Can infectious omphalitis in piglets be clinically diagnosed during the first three days of life?

Abstract Background Globally, the increase in antimicrobial resistance is of great concern. In Denmark, the pig sector is accountable for the majority of antimicrobial usage in animals. As new-born piglets are at risk of developing infectious omphalitis, and many pigs are treated by antimicrobials w...

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Main Authors: Sophie Amalie Blirup-Plum, Henrik Elvang Jensen, Katrine Top Hartmann, Søren Saxmose Nielsen, Karen Pankoke, Mette Sif Hansen, Ken Steen Pedersen, Inge Larsen, Jens Peter Nielsen, John Elmerdahl Olsen, Egle Kudirkiene, Thomas Hartig Braunstein, Kristiane Barington
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Veterinary Research
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Online Access:https://doi.org/10.1186/s12917-025-04507-3
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author Sophie Amalie Blirup-Plum
Henrik Elvang Jensen
Katrine Top Hartmann
Søren Saxmose Nielsen
Karen Pankoke
Mette Sif Hansen
Ken Steen Pedersen
Inge Larsen
Jens Peter Nielsen
John Elmerdahl Olsen
Egle Kudirkiene
Thomas Hartig Braunstein
Kristiane Barington
author_facet Sophie Amalie Blirup-Plum
Henrik Elvang Jensen
Katrine Top Hartmann
Søren Saxmose Nielsen
Karen Pankoke
Mette Sif Hansen
Ken Steen Pedersen
Inge Larsen
Jens Peter Nielsen
John Elmerdahl Olsen
Egle Kudirkiene
Thomas Hartig Braunstein
Kristiane Barington
author_sort Sophie Amalie Blirup-Plum
collection DOAJ
description Abstract Background Globally, the increase in antimicrobial resistance is of great concern. In Denmark, the pig sector is accountable for the majority of antimicrobial usage in animals. As new-born piglets are at risk of developing infectious omphalitis, and many pigs are treated by antimicrobials within the first days of life, an early and accurate diagnosis of the disease is imperative to maintain animal welfare and reduce the antimicrobial usage. The aim of the present study was to compare histopathological and microbiological findings in piglets clinically diagnosed with and without omphalitis during the first three days after birth. Results A total of 98 case piglets with omphalitis and 98 control piglets without omphalitis, based on clinical examinations during the first three days of life, were included. Of the 196 piglets, 79 (38 cases and 41 controls) presented histopathological omphalitis. Post mortem, the volume of the umbilicus was significantly enlarged in cases compared to controls (p = 0.01). Except for a group of bacteria unidentified by matrix-assisted laser desorption ionisation time-of-flight (MALDI-TOF) (p = 0.02), no apparent association was found between histopathologically diagnosed omphalitis and the prevalence of specific pathogens (p > 0.05). The frequency of histopathologically diagnosed omphalitis tended to increase with increasing age in both cases and controls. The frequency of piglets with both histopathological omphalitis and arthritis/synovitis was significantly different among cases and controls (p = 0.05). This was due to all controls, and none of the cases, with arthritis/synovitis presented histopathological omphalitis. Conclusion The clinical differentiation between omphalitis cases and controls did not correspond to the histological diagnosis of omphalitis in zero-to-three days old piglets. An inaccurate clinical diagnosis complicates prudent use of antimicrobials in pig herds. In addition, animal welfare may be hampered in infected piglets due to lack of treatment and in healthy piglets due to the antimicrobial effect on the gut microbiome.
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spelling doaj-art-a7c6a1af4e7646969cdbf35c37fd9be22025-02-09T12:41:55ZengBMCBMC Veterinary Research1746-61482025-02-0121111210.1186/s12917-025-04507-3Can infectious omphalitis in piglets be clinically diagnosed during the first three days of life?Sophie Amalie Blirup-Plum0Henrik Elvang Jensen1Katrine Top Hartmann2Søren Saxmose Nielsen3Karen Pankoke4Mette Sif Hansen5Ken Steen Pedersen6Inge Larsen7Jens Peter Nielsen8John Elmerdahl Olsen9Egle Kudirkiene10Thomas Hartig Braunstein11Kristiane Barington12Department of Veterinary and Animal Sciences, University of CopenhagenDepartment of Veterinary and Animal Sciences, University of CopenhagenDepartment of Veterinary and Animal Sciences, University of CopenhagenDepartment of Veterinary and Animal Sciences, University of CopenhagenDepartment of Veterinary and Animal Sciences, University of CopenhagenDepartment of Veterinary and Animal Sciences, University of CopenhagenDepartment of Veterinary and Animal Sciences, University of CopenhagenDepartment of Veterinary and Animal Sciences, University of CopenhagenDepartment of Veterinary and Animal Sciences, University of CopenhagenDepartment of Veterinary and Animal Sciences, University of CopenhagenDepartment of Veterinary and Animal Sciences, University of CopenhagenDepartment of Biomedical Sciences, University of CopenhagenDepartment of Veterinary and Animal Sciences, University of CopenhagenAbstract Background Globally, the increase in antimicrobial resistance is of great concern. In Denmark, the pig sector is accountable for the majority of antimicrobial usage in animals. As new-born piglets are at risk of developing infectious omphalitis, and many pigs are treated by antimicrobials within the first days of life, an early and accurate diagnosis of the disease is imperative to maintain animal welfare and reduce the antimicrobial usage. The aim of the present study was to compare histopathological and microbiological findings in piglets clinically diagnosed with and without omphalitis during the first three days after birth. Results A total of 98 case piglets with omphalitis and 98 control piglets without omphalitis, based on clinical examinations during the first three days of life, were included. Of the 196 piglets, 79 (38 cases and 41 controls) presented histopathological omphalitis. Post mortem, the volume of the umbilicus was significantly enlarged in cases compared to controls (p = 0.01). Except for a group of bacteria unidentified by matrix-assisted laser desorption ionisation time-of-flight (MALDI-TOF) (p = 0.02), no apparent association was found between histopathologically diagnosed omphalitis and the prevalence of specific pathogens (p > 0.05). The frequency of histopathologically diagnosed omphalitis tended to increase with increasing age in both cases and controls. The frequency of piglets with both histopathological omphalitis and arthritis/synovitis was significantly different among cases and controls (p = 0.05). This was due to all controls, and none of the cases, with arthritis/synovitis presented histopathological omphalitis. Conclusion The clinical differentiation between omphalitis cases and controls did not correspond to the histological diagnosis of omphalitis in zero-to-three days old piglets. An inaccurate clinical diagnosis complicates prudent use of antimicrobials in pig herds. In addition, animal welfare may be hampered in infected piglets due to lack of treatment and in healthy piglets due to the antimicrobial effect on the gut microbiome.https://doi.org/10.1186/s12917-025-04507-3Antimicrobial reductionClinical diagnosisFluorescence in situ hybridizationHistologyMicrobiologyOmphalitis
spellingShingle Sophie Amalie Blirup-Plum
Henrik Elvang Jensen
Katrine Top Hartmann
Søren Saxmose Nielsen
Karen Pankoke
Mette Sif Hansen
Ken Steen Pedersen
Inge Larsen
Jens Peter Nielsen
John Elmerdahl Olsen
Egle Kudirkiene
Thomas Hartig Braunstein
Kristiane Barington
Can infectious omphalitis in piglets be clinically diagnosed during the first three days of life?
BMC Veterinary Research
Antimicrobial reduction
Clinical diagnosis
Fluorescence in situ hybridization
Histology
Microbiology
Omphalitis
title Can infectious omphalitis in piglets be clinically diagnosed during the first three days of life?
title_full Can infectious omphalitis in piglets be clinically diagnosed during the first three days of life?
title_fullStr Can infectious omphalitis in piglets be clinically diagnosed during the first three days of life?
title_full_unstemmed Can infectious omphalitis in piglets be clinically diagnosed during the first three days of life?
title_short Can infectious omphalitis in piglets be clinically diagnosed during the first three days of life?
title_sort can infectious omphalitis in piglets be clinically diagnosed during the first three days of life
topic Antimicrobial reduction
Clinical diagnosis
Fluorescence in situ hybridization
Histology
Microbiology
Omphalitis
url https://doi.org/10.1186/s12917-025-04507-3
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