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Biomedical subjects

C Wray

Publications and source records attributed to C Wray.

At least 109 records · Page 6Linked to original sources

Outbreaks of Salmonella newport infection in dairy herds and their relationship to management and contamination of the environment.

Two outbreaks of Salmonella newport infection in dairy herds are described which were characterised by haemorrhagic enteritis. The history of the outbreaks, the extent of the losses, clinical and laboratory findings and treatment are described. The first herd consisted of 193 cattle, of which seven died, three aborted and another 84 required treatment. Salmonellosis persisted over 14 months throughout the summer on a paddock grazing system and continued during the following winter when the herd was loose housed. The relationship of the commencement of clinical disease to dietary changes and to the time of calving is described, as are the problems in controlling the disease. The second herd consisted of 98 milking cows and a few beef animals. One cow died and two aborted; altogether 18 were clinically affected. The epidemiology of the disease and the geographical relationship between the two farms is described. Extensive contamination of streams occurred and one cow died on a neighbouring third farm. In contact humans were found to be excreting the organism. The public health significance of the outbreak is discussed because bulk milk samples were contaminated with salmonellae for 10 months and local streams were polluted with human sewage.

Abortion, Veterinary↗

An examination of Escherichia coli strains isolated from cases of bovine mastitis for possible virulence determinants.

Ninety-five strains of Escherichia coli isolated from cases of bovine mastitis were examined for the possession of some of the possible virulence determinants. Ten strains which caused haemagglutination of bovine and ovine erythrocytes were considered to be fimbriated and an additional strain caused agglutination of chicken erythrocytes. Colicines were produced by fifteen strains and in three strains the colicine was identified as Col V. Forty-one of 71 strains that were examined serologically possessed capsular or envelope K antigens.

Animals↗

Use of "E. coli" K99 vaccines in ewes to passively protect lambs against experimental colibacillosis.

Pregnant ewes were vaccinated with partially purified, cell free K99 antigen prepared from the enterotoxigenic E. coli (ETEC) strain (0101:K99:NM) to passively immunize their lambs via the colostrum. After sucking their dams the lambs were infected orally with 10(10) - 10(11) organisms of the heterologous ETEC strain B44 (09:K30:K99), which possesses only the K99 antigen in common, within 4-21 h. of birth. All four control lambs from unvaccinated ewes challenged with E. coli strain B44 developed severe watery diarrhoea whereas none of the 10 lambs from vaccinated dams showed any signs of illness. Vaccination stimulated the production of K99 antibodies which could be detected by an indirect haemagglutination test and haemagglutination inhibition test. Experiments with brush border cells from calf intestine showed that the antibodies were associated with anti-adhesive activity. The antibodies which were predominantly IgG did not neutralize the activity of heat stable enterotoxin and it was concluded that neutralization of the adhesive properties of K99 positive E. coli by colostral antibodies significantly contributed to the resistance of the lambs from vaccinated dams.

Animals↗

Immunization of animals with gal E mutants of "Salmonella typhimurium".

A galactose epimeraseless (gal E) mutant of Salmonella typhimurium was investigated in mice, calves and poultry for its suitability as a live vaccine. In mice a very highly significant difference in the mortality rates was observed when vaccinated and non-vaccinated animals were challenged with virulent strains of S. typhimurium and S. dublin. In calves, doses of 10(6) and above of gal E mutant injected subcutaneously provided highly significant protection in terms of mortality and prevalence of symptoms when challenged orally with S. typhimurium. Renal lesions were found in a number of calves and studies were undertaken to investigate their pathogenesis. The results of these studies suggested that gal E. mutants were unlikely to produce the renal lesions. When day-old chicks were vaccinated orally with live gal E mutant of S. typhimurium and challenged orally 14 days later there was a statistically significant reduction in faecal shedding, in the salmonella carrier status at slaughter and in the numbers of salmonellae in the broiler house environment. The vaccine however, had a significant effect on the live weight gain of the birds.

Animals↗

Salmonella infection in horses in England and Wales, 1973 to 1979.

During the period 1973 to 1979 the number of recorded incidents of equine salmonellosis increased from 23 in 1973 to a peak of 111 incidents in 1976, but has since decreased to 32 in 1979. Of the 416 incidents recorded during the period of the survey 292 were caused by Salmonella typhimurium and 121 by 33 different serotypes; in three instances rough strains of salmonella were involved. The number of incidents caused by serotypes other than S typhimurium increased from one in 1973 to 32 in 1976. The number of different salmonella serotypes increased from two in 1973 to 23 in 1977 and has subsequently declined. Drug resistance monitoring of salmonella strains from horses showed that most of the strains were resistant to streptomycin and sulphonamides, although resistance to other antibacterial drugs used was low. Seventeen different patterns of antibiotic resistance were observed but resistance to more than two antibiotics was uncommon.

Animals↗

Salmonella dublin infection of calves: use of small doses to simulate natural infection on the farm.

Small numbers of Salmonella dublin were used to infect calves in an attempt to simulate natural infection on the farm. Twenty calves were exposed to S. dublin by one or more of the following methods: Sucking cows which were excreting S. dublin in their faeces (less than 10(2)-10(5) organisms/g). Housing on S. dublin contaminated bedding. Drinking S. dublin contaminated water (10(2)-10(4) organisms/ml). During this experiment some calves were given therapeutic does of oxytetracycline. After exposure the calves were examined for faecal excretion of S. dublin (in some instances mouth swabs and blood samples were also examined) and for clinical signs of illness. Most of the calves became infected with S. dublin but excretion was usually sporadic and the numbers of salmonellas excreted were small. No clinical signs of salmonellosis were observed by S. dublin was isolated from one calf at post-mortem. Another six calves, dosed orally with either 10(6) or 10(8) S. dublin, showed signs of mild illness and although three calves had diarrhoea excretion of salmonellas was intermittent. S. dublin was isolated from one of these calves at post-mortem.

Animals↗

The influence of patient-practitioner agreement on outcome of care.

A previous study suggested that patient-practitioner agreement and follow-up in ambulatory care facilitates problem resolution as judged by patients. In this study in another medical practice, practitioner-patient agreement on what problems required follow-up was associated with greater problem resolution as judged by the practitioners regardless of the severity of the problems. In this study, patients did not judge problems mentioned only by themselves to be less improved than problems mentioned by both them and their practitioners. However, in this study more of the problems mentioned only by patients were mentioned in the note of the visit contained in the medical record. Patients expected less and reported less improvements of problems that were neither mentioned by the practitioner nor written in the medical record than was the case for problems listed both by patients and practitioners. The findings of this study confirm those of the previous study in suggesting that practitioner-patient agreement about problems is associated with greater expectations for improvement and with better outcome as perceived by patients. In addition, they indicate that practitioners also report better outcome under the same circumstances.

Adult↗

Experimental Escherichia coli and rotavirus infection in lambs.

Colostrum-deprived lambs were infected with either enteropathogenic Escherichia coli(O9:K30:K99) or rotavirus or a mixture of the E coli and rotavirus. E coli doses of 10(6) and above consistently produced diarrhoea, as did experimental rotavirus infection. When both of the agents were administered, the mortality rate was higher, although the duration of diarrhoea was no greater than that observed when either of the two agents was administered alone.

Animals↗

Passive protection of lambs against enteropathogenic Escherichia coli: role of antibodies in serum and colostrum of dams vaccinated with K99 antigen.

Lambs from suckling ewes vaccinated with the K99 antigen were resistant to challenge with K99-positive enteropathogenic Escherichia coli. Serum and colostrum from these ewes were compared with samples from control ewes to establish methods for monitoring vaccination and to determine the mechanism of protection. Vaccination stimulated production of K99 antibodies. These could be detected by an indirect haemagglutination test and a haemagglutination-inhibition test. Antiglobulin and gel-diffusion tests were less reliable. Experiments with brush-border cells from calf intestine showed that the antibodies were associated with anti-adhesive activity. The antibodies were predominantly IgG and did not neutralise the activity of heat-stable enterotoxin. It was concluded that neutralisation of the adhesive properties of the K99-positive E. coli by colostral antibodies significantly contributed to the resistance of the lambs from vaccinated ewes.

Animals↗

The aetiology of diarrhoea in pigs weaned at two days of age.

When pigs are weaned at two days of age large numbers of Excherichia coli appear in the anterior gut and the incidence of diarrhoea rises. The two phenomena do not appear to be directly related because the strains of E coli isolated are not serotypes previously found to be associated with neonatal pig scouring. Representative strains of the non-enteropathogenic serotypes did not produce enterotoxin and did not adhere to small intestine brush borders. Moreover when antibiotics were fed to eliminate E coli from the gut, the pigs still scoured. Rotavirus was detected in the gut contents and gut epithelium of scouring pigs and a bacteria-free filtrate of gut contents produced diarrhoea when administered to germ-free pigs. It is suggested that rotavirus may be one of the causes of the scouring seen shortly after weaning pigs at two days of age.

Animals↗

A comparison of three technics of palatorrhaphy: in-hospital morbidity.

We report the first randomized prospective comparison of different techniques of palatorrhaphy. The in-hospital morbidity of the Wardill-Kilner repair (Group I), von Langenbeck repair (Group II), and von Langenbeck repair with superiorly based pharyngeal flap (Group III) was evaluated in 47 patients. There were no deaths. Transfusion was needed only in Group I patients (p less than 0.01). Postoperative airway obstruction was significantly more common in Group III patients than in Group I (0 per cent or II (6 per cent) (p less than 0.05). Thus the in-hospital morbidity was least following the von Langenbeck repair.

Airway Obstruction↗