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1.
Antibiotics (Basel) ; 13(5)2024 Apr 25.
Artigo em Inglês | MEDLINE | ID: mdl-38786118

RESUMO

Group B Streptococcus (GBS) is a major cause of contagious bovine mastitis (CBM) in Brazil. The GBS population is composed of host-generalist and host-specialist lineages, which may differ in antimicrobial resistance (AMR) and zoonotic potential, and the surveillance of bovine GBS is crucial to developing effective CBM control and prevention measures. Here, we investigated bovine GBS isolates (n = 156) collected in Brazil between 1987 and 2021 using phenotypic testing and whole-genome sequencing to uncover the molecular epidemiology of bovine GBS. Clonal complex (CC) 61/67 was the predominant clade in the 20th century; however, it was replaced by CC91, with which it shares a most common recent ancestor, in the 21st century, despite the higher prevalence of AMR in CC61/67 than in CC91, and high selection pressure for AMR from indiscriminate antimicrobial use in the Brazilian dairy industry. CC103 also emerged as a dominant CC in the 21st century, and a considerable proportion of herds had two or more GBS strains, suggesting poor biosecurity and within-herd evolution due to the chronic nature of CBM problems. The majority of bovine GBS belonged to serotype Ia or III, which was strongly correlated with CCs. Ninety-three isolates were resistant to tetracycline (≥8 µg/mL; tetO = 57, tetM = 34 or both = 2) and forty-four were resistant to erythromycin (2.0 to >4 µg/mL; ermA = 1, ermB = 38, mechanism unidentified n = 5). Only three isolates were non-susceptible to penicillin (≥8.0 µg/mL), providing opportunities for improved antimicrobial stewardship through the use of narrow-spectrum antimicrobials for the treatment of dairy cattle. The common bovine GBS clades detected in this study have rarely been reported in humans, suggesting limited risk of interspecies transmission of GBS in Brazil. This study provides new data to support improvements to CBM and AMR control, bovine GBS vaccine design, and the management of public health risks posed by bovine GBS in Brazil.

2.
Animals (Basel) ; 13(20)2023 Oct 21.
Artigo em Inglês | MEDLINE | ID: mdl-37894008

RESUMO

The in vitro algaecide activity of quaternary ammonium (QA) against Prototheca isolated from bovine clinical mastitis was investigated, in which the clinical severity was scored, milk samples were subjected to microbiological culture, and algal species were identified by molecular typing. A total of 4275 milk clinical samples of different cows from ten large dairy farms were used. Forty-four (1%) samples of cows from three dairy farms yielded growth of Prototheca, of which 88.6% (39/44) were identified as Prototheca bovis and 11.3% (5/44) as Prototheca sp. by MALDI-TOF MS, whereas 100% of the isolates were identified as P. bovis using PCR sequencing of the cytb gene. Among cows for which clinical severity scoring was available, 78.8% (26/33) and 21.2% (7/33) had mild and moderate infections, respectively, whereas no animal showed severe clinical signs. The algaecide activity of QA in Prototheca was observed in low concentrations among all isolates, in 20.4% (9/44) at 35 ppm, 36.4% (16/44) at 17 ppm, and 43.2% (19/44) at an 8 ppm, in addition to activity on three reference Prototheca strains. Overall, the study highlights the predominance of P. bovis as the causative agent of algal mastitis in bovines. Prototheca induced abnormalities preponderantly in the milk and mammary gland tissue of cows, and to our knowledge, our study is the first to apply clinical severity scoring in protothecal mastitis. In addition, the study underlines the activity of QA in low concentrations against Prototheca, indicating its potential use as an antiseptic/disinfectant in milking facilities and dairy environments.

3.
J Appl Microbiol ; 134(3)2023 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-36725209

RESUMO

AIMS: We aimed to investigate the prevalence of rotavirus and coronavirus in dipterans that commonly inhabit the environment of dairy farms. METHODS AND RESULTS: We collected 217 insect specimens from nine dairy farms, which were examined through hemi-nested RT-PCR followed by Sanger sequencing in search of VP1 and N genes for rotavirus and bovine coronavirus-BCoV, respectively. With a predominance of Muscidae (152/217 = 70%) 11 families of Diptera were identified. Rotavirus A (RVA) and betacoronavirus (BCoV) were detected in 14.7% (32/217) and 4.6% (10/217) of the dipterans, respectively. Sequencing of the amplicons was possible for 11.5% (25/217) of RVA and 0.5% (1/217) of BCoV, confirming the presence of these pathogens. CONCLUSIONS: Our findings highlight the role of dipterans as carriers of RVA and BCoV of great relevance for public and animal health.


Assuntos
Doenças dos Bovinos , Dípteros , Infecções por Rotavirus , Rotavirus , Animais , Bovinos , Rotavirus/genética , Betacoronavirus , Fazendas , Insetos , Fezes , Doenças dos Bovinos/epidemiologia , Diarreia/epidemiologia , Filogenia , Genótipo
4.
Vet Parasitol Reg Stud Reports ; 22: 100452, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33308717

RESUMO

Ancylostoma spp. are the most prevalent canine nematode parasites in Brazil. Despite their widespread parasitism in juvenile dogs, infections may occur regardless of host age. Although eosinophilia is a frequent finding in experimental infections, it is uncommon in naturally infected dogs. This study aimed to evaluate the prevalence of Ancylostoma spp. and the eosinophil blood counts (EBC) in naturally infected dogs, with or without comorbidities, admitted to the Veterinary Teaching Hospital of the São Paulo State University (UNESP), School of Veterinary Medicine and Animal Science, Botucatu campus, São Paulo state, Brazil, from 2009 to 2018. All retrospective data were gathered from veterinary medical records (VMR); diagnosis of Ancylostoma infection required the identification of eggs in fecal samples by the simple flotation test (SFT). Ancylostoma-infected animals were evaluated for other intestinal parasitic coinfections (IPC) by either the SFT or the centrifugal-flotation test. Dogs free of any gastro-intestinal parasites were prospectively included in control group (Group C). Ancylostoma-infected animals were defined: Ancylostoma spp. only intestinal parasite infection (Group A), Ancyslostoma spp. with concurrent IPC (Group B), Ancylostoma spp. only intestinal parasite infection with concurrent systemic disorders (Group D), and Ancylostoma spp. with both IPC and concurrent systemic disorders (Group E). The overall prevalence of Ancylostoma spp. was 12.1% (207/1715), that was decreased from 2014 to 2018 (9.7%) relative to the 2009-to-2013 period (13.9%). Prevalence was not significantly different between dogs <1-year-old (10.7% [51/478]) and ≥ 1 year-old (11.7% [130/1109]). IPC was observed in 45.4% (93/205) of the animals positive for Ancylostoma spp., while dogs <1 year old experienced IPC more often (58.8% [30/51]) than dogs ≥1 year old (38.5% [50/130]) (P = 0.02). Group A (n = 35) exhibited median EBC of 1.05 × 109/L, and an eosinophilia ratio of 34.3% that was significantly higher (P < 0.05) than Group C (0.45 × 109/L and 4.1%, respectively). Both variables did not differ in Group B (n = 20), D (n = 39) or E (n = 36) in comparison to Group C (P > 0.05). By ROC curve analysis, only Group A generated a significant area under the curve (0.72). With EBC cutoff of 0.85 × 109 eosinophils/L, sensitivity and specificity were 65.7% and 70.8%, respectively. Eosinophil counts alone may be helpful in raising suspicion of an Ancylostoma spp. infection if further intestinal parasites and concurrent disorders are absent. However, local prevalence data and epidemiological findings should also be evaluated, since eosinophilia is less frequently observed with Ancylostoma spp. infections in the presence of comorbidities.


Assuntos
Ancylostoma/isolamento & purificação , Ancilostomíase/veterinária , Doenças do Cão/epidemiologia , Enteropatias Parasitárias/veterinária , Ancilostomíase/epidemiologia , Ancilostomíase/parasitologia , Animais , Brasil/epidemiologia , Doenças do Cão/parasitologia , Cães , Eosinófilos , Feminino , Enteropatias Parasitárias/epidemiologia , Enteropatias Parasitárias/parasitologia , Contagem de Leucócitos/veterinária , Masculino , Prevalência
5.
PLoS One ; 14(4): e0216091, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31022270

RESUMO

A randomized clinical trial was conducted to assess efficacy of intramammary cloxacillin and ampicillin (CLOXIMM), intramammary cefquinome (CEFIMM), and intramuscular cefquinome (CEFIM) to treat Streptococcus agalactiae intramammary infections (Trial 1). Subsequently, two treatment groups were extended to assess whether CLOXIMM was not inferior to CEFIMM (Trial 2). Nine farms were included in the study. Milk samples were collected from all quarters of all lactating cows for microbiological identification of S. agalactiae. Positive cows were randomly allocated into four groups: CLOXIMM, CEFIMM, CEFIM, or negative control (CONTROL). Study outcomes were bacteriological cure at 14 (CURE14), 21 (CURE21), and 14 and 21 (CURE1421) days after treatment onset, and somatic cell count. Logistic regression was used to estimate the odds of cure between each treatment and CONTROL. Non-inferiority analysis was performed considering a one-sided 95% confidence interval (CI) and non-inferiority margins (Δ) of 0.10, 0.15, 0.20, and 0.25. Adjusted S. agalactiae bacteriological cure for CLOXIMM, CEFIMM, CEFIM, and CONTROL was 86, 98, 55, and 25% at day 14; 82, 93, 52, and 0% at day 21; and 82, 92, 40, and 0% at days 14 and 21, respectively. Treatment with CLOXIMM and CEFIMM resulted in greater bacteriological cure rates, as compared with CEFIM or CONTROL, which does not justify the use of CEFIM in S. agalactiae eradication programs. The CURE14 difference between CEFIMM and CLOXIMM was of 12.1 percentage points (95% CI: 0.056-0.184). CLOXIMM was considered not inferior to CEFIMM for Δ = 0.20 or 0.25 and inconclusive for Δ = 0.10 or 0.15. Thus, it should be pondered by veterinarians whether an expected 12.1 (5.6-18.4) percentage points increase in cure rate would justify the use of a fourth-generation cephalosporin, as opposed to a combination of traditional IMM drugs (cloxacillin and ampicillin) to treat S. agalactiae subclinical mastitis.


Assuntos
Ampicilina/uso terapêutico , Cefalosporinas/uso terapêutico , Cloxacilina/uso terapêutico , Indústria de Laticínios , Mastite Bovina/tratamento farmacológico , Mastite Bovina/microbiologia , Streptococcus agalactiae/fisiologia , Animais , Bovinos , Contagem de Células , Quimioterapia Combinada , Feminino , Fatores de Risco , Resultado do Tratamento
6.
J Food Prot ; 81(7): 1073-1078, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29897272

RESUMO

In Brazil, meat inspection occurs in a decentralized manner and consists of three types: (i) federal inspection (SIF), (ii) state inspection (SISP), and (iii) municipal inspection (SIM). The objective of this work was to discuss the three current inspection systems through the apparent prevalence of bovine brucellosis, a zoonosis that has an eradication program implemented by the Brazilian government. Nine abattoirs from federal, state, and municipal inspection systems were assessed and 1,490 animals were sampled. Serology for brucellosis was determined by the rose bengal test and the complement fixation test. The overall apparent prevalence (and 95% confidence interval) of brucellosis was 2.2% (1.5 to 2.9%). Apparent prevalence stratified by inspection system for SIF, SISP, and SIM was 0.4% (0.0 to 0.9%), 2.0% (0.8 to 3.2%), and 4.3% (2.5 to 6.1%), respectively. Multivariable logistic regression analysis revealed the odds ratio for finding an animal positive for brucellosis among inspection systems. A statistical difference ( P < 0.0015) was observed among surveillance systems, with SISP × SIF, SIM × SISP, and SIM × SIF having an odds ratio of 4,996, 2,304, and 11,494, respectively. Hence, the need for increasing official surveillance in state and municipal inspection systems seems to be necessary and could assist in the surveillance of bovine brucellosis and other diseases of interest to the federation. In addition, an increase in official presence would help to improve the selection of slaughtered cattle during ante- and postmortem inspection, with consequent impact on food safety and public health.


Assuntos
Matadouros , Brucelose , Animais , Brasil/epidemiologia , Brucelose/epidemiologia , Brucelose/veterinária , Bovinos , Inspeção de Alimentos/métodos , Humanos , Carne/microbiologia , Prevalência , Zoonoses/microbiologia , Zoonoses/prevenção & controle
7.
Arq. Inst. Biol ; 84: e0792015, 2017. tab, graf
Artigo em Inglês | LILACS, VETINDEX | ID: biblio-887848

RESUMO

The objective of this work was to verify the microbiological profile of different types of salads from hospital kitchens. During the period from 2010 to 2014, the Public Food Guidance Service (SOAP) received 641 samples of salads from two public hospitals in the Central West region of the São Paulo state, where they were submitted to microbiological analysis in order to determine the most probable number (MPN) of coliforms at 35 and 45ºC, carry out Salmonella spp. study and coagulase-positive staphylococci count. The results showed that in 30.56% of samples the coliform count at 35ºC was above 1,100 MPN/g and 12.17% of samples presented coliforms at 45ºC above 100 MPN/g, which is the maximum limit established by Brazilian law. The prevalence of contaminated samples among those without heat treatment was at 97.44%, and for samples with heat treatment the prevalence was at 2.56% for both cooked and braised foods. All samples were negative for Salmonella spp. presence and showed coagulase-positive staphylococci count at < 1.0 × 102 UFC/g. Although no pathogenic agents were found, the high count for indicator microorganisms in a large number of samples suggests that the practices of obtaining and manipulating these foods are inadequate, facilitating the risk of contamination with pathogens, including other agents not included in this research. Thus, food and nutrition units must pay attention to food preparation procedures, especially since these meals are served to indoor patients.(AU)


O objetivo deste trabalho foi verificar o perfil microbiológico de diferentes tipos de saladas provenientes de cozinhas hospitalares. No período de 2010 a 2014, o Serviço de Orientação à Alimentação Pública (SOAP) recebeu 641 amostras de saladas provenientes de dois hospitais públicos da região centro-oeste do estado de São Paulo, onde foram submetidas às análises microbiológicas para a determinação do número mais provável (NMP) de coliformes a 35 e 45ºC, pesquisa de Salmonella spp. e contagem de estafilococos coagulase positiva. Os resultados revelaram que em 30,56% das amostras a contagem de coliformes a 35ºC foi maior que 1.100 NMP/g, e 12,17% apresentaram coliformes a 45ºC acima de 100 NMP/g, limite máximo estabelecido pela legislação brasileira. A prevalência de amostras contaminadas sem tratamento térmico foi de 97,44% e de 2,56% para amostras com tratamento térmico, cozidas ou refogadas. Todas as amostras foram negativas para presença de Salmonella spp. e apresentaram contagem de estafilococos coagulase positiva < 1,0 × 102 UFC/g. Embora não tenham sido encontrados agentes patogênicos, as altas contagens de micro-organismos indicadores em grande parte das amostras sugerem que as práticas de obtenção e manipulação desses alimentos estão inadequadas, possibilitando risco de contaminação por patógenos, inclusive outros agentes não contemplados nesta pesquisa. Portanto, as unidades de alimentação e nutrição hospitalares devem se atentar quanto aos procedimentos de preparo de alimentos, sobretudo porque essas refeições são servidas a indivíduos hospitalizados.(AU)


Assuntos
Humanos , Plantas , Salmonella , Coliformes , Microbiologia de Alimentos , Hospitais , Pacientes , Poluição Ambiental
8.
Arq. Inst. Biol ; 84: 1-7, 2017. tab, graf
Artigo em Inglês | VETINDEX | ID: biblio-1462440

RESUMO

The objective of this work was to verify the microbiological profile of different types of salads from hospital kitchens. During the period from 2010 to 2014, the Public Food Guidance Service (SOAP) received 641 samples of salads from two public hospitals in the Central West region of the São Paulo state, where they were submitted to microbiological analysis in order to determine the most probable number (MPN) of coliforms at 35 and 45ºC, carry out Salmonella spp. study and coagulase-positive staphylococci count. The results showed that in 30.56% of samples the coliform count at 35ºC was above 1,100 MPN/g and 12.17% of samples presented coliforms at 45ºC above 100 MPN/g, which is the maximum limit established by Brazilian law. The prevalence of contaminated samples among those without heat treatment was at 97.44%, and for samples with heat treatment the prevalence was at 2.56% for both cooked and braised foods. All samples were negative for Salmonella spp. presence and showed coagulase-positive staphylococci count at < 1.0 × 102 UFC/g. Although no pathogenic agents were found, the high count for indicator microorganisms in a large number of samples suggests that the practices of obtaining and manipulating these foods are inadequate, facilitating the risk of contamination with pathogens, including other agents not included in this research. Thus, food and nutrition units must pay attention to food preparation procedures, especially since these meals are served to indoor patients.


O objetivo deste trabalho foi verificar o perfil microbiológico de diferentes tipos de saladas provenientes de cozinhas hospitalares. No período de 2010 a 2014, o Serviço de Orientação à Alimentação Pública (SOAP) recebeu 641 amostras de saladas provenientes de dois hospitais públicos da região centro-oeste do estado de São Paulo, onde foram submetidas às análises microbiológicas para a determinação do número mais provável (NMP) de coliformes a 35 e 45ºC, pesquisa de Salmonella spp. e contagem de estafilococos coagulase positiva. Os resultados revelaram que em 30,56% das amostras a contagem de coliformes a 35ºC foi maior que 1.100 NMP/g, e 12,17% apresentaram coliformes a 45ºC acima de 100 NMP/g, limite máximo estabelecido pela legislação brasileira. A prevalência de amostras contaminadas sem tratamento térmico foi de 97,44% e de 2,56% para amostras com tratamento térmico, cozidas ou refogadas. Todas as amostras foram negativas para presença de Salmonella spp. e apresentaram contagem de estafilococos coagulase positiva < 1,0 × 102 UFC/g. Embora não tenham sido encontrados agentes patogênicos, as altas contagens de micro-organismos indicadores em grande parte das amostras sugerem que as práticas de obtenção e manipulação desses alimentos estão inadequadas, possibilitando risco de contaminação por patógenos, inclusive outros agentes não contemplados nesta pesquisa. Portanto, as unidades de alimentação e nutrição hospitalares devem se atentar quanto aos procedimentos de preparo de alimentos, sobretudo porque essas refeições são servidas a indivíduos hospitalizados.


Assuntos
Coliformes , Hospitais , Microbiologia de Alimentos , Plantas , Salmonella , Pacientes , Poluição Ambiental
9.
Arq. Inst. Biol. ; 84: 1-7, 2017. tab, graf
Artigo em Inglês | VETINDEX | ID: vti-13783

RESUMO

The objective of this work was to verify the microbiological profile of different types of salads from hospital kitchens. During the period from 2010 to 2014, the Public Food Guidance Service (SOAP) received 641 samples of salads from two public hospitals in the Central West region of the São Paulo state, where they were submitted to microbiological analysis in order to determine the most probable number (MPN) of coliforms at 35 and 45ºC, carry out Salmonella spp. study and coagulase-positive staphylococci count. The results showed that in 30.56% of samples the coliform count at 35ºC was above 1,100 MPN/g and 12.17% of samples presented coliforms at 45ºC above 100 MPN/g, which is the maximum limit established by Brazilian law. The prevalence of contaminated samples among those without heat treatment was at 97.44%, and for samples with heat treatment the prevalence was at 2.56% for both cooked and braised foods. All samples were negative for Salmonella spp. presence and showed coagulase-positive staphylococci count at < 1.0 × 102 UFC/g. Although no pathogenic agents were found, the high count for indicator microorganisms in a large number of samples suggests that the practices of obtaining and manipulating these foods are inadequate, facilitating the risk of contamination with pathogens, including other agents not included in this research. Thus, food and nutrition units must pay attention to food preparation procedures, especially since these meals are served to indoor patients.(AU)


O objetivo deste trabalho foi verificar o perfil microbiológico de diferentes tipos de saladas provenientes de cozinhas hospitalares. No período de 2010 a 2014, o Serviço de Orientação à Alimentação Pública (SOAP) recebeu 641 amostras de saladas provenientes de dois hospitais públicos da região centro-oeste do estado de São Paulo, onde foram submetidas às análises microbiológicas para a determinação do número mais provável (NMP) de coliformes a 35 e 45ºC, pesquisa de Salmonella spp. e contagem de estafilococos coagulase positiva. Os resultados revelaram que em 30,56% das amostras a contagem de coliformes a 35ºC foi maior que 1.100 NMP/g, e 12,17% apresentaram coliformes a 45ºC acima de 100 NMP/g, limite máximo estabelecido pela legislação brasileira. A prevalência de amostras contaminadas sem tratamento térmico foi de 97,44% e de 2,56% para amostras com tratamento térmico, cozidas ou refogadas. Todas as amostras foram negativas para presença de Salmonella spp. e apresentaram contagem de estafilococos coagulase positiva < 1,0 × 102 UFC/g. Embora não tenham sido encontrados agentes patogênicos, as altas contagens de micro-organismos indicadores em grande parte das amostras sugerem que as práticas de obtenção e manipulação desses alimentos estão inadequadas, possibilitando risco de contaminação por patógenos, inclusive outros agentes não contemplados nesta pesquisa. Portanto, as unidades de alimentação e nutrição hospitalares devem se atentar quanto aos procedimentos de preparo de alimentos, sobretudo porque essas refeições são servidas a indivíduos hospitalizados.(AU)


Assuntos
Microbiologia de Alimentos , Plantas , Hospitais , Salmonella , Coliformes , Poluição Ambiental , Pacientes
10.
Can J Vet Res ; 79(4): 279-84, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26424907

RESUMO

Streptococcus suis is an important pathogen in the swine industry. This article is the first to report the occurrence, risk factors, serotype distribution, and antimicrobial susceptibility of S. suis recovered from employees and environmental samples of swine slaughterhouses in Brazil. Tonsillar swabs from all 139 pig-slaughtering employees and 261 environmental swabs were collected for detection of S. suis and serotyping by monoplex and multiplex polymerase chain reaction, respectively. Antimicrobial susceptibility was determined by the disk-diffusion method. Although S. suis was not detected in any of the tested employees, it was isolated from 25% of the environmental samples. Significant differences (P < 0.05) in the occurrence of S. suis were observed between slaughterhouses and between areas of low, medium, and high risk. The most frequent serotypes were 4 and 29, each accounting for 12% of the isolates, followed by 5, 12, 21, and 31, each accounting for 6%. High rates of susceptibility to the antimicrobials doxycycline (100%), ceftiofur (94%), ampicillin (81%), and cephalexin (75%) were observed. However, multidrug resistance was observed in all the isolates. Because S. suis is present in the environment of swine slaughterhouses, on carcasses and knives, as well as on the hands of employees in all areas, all employees are at risk of infection.


Streptococcus suis est un agent pathogène important dans l'industrie porcine. Cet article est le premier à rapporter la fréquence, les facteurs de risque, la distribution des sérotypes, et la sensibilité aux antimicrobiens d'isolats de S. suis provenant des employés et d'échantillons de l'environnement d'abattoirs de porcs au Brésil. Des échantillons des amygdales des 139 employés et 261 échantillons environnementaux furent prélevés pour détection de S. suis et sérotypage par réaction d'amplification en chaine monoplex et multiplex, respectivement. La sensibilité aux antimicrobiens a été déterminée par la méthode de diffusion en disque. Bien que S. suis ne fut isolé d'aucun des employés testés, la bactérie a été isolée de 25 % des échantillons environnementaux. Des différences significatives (P < 0,05) dans la fréquence de S. suis furent observées entre les abattoirs et entre les zones à risque faible, moyen, et élevé. Les sérotypes 4 et 29 étaient les plus fréquents, comptant chacun pour 12 % des isolats, suivi des sérotypes 5, 12, 21, et 31, chacun comptant pour 6 %. Des pourcentages élevés de sensibilité à la doxycycline (100 %), au ceftiofur (94 %), à l'ampicilline (81 %) et à la céphalexine (75 %) ont été notés. Toutefois, de la résistance multiple fut observée chez tous les isolats. Étant donné que S. suis est présent dans l'environnement des abattoirs de porc, sur les carcasses et les couteaux, ainsi que sur les mains des employés dans toutes les zones, tous les employés sont à risque de s'infecter.(Traduit par Docteur Serge Messier).


Assuntos
Matadouros , Antibacterianos/farmacologia , Sorogrupo , Infecções Estreptocócicas/veterinária , Streptococcus suis/isolamento & purificação , Doenças dos Suínos/microbiologia , Animais , Brasil , Farmacorresistência Bacteriana , Microbiologia Ambiental , Humanos , Exposição Ocupacional , Fatores de Risco , Infecções Estreptocócicas/epidemiologia , Infecções Estreptocócicas/microbiologia , Streptococcus suis/classificação , Streptococcus suis/efeitos dos fármacos , Suínos , Doenças dos Suínos/epidemiologia
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