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Preventive veterinary medicine2003; 60(1); 107-132; doi: 10.1016/s0167-5877(03)00085-0

A case control study of factors and infections associated with clinically apparent respiratory disease in UK Thoroughbred racehorses.

Abstract: A matched case control study was used to determine infections and other factors associated with clinically apparent respiratory disease in young racehorses in training in the UK. A total of 170 cases, defined as horses with sudden onset coughing, nasal discharge or pyrexia, were identified and matched to 632 non-affected controls by trainer and time period. Factors examined included age, sex, time since entry into the training yard, time since last race and different infections including tracheal and nasopharyngeal (NP) bacteria and viruses. Multivariable conditional logistic regression (CLR) modelling was used to evaluate the risk of being a case for variables after adjustment for other factors. Three analyses were conducted using clinical cases as outcomes, which were compared with: (i) controls without evidence of subclinical inflammatory airway disease (IAD) (ii) controls with evidence of subclinical IAD and (iii) all controls irrespective of IAD status. A fourth analysis was conducted comparing the two groups of controls, i.e. those with and without IAD. Younger horses and those that had entered training more recently were at increased risk of suffering episodes of clinically apparent respiratory disease. Among the infections, increasing numbers of Pasteurella/Actinobacillus spp. in tracheal washes were associated with increasing risk of clinical disease. Tracheal infection with Streptococcus zooepidemicus was associated with both clinical respiratory disease and subclinical IAD when compared with controls with no evidence of IAD. This explained the lack of association between clinical cases and S. zooepidemicus when all controls were used. Tracheal isolation of Mycoplasma felis was also associated with clinical disease after controlling for other factors. An inverse association was identified between risk of clinically apparent disease and isolation from tracheal washes of the transient, non-pathogenic bacteria Staphylococcus and Acinetobacter spp. There was no significant association identified between clinical disease and infection with equine herpesviruses-1 and -4, rhinoviruses-1 and -2 or adenovirus. Equine influenza was significantly associated with clinical respiratory disease but it was a very rare infection in this well-vaccinated population, only occurring in three cases.
Publication Date: 2003-08-06 PubMed ID: 12900152DOI: 10.1016/s0167-5877(03)00085-0Google Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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This study was conducted to identify infections and other factors related to visible respiratory illness in young racehorses in the UK. The findings revealed that younger horses and those newer to training were at greater risk of visible respiratory disease, with various bacteria linked to higher risks of illness.

Overview of the Research Methodology

  • This investigation was conducted using a matched case-control study, an observational method that analyzes two existing groups differing in outcome to identify factors associated with the variation.
  • The study involved a total of 170 cases, defined as horses showing sudden coughing, nasal discharge, or fever. These cases were matched with 632 unaffected controls based on their trainer and time period.
  • The parameters tested included age, sex, period since admission into the training yard, time since last race, and various tracheal and nasopharyngeal (NP) bacterial and viral infections.
  • Advanced statistical techniques (multivariable conditional logistic regression modelling) were used to measure the risk of the studied variables after adjusting for other factors.

Key Outcomes and Findings

  • Younger horses and those that started their training recently were found to be at higher risk of presenting with visible respiratory disease.
  • Among infections, the number of Pasteurella/Actinobacillus spp. bacteria found in tracheal washes proportionally impacted the risk of clinical disease.
  • The study noticed a relationship between Streptococcus zooepidemicus tracheal infection with both visible respiratory disease and latent Inflammatory Airway Disease (IAD). However, no correlation was observed between study cases and S. zooepidemicus when all controls were involved, due to the former connection.
  • The presence of Mycoplasma felis was also associated with visible disease after adjusting for other parameters.

Infections & Disease Risk

  • An inverse association was found between Staphylococcus and Acinetobacter spp., transient non-pathogenic bacteria, and the risk of clinically apparent disease.
  • No significant association was observed between visible disease and equine herpesviruses-1 and -4, rhinoviruses-1 and -2 or adenovirus infections.
  • Although equine influenza showed correlation with visible respiratory disease, it was seldom seen in this well-vaccinated population.

In summary, this research provides essential information regarding the conditions that increase the risk for developing respiratory diseases in racehorses, useful knowledge for trainers and handlers to manage and prevent outbreaks efficiently.

Cite This Article

APA
Newton JR, Wood JL, Chanter N. (2003). A case control study of factors and infections associated with clinically apparent respiratory disease in UK Thoroughbred racehorses. Prev Vet Med, 60(1), 107-132. https://doi.org/10.1016/s0167-5877(03)00085-0

Publication

ISSN: 0167-5877
NlmUniqueID: 8217463
Country: Netherlands
Language: English
Volume: 60
Issue: 1
Pages: 107-132

Researcher Affiliations

Newton, J R
  • Animal Health Trust, Lanwades Park, Kentford, Newmarket, Suffolk CB8 7UU, UK. richard.newton@aht.org.uk
Wood, J L N
    Chanter, N

      MeSH Terms

      • Animals
      • Bordetella Infections / microbiology
      • Bordetella Infections / veterinary
      • Case-Control Studies
      • Female
      • Herpesviridae Infections / veterinary
      • Herpesviridae Infections / virology
      • Horse Diseases / etiology
      • Horse Diseases / microbiology
      • Horses
      • Logistic Models
      • Longitudinal Studies
      • Male
      • Multivariate Analysis
      • Pasteurella Infections / microbiology
      • Pasteurella Infections / veterinary
      • Picornaviridae Infections / veterinary
      • Picornaviridae Infections / virology
      • Respiratory Tract Diseases / etiology
      • Respiratory Tract Diseases / microbiology
      • Respiratory Tract Diseases / veterinary
      • Streptococcal Infections / microbiology
      • Streptococcal Infections / veterinary
      • Trachea / microbiology
      • United Kingdom

      Citations

      This article has been cited 14 times.
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