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Efficacy of tulathromycin injectable solution for the treatment of naturally occurring Swine respiratory disease.

Tulathromycin, a novel triamilide antimicrobial, was evaluated for treatment of swine respiratory disease (SRD) in field efficacy studies involving 720 pigs in six North American swine herds. In each study, feeder pigs with clinical SRD were randomly assigned in equal numbers to a group treated with tulathromycin given as a single injection at 2.5 mg/kg of body weight or to a saline-treated control group. Four of the studies included a third group treated with ceftiofur sodium for 3 consecutive days at 3 mg/kg of body weight. Pigs were treated on day 0 and evaluated for treatment response on day 7. In each study, 10 or more nontreated pigs and saline-treated pigs that did not respond to treatment underwent necropsies to obtain lung samples that were evaluated for SRD pathogens. The overall cure rate was 46.4% for saline-treated pigs, 71.1% for tulathromycin-treated pigs, and 63.1% for ceftiofur-treated pigs. The cure rate for tulathromycin-treated pigs was significantly higher than for saline-treated pigs (P = .0116). Mortality from SRD occurred in 24 control pigs, seven tulathromycin-treated pigs, and one ceftiofur-treated pig. The mortality rate was significantly lower for both the tulathromycin- and ceftiofur-treated pigs compared with those treated with saline (P = .0148 and P = .0195, respectively). Actinobacillus pleuropneumoniae, Pasteurella multocida, Haemophilus parasuis, and Mycoplasma hyopneumoniae, bacteria commonly associated with SRD, were isolated from SRD-affected pigs. Under field conditions, tulathromycin injectable solution given as a single IM dose of 2.5 mg/kg of body weight was safe and effective in the treatment of SRD.

Animals↗

[Mortality rate of influenza, acute respiratory diseases and acute pneumonia as a health status factor].

The rates of mortality due to influenza, acute respiratory disease and acute pneumonia were studied in relation to the patients' age, sex, epidemic etiology. Quantitative characteristics of excess mortality might be used in the assessment of the influenza epidemic intensity. The most vulnerable groups of the population were identified in whom a comprehensive complex of measures should be made to reduce ARD mortality rates.

Acute Disease↗

Respiratory diseases among agricultural industry workers in India: a cross-sectional epidemiological study.

Epidemiological survey for respiratory diseases among agricultural industry workers, such as bakeries, poultry farms, granaries and a sugar refinery was carried out using a medical questionnaire on various respiratory symptoms such as cough, breathlessness, rhinitis. The questionnaire was filled up by two doctoral students during personal visits to these work environments. The survey revealed that 40-59% of workers in different occupational work environments suffered from one or more respiratory ailments. As much as 36-40% of the workers reported work-related symptoms which is close to similar data from Western countries. A higher incidence of respiratory disorders was recorded in workers with longer duration of employment. Older workers suffered more than the young ones. Family history of atopy was found to have least effect on the incidence of cough, breathlessness and rhinitis in the workers. Smoking was found to have definite impact on the incidence of cough and breathlessness

Adolescent↗

Effects of air pollution on general practitioner consultations for upper respiratory diseases in London.

OBJECTIVES: Few published studies have examined the effect of air pollution on upper respiratory conditions. Furthermore, most epidemiological studies on air pollution focus on mortality or hospital admissions as the main health outcomes, but very rarely consider the effect in primary care. If pollution effects do exist then the public health impact could be considerable because of the many patient contacts involved. We investigated the relation between air pollution and upper respiratory disease as reflected in number of consultations made at family practices in London. METHODS: The study used non-parametric methods of analysis of time series data, adjusting for seasonal factors, day of the week, holiday effects, influenza, weather, pollen concentrations, and serial correlation. RESULTS: It was estimated that a 10-90th percentile change (13-31 microg/m(3)) in sulphur dioxide (SO(2)) measures resulted in a small increase in numbers of childhood consultation: 3.5% (95% confidence interval (95% CI 1.4% to 5.8%). Stronger associations were found in the case of a 10-90th percentile change (16-47 microg/m(3)) in fine particles (PM(10)) in adults aged 15-64 5.7% (2.9% to 8.6%), and in adults aged 65 and over: 10.2% (5.3% to 15.3%). In general, associations were strongest in elderly people, weakest in the children, and were largely found in the winter months for these two age groups, and in the summer months for adults aged 15-64. An apparent decrease in consultations was associated with ozone concentrations but this was most pronounced in colder months when ozone concentrations were at their lowest. CONCLUSIONS: The results suggest an adverse effect of air pollution on consultations for upper respiratory symptoms, in particular in the case of PM(10) and SO(2). The effects are relatively small; however, due to the many consultations made in primary care, the impact on demand for services could be considerable.

Adolescent↗

Antibody to Mycoplasma hominis in patients with respiratory disease.

An attempt was made to evaluate the role of Mycoplasma hominis in respiratory infection in adults. Sera collected from patients admitted to hospital with respiratory infections were examined for antibody to M. hominis. The incidence of antibody was no higher than that found previously in patients without respiratory disease.

Antibodies↗

A qualitative study of the importance and etiology of chronic respiratory disease in Alaska native children.

OBJECTIVES: To generate new hypotheses about factors that may contribute to chronic respiratory disease in Alaska Native children in rural Alaska. METHODS: Qualitative formative research with interviews of community members, village healthcare providers, and referral providers in the Yukon-Kuskokwim Delta Region of Alaska. RESULTS: The respondents identified chronic and acute respiratory illnesses as the most important serious child health problems of the region. They believed that chronic respiratory conditions, especially asthma, were increasing. The most frequently discussed potential contributing factors were smoke, dust, feeding practices, socioeconomic conditions, and mold. The intervention mentioned most frequently that would make the greatest impact was a more timely diagnosis of asthma. CONCLUSIONS: Reports of an increase in chronic respiratory problems are parallel with reports of increases in dust and mold in the communities. Further environmental quantitative research is necessary to confirm the importance of these factors. In addition, improved education for identification and treatment of asthma would appear to be beneficial.

Alaska↗

Smoke-filled rooms and lower respiratory disease in infants.

Of 132 infants with severe lower respiratory tract disease, 70% had a history of daily heavy smoke exposure from cooking and/or heating fires. Only 33% of 18 infants free of respiratory problems had such exposure. Wood smoke is a potent risk factor in the development of severe lower respiratory tract disease in infants. Lower social class, and sibling and parental symptoms (often cited as risk factors), may also be expressions of the same smoke-filled room. Parents of newborn infants should be told to keep smoke away from their baby, especially if ethnic traditions predicate exposure.

Humans↗

Epidemic spread of adenovirus type 4-associated acute respiratory disease between U.S. Army installations.

A large outbreak of adenovirus type 4-associated acute respiratory disease (ARD) occurred at Fort Jackson, South Carolina, in 1997. A laboratory-based ARD surveillance program was initiated at Fort Gordon, Georgia, where advanced individual training was heavily populated with Fort Jackson soldiers. Adenovirus type 4 was isolated from 50% of 147 trainees hospitalized with ARD. Most (88%) introduced cases were in trainees from Fort Jackson.

Adenovirus Infections, Human↗

Infectious agents associated with respiratory disease in pheasants.

In a case-control study of the infectious agents associated with natural outbreaks of respiratory disease in pheasants, 28 batches of birds from sites affected by disease and eight batches of birds from unaffected sites were examined by six veterinary laboratories in England, Wales and Scotland, and tested for mycoplasmas, other bacteria and viruses. Sinusitis was the commonest sign of disease and was associated with Mycoplasma gallisepticum as detected by PCR in the trachea (P < 0.05) and conjunctiva (P < 0.01). Sinusitis was also associated with pasteurella cultured from the sinus (P < 0.05), antibody to avian pneumovirus (APV) (P < 0.01) and avian coronaviruses as detected by reverse-transcriptase PCR (P < 0.05); there was no association between disease and APV as detected by PCR. Avian coronaviruses were the most common infectious agents detected. They were genetically close to infectious bronchitis virus (IBV) but differed in their gene sequence from all the serotypes of IBV previously identified in domestic fowl, and serological tests with six known IBV types showed little cross reactivity. Mycoplasma species other than M gallisepticum were cultured in 18 batches of pheasants but, with the exception of Mycoplasma gallinaceum, were not associated with disease.

Animals↗

Study of the potential involvement of pseudorabies virus in swine respiratory disease.

In order to investigate the potential involvement of pseudorabies virus (PRV) in swine respiratory disease, nine week old pigs were intranasally inoculated with the PRV strain 4892. Two doses of infection were used: 10(4.5) median tissue culture infectious doses (TCID50)/pig and 10(3.5) TCID50/pig, with ten pigs per group. In the group of pigs inoculated with 10(4.5) TCID50, seven out of ten pigs died within six days after inoculation. The mortality rate in the group of pigs inoculated with the lower dose was only two out of ten and, there were several pigs in this group that showed signs of respiratory distress besides some mild nervous signs. Pseudorabies virus was isolated from various tissues collected postmortem, including alveolar macrophages. Virus localization in tissues was also detected by in situ hybridization. The histopathological examination of the respiratory tract tissues revealed a pathological process that was progressing from mild pneumonia to severe suppurative bronchopneumonia. The isolation of virus from alveolar macrophages provides support to the hypothesis that replication of PRV during the course of infection produces an impairment of the defense mechanisms in the respiratory tract.

Animals↗

Effects of dietary lysine supplementation in cats with enzootic upper respiratory disease.

To determine the effectiveness of dietary lysine supplementation in cats with enzootic upper respiratory disease (URD), 50 cats were fed a ration containing 11 or 51 g lysine/kg diet for 52 days. Food intake, body weight, clinical signs, plasma amino acid concentrations and presence of Chlamydophila felis or feline herpesvirus (FHV)-1 DNA within the conjunctival fornix were assessed. Food and lysine intake of both dietary groups decreased between days 17 and 22, coinciding with peak disease and viral presence. Mean disease score for cats fed the supplemented ration (0.94) was higher than for those fed the basal diet (0.21); however, this could be attributed to a small subset of male cats which demonstrated fighting behavior that may have contributed to stress within that cage. FHV-1 DNA was detected on 12 occasions in six cats receiving the supplemented diet and on one occasion in one cat fed the basal diet. C felis DNA was never detected. Mean plasma arginine concentration was lower and plasma lysine concentration was higher in supplemented cats. Mean plasma arginine concentration declined throughout the study in both dietary groups. Data from the present study raise important questions but do not permit a definitive conclusion regarding the efficacy of dietary lysine supplementation in cats with enzootic URD.

Administration, Oral↗

[Epidemiological analysis of morbidity in acute respiratory diseases and influenza among the population of an industrial city].

The ecologo-epidemiological analysis of morbidity in acute respiratory diseases (ARD) and influenza among the population of industrial cities (Orenburg and Novotroitsk), depending on the level of anthropogenic loading, has been made. The analysis has shown that the epidemic process develops independently in every city having its specific features in anthropogenic loading. ARD morbidity has been found to correlate with total and concrete data on air pollution. Anthropogenic loading factors have no influence of influenza morbidity.

Acute Disease↗

Air pollution and hospital admissions for respiratory disease.

Several recent studies have reported associations between short-term changes in air pollution and respiratory hospital admissions. Most of those studies analyzed locations where there was a high correlation between airborne particles and sulfur dioxide (SO2), and between all air pollutants and temperature. Here, I seek to replicate the previous findings in a location where SO2 concentrations were trivial, and the correlation between both airborne particles and ozone with temperature was considerably lower than in previous studies. I constructed daily counts of admissions to all hospitals in Spokane, WA, for respiratory disease (International Classification of Diseases, 9th revision, codes 460-519) for persons age 65 years and older. I computed average daily concentrations of airborne particles whose diameter is 10 microns or less (PM10) and ozone (O3) from all monitors in each city, and I obtained daily average temperature and humidity from the U.S. weather service. SO2 concentrations in Spokane were so low that monitoring was discontinued. I regressed daily respiratory admission counts on temperature, humidity, day of the week indicators, and air pollution. I used a Poisson regression analysis and removed long wavelength patterns using a nonparametric smooth function of day of study. I dealt with a possible U-shaped dependence of admissions on temperature and/or humidity by using nonparametric smooth functions of weather variables as well. I then examined sensitivity analyses to control for weather. Both PM10 and ozone were associated with increased risk of respiratory hospital admissions [relative risk (RR) = 1.085; 95% confidence interval (CI) = 1.036-1.136 for a 50-microgram per m3 increase in PM10, and RR = 1.244; 95% CI = 1.002-1.544 for a 50-microgram per m3 increase in peak-hour ozone]. The PM10 association was insensitive to alternative methods of control for weather, including exclusion of extreme temperature days and control for temperature on multiple days. The ozone results were more sensitive to the approach for weather control. The magnitude of the PM10 effect in this location, where SO2 was essentially not present, and where the correlation between PM10 and temperature was close to zero, was similar to that reported in other locations in the eastern United States and Europe, where confounding by weather and SO2 is a more substantial concern.

Aged↗

[Epidemiologic effectivness of poludane in preventing influenza and other acute respiratory diseases in troops].

The epidemiological effectiveness of interferon inductor "Poludanum" produced by "LENS Pharm" (Russia) for prevention of acute respiratory viral infections was tested. The drug was administered among the students of Military Medical Academy (101 students) according to scheme 1: in a nose, 3 drops in each nasal passage two times per week during 4 weeks, with 2 week interruption then the scheme was repeated. The scheme 2 included 3 drops in each nasal passage once a week during 10 weeks (95 students). The placebo group (96 students) received the distilled water. In the students receiving "Poludanum" according to scheme 1 the incidence of acute respiratory diseases (ARD) was significantly lower than in the control group (p = 0.058). The coefficient of effectiveness was 50%, i.e. the incidence has decreased in two times. The use of poludanum according to scheme 2 caused no decrease in ARD incidence.

Acute Disease↗

Respiratory disease mortality in New Mexico's American Indians and Hispanics.

To determine the effect of ethnic group on respiratory disease occurrence, average annual sex, ethnic, and disease specific mortality rates for the period of 1969 to 1977 were calculated for New Mexico's American Indian, Hispanic, and Anglo populations. Incidence data were available for respiratory tract cancer. This study corroborates previous findings of reduced mortality from lung cancer in American Indians of both sexes and in Hispanic males. American Indian mortality from tuberculosis and from influenza and pneumonia was high. Hispanic males and American Indians of both sexes showed low mortality rates for chronic obstructive pulmonary disease (COPD). Differing cigarette usage is the most obvious explanation for the variations in COPD and lung cancer occurrence with ethnic group.

Adolescent↗

[Hospitalization for morbidity with respiratory diseases in residents of an industrial city].

In view of the growth of adverse epidemiological indices for respiratory diseases (RD) in Russia, studies are warranted to get insights into regularities of their dynamics in a large industrial urban centre. A paradoxical decline is shown in the level of RD morbidity, caused by economical problems of health care with the growing need for hospitalization still in place, as exemplified by the situation in Orenburg. Of a serious concern to us is also an increasing latent RD morbidity resulting in disability of patients.

Hospitalization↗