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S3-46



                Molecular prevalence of bovine ehrlichiosis: a global systematic review and

                                                      meta- analysis



               Bonilla-Aldana, D. Katterine ; Quintero-Rada, Keidenis ; Montoya-Posada, Juan Pablo ;
                                                                                                            1
                                             1
                                                                          1
               Rodriguez Morales, Alfonso J.   2
               1 Semillero  de  Grupo  de  Investigación  BIOECOS,  Fundación  Universitaria  Autónoma  de  las  Américas,
               Pereira, Risaralda, 660004, Colom;  Universidad Tecnológica de Pereira
                                               2

               Introduction: Ehrlichia species  are  able  to  infect  cattle,  in  addition  to  species  belonging  to  the
               genus Anaplasma. Albeit that, E. ruminatium and E. minasensis, are species that are not well known, even
               among veterinarians. Given the low knowledge on bovine ehrlichiosis, and no previous systematic reviews
               and meta-analysis about that, we collected studies in order to assess the molecular prevalence globally.
               Methods: We  performed  a  literature  systematic  review  in  six  databases  (Web  of  Sciences/
               Scopus/PubMed/SciELO/Lilacs/Google Scholar) to assess the molecular prevalence of cattle to Erhlichia.
               A meta-analysis with random-effects model was performed to calculate the pooled prevalence, and 95%
               confidence intervals (95%CI). Measures of heterogeneity (Cochran's Q-statistic, I2 index, and τ2 test), were
               reported.  Subgroup  analyses  were  conducted  by Erhlichia species,  country  and  regions.  Results: Till
               August 1, 2019, the literature search yielded 1051 articles, of which 71 studies were fully valid for analysis.
               The  pooled  molecular  prevalence  for Erhlichia at  individual  level  (N=6,232)  was  2.3%  [95%CI(1.7%-
               2.9%);τ2=0.001;I2=81.944;Q=387.685; p<0.001], highest value 82.4% (China, 2016). Studies identified the
               highest  pooled  molecular  prevalence  for E.canis of  6.6%  [95%CI(0.6%-12.7%);I2=  90.74;Q=43.208;
               p<0.001].  Followed  by E.ruminantium (n=4,695  [75.33%]  52  studies)  with  1.7%  [95%CI(1.1%-
               2.3%);I2=77.29;Q=224.569;p<0.001].  For E.chaffensis,  1.5%  [95%CI(0.0%-0.3%);I2=60.96;  Q=12.806;
               p=0.025]. For E.minasensis, only one study was included (3%). The country with highest prevalence was
               Grenada (1), 50%, followed Saint Kitts (1) 25.7%, and Dominica (1) 14.1%. In China, with 18 included
               studies, mol-prevalence was 1.8% [95%CI(0.7%-3.0%);I2=87.54;Q=136.50;p<0.001]. Asia (18 studies) and
               Africa  (48)  contributed  most.  Africa  mol-prevalence  was  1.8%  (95%CI  1.1%-2.4%).  Americas  (5)  yield
               13.2%  (95%CI  0.6%-27.0%).  Twelve  studies  were  in Bos  taurus and  four  in Bos  indicus.
               Conclusions: Heartwater (E.ruminantium) is a notifiable disease that is listed by the World Organization
               for Animal Health. The risk that endemic heartwater could become established in the Americas is very real
               given the climate. Also, E.minansensis, E.chaffensis and even E.canis, have been detected in cattle.

























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