Characteristics of biosecurity and infection control programs at veterinary teaching hospitals

OBJECTIVE: To characterize biosecurity and infection control practices at veterinary teaching hospitals located at institutions accredited by the AVMA. DESIGN: Cross-sectional survey. POPULATION: 50 biosecurity experts at 38 veterinary teaching hospitals. PROCEDURES: Telephone interviews were conducted between July 2006 and July 2007, and questions were asked regarding policies for hygiene, surveillance, patient contact, education, and awareness. Respondents were also asked their opinion regarding the rigor of their programs. RESULTS: 31 of 38 (82%) hospitals reported outbreaks of nosocomial infection during the 5 years prior to the interview, 17 (45%) reported > 1 outbreak, 22 (58%) had restricted patient admissions to aid mitigation, and 12 (32%) had completely closed sections of the facility to control disease spread. Nineteen (50%) hospitals reported that zoonotic infections had occurred during the 2 years prior to the interview. Only 16 (42%) hospitals required personnel to complete a biosecurity training program, but 20 of the 50 (40%) respondents indicated that they believed their hospitals ranked among the top 10% in regard to rigor of infection control efforts. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggested that differences existed among infection control programs at these institutions. Perceptions of experts regarding program rigor appeared to be skewed, possibly because of a lack of published data characterizing programs at other institutions. Results may provide a stimulus for hospital administrators to better optimize biosecurity and infection control programs at their hospitals and thereby optimize patient care.     

Prolonged, moderate nutrient restriction in beef cattle results in persistently elevated circulating ghrelin concentrations

Four ruminally cannulated steers (BW 581 +/- 12.8 kg) were used in a crossover design to determine the effects of prolonged, moderate nutrient restriction on plasma ghrelin concentrations and to establish the relationship of plasma ghrelin concentrations with hormones and metabolites indicative of nutritional status and end products of rumen fermentation. A high-grain diet was offered at 240% of the intake needed for BW maintenance (2.4xM) or 80% of the intake needed for BW maintenance (0.8xM). To standardize, all steers were acclimated to 2.4xM before initiation of the treatment periods. During period 1, 2 steers continued at 2.4xM, whereas intake for the remaining 2 steers was restricted to 0.8xM. On d 7, 14, and 21 after initiation of the restriction, serial blood samples were collected at 15-min intervals via indwelling jugular catheter and were assayed for ghrelin, GH, NEFA, insulin, and glucose concentrations. Rumen fluid was collected at hourly intervals for evaluation of pH and VFA concentrations. After period 1, steers were weighed, the treatments were switched between steer groups, and the intake amounts were recalculated. Intake of 2.4xM was established for previously restricted cattle, and period 2 was then conducted as described for period 1. Data were analyzed statistically as repeated measures in time, and stepwise regression was used to define the relationship of plasma ghrelin with hormones, metabolites, and end products of rumen fermentation. Throughout the 21-d treatment period, plasma ghrelin concentrations were elevated (P 相似文献   

Effect of prebreeding body weight or progestin exposure before breeding on beef heifer performance through the second breeding season

Two experiments evaluated prebreeding target BW or progestin exposure for heifers developed lighter than traditional recommendations. Experiment 1 evaluated the effects of the system on heifer performance through subsequent calving and rebreeding over 3 yr. Heifers (229 kg) were assigned randomly to be developed to 55% of mature BW (299 kg) before a 45-d breeding season (intensive, INT; n = 119) or 50% of mature BW (272 kg) before a 60-d breeding season (relaxed, RLX; n = 142). Prebreeding and pregnancy diagnosis BW were greater (P 0.15) between systems. Cost per pregnant 2-yr-old cow was less for the RLX than the INT heifer development system. Of heifers that failed to become pregnant, a greater proportion (P = 0.07) of heifers in the RLX than in the INT system were prepubertal when the breeding season began. Therefore, a second 2-yr experiment evaluated melengestrol acetate (MGA, 0.5 mg/d) as a means of hastening puberty in heifers developed to 50% of mature BW. Heifers were assigned randomly to the control (n = 103) or MGA (n = 81) treatment for 14 d and were placed with bulls 13 d later for 45 d. Prebreeding and pregnancy diagnosis BW were similar (280 and 380 kg, respectively; P > 0.10) for heifers in the control and MGA treatments. The proportion of heifers pubertal before breeding (74%), pregnancy rate (90%), calving date, calf weaning weight, and second breeding season pregnancy rate (92%) were similar (P > 0.10) between treatments. Developing heifers to 50 or 55% of mature BW resulted in similar overall pregnancy rates, and supplementing the diets of heifers developed to 50% of mature BW with MGA before breeding did not improve reproductive performance.     

Osteopontin immunoreactivity in the ileum and ileocecal lymph node of dairy cows naturally infected with Mycobacterium avium subsp. paratuberculosis

Osteopontin (Opn), a highly acidic glycoprotein, promotes cellular adhesion and recruitment and has been shown to be upregulated in the granulomas of mycobacterial infections. Johne's disease, caused by Mycobacterium avium subsp. paratuberculosis (MAP), is associated with granulomatous enteritis. The objective of this experiment was to identify Opn in the ileum and ileocecal lymph node (ICN) of dairy cows naturally infected with MAP and to compare the frequency and intensity of staining between noninfected healthy controls, subclinical and clinical cows. Sections from these three groups of animals were selected from a tissue archive. Immunohistochemical analysis was used to determine the location and expression of Opn. The frequency and intensity of staining was also reported. Confirmation of acid-fast bacilli in the tissue sections was achieved by the Ziehl-Neelsen method. Within the ileal tissue, macrophages, lymphocytes, and plasma cells stained positive for Opn. Clinical cows expressed Opn at a greater frequency in the lamina propria. Control and subclinical cows did not have areas of granulomatous inflammation but cells staining for Opn were equally intense for the three groups. The frequency of staining for Opn in the ICN was not affected by MAP infection. Results of this study confirm for the first time, the expression of Opn in the ileum and ICN of MAP-infected cattle.     

Effects of age on the pharmacokinetics of single dose sulfamethazine after intravenous administration in cattle

Sulphonamides are still being used widely, influenced by the low cost and the efficacy against many common bacterial infections, since they present a broad spectrum of activity. The aim of this study was to determine the effect of age on the pharmacokinetic/pharmacodynamics (PK/PD) integration of intravenous sulfamethazine (60 mg/kgbw) in cattle, and the possible therapeutic outcomes. Six healthy female calves, at the age of one, three, seven and fifteen weeks were used. Normality analysis was assessed with the Shapiro-Wilk test. Non-parametric tests for paired data were used. Plasma concentrations were quantified using HPLC/uv. Differences were found between one-three-weeks-old calves and seven-fifteen-weeks-old calves, in pharmacokinetic parameters (clearance, area under the concentration-time curve and elimination half-life) and in the PK/PD integration. The ratios obtained in PK/PD integration (T>MIC, WAUC) confirm that it is necessary to apply twice the dose of sulfamethazine in ≥ 7 weeks-old cattle to reach a satisfactory dosage regimen (MIC ≥ 32 μg/mL).     

Characterisation of the inflammatory reaction in equine idiopathic focal eosinophilic enteritis and diffuse eosinophilic enteritis

REASONS FOR PERFORMING STUDY: Idiopathic focal eosinophilic enteritis (IFEE) and diffuse eosinophilic enteritis (DEE) are primary eosinophilic intestinal conditions without a known cause that are associated with an increasing number of surgical colic cases. Histology may be helpful in defining disease aetiology and pathogenesis. OBJECTIVES: To characterise further the inflammatory infiltrate in equine IFEE and to compare the condition with DEE. METHODS: Twenty-three IFEE cases and 5 DEE cases were examined by light microscopy including immunohistology to identify infiltrating leucocytes. Inflammatory infiltrates in mucosa and submucosa were characterised in IFEE lesions (Group 1), the intestine distant from the lesions in IFEE (Group 2) and DEE (Group 3). RESULTS AND CONCLUSIONS: IFEE lesions represented an accumulation of leucocytes in submucosa and muscularis, with dominance of eosinophils and macrophages and smaller numbers of lymphocytes, plasma cells and neutrophils. T cells represented the dominant lymphocytes. The mucosa overlying the lesion and both mucosa and submucosa in IFEE nonlesion sites and in DEE exhibited a similar composition, with different prevalence of various cell types. Macrophages were significantly more prevalent in the mucosal and submucosal infiltrates in IFEE nonlesion sites than in DEE, and lymphocytes significantly more prevalent in the mucosa in DEE than in IFEE nonlesion sites. The findings confirm IFEE as a primary eosinophilic intestinal disorder and indicate that IFEE represents a focally exacerbated inflammatory reaction in horses with DEE, possibly due to functional changes in the macrophage and T cell components, with subsequent excessive recruitment of both eosinophils and macrophages.