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1.
Antibiotic resistance is a major emerging global public health threat. Farmers in the Khartoum state are believed to misuse antibiotics in animal farming leading to daily exposure to resistant bacteria and antibiotic residues. Hence, farmers are at potential risk exposure to bacteria, zoonotic infection and toxicity. We hypothesized that farmers' misuse of antibiotics could be due to their ignorance of the importance of optimal use of antibiotics, the potential health hazards and the economical waste associated with antibiotic misuse practices. In the present study, we investigated knowledge and practices among farmers regarding antibiotic use and resistance. For this purpose, a cross-sectional study was conducted in Khartoum state where data were collected from 81 farmers using structured interviews. Data were analysed both quantitatively and qualitatively. Fifty-two per cent of farmers were uneducated or had studied for < 6 years. The majority reported antibiotic use for treatment and prevention while only 5% stated use for growth promotion. Antibiotic group treatment for both sick and healthy animals was commonly practiced among most farmers. The most commonly used group of antibiotics was the quinolones, which was reported by one-third. Only 30% of the farmers had heard of antibiotic resistance and provided their definition. Almost half were not aware of the commonly transferred zoonotic infections between humans and animals. The farmers consume 1-2 meals/day from their own farm products. A significant association between low education, poor knowledge of farmers on antibiotic use, antibiotic resistance and zoonotic infections was found. This association may play a vital role in the present practiced misuse of antibiotics. Our findings on farmers' practices could be used as baseline information in defining the gaps related to antibiotic use and resistance in animal farming in Sudan. It can thus serve as a foundation for future interventions.  相似文献   

2.
Inappropriate use of antibiotics in humans and animals contributes to decreased antimicrobial susceptibility in bacteria of medical importance. Resistant bacteria being transferred from animals to humans are causing public health concern. In-person interviews were conducted with 20 dairy farmers in rural counties of South Carolina to determine farmers' knowledge and attitudes about prudent antibiotic use among livestock. Four focus groups (n = 22) were also conducted to ascertain farmers' specific information needs about proper antibiotic use. Survey results showed that participants (100%) typically determined a need for antibiotic treatment using symptom assessment and reported following some form of operating procedures regarding administration of antibiotics. Few farmers (32%) had actual written antibiotic protocols. Preferred information sources about antibiotics were veterinarians (100%) and other dairy farmers (50%). Most farmers (86%) were not concerned that overuse of antibiotics in animals could result in antibiotic resistance among farm workers. Qualitative analysis of focus groups revealed significant barriers to following proper antibiotic procedures including limited finances and lack of time. The need for bilingual educational resources for Hispanic/Latino dairy workers was expressed. Desired formats for educational materials were posters, flowcharts, videos, and seminars. Education of South Carolina dairy farmers by veterinarians and public health professionals on the appropriate use of antibiotics in dairy cattle is needed to ensure antibiotic effectiveness in both animals and humans.  相似文献   

3.
Very little is known about the use of antibiotics on small dairy farms in lower/middle-income countries. The use of these drugs can have profound impacts on animal health, farmer income and public health. A survey of 156 farmers was conducted in Cajamarca, a major dairy-producing center in the highlands of Peru characterized by small farms (<15 cows) to assess patterns and determinants of antibiotic use and farmers’ knowledge of antibiotics. The reported incidence of disease on these farms was relatively low (0.571 episodes of disease per cow-year), but more than 83% of the reported episodes were treated with antibiotics. The most commonly used antibiotics were oxytetracycline, penicillin and trimethoprim-sulfamethoxazole drugs; antiparasitic drugs were also used to treat what were likely bacterial infections. An increased incidence of treated disease was significantly associated with smaller farm size, lower farmer income, the previous use of the Californian Mastitis test on the farm and antibiotic knowledge. Farmers’ knowledge of antibiotics was assessed with a series of questions on antibiotics, resulting in a “knowledge score”. Increased knowledge was significantly associated with the use of antibiotics for preventative reasons, the purchase of antibiotics from feed-stores, the experience of complications in animals after having administered antibiotics, the number of workers on the farm and the educational level of the farmer. Overall, antibiotics appeared to be used infrequently, most likely because therapeutic interventions were sought only when the animal had reached an advanced stage of clinical disease. Few farmers were able to define an antibiotic, but many farmers understood that the use of antibiotics carried inherent risks to their animals and potentially to the consumers of dairy products from treated animals. The results of this study are useful for understanding the patterns of antibiotic use and associated management, demographic and knowledge factors of farmers on small dairy farms in rural Peru.  相似文献   

4.
A study was conducted on 37 randomly selected broiler poultry farmers in Rwanda to characterize the production system using pre-tested semi-structured questionnaires. The data were processed in SPSS and presented as means, percentages and ranges in tables and text. All respondents kept Cobb breed and young stock was mainly (73 %) imported from abroad. The majority of respondents were males (68 %) and most farmers had attended only primary level of education (40.5 %). Most of the farms were in the peri-urban (48.6 %) and urban (37.8 %) areas and hired male youth (62.2 %) mainly aged 19–35 years. The majority of respondents (68 %) kept less than 500 birds per batch. Recordkeeping was well practiced (91.9 %) and (62.6 %) had permanent poultry houses and all farmers used deep litter system. Purchased feedstuffs were reportedly (92 %) mixed at farm level as the main feed resource. Maize bran was reported (97.06 %) the main, basal feedstuff. The mortality rates of chick and growers were 12.3 and 9.4 %, respectively. The slaughter age was reportedly 60 days with an average dressing percentage of 75.67 %. The main challenges reported were scarcity and unaffordability of quality feeds (59.5 %), lack of market access (45 %) and lack of credit (21 %). The farmers had various views on improving broiler production in Rwanda ranging from establishing feed processing industries 62.2 %, improving marketing facilities 35.1 %, increasing availability of day-old chick and access credit 27 %, to intensification of farmer training 16.2 %.  相似文献   

5.
Every application of antibacterial drugs in veterinary medicine may encourage selection for resistant bacteria. In Germany no valid data are available which would be suitable for a species specific estimation of drug consumption especially regarding food producing animals. Therefore, a representative monitoring of consumption of antibacterial drugs in food producing animals should be implemented. As a first step, a feasibility project was conducted to identify the technical preconditions and develop a concept for a regular monitoring system within Germany as a country with a non-central federal state system. The data were collected via the forms obligatory by German law concerning the treatment of animals and the delivery of animal drugs to the animal owners by the veterinarian. 24 veterinary practices and 65 farmers were visited, and all applications of antibiotics to farm animals during the course of one year (September 1, 2006 to August 31, 2007) were entered into a central database. A total of 95,584 records were collected and analysed statistically. Consumption of antibiotics was calculated in kg, but also the number of applications was analysed. The consumption of tetracyclines in kg reached 54.3% of all antimicrobial substances applied to pigs, but only 25.7% of all doses applied to pigs were tetracyclines. For the farms' data, the number of daily doses per animal year (DD(ay)) was estimated based on the number of daily doses recorded and on the number of animals kept in the farm. Correct and detailed data regarding the structures of the farms as well as of veterinary practices are necessary to estimate the consumption of antibiotics reliably. The proposed system is able to function as a monitoring system for antibiotic use in Germany, when the monitoring data are linked to the agricultural data (farm sizes) accounting for differences between German regional agricultural and animal husbandry structures. Furthermore, the results of the antibiotic use analyses may serve as basis to assess the results of the sales data of the pharmaceutical industry. Results are comparable to the outcome of respective systems in other European countries, e.g. the Netherlands and Denmark, and therefore it will contribute to a better understanding and development of strategies for the control of antimicrobial resistances on the European level.  相似文献   

6.
Outbreaks of Classical Swine Fever (CSF) occurred in spring 2006 in Germany close to the Dutch border. On 6th April Dutch pig farmers were given the possibility to submit blood samples directly via their veterinary practitioner to the National Reference Laboratory for CSF if their pigs had non-specific clinical symptoms or if pigs were being treated with antibiotics. The pig farm was not quarantined and was not visited by the veterinary authorities. Over a period of 9 weeks 156 pig farmers submitted whole blood samples via 50 different veterinary practices. All samples tested negative in the PCR test. These pig farmers and veterinary practitioners were asked to respond to a postal questionnaire with questions regarding their experience with this new diagnostic possibility, the distribution of the costs involved, a comparison with other instruments, such as official notification or use of a leukocyte count test, and their knowledge of clinical signs of CSF. 65 pig farmers (42%) and 33 veterinary practices (66%) returned the questionnaire. The main results indicated that pig farmers (72%) would use this type of exclusion diagnostics sooner than that they would approach the veterinary authorities (practitioners: 86%). Moreover the respondents considered the fact that the farm was not quarantined immediately to be an advantage (pig farmers, 79%; practitioners, 88%). 32 percent of the pig farmers were not aware that they were required to submit blood samples if pigs were being treated with antibiotics (practitioners: 11%). The majority of pig farmers and practitioners were not satisfied with the current distribution of the costs involved: in their opinion the costs of the PCR test, the costs of the veterinary practitioner and the costs for shipping the samples to the reference laboratory should be paid out of the Animal Health Fund (50% government and 50% industry) or by the government. If the current distribution of the costs is not changed, a large proportion of the pig farmers indicated that they would not use this form of exclusion diagnostics for CSF in the future. Pig farmers appeared to have a rather limited knowledge of the clinical signs of CSF: 33% of the pig farmers could mention maximally three clinical signs of CSF, and 7% could not mention a single clinical sign of CSF and said they were entirely dependent on the practitioners' ability to judge a CSF-suspect situation.  相似文献   

7.
Attitudes of New Zealand farmers to methods used to control wild rabbits   总被引：2，自引：0，他引：2  
Four years after the release of Rabbit haemorrhagic disease virus (RHDV) in New Zealand, we conducted a mail survey of farmers to ascertain their attitudes and practices about rabbit control. A multistage sampling frame (stratified by rabbit-proneness and farm type) was used to select 828 farms in eight geographical regions. The useable response proportion of the survey was 69.3%, and 21% of respondents considered rabbits to be a problem on their farms. Although practices for rabbit control had changed from 1995 to 2001, shooting (practised by 85% of respondents) remained the predominant method used (albeit less frequently than in 1995). Ten percent of farmers used RHDV baiting; of those, 90% released the virus relatively infrequently. Farmers perceived shooting to be the most-humane and environmentally safe method, while RHDV was perceived to be the most effective. Perception of the level of competition for grazing between rabbits and livestock was the factor most-strongly associated with the use of shooting and RHDV. Most (60%) respondents considered the introduction of RHDV to have been beneficial.  相似文献   

8.
A cross‐sectional study involving multistage cluster sampling was undertaken in Kashari county, Mbarara district, western Uganda, in which quantitative and qualitative approaches were utilized to determine the knowledge, attitudes and practices regarding risk of human infection with zoonotic tuberculosis due to Mycobacterium bovis among cattle farmers. Of 496 respondents, 50% were farm owners and 50% herdsmen. Males were 70.9% of all the study participants. Among these, 37.5% had good knowledge, 41.4% had positive attitudes and 75.2% good practices regarding zoonotic tuberculosis. In the multivariable model, good knowledge was associated with having ever received health education, spending more than 5 years keeping cattle, having heard of cattle condemned at the abattoir due to tuberculosis and marital status. Positive attitudes were associated with having ever received health education, having heard of cattle condemned at the abattoir due to tuberculosis and being a farm owner versus being a herdsman. Good practices were associated with health education and good knowledge of the disease. Overall, knowledge and attitudes towards zoonotic tuberculosis due to M. bovis in humans was found to be low. While the majority of the respondents reported good practices, there were some still consuming raw milk and its products, which may predispose them to infection and indicates the need for greater outreach for zoonotic tuberculosis education.  相似文献   

9.
Gastrointestinal parasitism is a widely recognised problem in sheep production, particularly for lambs. While anthelmintics have a pivotal role in controlling the effects of parasites, there is a paucity of data on how farmers use anthelmintics. A representative sample of Irish lowland farmers were surveyed regarding their parasite control practices and risk factors that may contribute to the development of anthelmintic resistance. Questionnaires were distributed to 166 lowland Irish sheep producers. The vast majority of respondents treated their sheep with anthelmintics. Lambs were the cohort treated most frequently, the majority of farmers followed a set programme as opposed to treating at sign of disease. A substantial proportion (61%) administered four or more treatments to lambs in a 'normal' year. Departures from best practice in anthelmintic administration that would encourage the development of anthelmintic resistance were observed. In conclusion, in the light of anthelmintic resistance, there is a need for a greater awareness of the principles that underpin the sustainable use of anthelmintics and practices that preserve anthelmintic efficacy should be given a very high priority in the design of helminth control programmes on each farm. To this end, given that veterinary practitioners and agricultural advisors were considered to be the farmer's most popular information resource, the capacity of these professions to communicate information relating to best practice in parasite control should be targeted.  相似文献   

10.
Factors influencing dairy technology adoption and impact on milk yield were studied in 240 smallholder farms in Dejen district, Ethiopia. The majority of the smallholders had more than 20 years of farming experience and were living at more than 10 km distance from market or trading centers (67% and 54% in that order). The dairy technologies studied included the use of crossbred animals, improved feed technologies and improved management practices. Application of acaricides, deworming, vaccination, heat-detection and haymaking had wide application (more than 80% adoption levels) while urea straw treatment, silage making, rotational grazing and fodder beet development were the least practiced ones. Only 20 percent of the cows were crossbred animals. It has been found that higher level of technology adoption is associated with better milk yield regardless of the breed of cattle (local or crossbred) owned by the farmers. Milk yields in local breeds increased by 0.07 times when the number of technologies increased by one unit. In crossbred cows, this rate of increase was five fold higher (0.38 times for one unit increase). Correlation coefficients between and within farm household characteristics and technologies adoption were, generally, significant. Male-headed households adopted significantly higher number of technologies than female-headed households (P?<?0.001). Technology adoption rates increased significantly with increased education level and family size and decreasing distance from market or trade centers (P?<?0.01). The level of technology adoption by smallholder farmers is still unsatisfactory and is highly dependent on gender, family size and level of education of smallholder farmers and location of farms.  相似文献   

11.
A study was conducted to determine the management practices followed by the farmers for draught cattle in Tamil Nadu state, India. Methods of procurement of animals, use of female animals, breeds preferred, housing, health, disposal of animals, feeding, shoeing, purchase of animal-drawn implements and their maintenance were all assessed with 210 farmers from seven districts across different agro-climatic zones in Tamil Nadu. The results revealed that 86 % of the respondents purchased the draught cattle from the livestock markets, most were bullocks but 20 small farmers and 5 medium farmers used female animals for ploughing. Among the indigenous breeds, Kangeyam (33 %) and Hallikar (30 %) breeds were the most popular for work. Most farmers (69 %) provided a mixed type of housing (provision of housing only during the night time and the rainy season) for their draught cattle. The major health problem reported by 63 % of respondents was pyrexia. Almost all farmers sold their animals at the age of 8–10 years. The feeding practices for draught cattle were poor especially with the small farmers. The cattle were fed with mainly paddy straw and rice bran. Oilcakes and cotton seeds were given to the animals which work throughout the year mainly for ploughing and carting. The draught cattle were first shod at around 2.5 years of age. The majority of the farmers (71 %) used the traditional animal-drawn implements made by local artisans, and the farmers were not aware of the new implements to reduce the drudgery of work cattle, designed by the Agricultural Machinery Research Centre and Agricultural Engineering Departments located in India.  相似文献   

12.
This study is the first report estimating, on a national basis, the use of various biosecurity practices, singly and in combination, on U.S. equine operations. Use of biosecurity practices is described for operations by risk level, based on reported exposure of resident horses to outside horses during the previous 12 months. In addition, the association between use of various biosecurity practices and use of antibiotics to treat infectious disease in both adult equids and foals is reported. The comparison of these study findings with previously reported data in the literature is limited by the fact that few estimates of biosecurity practice use on equine operations have been reported and none has been published on a national basis beyond those in the National Animal Health Monitoring System (NAHMS) equine reports. A total of 78.5% of operations had some risk of exposure of resident horses to outside horses between summer 2004 and the time of the interview in summer 2005. For the majority of biosecurity practices, there was a significant (p<0.05) difference between different exposure risk levels in the percentage of operations using the practice. A higher percentage of high- and medium-risk operations implemented a combination of 4 or more biosecurity practices compared to low-risk operations. There was less use of antibiotics to treat infectious disease in adult horses on operations that required those who visit the operation to use separate equipment, change clothes/overalls, disinfect boots and equipment, or park vehicles away from animals than on those that did not. None of the other biosecurity practices were associated with use of antibiotics in adult horses and none of the biosecurity practices included in this study was associated with use of antibiotics in foals. For adults the use of antibiotics for infectious disease increased with decreasing herd size; this trend was reversed for antibiotic use in foals. The effect of exposure risk level was different for adults and foals. For adults, antibiotic use was lower for operations at higher risk; for foals, antibiotic use was higher for operations at higher risk.  相似文献   

13.
The owners of 54 cattle herds with bovine fasciolosis, as a livestock problem in Switzerland, were surveyed on their farm, on their education and knowledge on Fasciola hepatica. The aim of the survey was to assess the awareness of the farmers concerning this economically important parasitosis. The analysis of the questionnaires revealed that 72.2% of the farmers were unaware of the fasciolosis in their animals. The knowledge of 51 out of 54 (94.4%) respondents was classified as low to moderate, only four farmers (7.4%) had knowledge of control strategies in addition to the parasite cycle. The knowledge on fasciolosis did not correlate with farm data or year of graduation from school for agriculture. Furthermore, the results were compared to the answers of 33 farmers whose animals were not infected with Fasciola hepatica. Of this group of respondents 12.1% believed that their cattle suffered from fasciolosis.  相似文献   

14.
The aim of this study was to investigate farm-level economic and technical factors that are associated with the use of antibiotics on pig farms. Identification of such factors, like farm size and net farm result, may help to increase epidemiological knowledge and to specify farm advice and policy making to reduce inappropriate use of antibiotics. The study used over 300 farm-year records collected during 2004 to 2007 from pig farms in the Netherlands. Data included economic and technical factors as well as antibiotic administration. Data were statistically analyzed for factors associated with antibiotic use, both for fattening pig and sow farms (piglets only), separately. The response variable was the average number of daily dosages per average pig year. Statistical analysis was performed on 16 and 19 potential explanatory factors for the fattening pig and sow farms, respectively. The results showed that, both on the fattening pig and sow farms, the average use of antibiotics increased from 2004 to 2006, but decreased during 2007, but the effect of year was not significant (P > 0.05). Use of antibiotics varied between individual farms. Large farm repeatability for the use of antibiotics in the different years was found. Factors associated (P < 0.05) with the use of antibiotics included: farm system, number of pigs, and population density in the region of the farm (for sow farms only). As these factors are easy to collect and to register, they can be used to specify farm advice and investigation, as well as for policy making. The majority of the technical and economic factors were not significantly (P > 0.05) related to the on-farm use of antibiotics. Therefore, it is recommended to focus future research on the potential role of socioeconomic factors associated with antibiotic use on pig farms.  相似文献   

15.
Little quantitative information is available on animal power in the Nile Valley in Sudan, despite that it is being used in the area for centuries and playing an important role in agriculture in the present day. A survey was conducted to assess draught oxen management and its association with field capacity and efficiency at the farm level and to identify potential areas for intervention. A sample of 50 farmers was selected for this purpose using the systematic random sampling technique. The main management parameters discussed were animal health, feeding, housing, work strategy and care for yoke and plough. The results showed that most of the farmers poorly manage their animals, and this was reflected in low working speeds and field efficiencies. The main dimensions of poor management were in veterinary care (78 % did not take their animals to the veterinary centre), feeding (66 % feed their animals shortly before work) and care for yoke (80 % did not follow daily care measures for their yokes) and plough (74 % did not follow plough care measure before and after work). Low working speeds (0.90–2.0 km/h) were recorded by the majority of the farmers (64 %). The majority of the farmers (70 %) recorded field capacities between 0.06 and 0.10 ha/h, while all of them worked at high field efficiencies of >86 %. The only parameter that significantly affected field capacity was the yoke-related wounds (p?=?0.019). Extension advice and capacity building in husbandry and working practices were identified as principal entry points for intervention.  相似文献   

16.
本研究旨在调查内蒙古赤峰、通辽地区不同来源的大肠杆菌对抗生素类药物的耐药情况。采用K-B法分析来源于鹅、牛和猪等患病动物分离出的46株大肠杆菌对13种常用的抗生素类药物的耐药性;鹅源和猪源大肠杆菌对盐酸多西环素的耐药率最高,分别达95.2%和93.3%;牛源大肠杆菌对盐酸沙拉沙星、恩诺沙星和盐酸多西环素的耐药率最高,达80.0%。多重耐药性结果表明,患病动物的大肠杆菌以6耐（23.9%）为主;牛源大肠杆菌则以7耐（40%）最多。总体耐药谱型以恩诺沙星/氟苯尼考/盐酸多西环素/阿莫西林/硫酸新霉素为主（24.4%）。不同来源的大肠杆菌对抗生素类药物均产生了严重的耐药性,因此不但要求养殖人员学会合理使用抗生素类药物,同时研究开发逆转耐药性的新药物或对抗生素类药物有增敏效用的新药物十分必要。  相似文献   

17.
The study was aimed to research the antibiotics resistance of Escherichia coli (E.coli) isolated from different sources of Chifeng and Tongliao areas in Inner Mongolia.Using K-B method, we analysed the resistance situation of 46 strains E.coli isolated from goose, bovine and porcine to thirteen kinds of antibiotic drugs. The resistance rates of E.coli isolated from goose and porcine had the highest resistance to doxycycline hydrochloride drug, which were 95.2% and 93.3%,respectively. The resistant rate of E.coli isolated from bovine had the highest resistance to sarafloxacinhydrochloride,enrofloxacin and hydrochloric acid doxycycline, which was 80.0%. Multi-resistance results showed that the prevalence of E.coli in diseased animals with 6 resistance mainly(23.9%);Bovine source with 7 resistance (40%). The resistance type in general was enrofloxacin/florfenicol/doxycycline/amoxicillin/neomycin sulfate. E.coli from different sources of diseased animals to antibiotics had a serious resistance. So,it is not only necessary for farmers to learn to use antibiotics rationally, but also to develop new drugs that are resistant to drug resistance or new drug allergic to antibiotics.  相似文献   

18.
Proven mastitis control procedures are available, but few studies have documented their rates of use on commercial dairy farms. This paper presents the results of a mail questionnaire on the use of mastitis control procedures and sources of information on mastitis control, which were administered in December 1981 and again in February 1984 to 213 Minnesota dairy farmers. Sources of information about mastitis control were also determined for the surveyed farms. Response rates to the questionnaire were 56.8% in 1981 and 51.2% in 1984. Herd average milk and butterfat production were higher and somatic cell counts lower on responder's farms than non-responders'. Teat dipping was practiced by approximately 75% of farmers responding to the questionnaire in both years. However, only about one third of respondents used teat dips containing effective disinfectants. Approximately 93% of respondents used dry period therapy (DPT) but less than one half of them treated all quarters of all cows at drying off and approximately one third of them complied with the recommended infusion practices. A combination of effective DPT and teat disinfection practices was used by approximately 15% of respondents in both years of the survey. Segregation of mastitic cows occurred on approximately 40% of respondent farms and milking machine function was checked at least annually on 50%. Participation in routine veterinary reproductive health programs was 51.2% in 1981 and 61.5% in 1984. In contrast, regular veterinary input for mastitis control was received by <5% of respondents in both years of the survey. Veterinarians were, however, identified by respondents as the most useful source of information on mastitis control.  相似文献   

19.
We attempted to determine the extent to which nonsteroidal anti-inflammatory drugs (NSAID) are used in the treatment of food animals, and whether withdrawal times for milk and slaughter are recommended to clients. A survey questionnaire was mailed to a stratified random sample of 2,000 veterinarians whose practices were at least half food animals. A cross-sectional study was used to examine the responses to determine whether differences existed on the basis of a respondent's geographic location, number of years since graduation from veterinary college, and percentage of practice devoted to beef and dairy cattle. The response rate was 71% (1,424/2,000). Of those practitioners responding, 93% (1,325/1,424) reported using NSAID, with approximately 57 (751/1,322), 24 (327/1,322), and 18% (244/1,322) of respondents reporting use more than once a week, once a week, and 1 to 2 times per month, respectively. Dairy practitioners reported more frequent use than did beef practitioners. Use of flunixin meglumine was reported more frequently than the use of aspirin, phenylbutazone, or dipyrone. Approximately 88% (1,146/1,306) of respondents that used NSAID did so in combination with antibiotics. Withdrawal times for milk and meat were made on the basis of guidelines for the antibiotic. When using NSAID alone, recommendations for withdrawal times for milk and meat varied extensively. Overall, practitioners indicated that NSAID were useful and necessary for the treatment of food-producing animals.  相似文献   

20.
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