Effect of strategic administration of an encapsulated blend of formic acid, citric acid, and essential oils on Salmonella carriage, seroprevalence, and growth of finishing pigs
Controlling Salmonella at farm level can act as the first line of defence in reducing salmonellosis from pork. This study investigated the efficacy of an encapsulated blend of formic acid, citric acid, and essential oils (FormaXOL™) administered to finisher pigs for 28days prior to slaughter in cont...
Gespeichert in:
Veröffentlicht in: | Preventive veterinary medicine 2017-02, Vol.137 (Pt A), p.28-35 |
---|---|
Hauptverfasser: | , , , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 35 |
---|---|
container_issue | Pt A |
container_start_page | 28 |
container_title | Preventive veterinary medicine |
container_volume | 137 |
creator | Walia, Kavita Argüello, Hector Lynch, Helen Leonard, Finola C. Grant, Jim Yearsley, Dermot Kelly, Sinead Duffy, Geraldine Gardiner, Gillian E. Lawlor, Peadar G. |
description | Controlling Salmonella at farm level can act as the first line of defence in reducing salmonellosis from pork. This study investigated the efficacy of an encapsulated blend of formic acid, citric acid, and essential oils (FormaXOL™) administered to finisher pigs for 28days prior to slaughter in controlling Salmonella shedding on a commercial farm with a history of high Salmonella seroprevalence.
Fourteen pens of 8–10 pigs/pen were randomly assigned to a control (finisher diet without additive) or a treatment group (the same diet with 4kg/t of FormaXOL™) for 28 days. Faeces were collected from each pig on days 0, 14, and 28, while on day 29 blood, caecal digesta and ileocaecal-mesenteric lymph nodes were collected at slaughter. Pigs were weighed at the start and end of the trial, feed intake was recorded, and carcass quality parameters were recorded at slaughter.
On day 14, Salmonella shedding was reduced in the treatment compared to the control group (27.9% versus 51.7% probability of detecting Salmonella in faeces, respectively; p=0.001). However, on day 28, no reduction was observed (20.6% versus 35.9% probability of detecting Salmonella in faeces, respectively; p=0.07). Interestingly, Salmonella shedding rates in the treated pigs remained stable throughout the trial compared to the control group. This suggests that the feed additive prevented additional pigs from acquiring the Salmonella infection. A lower Salmonella seroprevalence was detected at slaughter in the treatment compared to the control group using the 40% optical density cut-off (64.5% versus 88.5%, respectively; p=0.01). However, no significant differences in Salmonella recovery rates were observed in the caecal digesta or lymph nodes between treated and control groups. Treated pigs had a lower feed intake than pigs fed the control diet (p=0.001); however, average daily gain and feed conversion efficiency were not affected by treatment (p=0.45 and 0.55, respectively). Consequently, supplementing the diet with FormaXOL™ for 28days increased the feed cost per kg of live-weight gain by €0.08.
Overall, results suggest that strategic administration of an encapsulated blend of formic acid, citric acid, and essential oils, to finishing pigs for 28days prior to slaughter has potential to prevent increased Salmonella shedding at certain time points as well as seroprevalence. However, this additive did not lower intestinal carriage, nor did it reduce seroprevalence to below the cut-off used for the h |
doi_str_mv | 10.1016/j.prevetmed.2016.12.007 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1861587588</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0167587716302537</els_id><sourcerecordid>1861587588</sourcerecordid><originalsourceid>FETCH-LOGICAL-c420t-bdfc7bd5bc3c03b6503df0f49bbabb4cb487fabfd4b2058d0e8c8dffaddfb6963</originalsourceid><addsrcrecordid>eNqFUctuFDEQtBCILIFfAB85ZAZ7XnaOURQSpEgcgLPlR3vi1Yw92N5E_BWfiJ1NcuVktauqq7sLoU-UtJTQ6cu-3SLcQ17BtF35aGnXEsJeoR3lrG8oo9NrtCsAa0bO2Al6l9KeEDJNfHyLTjpOCeOM79DfK2tBZxwsTjnKDLPTWJrVefdYu-ArJj0Gr-WWDkvhGKwW8KYCNsS1KrQzZ1i7HF8KWQiQEvjs5IKDWxIuvX7IZQ0elkViLWN0coYznCCGuo8sXTUcpXMMD_nu0aLOcuf8jDc3p_fojZVLgg9P7yn69fXq5-VNc_v9-tvlxW2jh47kRhmrmTKj0r0mvZpG0htL7HCulFRq0GrgzEplzaA6MnJDgGturJXGWDWdT_0p-nzsu8Xw-wApi9UlXQf3EA5JUD7RctqR80JlR6qOIaUIVmzRrTL-EZSIGpfYi5e4RI1L0E6UuIry45PJQVXsWfecTyFcHAlQVr13EEXSrh7JuFhiEya4_5r8A9YosPM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1861587588</pqid></control><display><type>article</type><title>Effect of strategic administration of an encapsulated blend of formic acid, citric acid, and essential oils on Salmonella carriage, seroprevalence, and growth of finishing pigs</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Walia, Kavita ; Argüello, Hector ; Lynch, Helen ; Leonard, Finola C. ; Grant, Jim ; Yearsley, Dermot ; Kelly, Sinead ; Duffy, Geraldine ; Gardiner, Gillian E. ; Lawlor, Peadar G.</creator><creatorcontrib>Walia, Kavita ; Argüello, Hector ; Lynch, Helen ; Leonard, Finola C. ; Grant, Jim ; Yearsley, Dermot ; Kelly, Sinead ; Duffy, Geraldine ; Gardiner, Gillian E. ; Lawlor, Peadar G.</creatorcontrib><description>Controlling Salmonella at farm level can act as the first line of defence in reducing salmonellosis from pork. This study investigated the efficacy of an encapsulated blend of formic acid, citric acid, and essential oils (FormaXOL™) administered to finisher pigs for 28days prior to slaughter in controlling Salmonella shedding on a commercial farm with a history of high Salmonella seroprevalence.
Fourteen pens of 8–10 pigs/pen were randomly assigned to a control (finisher diet without additive) or a treatment group (the same diet with 4kg/t of FormaXOL™) for 28 days. Faeces were collected from each pig on days 0, 14, and 28, while on day 29 blood, caecal digesta and ileocaecal-mesenteric lymph nodes were collected at slaughter. Pigs were weighed at the start and end of the trial, feed intake was recorded, and carcass quality parameters were recorded at slaughter.
On day 14, Salmonella shedding was reduced in the treatment compared to the control group (27.9% versus 51.7% probability of detecting Salmonella in faeces, respectively; p=0.001). However, on day 28, no reduction was observed (20.6% versus 35.9% probability of detecting Salmonella in faeces, respectively; p=0.07). Interestingly, Salmonella shedding rates in the treated pigs remained stable throughout the trial compared to the control group. This suggests that the feed additive prevented additional pigs from acquiring the Salmonella infection. A lower Salmonella seroprevalence was detected at slaughter in the treatment compared to the control group using the 40% optical density cut-off (64.5% versus 88.5%, respectively; p=0.01). However, no significant differences in Salmonella recovery rates were observed in the caecal digesta or lymph nodes between treated and control groups. Treated pigs had a lower feed intake than pigs fed the control diet (p=0.001); however, average daily gain and feed conversion efficiency were not affected by treatment (p=0.45 and 0.55, respectively). Consequently, supplementing the diet with FormaXOL™ for 28days increased the feed cost per kg of live-weight gain by €0.08.
Overall, results suggest that strategic administration of an encapsulated blend of formic acid, citric acid, and essential oils, to finishing pigs for 28days prior to slaughter has potential to prevent increased Salmonella shedding at certain time points as well as seroprevalence. However, this additive did not lower intestinal carriage, nor did it reduce seroprevalence to below the cut-off used for the high Salmonella risk category in Ireland (50%) or improve growth performance.</description><identifier>ISSN: 0167-5877</identifier><identifier>EISSN: 1873-1716</identifier><identifier>DOI: 10.1016/j.prevetmed.2016.12.007</identifier><identifier>PMID: 28107878</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Animals ; Citric Acid - administration & dosage ; Citric Acid - therapeutic use ; Cost ; Dietary supplementation ; Drug Combinations ; Female ; Formates - administration & dosage ; Formates - therapeutic use ; Male ; Oils, Volatile - administration & dosage ; Oils, Volatile - therapeutic use ; Organic acid ; Pig farm ; Salmonella Infections, Animal - drug therapy ; Salmonella Infections, Animal - epidemiology ; Seroepidemiologic Studies ; Swine ; Swine - microbiology ; Swine Diseases - drug therapy ; Swine Diseases - epidemiology</subject><ispartof>Preventive veterinary medicine, 2017-02, Vol.137 (Pt A), p.28-35</ispartof><rights>2016 Elsevier B.V.</rights><rights>Copyright © 2016 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c420t-bdfc7bd5bc3c03b6503df0f49bbabb4cb487fabfd4b2058d0e8c8dffaddfb6963</citedby><cites>FETCH-LOGICAL-c420t-bdfc7bd5bc3c03b6503df0f49bbabb4cb487fabfd4b2058d0e8c8dffaddfb6963</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0167587716302537$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28107878$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Walia, Kavita</creatorcontrib><creatorcontrib>Argüello, Hector</creatorcontrib><creatorcontrib>Lynch, Helen</creatorcontrib><creatorcontrib>Leonard, Finola C.</creatorcontrib><creatorcontrib>Grant, Jim</creatorcontrib><creatorcontrib>Yearsley, Dermot</creatorcontrib><creatorcontrib>Kelly, Sinead</creatorcontrib><creatorcontrib>Duffy, Geraldine</creatorcontrib><creatorcontrib>Gardiner, Gillian E.</creatorcontrib><creatorcontrib>Lawlor, Peadar G.</creatorcontrib><title>Effect of strategic administration of an encapsulated blend of formic acid, citric acid, and essential oils on Salmonella carriage, seroprevalence, and growth of finishing pigs</title><title>Preventive veterinary medicine</title><addtitle>Prev Vet Med</addtitle><description>Controlling Salmonella at farm level can act as the first line of defence in reducing salmonellosis from pork. This study investigated the efficacy of an encapsulated blend of formic acid, citric acid, and essential oils (FormaXOL™) administered to finisher pigs for 28days prior to slaughter in controlling Salmonella shedding on a commercial farm with a history of high Salmonella seroprevalence.
Fourteen pens of 8–10 pigs/pen were randomly assigned to a control (finisher diet without additive) or a treatment group (the same diet with 4kg/t of FormaXOL™) for 28 days. Faeces were collected from each pig on days 0, 14, and 28, while on day 29 blood, caecal digesta and ileocaecal-mesenteric lymph nodes were collected at slaughter. Pigs were weighed at the start and end of the trial, feed intake was recorded, and carcass quality parameters were recorded at slaughter.
On day 14, Salmonella shedding was reduced in the treatment compared to the control group (27.9% versus 51.7% probability of detecting Salmonella in faeces, respectively; p=0.001). However, on day 28, no reduction was observed (20.6% versus 35.9% probability of detecting Salmonella in faeces, respectively; p=0.07). Interestingly, Salmonella shedding rates in the treated pigs remained stable throughout the trial compared to the control group. This suggests that the feed additive prevented additional pigs from acquiring the Salmonella infection. A lower Salmonella seroprevalence was detected at slaughter in the treatment compared to the control group using the 40% optical density cut-off (64.5% versus 88.5%, respectively; p=0.01). However, no significant differences in Salmonella recovery rates were observed in the caecal digesta or lymph nodes between treated and control groups. Treated pigs had a lower feed intake than pigs fed the control diet (p=0.001); however, average daily gain and feed conversion efficiency were not affected by treatment (p=0.45 and 0.55, respectively). Consequently, supplementing the diet with FormaXOL™ for 28days increased the feed cost per kg of live-weight gain by €0.08.
Overall, results suggest that strategic administration of an encapsulated blend of formic acid, citric acid, and essential oils, to finishing pigs for 28days prior to slaughter has potential to prevent increased Salmonella shedding at certain time points as well as seroprevalence. However, this additive did not lower intestinal carriage, nor did it reduce seroprevalence to below the cut-off used for the high Salmonella risk category in Ireland (50%) or improve growth performance.</description><subject>Animals</subject><subject>Citric Acid - administration & dosage</subject><subject>Citric Acid - therapeutic use</subject><subject>Cost</subject><subject>Dietary supplementation</subject><subject>Drug Combinations</subject><subject>Female</subject><subject>Formates - administration & dosage</subject><subject>Formates - therapeutic use</subject><subject>Male</subject><subject>Oils, Volatile - administration & dosage</subject><subject>Oils, Volatile - therapeutic use</subject><subject>Organic acid</subject><subject>Pig farm</subject><subject>Salmonella Infections, Animal - drug therapy</subject><subject>Salmonella Infections, Animal - epidemiology</subject><subject>Seroepidemiologic Studies</subject><subject>Swine</subject><subject>Swine - microbiology</subject><subject>Swine Diseases - drug therapy</subject><subject>Swine Diseases - epidemiology</subject><issn>0167-5877</issn><issn>1873-1716</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUctuFDEQtBCILIFfAB85ZAZ7XnaOURQSpEgcgLPlR3vi1Yw92N5E_BWfiJ1NcuVktauqq7sLoU-UtJTQ6cu-3SLcQ17BtF35aGnXEsJeoR3lrG8oo9NrtCsAa0bO2Al6l9KeEDJNfHyLTjpOCeOM79DfK2tBZxwsTjnKDLPTWJrVefdYu-ArJj0Gr-WWDkvhGKwW8KYCNsS1KrQzZ1i7HF8KWQiQEvjs5IKDWxIuvX7IZQ0elkViLWN0coYznCCGuo8sXTUcpXMMD_nu0aLOcuf8jDc3p_fojZVLgg9P7yn69fXq5-VNc_v9-tvlxW2jh47kRhmrmTKj0r0mvZpG0htL7HCulFRq0GrgzEplzaA6MnJDgGturJXGWDWdT_0p-nzsu8Xw-wApi9UlXQf3EA5JUD7RctqR80JlR6qOIaUIVmzRrTL-EZSIGpfYi5e4RI1L0E6UuIry45PJQVXsWfecTyFcHAlQVr13EEXSrh7JuFhiEya4_5r8A9YosPM</recordid><startdate>20170201</startdate><enddate>20170201</enddate><creator>Walia, Kavita</creator><creator>Argüello, Hector</creator><creator>Lynch, Helen</creator><creator>Leonard, Finola C.</creator><creator>Grant, Jim</creator><creator>Yearsley, Dermot</creator><creator>Kelly, Sinead</creator><creator>Duffy, Geraldine</creator><creator>Gardiner, Gillian E.</creator><creator>Lawlor, Peadar G.</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170201</creationdate><title>Effect of strategic administration of an encapsulated blend of formic acid, citric acid, and essential oils on Salmonella carriage, seroprevalence, and growth of finishing pigs</title><author>Walia, Kavita ; Argüello, Hector ; Lynch, Helen ; Leonard, Finola C. ; Grant, Jim ; Yearsley, Dermot ; Kelly, Sinead ; Duffy, Geraldine ; Gardiner, Gillian E. ; Lawlor, Peadar G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-bdfc7bd5bc3c03b6503df0f49bbabb4cb487fabfd4b2058d0e8c8dffaddfb6963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Animals</topic><topic>Citric Acid - administration & dosage</topic><topic>Citric Acid - therapeutic use</topic><topic>Cost</topic><topic>Dietary supplementation</topic><topic>Drug Combinations</topic><topic>Female</topic><topic>Formates - administration & dosage</topic><topic>Formates - therapeutic use</topic><topic>Male</topic><topic>Oils, Volatile - administration & dosage</topic><topic>Oils, Volatile - therapeutic use</topic><topic>Organic acid</topic><topic>Pig farm</topic><topic>Salmonella Infections, Animal - drug therapy</topic><topic>Salmonella Infections, Animal - epidemiology</topic><topic>Seroepidemiologic Studies</topic><topic>Swine</topic><topic>Swine - microbiology</topic><topic>Swine Diseases - drug therapy</topic><topic>Swine Diseases - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Walia, Kavita</creatorcontrib><creatorcontrib>Argüello, Hector</creatorcontrib><creatorcontrib>Lynch, Helen</creatorcontrib><creatorcontrib>Leonard, Finola C.</creatorcontrib><creatorcontrib>Grant, Jim</creatorcontrib><creatorcontrib>Yearsley, Dermot</creatorcontrib><creatorcontrib>Kelly, Sinead</creatorcontrib><creatorcontrib>Duffy, Geraldine</creatorcontrib><creatorcontrib>Gardiner, Gillian E.</creatorcontrib><creatorcontrib>Lawlor, Peadar G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Preventive veterinary medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Walia, Kavita</au><au>Argüello, Hector</au><au>Lynch, Helen</au><au>Leonard, Finola C.</au><au>Grant, Jim</au><au>Yearsley, Dermot</au><au>Kelly, Sinead</au><au>Duffy, Geraldine</au><au>Gardiner, Gillian E.</au><au>Lawlor, Peadar G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of strategic administration of an encapsulated blend of formic acid, citric acid, and essential oils on Salmonella carriage, seroprevalence, and growth of finishing pigs</atitle><jtitle>Preventive veterinary medicine</jtitle><addtitle>Prev Vet Med</addtitle><date>2017-02-01</date><risdate>2017</risdate><volume>137</volume><issue>Pt A</issue><spage>28</spage><epage>35</epage><pages>28-35</pages><issn>0167-5877</issn><eissn>1873-1716</eissn><abstract>Controlling Salmonella at farm level can act as the first line of defence in reducing salmonellosis from pork. This study investigated the efficacy of an encapsulated blend of formic acid, citric acid, and essential oils (FormaXOL™) administered to finisher pigs for 28days prior to slaughter in controlling Salmonella shedding on a commercial farm with a history of high Salmonella seroprevalence.
Fourteen pens of 8–10 pigs/pen were randomly assigned to a control (finisher diet without additive) or a treatment group (the same diet with 4kg/t of FormaXOL™) for 28 days. Faeces were collected from each pig on days 0, 14, and 28, while on day 29 blood, caecal digesta and ileocaecal-mesenteric lymph nodes were collected at slaughter. Pigs were weighed at the start and end of the trial, feed intake was recorded, and carcass quality parameters were recorded at slaughter.
On day 14, Salmonella shedding was reduced in the treatment compared to the control group (27.9% versus 51.7% probability of detecting Salmonella in faeces, respectively; p=0.001). However, on day 28, no reduction was observed (20.6% versus 35.9% probability of detecting Salmonella in faeces, respectively; p=0.07). Interestingly, Salmonella shedding rates in the treated pigs remained stable throughout the trial compared to the control group. This suggests that the feed additive prevented additional pigs from acquiring the Salmonella infection. A lower Salmonella seroprevalence was detected at slaughter in the treatment compared to the control group using the 40% optical density cut-off (64.5% versus 88.5%, respectively; p=0.01). However, no significant differences in Salmonella recovery rates were observed in the caecal digesta or lymph nodes between treated and control groups. Treated pigs had a lower feed intake than pigs fed the control diet (p=0.001); however, average daily gain and feed conversion efficiency were not affected by treatment (p=0.45 and 0.55, respectively). Consequently, supplementing the diet with FormaXOL™ for 28days increased the feed cost per kg of live-weight gain by €0.08.
Overall, results suggest that strategic administration of an encapsulated blend of formic acid, citric acid, and essential oils, to finishing pigs for 28days prior to slaughter has potential to prevent increased Salmonella shedding at certain time points as well as seroprevalence. However, this additive did not lower intestinal carriage, nor did it reduce seroprevalence to below the cut-off used for the high Salmonella risk category in Ireland (50%) or improve growth performance.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>28107878</pmid><doi>10.1016/j.prevetmed.2016.12.007</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0167-5877 |
ispartof | Preventive veterinary medicine, 2017-02, Vol.137 (Pt A), p.28-35 |
issn | 0167-5877 1873-1716 |
language | eng |
recordid | cdi_proquest_miscellaneous_1861587588 |
source | MEDLINE; Elsevier ScienceDirect Journals |
subjects | Animals Citric Acid - administration & dosage Citric Acid - therapeutic use Cost Dietary supplementation Drug Combinations Female Formates - administration & dosage Formates - therapeutic use Male Oils, Volatile - administration & dosage Oils, Volatile - therapeutic use Organic acid Pig farm Salmonella Infections, Animal - drug therapy Salmonella Infections, Animal - epidemiology Seroepidemiologic Studies Swine Swine - microbiology Swine Diseases - drug therapy Swine Diseases - epidemiology |
title | Effect of strategic administration of an encapsulated blend of formic acid, citric acid, and essential oils on Salmonella carriage, seroprevalence, and growth of finishing pigs |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-03T21%3A46%3A57IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Effect%20of%20strategic%20administration%20of%20an%20encapsulated%20blend%20of%20formic%20acid,%20citric%20acid,%20and%20essential%20oils%20on%20Salmonella%20carriage,%20seroprevalence,%20and%20growth%20of%20finishing%20pigs&rft.jtitle=Preventive%20veterinary%20medicine&rft.au=Walia,%20Kavita&rft.date=2017-02-01&rft.volume=137&rft.issue=Pt%20A&rft.spage=28&rft.epage=35&rft.pages=28-35&rft.issn=0167-5877&rft.eissn=1873-1716&rft_id=info:doi/10.1016/j.prevetmed.2016.12.007&rft_dat=%3Cproquest_cross%3E1861587588%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1861587588&rft_id=info:pmid/28107878&rft_els_id=S0167587716302537&rfr_iscdi=true |