Molecular Epidemiology of Enteroaggregative Escherichia coli (EAEC) Isolates of Hospitalized Children from Bolivia Reveal High Heterogeneity and Multidrug-Resistance

Enteroaggregative Escherichia coli (EAEC) is an emerging pathogen frequently associated with acute diarrhea in children and travelers to endemic regions. EAEC was found the most prevalent bacterial diarrheal pathogen from hospitalized Bolivian children less than five years of age with acute diarrhea from 2007 to 2010. Here, we further characterized the epidemiology of EAEC infection, virulence genes, and antimicrobial susceptibility of EAEC isolated from 414 diarrheal and 74 non-diarrheal cases. EAEC isolates were collected and subjected to a PCR-based virulence gene screening of seven virulence genes and a phenotypic resistance test to nine different antimicrobials. Our results showed that atypical EAEC (a-EAEC, AggR-negative) was significantly associated with diarrhea (OR, 1.62, 95% CI, 1.25 to 2.09, p < 0.001) in contrast to typical EAEC (t-EAEC, AggR-positive). EAEC infection was most prevalent among children between 7–12 months of age. The number of cases exhibited a biannual cycle with a major peak during the transition from warm to cold (April–June). Both typical and a-EAEC infections were graded as equally severe; however, t-EAEC harbored more virulence genes. aap, irp2 and pic were the most prevalent genes. Surprisingly, we detected 60% and 52.6% of multidrug resistance (MDR) EAEC among diarrheal and non-diarrheal cases. Resistance to ampicillin, sulfonamides, and tetracyclines was most common, being the corresponding antibiotics, the ones that are frequently used in Bolivia. Our work is the first study that provides comprehensive information on the high heterogenicity of virulence genes in t-EAEC and a- EAEC and the large prevalence of MDR EAEC in Bolivia.     

Reconstituted versus dry alfalfa hay in starter feed diets of Holstein dairy calves: Effects on feed intake,feeding and chewing behavior,feed preference,and health criteria

We investigated the effect of reconstitution of alfalfa hay on feeding and chewing behavior, sorting activity, and health status using 20 neonate Holstein male calves (3 d of age; 40.3 ± 1.30 kg of body weight) that were assigned randomly to 2 treatments, a starter feed containing either 10% dry (AH) or reconstituted alfalfa hay (RAH), each consisting of 10 calves. Alfalfa hay was reconstituted with water 24 h before feeding to achieve a theoretical dry mater (DM) content of 20%. Both starter diets had the same ingredients and nutrient compositions but differed in their DM content (90.9 vs. 66.6% DM for AH vs. RAH, respectively). Calves were weaned on d 50 and remained in the study until d 70. Reconstitution of alfalfa hay increased the percentage of particles retained on 8- and 1.18-mm sieves, but reduced feed materials retained on the bottom pan. Feeding RAH tended to increase meal frequency (preweaning) and increased meal duration (pre- and postweaning), and thereby increased time devoted to eating without affecting nutrient intake. Calves fed RAH tended to have lower eating rate during the pre- and postweaning periods. Tendencies to concurrent increase in rumination frequency and rumination duration in calves fed RAH increased time devoted to ruminating during the preweaning period; however, a tendency to longer rumination duration did not affect ruminating time during the postweaning period. Calves fed RAH spent less time resting and standing and more time drinking during the postweaning period. Non-nutritive oral behaviors were not affected by treatment during the pre- and postweaning period. Feeding RAH decreased sorting of particles retained on 8-mm sieve compared with AH; however, calves in both treatment groups sorted for particles retained on 8- and 1.18-mm sieves and against the feed materials retained on the bottom pan. Crude protein and neutral detergent fiber intakes of particles retained on the both 8- and 1.18-mm sieves increased in calves fed RAH versus AH, with no changes in intake of nutrients retained on the bottom pan. Calves fed AH were more susceptible to develop diarrhea (odds ratio = 2.02) and pneumonia (odds ratio = 4.74) and thereby had lower chances of being treated. We found no difference between treatment groups for frequency and medication days of diarrhea; however, calves fed RAH experienced fewer days with diarrhea. Furthermore, frequency and number of days with pneumonia and administration of medication were greater for calves fed AH compared with calves fed RAH. Blood concentrations of total protein and globulin tended to be higher in calves fed RAH compared with calves fed AH. Overall, feeding RAH increased time devoted to eating by increasing meal frequency and meal duration but did not affect feed intake due to lower eating rate. Calves in both treatment groups exhibited feed sorting at the extent to which they balanced intake of nutrients and met their nutritional needs. Calves, in general, were healthy, but it seems that feeding a diet containing reconstituted alfalfa hay has a potential health-promoting effect, possibly through reducing diet dustiness and improving immune status.     

Health benefits of orally administered anti-IL-10 antibody in milk-fed dairy calves

The primary objective of this randomized controlled trial was to determine whether anti-IL-10 egg yolk antibodies fed upon arrival to a calf ranch would lower the prevalence of Cryptosporidium parvum shedding in naturally challenged preweaned dairy calves. The secondary objectives included measuring the effect of anti-IL-10 antibodies on calf health, performance, and shedding of less common diarrheal pathogens. A total of 133 calves, enrolled at 24 to 72 h of age, received a daily dose of 0.96 g of egg yolk powder with anti-IL-10 antibodies (MAB, n = 71) or without anti-IL-10 antibodies (MEP, n = 62) split between 2 feedings for the first 11 d on feed at a calf ranch. Daily health evaluations were completed for 15 d after arrival and on d 56. Digital weights were collected at enrollment and d 56, and hipometer weights were collected at enrollment and d 7 and 56. Packed cell volume and serum total protein concentration were measured at enrollment and on d 7 and 14. Fecal pH was measured at enrollment and on d 5 and 14, and fecal pathogen (C. parvum, coronavirus, rotavirus, and Salmonella spp.) shedding was assessed at d 5 and 14. Continuous outcomes were compared between groups using a Student's t-test or Wilcoxon rank sum test. Fecal pathogen shedding at d 14, respiratory disease at d 56, and antibiotic usage were compared using relative risk (RR) and chi-squared test. Fecal pH (median and interquartile range) on d 14 was 6.65 (6.39–6.99) and 6.52 (5.97–6.81) for MAB and MEP, respectively. On d 56, the risk of respiratory disease was lower for MAB compared with MEP (RR = 0.40; confidence interval = 0.16–0.99). The risk for antibiotic treatment was lower for MAB- compared with MEP-treated calves (RR = 0.38; confidence interval = 0.17–0.88). The risk of shedding rotavirus was higher in MAB (RR = 1.38; confidence interval = 1.10–1.81) calves. After multivariable analyses, hipometer weights (least squares means ± standard error) were 1.7 ± 0.8 kg greater on d 56 in MAB compared with MEP; however, ADG was 0.04 ± 0.02 kg/d lower in MAB calves. Total health score, diarrhea days, average respiratory score, packed cell volume, and serum total protein were not affected by feeding anti-IL-10 egg antibodies. In summary, feeding anti-IL-10 antibodies was associated with increased fecal pH, reduced risk of respiratory disease later in the preweaning period, and decreased antibiotic usage despite higher rotavirus infection. These findings might be associated with improved mucosal immunity, enhanced host defenses, or reduced susceptibility and warrant further investigation.     

食品药品来源的CFTR氯离子通道抑制剂的研究进展

CFTR氯离子通道是目前国际上新兴的治疗分泌型腹泻的分子药靶,CFTR抑制剂通过阻断离子通道的过度分泌来治疗腹泻症状。由于其抑制剂极为稀少,因此CFTR抑制剂的筛选工作是相关领域中最基础、最关键的环节。天然产物兼具结构和生物活性的多样性,在新药和先导化合物的发现中起着重要作用,是药物开发的主要来源,而食品药品来源的天然产物更因为对人体安全无毒副作用而倍受青睐。食品药品来源的CFTR氯离子通道抑制剂对于CFTR相关的腹泻等疾病的机理研究和治疗具有重要价值,同时也为天然产物资源用于现代药物发现提供了依据。     

Comparison of oral,intravenous, and subcutaneous fluid therapy for resuscitation of calves with diarrhea

Neonatal diarrhea remains the primary cause of mortality in dairy calves around the world, and optimal treatment protocols are needed. The main goals of therapy are to restore hydration and electrolyte concentrations, correct strong ion (metabolic) acidemia, and provide nutritional support. Administration of oral electrolyte solutions (OES) has long been the primary method used to treat neonatal diarrhea in humans and calves because OES are capable of addressing each of the primary goals of therapy. In calves with moderate dehydration, we hypothesized that oral electrolytes would be as good as or better than small volumes of intravenous (IV) or subcutaneous (SC) fluids. Therefore, the main goal of this study was to compare the ability of a commercially available oral electrolyte solution (OES) administered alone or in combination with hypertonic saline with small volumes of IV or SC fluid therapy to resuscitate calves with diarrhea. Thirty-three Holstein calves from 5 to 14 d of age were utilized in this clinical trial. Diarrhea and dehydration were induced by adding sucrose to the milk replacer. In addition, hydrochlorothiazide and spironolactone were given orally and furosemide intramuscularly. Depression status, clinical hydration scores, fecal consistency, and body weight were recorded at regular intervals. Treatment began when calves had severe diarrhea and had a decrease in plasma volume of at least 10%. Calves were randomly assigned to 1 of 4 treatment groups of 8 to 9 calves per group: (1) OES; (2) OES with hypertonic saline (4 mL/kg, IV); (3) IV fluids (lactated Ringer's, 2 L); or (4) SC fluids (lactated Ringer's, 2 L). Treatments were given at 0 and 12 h. Changes in plasma volume, blood pH, electrolyte levels, and physical examination scores were determined before therapy and again at 1, 2, 4, 8, and 12 h after each treatment. All 4 treatments were ultimately successful in improving hydration as well as increasing blood pH; however, animals in both groups that received OES had much faster resuscitation than those in either the IV or SC fluid group. In conclusion, oral electrolyte products remain the gold standard for resuscitating diarrheic calves with moderate dehydration and acidemia and will likely perform better than small volumes of IV lactated Ringer's solution. Subcutaneous fluids by themselves are a poor treatment option and should be only be used as supportive therapy following the initial correction of hypovolemia and metabolic acidosis.     

Substituting corn silage with reconstituted forage or nonforage fiber sources in the starter feed diets of Holstein calves: Effects on intake,meal pattern,sorting, and health

We examined the effect of replacing corn silage (CS) with reconstituted alfalfa hay (RAH) or reconstituted beet pulp (RBP) in the starter diets on feeding behavior, sorting, and health criteria using 54 neonatal female Holstein calves that were assigned randomly to 3 groups receiving starter diets containing CS (10% on a dry matter basis), RAH, or RBP. The starter diets had the same nutrient composition and moisture level but differed in particle size distribution. Calves fed CS tended to have a lower intermeal interval compared with calves fed RAH before weaning; however, meal frequency and duration, eating rate, and meal size were not affected by treatment before and after weaning, which resulted in no changes in feed intake and time spent eating. Rumination frequency was higher for calves fed CS than for calves fed RAH or RBP after weaning. Feeding RBP decreased rumination duration compared with CS and RAH after weaning; however, calves fed RBP had a higher rumination bout interval compared with calves fed CS. Calves fed CS spent more time ruminating compared with calves fed RAH or RBP after weaning. Feeding CS tended to decrease and decreased time devoted to standing and lying, respectively, compared with calves fed RBP; however, calves fed RBP tended to spend more time on nonnutritive oral behaviors compared with calves fed RAH. Calves fed CS sorted against particles retained on the 8-mm sieve of the Penn State Particle Separator (PSPS) and for particles retained on the 1.18-mm sieve of the PSPS. Feeding RAH increased sorting for particles retained on the 8- and 1.18-mm sieves of the PSPS. Calves fed RBP sorted only for particles retained on the 1.18-mm sieve of the PSPS. Calves fed RBP tended to be more susceptible to developing pneumonia compared with calves fed CS or RAH; however, frequency and duration of diarrhea and pneumonia or number of days needed to medicate the diseases were unchanged across treatment groups. Initial (d 3) blood total protein concentration was similar (6.51 g/dL) across treatment groups. Overall, replacing CS with RAH or RBP did not affect time devoted to eating and feed intake due to no significant changes in meal size or intermeal interval before and after weaning. Calves showed feed sorting at the extent to which they balanced intake of nutrients and met their nutritional needs. Calves in general were healthy; therefore, CS, RAH, or RBP can be used interchangeably based on availability and competitive feed price.     

上海市诺如病毒感染性腹泻疾病负担的评估

目的对上海市诺如病毒感染性腹泻的疾病负担进行综合评估,为管理部门制定预防和控制诺如病毒感染的措施提供依据。方法结合上海市哨点医院诺如病毒感染性腹泻监测和诺如病毒感染暴发事件报告,采用伤残调整寿命年(DALYs)、发病率、就诊率和住院率等指标对上海市诺如病毒感染性腹泻的疾病负担进行评估。结果 2015年上海市感染性腹泻发病人数为483.05万人,其中诺如病毒感染性腹泻的发病人数为123.23万人,住院病例为370人,所产生的疾病负担为2 938.98 DALYs,即0.12 DALYs/千人。结论上海市诺如病毒感染性腹泻的疾病负担相对较高,需要加强预防控制。     

Short communication: Effect of pomegranate-residue supplement on Cryptosporidium parvum oocyst shedding in neonatal calves

Cryptosporidium parvum is considered one of the most common enteropathogens, responsible for the high incidence of diarrhea and deleterious implications on immunity and health in neonatal calves. The pomegranate is well known for its health-promoting properties. Two experiments were designed to test the antiparasitical and antidiarrheal effects of concentrated pomegranate extract (CPE) supplement in milk in neonatal Holstein calves. Forty-one calves were randomly divided into control (n = 20) and treatment (n = 21) groups. For the first experiment, the treatment group was supplemented with 3.75% CPE in the daily milk ration, between 3 and 14 d of age, whereas the control group received only milk. Fecal samples were collected between d 5 and 13 to quantify Cryptosporidium oocysts, and the duration and intensity of diarrhea were evaluated. Reduced fecal oocyst count and diarrhea intensity and duration were revealed in the 3.75% CPE calves. No difference was noted in average daily gain between groups. In a second experiment, which was designed to test the effect of a lower CPE concentration (0.6% of daily milk allocation), no effects on fecal oocyst count and average daily gain were observed. However, compared with control, the lower CPE group was characterized by a shorter duration of diarrhea and higher weight gain among males at 14 d of age. These results suggest that the CPE supplement-to-calf milk ratio may potentially alleviate intestinal morbidity caused by Cryptosporidium.     

An integrated population,economic, and water resource model to address sustainable development questions for Botswana

Abstract:

An integrated population, economic, and water resource model was developed to address sustainable development questions for Botswana. raditionally, water resources planning models have considered the implications of different assumptions of population and economic growth on the sustainability of existing water resources supply; however, this model extends that capability to consider feedbacks from one model component to another. For example, the model has the unique capability to examine implications of changing water‐related diarrhea incidence on the health of the HIV/AIDS population. Investments in water supply and sanitation or in HIV/AIDS medication impact the health and productivity of the population. The water model uses a physically‐based hydrologic rainfall‐runoff model with surface and groundwater components to produce monthly runoff and groundwater recharge at the watershed scale. Botswana is divided into socioeconomic regions, and the water resources infrastructure is characterized by virtual reservoirs in each. The demographic sub‐model is a standard multi‐cohort model that forecasts the population by age, sex, rural or urban residence, education level, and HIV/AIDS status. The economic sub‐model is a computable general equilibrium model with three components: agriculture, non‐agricultural exports, and non‐tradables. The model runs an ensemble of scenarios, including climate change, HIV/AIDS, health, economic, and water conservation scenarios, whose output is probabilistic in nature. The three model components are described, with particular emphasis on the model linkages and the water sub‐component, and results are shown for a variety of scenarios.     

Monitoring the bulk milk antibody response to bovine viral diarrhea in dairy herds vaccinated with inactivated vaccines

This study was designed to determine long-term responses in dairy herds after vaccination with 1 of 3 inactivated bovine viral diarrhea virus (BVDV) vaccines with regard to antibodies against p80 protein in bulk tank milk samples, as detected by ELISA. In the present study, 29 dairy herds were vaccinated with Bovilis BVD (MSD Animal Health, Milton Keynes, UK), 11 with Hiprabovis Balance (Laboratorios Hipra, Amer, Spain), and 9 with Pregsure BVD (Zoetis, Florham Park, NJ). In these herds, bulk tank milk samples were collected and examined at the time of the first vaccination and every 6 mo during a 3-yr period. Samples were analyzed with a commercial ELISA test for the p80 protein of BVDV. The results demonstrated that vaccination affected the level of antibodies against p80. Hence, vaccination status should be taken into consideration when interpreting bulk tank milk antibody tests.