Seroprevalence, associated risk factors, and molecular detection of Brucella spp. in cattle, sheep, goats and humans in Mvomero district, Morogoro, Tanzania.

IF 5.9 Q2 INFECTIOUS DISEASES
Emmanuel P Lita, Ernatus M Mkupasi, Erneo B Ochi, Gerald Misinzo, Henriette van Heerden, Robab Katani, Jacques Godfroid, Coletha Mathew
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Abstract

Background: Brucellosis is a zoonotic disease of public health and economic importance worldwide. A cross-sectional study using simple random and purposive sampling techniques was conducted from May 2024 to October 2024 in agro-pastoral areas of Mvomero district, Morogoro Region. The aim of this study was to determine the seroprevalence of brucellosis, associated risk factors, and characterize the circulating Brucella spp., in livestock and humans.

Methods: A total of 918 serum samples were collected from Mvomero district, comprising cattle (n = 339), sheep (n = 164), goats (n = 303), and humans (n = 112). Animal samples were obtained from 18 herds with mixed livestock species, while human samples were collected from four health facilities. All samples were screened for Brucella-specific antibodies using the Rose Bengal plate test (RBPT), and positive samples were subjected to competitive enzyme-linked immunosorbent assay (c-ELISA). Genomic DNA was extracted from the heparin-coated blood samples corresponding to the same samples that tested positive by c-ELISA for confirmation by using real-time polymerase chain reaction (qPCR). A herd was considered Brucella seropositive if at least one animal tested positive on c-ELISA. A structured questionnaire was used to collect information on potential individual and herd-level risk factors. A multivariate logistic regression analysis was carried out using a backward elimination procedure to identify potential risk factors, following a univariate analysis, using a p-value cut-off of 0.25 from the univariable analysis to select candidate variables for a multivariable model.

Results: At the individual level, screening by RBPT revealed seropositivity rates of 9.1% (31/339) in cattle, 4.3% (7/164) in sheep, 5.6% (17/303) in goats, and 10.7% (12/112) in humans. Subsequent results by c-ELISA demonstrated lower seroprevalence rates of 6.5% (22/339) in cattle, 1.2% (2/164) in sheep, and 2.0% (6/303) in goats. Human seroprevalence by c-ELISA was 4.5% (5/112), with all positive cases originating from a single health facility. At the herd level, the overall seroprevalence was 55.5% (10/18) based on c-ELISA results. Out of the 35 c-ELISA positive samples, 21/35 (60.0%) tested positive for the Brucella genus detection using the IS711 gene. The Brucella species-specific assay detected 17/35 (48.6%) samples as B. abortus. There was no B. melitensis detected in this study. Risk factor analysis in sheep, goats, and humans yielded no significant associations in the univariable analyses. However, multivariable logistic regression analysis in cattle identified two significant risk factors: prior history of abortion (p < 0.001, OR = 12.7, 95% CI: 3.88-41.8) and retained placenta (p = 0.023, OR = 32.5, 95% CI: 1.602-660.8).

Conclusions: Brucella abortus was the predominant circulating species in cattle, goats and humans. The significant association between brucellosis seropositivity and reproductive complications in cattle (abortion and retained placenta) underscores its economic impact on livestock productivity. We recommend serological screening of livestock and vaccination programmes in cattle and strengthened collaboration between veterinary and public health sectors through a One Health approach.

坦桑尼亚莫罗戈罗mvmero区牛、绵羊、山羊和人的布鲁氏菌血清流行率、相关危险因素和分子检测
背景:布鲁氏菌病是一种具有全球公共卫生和经济重要性的人畜共患疾病。于2024年5月至2024年10月在莫罗戈罗州mvmero区农牧区采用简单随机和有目的抽样技术进行了横断面研究。本研究的目的是确定布鲁氏菌病的血清患病率、相关危险因素,并确定在牲畜和人类中传播的布鲁氏菌的特征。方法:在Mvomero地区采集血清918份,其中牛(339份)、绵羊(164份)、山羊(303份)和人(112份)。从18个混合畜群中获得了动物样本,同时从4个卫生设施收集了人类样本。使用玫瑰孟加拉平板试验(RBPT)筛选所有样品的布鲁氏菌特异性抗体,阳性样品进行竞争性酶联免疫吸附试验(c-ELISA)。从c-ELISA检测为阳性的肝素包膜血样中提取基因组DNA,用实时聚合酶链反应(qPCR)进行确认。如果至少有一只动物的c-ELISA检测呈阳性,则认为该畜群呈布鲁氏菌血清阳性。采用结构化问卷收集潜在的个人和群体风险因素信息。在单变量分析之后,使用反向消除程序进行多变量逻辑回归分析以确定潜在的危险因素,使用单变量分析的p值截止值为0.25来选择多变量模型的候选变量。结果:在个体水平上,RBPT筛查显示牛血清阳性率为9.1%(31/339),绵羊为4.3%(7/164),山羊为5.6%(17/303),人类为10.7%(12/112)。随后的c-ELISA结果显示,牛的血清患病率为6.5%(22/339),绵羊为1.2%(2/164),山羊为2.0%(6/303)。c-ELISA检测的人类血清阳性率为4.5%(5/112),所有阳性病例均来自同一卫生机构。在牛群水平上,根据c-ELISA结果,总血清阳性率为55.5%(10/18)。在35份c-ELISA阳性样本中,21/35(60.0%)使用IS711基因检测布鲁氏菌属呈阳性。布鲁氏菌种特异性检测35份样品中有17份(48.6%)为流产布鲁氏菌。本研究未检出猪分枝杆菌。绵羊、山羊和人类的风险因素分析在单变量分析中没有发现显著的关联。然而,对牛的多变量logistic回归分析发现了两个显著的危险因素:流产史(p)。结论:流产布鲁氏菌是牛、山羊和人类的主要传播种。布鲁氏菌病血清学阳性与牛的生殖并发症(流产和胎盘残留)之间的显著关联凸显了其对牲畜生产力的经济影响。我们建议对牲畜进行血清学筛查,对牛实施疫苗接种规划,并通过“同一个健康”方针加强兽医和公共卫生部门之间的合作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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