small impact on the transmission of the infection and on the estimated vaccination thresholds. The presence of super-shedders increases R0 and decreases the effectiveness of population-wise strategies to reduce infection, making necessary the application of strategies that target this specific group.
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59
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Modelling a national programme for the control of foodborne pathogens in livestock: the case of Salmonella Dublin in the Danish cattle industry. Epidemiol Infect 2008; 136:1521-36. [PMID: 18177521 DOI: 10.1017/s0950268807000179] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
A 'virtual hierarchy' model is described for studying the spread of pathogens between herds of livestock. This novel approach to simulating disease has animals, herds, and geographic regions in a national livestock industry arranged as a hierarchy of objects in computer memory. Superimposed on all objects is an infection-recovery cycle, a control programme, and surveillance based on test results and animal movement. The model was applied to predicting progress in the control of Salmonella Dublin in the Danish dairy cattle industry over a 10-year period. More frequent testing of bulk tank milk for antibodies to S. Dublin was less effective than improved herd biosecurity. Restricting cattle movement between regions provided a strong benefit to those regions initially with a low prevalence of infection. Enhanced control within infected herds was of intermediate benefit. A combination of strategies was highly effective although cost and feasibility of this option needs further exploration.
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60
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Van Schaik G, Klinkenberg D, Veling J, Stegeman A. Transmission of Salmonella in dairy herds quantified in the endemic situation. Vet Res 2007; 38:861-9. [PMID: 17903419 DOI: 10.1051/vetres:2007036] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2006] [Accepted: 06/06/2007] [Indexed: 11/14/2022] Open
Abstract
Salmonella is a cause of concern in the cattle industry, because it is a zoonosis causing severe invasive infections in humans and because it causes economic and welfare losses in infected herds. In general, cattle in the Netherlands are infected with two types; Salmonella Dublin and Salmonella Typhimurium. Both types cause clinical signs but S. Dublin outbreaks are more prevalent and clinical signs are more severe than S. Typhimurium outbreaks. Our knowledge of the transmission of Salmonella within herds is still limited, while this is an essential component for modelling the success of intervention strategies to control Salmonella. The aim of our study was to estimate the basic reproduction ratio (R(0)), the number of secondary cases produced from each primary case in a totally susceptible population, for S. Dublin and S. Typhimurium in dairy herds. Serological data were obtained from eight farms with a clinical outbreak of Salmonella, two with an outbreak of S. Dublin and 6 of S. Typhimurium. R(0) was estimated from the serological data of the herds that were in an endemic state of the infection. R(0) across herds was estimated to be 2.5 (95% CI 1.7-9.8) and 1.3 (95% CI 1.1-1.7) for S. Dublin and S. Typhimurium, respectively. The between herd variation was significant and fairly large. The results of the sensitivity analysis showed that the R(0) estimate was not sensitive for changes in the latent, infectious or seropositive periods. The R(0) estimates indicated that the infection would not spread very extensively in susceptible populations under management systems similar to the ones in the study herds.
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61
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Nielsen LR, Warnick LD, Greiner M. Risk Factors for Changing Test Classification in the Danish Surveillance Program for Salmonella in Dairy Herds. J Dairy Sci 2007; 90:2815-25. [PMID: 17517722 DOI: 10.3168/jds.2006-314] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
A surveillance program in which all cattle herds in Denmark are classified into Salmonella infection categories has been in place since 2002. Dairy herds were considered test negative and thus most likely free of infection if Salmonella antibody measurements were consistently low in bulk tank milk samples collected every 3 mo. Herds were considered test positive and thus most likely infected if the 4-quarter moving average bulk tank milk antibody concentration was high or if there was a large increase in the most recent measurement compared with the average value from the previous 3 samples. The objective of this study was to evaluate risk factors for changing from test negative to positive, which was indicative of herds becoming infected from one quarter of the year to the next, and risk factors for changing from test positive to negative, which was indicative of herds recovering from infection between 2 consecutive quarters of the year. The Salmonella serotypes in question were Salmonella Dublin or other serotypes that cross-react with the Salmonella Dublin antigen in the ELISA (e.g., some Salmonella Typhimurium types). Two logistic regression models that accounted for repeated measurements at the herd level and controlled for herd size and regional effects were used. Data from 2003 was used for the analyses. A change from test negative to positive occurred in 2.0% of the quarterly observations (n = 21,007) from test negative dairy herds. A change from test positive to negative occurred in 10.0% of quarterly observations (n = 6,168) available from test positive dairy herds. The higher the number of test-positive neighbor herds in the previous year-quarter, the more likely herds were to become test positive for Salmonella. The number of purchased cattle from test-positive herds was also associated with changing from test negative to positive. The bigger the herd, the more likely it was to change from negative to test positive. The effect of herd size on recovery was less clear. Large herds consisting mainly of large breeds or having test-positive neighbors in a 2-km radius were less likely to change from test positive to negative, whereas the breed and neighbor factors were not found to be important for small herds. Organic production was associated with remaining test positive, but not with becoming test positive. The results emphasize the importance of external and internal biosecurity measures to control Salmonella infections.
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Affiliation(s)
- L R Nielsen
- Department of Large Animal Sciences, Faculty of Life Sciences, University of Copenhagen, Groennegaardsvej 8, DK-1870 Frederiksberg C, Denmark.
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62
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Ray KA, Warnick LD, Mitchell RM, Kaneene JB, Ruegg PL, Wells SJ, Fossler CP, Halbert LW, May K. Prevalence of antimicrobial resistance among Salmonella on midwest and northeast USA dairy farms. Prev Vet Med 2007; 79:204-23. [PMID: 17215055 DOI: 10.1016/j.prevetmed.2006.12.001] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2005] [Revised: 12/04/2006] [Accepted: 12/07/2006] [Indexed: 10/23/2022]
Abstract
The objective of this study was to determine the prevalence of antimicrobial resistance among Salmonella isolated from dairy herds in New York, Minnesota, Michigan, and Wisconsin, USA. Serogroup and antimicrobial susceptibility characteristics were determined for Salmonella from cattle and environmental samples collected during August 2000-October 2001 as part of a longitudinal study where 129 herds were visited at 2-month intervals. Salmonella isolates were tested (using a broth microdilution method) for susceptibility to amoxicillin/clavulanic acid, ampicillin, ceftiofur, ceftriaxone, cephalothin, chloramphenicol, ciprofloxacin, gentamicin, kanamycin, nalidixic acid, streptomycin, sulfamethoxazole, tetracycline, and trimethoprim/sulfamethoxazole. Of the 1506 isolates tested for minimum inhibitory concentrations to these 14 antimicrobial agents, 81.2% were pan-susceptible and for most herds (81.6%) the predominant antimicrobial resistance pattern was pan-susceptible. At least 1 Salmonella isolate resistant to 5 or more antimicrobial agents was found on 23.6% of herds. This resistance phenotype was most common among serogroups B and E1 and among samples from calves and farmer-designated sick cows. Resistant samples most frequently exhibited resistance to tetracycline, streptomycin, and/or ampicillin. No samples were resistant to ceftriaxone (though 13 were in the intermediate range), and very few samples were resistant to ciprofloxacin (n=1), nalidixic acid (n=5), or trimethoprim/sulfamethoxazole (n=7).
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Affiliation(s)
- K A Ray
- Department of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, United States
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63
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Raymond MJ, Wohrle RD, Call DR. Assessment and promotion of judicious antibiotic use on dairy farms in Washington State. J Dairy Sci 2006; 89:3228-40. [PMID: 16840641 DOI: 10.3168/jds.s0022-0302(06)72598-x] [Citation(s) in RCA: 76] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
The aims of this study were to describe antibiotic use and biosecurity practices among Washington State dairy producers and to evaluate the effectiveness of a collaborative approach to promoting judicious antibiotic use on dairy farms. In collaboration with a statewide industry group, Washington State dairy producers participated in a written, self-administered survey in 2003. They were then provided several educational interventions followed by a second written survey in 2005. Sixty-five percent (381) of dairy producers completed the 2003 survey. The most commonly cited drugs used for disease treatment were penicillin, ceftiofur, and oxytetracycline. Participants also indicated significant preventive uses with 28% using medicated milk replacer. Most producers appeared to consider intramammary infusion at dry-off to be a treatment rather than a preventative practice. Twenty-three percent of initial respondents indicated at least one extra-label use of antibiotics, yet only half routinely consulted with a veterinarian when doing so. Most agreed that using written protocols for disease treatment could reduce errors, but less than one-third had protocols. After the educational intervention there was a tendency toward reduced use of antibiotic medicated milk replacer: 51% of producers who originally reported using medicated milk replacer discontinued this practice, whereas 12% of producers began using medicated milk replacer between the 2003 and 2005 surveys. Most reported that the resources and educational materials were useful. Areas where additional work is needed include reducing the use of medicated milk replacer, increasing veterinary involvement in antibiotic use decisions, implementing treatment protocols, enhancing biosecurity, and ensuring optimal cow and calf immunity.
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Affiliation(s)
- M J Raymond
- Communicable Disease Control Program, Tacoma-Pierce County Health Department, Tacoma, WA 98418, USA
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64
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Opinion of the Panel on additives and products or substances used in animal feed (FEEDAP) on the safety and efficacy of the coccidiostat Elancoban® (monensin sodium) as a feed additive for calves for rearing and cattle for fattening in accordance with Reg. EFSA J 2006. [DOI: 10.2903/j.efsa.2006.387] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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65
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Looper ML, Edrington TS, Flores R, Rosenkrans CF, Nihsen ME, Aiken GE. Prevalence of Escherichia coli O157:H7 and Salmonella in beef steers consuming different forage diets. Lett Appl Microbiol 2006; 42:583-8. [PMID: 16706896 DOI: 10.1111/j.1472-765x.2006.01888.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
AIMS To compare the prevalence of faecal shedding of Escherichia coli O157:H7 and Salmonella in growing beef cattle consuming various forages. METHODS AND RESULTS In Experiment I, faecal samples were collected from steers grazing either endophyte-infected (E+) tall fescue or common bermudagrass (CB). Steers grazing E+ tall fescue were confined to a dry-lot pen and fed CB hay ad libitum for 10 days. In Exp. II, faecal samples were collected from steers grazing either E+ or novel endophyte-infected (NE) tall fescue and treated with one of two anthelmintics: ivermectin (I) or fenbendazole (F). In Exp. I, prevalence of E. coli O157:H7 was less in E+ tall fescue steers fed CB hay than steers grazing CB. More I-treated steers shed Salmonella than F-treated steers at 42-day postanthelmintic treatment but shedding of Salmonella was similar between anthelmintics at day 63 in Exp. II. CONCLUSIONS Faecal shedding of pathogenic bacteria was not affected by grazing E+ tall fescue. Alterations of forage diets may influence the prevalence of E. coli O157:H7, and anthelmintic treatment could affect faecal shedding of Salmonella. SIGNIFICANCE AND IMPACT OF THE STUDY Knowledge of factors that influence shedding of pathogenic bacteria in cattle is necessary to develop on-farm intervention strategies aimed at reducing pathogen shedding.
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Affiliation(s)
- M L Looper
- USDA-ARS, Dale Bumpers Small Farms Research Center, Booneville, AR 72927, USA.
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66
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Fossler CP, Wells SJ, Kaneene JB, Ruegg PL, Warnick LD, Bender JB, Eberly LE, Godden SM, Halbert LW. Herd-level factors associated with isolation of Salmonella in a multi-state study of conventional and organic dairy farms. Prev Vet Med 2005; 70:279-91. [PMID: 15963584 DOI: 10.1016/j.prevetmed.2005.04.002] [Citation(s) in RCA: 50] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2004] [Revised: 02/01/2005] [Accepted: 04/08/2005] [Indexed: 10/25/2022]
Abstract
The objective of this study was to evaluate associations between herd-level factors and the isolation of Salmonella in calves from dairy farms in Minnesota, Wisconsin, Michigan and New York. Study farms were 129 conventional and organic farms enrolled without regard to previous history of Salmonella infection. Herds were sampled at 2-month intervals over a 1-year period. Salmonella was isolated in fecal samples from 176 (3.8%) of 4673 preweaned calves with 40 (31.0%) of 129 farms having at least one positive calf sample over the course of the study. Multivariable logistic regression using the generalized estimating equations approach was used to evaluate risk factors for Salmonella shedding after adjustment for effects of herd size, season, state of origin and the multiple sampling occasions per herd. Factors retained in the final model that were associated with an increased odds for Salmonella shedding were lack of routine feeding of milk replacer containing antimicrobials to preweaned calves (OR=2.8, 95% CI: 1.4, 5.8), use of maternity housing as a hospital area for sick cows more than once a month (OR=2.1, 95% CI: 1.1, 4.0), and cow prevalence level by visit, categorized into the following four-levels: > or =20% (OR=11.6, 95% CI: 5.7, 23.7), 10-19.9% (OR=4.7, 95% CI: 2.0, 11.5), 0.1-9.9% (OR=3.6, 95% CI: 1.5, 8.7) and 0% (reference level). Herd size was not associated with Salmonella shedding in the final multivariable model.
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Affiliation(s)
- C P Fossler
- University of Minnesota, College of Veterinary Medicine, 1354 Eckles Avenue, St. Paul, MN 55108, USA.
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