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1.
BMC Vet Res ; 19(1): 15, 2023 Jan 20.
Artículo en Inglés | MEDLINE | ID: mdl-36670427

RESUMEN

BACKGROUND: Calf morbidity and mortality are among the leading causes of economic losses on dairy farms around the world. Poor calf management practices exacerbate the problem in developing countries like Ethiopia. This prospective, longitudinal study was conducted on 70 selected dairy farms in southern Ethiopia with the aim of estimating calf morbidity and mortality rates, identifying the associated risk factors and determining whether the mortality rate is above economically tolerable levels. For this purpose, a total of 274 calves on 70 farms were followed up every two weeks from birth to six months of age for major clinical health problems and deaths. RESULTS: The study found a morbidity rate of 13.2 cases and a mortality rate of 3.8 cases per 100 calf-months at risk in the study calves. The cumulative incidence of morbidity and mortality was also found to be 40.29% and 12.85%, respectively. Diarrhea was the leading cause of morbidity and mortality in calves, accounting for 71.3% and 62.1% of all morbidity and mortality, respectively. In a multivariable Cox regression analysis, the risk of morbidity was significantly (p = 0.022) higher in calves born to dystocia-affected dams (HR = 2.4) and on farms where dairy farming is the farmers' secondary source of income (HR = 1.7). However, the risk of morbidity was significantly (p < 0.001) lower in calves older than three months (HR = 0.22), female calves (HR = 0.57), calves raised by farmers who had completed secondary school (HR = 0.26) or college education (HR = 0.30). Similarly, calves aged over three months (HR = 0.14), calves separated from their dams only after ingestion of colostrum (HR = 0.40) and calves owned by farmers who completed secondary school (HR = 0.08) or college education (HR = 0.13) all had lower mortality rates than other groups. On the other hand, calves born to cows with dystocia were 5.2 times more likely to die. CONCLUSION: The study concluded that calf morbidity and mortality rates in the study area are higher than economically tolerable levels and therefore it is recommended to raise awareness among farmers to improve calf management practices.


Asunto(s)
Enfermedades de los Bovinos , Distocia , Embarazo , Animales , Bovinos , Femenino , Estudios Longitudinales , Granjas , Estudios Prospectivos , Etiopía/epidemiología , Incidencia , Factores de Riesgo , Enfermedades de los Bovinos/epidemiología , Distocia/veterinaria , Industria Lechera
2.
Acta Trop ; 154: 145-8, 2016 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-26581831

RESUMEN

Cross-sectional study was conducted in 9 selected districts of the southern part the Rift Valley, Ethiopia to estimate the dry period prevalence of bovine trypanosomosis as well as assessment of Glossina species. From a total of 1838 cattle examined for trypanosomosis by buffy coat technique 133 (7.2%) were found infected by trypanosome species. From the total positive animals 66.9 and 33.1% of them accounted to Trypanosoma congolense and Trypanosoma vivax, respectively. Significantly higher prevalence (19.4%., P<0.05) was recorded at Arba-Mnch district. Black colored cattle were the most highly affected (χ(2)=79.35, P<0.05) animals. The overall average PCV value for parasitaemic and aparasitaemic animals was 22.2 (95% CI=21.6-22.7) and 27% (95% CI=26.8-27.2), respectively. The fly caught per trap per day was 1.4 for Glossina species and 2.8 for other biting flies. Two species of Glossina identified namely Glossina pallidipes and Glossina fuscipes.


Asunto(s)
Tripanosomiasis Bovina/epidemiología , Moscas Tse-Tse , Animales , Bovinos , Estudios Transversales , Etiopía/epidemiología , Hematócrito , Prevalencia , Trypanosoma congolense/aislamiento & purificación , Trypanosoma vivax/aislamiento & purificación , Tripanosomiasis Bovina/sangre , Tripanosomiasis Bovina/parasitología
3.
J Parasit Dis ; 39(4): 730-5, 2015 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-26688643

RESUMEN

A cross-sectional study was conducted from November 2010 to May 2011 to estimate the prevalence of camel hydatidosis, associated risk factors and financial loss in Jijiga municipal abattoir, Somali Regional State, Eastern Ethiopia. Accordingly, of the total 400 inspected camel, 92 (23 %) camels and 109 organs were positive for hydatid cyst with the highest proportion recorded in lung (56 %) followed by liver (33.9 %), spleen (7.3 %) and kidneys (2.8 %). The prevalence of hydatidosis significantly varied among age categories (P < 0.05), sex (P < 0.05) and body condition score (P < 0.05) of camels. Hence, there is higher likelihood for occurrence of camel hydatidosis among the older age groups (OR 1.8, 95 % CI 1.2, 3.3), in female camels (OR 2.8, 95 % CI 1.7, 4.7) and in poor body conditioned camels (OR 4.1, 95 % CI 2.2, 7.9) than younger camels, males and camels with good body condition score, respectively. Of the total 288 examined cysts for fertility and viability, 59.7 % (172/288) were fertile while the rest 24.0 % (69/288) cysts were sterile. Of the 172 fertile cysts 69.8 % (n = 120) were viable and 30.2 % (n = 52) were non-viable. The rest 16.3 % (47/288) cysts were found dead. It was also observed that the pulmonary and hepatic cysts had fertility rate of 63.7 % (116/182) and 57.4 % (54/94), respectively. The total annual direct financial loss recorded in this study as result of organs condemnation due to hydatid cyst, was 12,147.75 Ethiopian birrs ($714.57 or $7.77/camel). If this value could be extrapolated to the infected camel population of the region, financial loss due to hydatidosis could be enormous. In conclusion, this study showed the importance of hydatidosis and the associated direct financial loss due to the condemnation of organs affected by hydatid cyst in the study area.

4.
Trop Anim Health Prod ; 45(7): 1589-95, 2013 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-23563738

RESUMEN

A cross-sectional study was carried out from November 2010 up to April 2011 to estimate mastitis prevalence and associated risk factors and to assess its bacterial causes in traditionally managed camels in Borana Zone, Southern Ethiopia. Thus, 348 lactating camels were examined clinically, and subclinical cases were checked with California mastitis test (CMT). The overall prevalence of mastitis was 44.8 % (156/348), comprising clinical (19, 5.4 %) and subclinical (137, 39.4 %) cases. The quarter level prevalence of mastitis was 24.0 % (334/1,392). Of the total 1,392 examined teats, 30 were blind, and hence, from the 1,362 non-blind CMT-examined teats, 22.3 % (304/1,362) were CMT positive. Of the 304 CMT-positive samples, 264 were culture positive (197 Gram-positive, 41 Gram-negative, and 26 mixed isolates), and 40 were culture negative. The prevalence of Staphylococcus aureus was found to be the highest at both the animal (12.8 %, 39/304) and quarter level (2.9 %, 39/1,362). Regression analysis revealed higher likelihood of mastitis occurrence among camels from Dharito (OR = 3.4, 95 % confidence interval (CI) = 1.8, 6.4), Gagna (OR = 3.4, 95 % CI = 1.8, 6.5), and Haro Bake (OR = 2.6, 95 % CI = 1.3, 5.1) than camels from Surupha. Likewise, there was higher chance of mastitis occurrence among camels at the early lactation stage (OR = 2.3, 95 % CI = 1.1, 4.6) and camels with udder/teat lesions (OR = 13.7, 95 % CI = 1.7, 109.4) than among camels at late lactation stage and camels with healthy udder/teats, respectively. In conclusion, this study reveals the current status of camel mastitis in Southern Ethiopia.


Asunto(s)
Bacterias/aislamiento & purificación , Fenómenos Fisiológicos Bacterianos , Camelus , Mastitis/veterinaria , Animales , Infecciones Asintomáticas/epidemiología , Recuento de Células/veterinaria , Recuento de Colonia Microbiana/veterinaria , Estudios Transversales , Etiopía/epidemiología , Femenino , Lactancia , Glándulas Mamarias Animales/patología , Tamizaje Masivo/veterinaria , Mastitis/diagnóstico , Mastitis/epidemiología , Mastitis/microbiología , Leche/microbiología , Prevalencia , Factores de Riesgo , Encuestas y Cuestionarios
5.
Prev Vet Med ; 110(2): 139-48, 2013 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-23245843

RESUMEN

A retrospective study and active abattoir survey were conducted from December 2009 to April 2010 to determine the major causes of organs and carcasses condemnation and to estimate the associated direct financial loss at Luna Export Abattoir, Central Ethiopia. The active abattoir survey was conducted on 674 goats and 451 sheep (n=1125) and three years (2007, 2008 and 2009), retrospective data of 718,395 sheep and goats were also collected. From the retrospective data it was observed that liver was the most frequently condemned organ with condemnation rate of 32.4%, 46.7% and 70.5%, respectively. The major causes of condemnation for liver, lung, heart, kidneys and brain were cirrhosis (12.3%, 17.0% and 12.8%), pneumonia (6.6%, 11.6% and 12.5%), pericarditis (0.6%, 0.8% and 0.4%), nephritis (0.6%, 0.8% and 1.2%) and abscess (0.005%, 0.007% and 0.012%), respectively. Consequently, the overall direct financial loss from organs and carcass condemnation during the three years was estimated to be 22,993,591 Ethiopian birr (ETB) or 1,323,257 United State Dollar (USD). On the other hand, detailed post mortem inspection of liver, heart, kidneys, tongue, brain and carcass during the active abattoir survey revealed that higher losses were caused mainly due to cirrhosis (89.3 kg, 2998 ETB), pericarditis (5.4 kg, 308 ETB), faulty evisceration (8.4 kg, 472 ETB), calcification (8.4 kg, 469 ETB) and Coenurus cerebralis (4.3 kg, 243 ETB) and poor carcass condition (bonny carcass) (1390 kg, 78,500 ETB), respectively. Other causes of condemnation were also recorded and totally, about 110,361 ETB (6351 USD) was lost only from organs and carcasses condemnation during the active abattoir survey. In conclusion, this study identified the major causes of organs and carcass condemnation in Luna Export Abattoir and estimated the associated direct financial losses.


Asunto(s)
Inspección de Alimentos , Enfermedades de las Cabras/economía , Enfermedades de las Cabras/epidemiología , Enfermedades de las Ovejas/economía , Enfermedades de las Ovejas/epidemiología , Mataderos , Animales , Estudios Transversales , Etiopía , Enfermedades de las Cabras/etiología , Cabras , Masculino , Vigilancia de la Población , Estudios Retrospectivos , Ovinos , Enfermedades de las Ovejas/etiología
6.
Trop Anim Health Prod ; 44(7): 1643-51, 2012 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-22415402

RESUMEN

A highly acute and contagious camel disease, an epidemic wave of unknown etiology, referred to here as camel sudden death syndrome, has plagued camel population in countries in the Horn of Africa. To better understand its epidemic patterns and transmission dynamics, we used epidemiologic parameters and differential equation deterministic modeling (SEIR/D-model) to predict the outcome likelihood following an exposure of susceptible camel population. Our results showed 45.7, 17.6, and 38.6 % overall morbidity, mortality, and case fatality rates of the epidemic, respectively. Pregnant camels had the highest mortality and case fatality rates, followed by breeding males, and lactating females, implying serious socioeconomic consequences. Disease dynamics appeared to be linked to livestock trade route and animal movements. The epidemic exhibited a strong basic reproductive number (R (0)) with an average of 16 camels infected by one infectious case during the entire infectious period. The epidemic curve suggested that the critical moment of the disease development is approximately between 30 and 40 days, where both infected/exposed and infectious camels are at their highest numbers. The lag between infected/infectious curves indicates a time-shift of approximately 3-5 days from when a camel is infected and until it becomes infectious. According to this predictive model, of all animals exposed to the infection, 66.8 % (n = 868) and 33.2 % (n = 431) had recovered and died, respectively, at the end of epidemic period. Hence, if early measures are not taken, such an epidemic could cause a much more devastative effect, within short period of time than the anticipated proportion.


Asunto(s)
Número Básico de Reproducción/veterinaria , Camelus , Enfermedades Transmisibles Emergentes/veterinaria , Epidemias/veterinaria , Animales , Enfermedades Transmisibles Emergentes/epidemiología , Enfermedades Transmisibles Emergentes/mortalidad , Enfermedades Transmisibles Emergentes/transmisión , Epidemias/economía , Etiopía/epidemiología , Femenino , Masculino , Modelos Biológicos , Prevalencia , Encuestas y Cuestionarios , Factores de Tiempo
7.
Trop Anim Health Prod ; 43(3): 651-6, 2011 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-21088890

RESUMEN

The involvement of Brucella infection in causing abortion was investigated in a breeding female subpopulation of 283 cattle, 756 camels, and 757 goats. Serum samples were serially tested using the Rose Bengal test and complement fixation test. The study showed that anti-Brucella antibodies were prevalent in 10.6% (95% confidence interval (CI), 7.4, 14.9), 2.2% (95%CI, 1.4, 3.7), and 1.9% (95%CI, 1.1, 3.2) of cattle, camel, and goats, respectively. Abortion was more commonly reported in camels (23.4%) than cattle (13.8%) and goats (12.4%). The results of this study suggested that Brucella infections contribute significantly to abortion in cattle (odds ratio (OR), = 4.7; 95%CI, 2.0, 10.8) and goats (OR = 6.9; 95%CI, 2.2, 21.7) but not in camels. The number of young animals produced by breeding females seems to be apparently reduced in seropositive groups. Keeping more than two animal species at household level was found to be the risk factor for cattle (OR = 3.1; 95%CI, 1.2, 7.9) and camel (OR = 5.3; 95%CI, 1.2-23.5) seropositivity to Brucella infection when compared to those animals from households that keep only two animal species. This may suggest a possibility of cross species transmission of Brucella infection under such mixed herding. Wet season (OR = 4.8; 95%CI, 1.3, 18.1) was found to be associated with seropositivity in goats, linked to a coincidence of increased deliveries in flocks with possible excretion of Brucella organisms. The study results suggest that Brucella infection is the likely cause of abortion in cattle and goats while other causes largely outweigh brucellosis as a cause of abortion in camels in Borana, hence, contributing to reproductive loss.


Asunto(s)
Aborto Veterinario/microbiología , Brucella/aislamiento & purificación , Brucelosis/veterinaria , Aborto Veterinario/epidemiología , Animales , Anticuerpos Antibacterianos/sangre , Brucelosis/epidemiología , Brucelosis/microbiología , Camelus , Bovinos , Pruebas de Fijación del Complemento/veterinaria , Estudios Transversales , Etiopía/epidemiología , Femenino , Cabras , Modelos Logísticos , Embarazo , Rosa Bengala , Estudios Seroepidemiológicos
8.
Trop Anim Health Prod ; 42(6): 1249-55, 2010 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-20373022

RESUMEN

Mastitis prevalence and related risk factors were studied in 1,072 udder halves of 536 lactating goats from October, 2008 to February, 2009. Clinical and subclinical mastitis were prevalent in 4.3% (95% CI = 2.8, 6.5) and 11.2% (95% CI = 8.7, 14.3) of the studied animals, respectively, resulting in an overall prevalence of 15.5% (95% CI = 12.6, 18.9). Univariate analysis of the potential risk factors has depicted that mastitis was more prevalent in does with previous mastitis history, increased parity, poor body conditions, increased milk production, late lactation stage, long teat, and housed goats. Furthermore, prevalence was significantly higher (p < 0.05) during the wet period of October to November than the dry periods of January to February. No significant variations (p > 0.05) were observed in mastitis prevalence with udder tick infestation, mixing goat with sheep and flock size. With multivariable analysis, lactation stage, teat length, body condition, and season (wet months) have showed significant association with mastitis prevalence, and these factors maintained significant in the stepwise elimination of multivariable logistic regression model. As a result, does in late stage of lactation (OR = 4.3, 1.8, 10.4), poor body condition (OR = 5.0, 1.7, 10.0), long teats (OR = 2.2, 95% CI = 1.1, 4.2) and does examined in wet period were at higher risk of udder infections than early lactation, good body condition, short teat, and examined in dry period, respectively. The study showed occurrence of mastitis and associated risk factors in studied goats, which suggests the need for control intervention. Further investigations into pathogens involved in goat mastitis will optimize our knowledge of causative agents and control interventions.


Asunto(s)
Animales Domésticos , Enfermedades de las Cabras/epidemiología , Lactancia , Mastitis/veterinaria , Animales , Constitución Corporal , Etiopía/epidemiología , Femenino , Cabras , Vivienda para Animales , Humanos , Modelos Logísticos , Mastitis/epidemiología , Análisis Multivariante , Prevalencia , Factores de Riesgo , Estaciones del Año , Encuestas y Cuestionarios
9.
Trop Anim Health Prod ; 42(6): 1111-7, 2010 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-20213224

RESUMEN

A cross-sectional study was conducted from November 2008 to February 2009 to investigate the prevalence and intensity of infection and risk factors of gastrointestinal (GI) nematodes in small ruminants kept under the traditional husbandry system in two districts in southern Ethiopia. Faecal samples collected from a total of 510 small ruminants (284 sheep and 226 goats) and analysed by a modified McMaster technique revealed that 222 animals (43.5%) were found to be infected with one or more GI nematodes. Five identical genera of nematodes were found in both sheep and goats, which in order of predominance were Haemonchus (56.3%), Trichostrongylus (39.6%), Oesophagostomum (22.9%), Trichuris (21.6%) and Bunostomum (10.4%). No significant (p > 0.05) differences were observed between sheep and goats proportions except for Trichuris (p < 0.05). In both sheep and goats, most of the animals were heavily infected showing faecal egg counts (FECs) above 1,200 epg. Sheep had a significantly (p < 0.05) higher mean FEC than goats. In sheep and goats, both the prevalence of GI nematodes and mean FEC were significantly (p < 0.001) associated with body condition score and faecal consistency but not with district, sex and age (p > 0.05 for each factor). In conclusion, the observation of a strong association of GI nematodes with poor body condition coupled with heavy intensity of infection in the majority of infected animals and an abundance of nematode genera of widespread economic and pathological significance warrants the institution of appropriate control measures that should necessarily include improvement of the nutritional status of the animals.


Asunto(s)
Crianza de Animales Domésticos/métodos , Tracto Gastrointestinal/parasitología , Enfermedades de las Cabras/epidemiología , Enfermedades de las Cabras/parasitología , Infecciones por Nematodos/veterinaria , Enfermedades de las Ovejas/epidemiología , Enfermedades de las Ovejas/parasitología , Animales , Constitución Corporal , Estudios Transversales , Etiopía/epidemiología , Cabras , Infecciones por Nematodos/epidemiología , Recuento de Huevos de Parásitos/veterinaria , Prevalencia , Factores de Riesgo , Ovinos
10.
Vet Parasitol ; 169(1-2): 144-8, 2010 Apr 19.
Artículo en Inglés | MEDLINE | ID: mdl-20056332

RESUMEN

A cross-sectional study was conducted from November 2008 to March 2009 to estimate the prevalence of lungworm infection and to investigate some of the risk factors associated with small ruminant lungworm infections in Dessie and Kombolcha districts, northeastern Ethiopia. Faecal samples were collected from randomly selected 404 animals (240 sheep and 164 goats) to examine first stage larvae (L(1)) using modified Baerman technique. One hundred and thirty eight animals (113 sheep and 25 goats) were also subjected to postmortem examination to detect the presence of adult lungworm parasites. The overall prevalence recorded by faecal and postmortem examinations were 36.9% and 62.3%, respectively. Prevalence of lungworm infection was significantly higher (OR=2.1, 95% CI=1.2, 3.5) in sheep (40.4%) than in goats (31.7%). The proportions of infection by Dictyocaulus filaria (D. filaria), Mullerius capillaris (M. capillaris) and mixed infection were 1.3% (3/240), 28.3% (68/240) and 10.8% (26/240) in sheep; and 20.1% (33/164) by M. capillaris and 11.6% (19/164) with mixed infection in goats. Animals above one year (OR=8.7, 95% CI=4.8, 15.6), non-dewormed animals (OR=10.4, 95% CI=5.6, 19.3) and those sampled during November (OR=3.6, 95% CI=1.5, 8.6) had higher odds of infection prevalence than animals in corresponding groups. The mean count of L(1) larvae of D. filaria and M. capillaris were 5.4 (95% CI=3.6, 7.3) and 39.3 (95% CI=33.7, 44.9) in ovine and 4.5 (95% CI=3.1, 5.8) and 34.1 (95% CI=27.2, 41.1) in caprine, respectively. The recorded average larval count of the two parasitic species varied significantly in both sheep and goats. This study showed high prevalence of lungworm infections which impairs the productivity of small ruminants, implying the need for control intervention.


Asunto(s)
Enfermedades de las Cabras/epidemiología , Enfermedades de las Ovejas/epidemiología , Infecciones por Strongylida/epidemiología , Animales , Estudios Transversales , Dictyocaulus/fisiología , Infecciones por Dictyocaulus/epidemiología , Etiopía/epidemiología , Heces/parasitología , Cabras , Humanos , Larva , Masculino , Metastrongyloidea/fisiología , Prevalencia , Factores de Riesgo , Ovinos
11.
Trop Anim Health Prod ; 42(5): 915-20, 2010 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-19957029

RESUMEN

A cross-sectional study was conducted in Hawassa town and its surroundings from October 2007 to May 2008 to estimate the prevalence of bovine tuberculosis (BTB) based on comparative interadermal tuberculin test (CIDT) and abattoir survey. Accordingly, 39 herds comprising 413 cattle were subjected to CIDT, and the herd and individual animal prevalence were 48.7% (19/39) and 11.6% (48/413), respectively. One of the 16 milk samples collected from tuberculin-positive cows was culture positive. The prevalence significantly differed among the age group (P = 0.001) and management system (P = 0.001). Thus, age group over four (OR = 7.9) and animal with poor management system (OR = 4.1) had a higher odds for tuberculin reactivity compared to those with age group under four and cattle with good management system, respectively. Of the total 1,023 cattle subjected to postmortem examination, 11 (1.1%) were found to be positive for gross tuberculous lesions. Larger proportion (50%) of TB lesion was recorded in the respiratory pathway followed by digestive system (28.6%) and prescapular lymph nodes (21.4%). Of 14 tissue specimens collected from the gross lesions, four (28.6%) were positive for histopathological TB lesions. In conclusion, this study revealed the importance of BTB in the study area in particular and the region in general.


Asunto(s)
Tuberculosis Bovina/epidemiología , Animales , Bovinos , Estudios Transversales , Industria Lechera , Etiopía/epidemiología , Femenino , Masculino
12.
Trop Anim Health Prod ; 42(2): 289-92, 2010 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-19680772

RESUMEN

A study was carried out to determine the prevalence and the species of liver flukes in indigenous adult cattle, to compare the diagnostic efficiency of fecal and post mortem examination and to assess the economic significance of bovine fasciolosis due to liver condemnation in the abattoir. Of the 406 livers and fecal samples examined, 57 (14.0%) and 20 (4.9%) were positive for fasciolosis. The most common liver fluke species affecting the cattle was Fasciola gigantica, 9.1% of cattle were infected with F. gigantica while, Fasciola. hepatica, mixed infections and unidentified or immature forms of Fasciola spp. were present in 3.2 %, 0.7% and 1 % of cattle, respectively. A retrospective abattoir survey revealed that the prevalence of fasciolosis was 12.7%. The prevalence of fasciolosis recorded in this study was lower than that reported by other researchers in this country. There was a strong relationship between fecal examination and postmortem findings of liver lesions, (K = 0.23) but under local conditions, postmortem examination was considered a better diagnostic tool for fasciolosis. Fasciolosis is of significant economic importance as the resultant liver condemnations caused an average loss of 4000 USD per annum. Hence, this disease deserves serious attention by the various stakeholders in order to promote the beef industry in the study area in particular and in the country in general.


Asunto(s)
Enfermedades de los Bovinos/parasitología , Fasciola/aislamiento & purificación , Fascioliasis/veterinaria , Mataderos , Animales , Bovinos , Enfermedades de los Bovinos/economía , Enfermedades de los Bovinos/epidemiología , Estudios Transversales , Etiopía/epidemiología , Fascioliasis/economía , Fascioliasis/epidemiología , Fascioliasis/parasitología , Heces/parasitología , Masculino , Recuento de Huevos de Parásitos/veterinaria , Prevalencia , Estudios Retrospectivos , Sensibilidad y Especificidad
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