Research Article
Austin J Pulm Respir Med. 2022; 9(1): 1084.
Prevalence and Seasonal Variation of Different Respiratory Pathogens in Post-Weaned Pigs with Signs of Clinical Respiratory Disease Using a Tracheobronchial Swab Sampling Technique: An Update from Belgium and the Netherlands
Vangroenweghe FACJ1,2*
¹BU Swine & Ruminants, Elanco Animal Health, Plantijn en Moretuslei 1A, Antwerpen 2018, Belgium
²Unit of Porcine Health Management, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, Merelbeke 9820, Belgium
*Corresponding author: Vangroenweghe FACJ, BU Swine & Ruminants, Elanco Animal Health, Plantijn en Moretuslei 1A, Antwerpen 2018, Belgium
Received: December 02, 2021; Accepted: January 03, 2022; Published: January 10, 2022
Abstract
Besides Mycoplasma hyopneumoniae (M. hyopneumoniae), many other viruses and bacteria can concurrently be present in pigs. These pathogens can provoke clinical signs, known as porcine respiratory disease complex (PRDC). A sampling technique on live animals, namely tracheobronchial swab (TBS) sampling, was applied to detect the major PRDC pathogens in pigs using PCR. The objective was to determine prevalence of different PRDC pathogens and their seasonal variations in Belgium and the Netherlands. A total of 600 pig farms and 9,000 post-weaned piglets were sampled using TBS over a 4-year period. TBS samples were analyzed using mPCR and results were categorized and analyzed according to the season of sampling. In Belgium, 53.8% of the sampled farms were PRRSV-positive, followed by M. hyopneumoniae (48.8%) and IAV-S (40.3%), whereas only 20.6% of the farms were detected PCV-2- positive. In the Netherlands, a similar percentage of farms were detected positive for PRRSV (51.4%) and IAV-S (49.1%), whereas a lower percentage of farms was M. hyopneumoniae-positive (32.4%) and only 8.0% was detected PCV-2-positive. Combined infections consisted of M. hyopneumoniae - PRRSV, PRRSV - IAV-S, and M. hyopneumoniae - PRRSV - IAV-S in both countries. In Belgium, the combination of M. hyopneumoniae - PRRSV - PCV-2 also had a relevant prevalence. For all analyzed PRDC pathogens, clear variations among different seasons could be detected. In conclusion, the present study showed that many respiratory pathogens are present during the post-weaning period, which may complicate the clinical picture of respiratory diseases, and their prevalence may vary among seasons.
Keywords: PRDC; Tracheobronchial swabs; Prevalence; Swine
Introduction
Porcine respiratory disease complex (PRDC) is a multifactorial disease in post-weaned and growing pigs [1], provoked by a combination of several infectious viral and bacterial pathogens, environmental stressors, differences in production systems, and management practices [2-4]. The disease, characterized by pneumonia and reduced growth performance, is an economically significant respiratory disorder of post-weaned and finishing pigs, and remains a challenge to the swine industry worldwide. Multiple agents were reported to be associated with PRDC, including the major pathogens porcine reproductive and respiratory syndrome virus (PRRSV), Mycoplasma hyopneumoniae (M. hyopneumoniae), influenza A virus in swine (IAV-S), and porcine circovirus type 2 (PCV-2) [5,6]. Infection with each single pathogen does not necessarily result in appearance of symptoms, but complex infections with a variety of pathogens can develop severe conditions. Mycoplasma hyopneumoniae, the etiological agent of enzootic pneumonia [7,8], may act as a facilitator to other primary pathogens such as PRRSV [9,10], IAV-S [2,11,12], and PCV-2 [13,14]. Mycoplasma infections provoke a chronic respiratory disease characterized by a chronic, non-productive cough, resulting in economic losses due to reduced growth rate, poorer feed conversion, increased medication use and a higher susceptibility to secondary pathogens, such as P. multocida and A. pleuropneumoniae [7]. Porcine reproductive and respiratory syndrome virus has different clinical signs, of which the respiratory form primarily affects growing and finishing pigs leading to interstitial pneumonia, which induces respiratory signs [15]. Due to its immunodepressive effects, PRRSV increases the susceptibility of pigs to secondary bacterial and viral infection [16-21]. Concurrent infections with PRRSV, PCV-2, and M. hyopneumoniae have been associated with more severe disease and higher mortality [16,22-24]. Swine influenza is mainly caused by influenza type A viruses, of which several subtypes of IAV-S have become enzootic in the pig population. Currently, three IAV-S subtypes, namely H1N1, H2N1, and H3N2, are circulating among pigs worldwide [25,26]. Recently, enzootic withinfarm persistence of IAV-S has been described as consecutive waves of diverse intensity in some Spanish farrow-to-finish operations [27]. Moreover, pigs with passive immunity to IAV-S have been identified as potential disseminators of IAV-S, despite a potential reduction in clinical disease implied by this immunity [28]. Porcine circovirus type 2 is also responsible for considerable economic losses in the swine industry worldwide [29]. PCV-associated disease (PCVAD) can manifest as enteric, respiratory, reproductive, and systemic disease [30]. PCVAD is characterized by lymphoid depletion, which is considered the hallmark lesion [31]. This is thought to induce immunosuppression or immunomodulation in the host [32], leading to secondary infections with other viral or bacterial pathogens [33- 35]. A field study in Spain confirmed detection of PCV-2 in several types of respiratory samples [36].
A validated tracheobronchial sampling technique [37-40] applied for early detection of M. hyopneumoniae in pigs [41] has recently been used in combination with multiplex PCR for detection of several PRDC pathogens, such as PRRSV, IAV-S, PCV-2, PRCV, PCMV and A. pleuropneumoniae to collect samples in pigs of different age categories with clinical signs of respiratory disease [42]. Significant differences in PRDC pathogens prevalence among age categories and seasons were demonstrated using this TBS technique [42].
The aim of the present study was to apply the TBS technique in clinical diagnostic sampling on-farm in post-weaned pigs from 3-12 weeks of age with clinical signs of respiratory disease to determine farm level prevalence of major respiratory pathogens such as M. hyopneumoniae, PRRSV, IAV-S and PCV-2 in Belgium and the Netherlands during different seasons.
Materials and Methods
Selection of study herds
The diagnostic samples were collected from January 2018 to June 2021 in Belgium and the Netherlands. Sow herds were sampled by trained swine veterinarians from different local veterinary practices in both countries. Inclusion criteria were as following: presence of clinical signs of respiratory disease (coughing), at least 15 samples in post-weaned pigs from 3-12 weeks of age, and no use of antimicrobials active against M. hyopneumoniae in pigs less than 3 weeks of age and during the last 2 weeks prior to sampling. Prior to sampling, eligible post-weaned pigs were marked up by the swine farmer or herd veterinarian. In total, 600 sow herds were included in the study, distributed over different seasons and a 4-year sampling period (Table 1). In total, 9,000 post-weaned pigs with clinical signs of respiratory disease were sampled. Within each herds, post-weaned pigs were sampled in as many compartments and pens as possible. Sampling was always performed by a swine veterinarian specifically trained on TBS sampling.
Belgium
Netherlands
Total/season
Year
Total/season
Year
Total/season
Season
2018
2019
2020
2021
2018
2019
2020
2021
S1
10
33
18
24
85
49
75
24
5
154
239
S2
17
21
15
16
69
40
34
10
5
88
157
S3
13
13
9
35
25
23
4
52
87
S4
21
19
19
59
30
24
4
58
117
Total/year
61
86
61
40
248
144
156
42
10
352
600
S1: Winter; S2: Spring; S3: Summer, and S4: Autumn.
Table 1: Number of swine farms in Belgium and the Netherlands sampled per year and per season during the entire study period from S1 2018 until S2 2021, including total number of sampled farms per year and per season.
Tracheobronchial swab (TBS) sampling procedure
TBS sampling was performed as previously described [38,39]. Briefly, TBS were obtained through thorough fixation of the piglets with a nose snare, followed by use of a mouth opener. The TBS (aspiration tube, 50cm, 12CH; Medinorm GmbH, Spiesen- Elversberg, Germany) was subsequently inserted through the mouth, through the glottis down to the tracheobronchial split. Mucus was collected through gentle movement of the swab at the level of the tracheobronchial split and the swab was subsequently retrieved. The tip of the swab was collected in a sterile tube (MLS, Menen, Belgium) with 1mL of sterile saline solution (Saline Solution 0.9%; Eurovet, Heusden-Zolder, Belgium) and kept cool at 3°C until analysis within 48h after sampling. Piglet samples were pooled per 3 for PCR analysis.
Analysis of TBS swabs
The material collected by the TBS was processed according to Strait et al. (2008). A multiplex PCR (mPCR) analysis was performed according to the standard operating procedure of the laboratory (IVD GmbH, Hannover, Germany). The mPCR included analysis of M. hyopneumoniae, PRRSV, IAV-S, and PCV-2. PCR results were reported as negative or positive for the presence of the different PRDC pathogens. A farm was categorized as pathogen-positive when at least 1 piglet pool was detected positive for that specific pathogen.
Data categorization for seasonality
In order to assess the variations among season, and infection dynamics of PRDC pathogens sampled, herds were categorized for seasonality based on date of sampling. Seasonality was implemented as the following: S1: Winter (21/12-20/03; n=239 herds), S2: Spring (21/03-20/06; n=157 herds), S3: Summer (21/06-20/09; n=87 herds), and S4: Autumn (21/09-20/12; n=117 herds) (Table 1).
Results
Prevalence of PRDC pathogens in Belgium and the Netherlands
The prevalence data of all detected PRDC pathogens in both countries are given in Figure 1. In Belgium, PRRSV had the highest prevalence in post-weaned piglets with 53.8% of the sampled farms detected PRRSV-positive, followed by M. hyopneumoniae (48.8%) and IAV-S (40.3%). Only 20.6% of the sampled farms with clinical signs of respiratory disease were detected PCV-2-positive during the post-weaning period. In the Netherlands, farms were similarly positive for both PRRSV (51.4%) and IAV-S (49.1%) followed by M. hyopneumoniae (32.4%). Again, a much lower percentage of farms were detected PCV-2 positive (8.0%) during the post-weaning period.
Figure 1: Prevalence (expressed as % positive farms) of different single PRDC pathogens in post-weaned pigs (3-12 weeks of age) at farm level. In total, 9,000 pigs were sampled in 600 different farms distributed throughout Belgium (n=248) and the Netherlands (n=352) for diagnostic purposes of clinical respiratory disease. PRRSV: Porcine Reproductive and Respiratory Syndrome Virus; M. hyo: Mycoplasma Hyopneumoniae; IAV-S: Influenza A Virus in Swine; PCV2: Porcine Circovirus Type 2.
Prevalence of double and triple PRDC major pathogen interactions are given in Table 2. Most prevalent pathogen combinations during the post-weaning phase were M. hyopneumoniae - PRRSV (10.9 and 11.1% in Belgium and the Netherlands, respectively), PRRSV - IAV-S (11.3 and 18.2% in Belgium and the Netherlands, respectively), and M. hyopneumoniae - IAV-S (4.0 and 5.1 in Belgium and the Netherlands, respectively) within the double infections and M. hyopneumoniae - PRRSV - IAV-S (6.9 and 6.3% in Belgium and the Netherlands, respectively), and PRRSV - IAV-S - PCV-2 (1.2 and 2.3% in Belgium and the Netherlands, respectively). The triple combination of M. hyopneumoniae - PRRSV - PCV-2 holds a particular position, since it was highly prevalent in Belgium (7.3%) and only marginally detectable in the Netherlands (0.6%). Multiple infections including all four analyzed pathogens were only present in 4.0% of the farms in Belgium and 0.6% in the Netherlands.
Belgium
Netherlands
Double infections
M. hyo - PRRSV
10.90%
11.10%
M. hyo - IAV-S
4.00%
5.10%
M. hyo - PCV-2
3.60%
0.00%
PRRSV - IAV-S
11.30%
18.20%
PRRSV - PCV-2
1.20%
3.10%
IAV-S - PCV-2
0.40%
1.10%
Triple infections
M. hyo - PRRSV - IAV-S
6.90%
6.30%
M. hyo - PRRSV - PCV-2
7.30%
0.60%
PRRSV - IAV-S - PCV-2
1.20%
2.30%
Multiple infections
M. hyo - PRRSV - IAV-S - PCV-2
4.00%
0.60%
PRRSV: Porcine Reproductive and Respiratory Syndrome Virus; M. hyo: Mycoplasma Hyopneumoniae; IAV-S: Influenza A Virus in Swine; PCV2: Porcine Circovirus Type 2.
Table 2: Prevalence (expressed as % positive farms) of different double, triple and multiple PRDC pathogen interactions in post-weaned pigs (3-12 weeks of age) at farm level. In total, 9,000 pigs were sampled in 600 different farms distributed throughout Belgium (n=248) and the Netherlands (n=352) for diagnostic purposes of clinical respiratory disease.
Seasonal variation in prevalence of PRDC pathogens at piglet level
Effect of season on farm prevalence of different PRDC pathogens is given in Figure 2-5. In Belgium, on average 48.8% of the farms was M. hyopneumoniae-positive. During both S4 (autumn) and S1 (winter), percentage of M. hyopneumoniae-positive farms was above 50%, whereas in both other seasons, the percentage decreased to about 45-46% positivity. In the Netherlands, the overall percentage of M. hyopneumoniae-positive farms was much lower (32.4%) with the highest percentages during S3 (summer; 34.0%) and S4 (autumn; 41.4%), followed by S1 (winter; 30.7%). During spring (S2), only 27.0% of the sampled farms tested positive for M. hyopneumoniae (Figure 2).
Figure 2: Prevalence (expressed as % positive farms) of M. hyopneumoniae in post-weaned pigs (3-12 weeks of age) at farm level. In total, 9,000 pigs were sampled in 600 different farms distributed throughout Belgium (n=248) and the Netherlands (n=352) for diagnostic purposes of clinical respiratory disease.
For PRRSV, no relevant country differences could be observed in the overall percentage of PRRSV-positive farms (53.6 and 51.4% in Belgium and the Netherlands, respectively). Highest percentages of PRRSV-positivity were observed during S2 (spring; 56.5 and 58.4% in Belgium and the Netherlands, respectively). The other seasons were slightly lower in their percentage of PRRSV-positive farms and varied a little between Belgium and the Netherlands ranging from 44.8 to 54.2% as most extreme values (Figure 3).
Figure 3: Prevalence (expressed as % positive farms) of PRRSV in postweaned pigs (3-12 weeks of age) at farm level. In total, 9,000 pigs were sampled in 600 different farms distributed throughout Belgium (n=248) and the Netherlands (n=352) for diagnostic purposes of clinical respiratory disease.
The overall percentage of IAV-S-positive farms was higher in the Netherlands (49.1%) as compared to Belgium (40.3%), which was mostly explainable by the much higher percentages of IAV-Spositive farms observed during S3 (summer; 55.8%) and S4 (autumn; 51.7%) in the Netherlands as compared to Belgium (S3, 37.1% and S4, 27.1%,). During S1 (winter) and S2 (spring), the percentage of IAV-S-positive farms were quite similar in both countries (Figure 4).
Figure 4: Prevalence (expressed as % positive farms) of AIV-S in postweaned pigs (3-12 weeks of age) at farm level. In total, 9,000 pigs were sampled in 600 different farms distributed throughout Belgium (n=248) and the Netherlands (n=352) for diagnostic purposes of clinical respiratory disease.
Finally, we observed remarkable differences in the percentage of PCV-2-positive farms between Belgium and the Netherlands, both overall (20.6 and 8.0% in Belgium and the Netherlands, respectively) and among the different seasons. In Belgium, the highest percentage of PCV-2-positive farms was observed in S1 (winter; 32.9%), followed by S4 (autumn; 15.3%) and S2 (14.5%). During S3 (summer), only 11.3% of the farms were PCV-2-positive. In the Netherlands, the highest percentage was again observed during S1 (winter; 10.5%) and S3 (summer; 9.6%), whereas during S2 (spring; 4.5%) and S4 (autumn; 5.3%) the percentages were much lower (Figure 5).
Figure 5: Prevalence (expressed as % positive farms) of PCV-2 in postweaned pigs (3-12 weeks of age) at farm level. In total, 9,000 pigs were sampled in 600 different farms distributed throughout Belgium (n=248) and the Netherlands (n=352) for diagnostic purposes of clinical respiratory disease.
Discussion
Porcine respiratory disease complex remains one of the most important health concerns with a high economic impact for pig producers worldwide. The disease involves multiple viral and bacterial pathogens together with several non-infectious factors, such as ventilation, housing conditions, and management, leading to respiratory distress in pigs during different stages of production, including the post-weaning period. Interaction between both infectious (viral and bacterial agents) and non-infectious factors may all contribute to the development and severity of the respiratory disease [24]. The most commonly identified pathogens are PRRSV, IAV-S, PCV-2, and M. hyopneumoniae, besides other pathogens associated with PRDC, such as S. suis, A. pleuropneumoniae, P. multocida, DNT-positive P. multocida, G. parasuis, M. hyorhinis, M. hyosynoviae, PRCV, and PCMV [3,23-28,42]. Detection of the etiologic agents of PRDC has long been difficult, especially due to the wide variety of diagnostic approaches applied in practice. Diagnosis of M. hyopneumoniae could be performed using clinical signs, slaughterhouse checks of affected lungs [43,44], serological examination of relevant age groups [43,44], direct pathogen identification through bacteriological culture [37] or PCR techniques [45,46]. As for other respiratory pathogens involved in PRDC, more or less the same diagnostic approach has been applied, mainly due to lack of diagnostic tests able to simultaneously detect multiple respiratory pathogens in a single-reaction method [6]. Although these single pathogen detection techniques may be reliable and sensitive, they remain time-consuming, labor-intensive, and therefore, quite expensive. Moreover, for bacterial pathogens, detection typically depends on culture-based methods that can take up to several days to obtain the final results.
Polymerase chain reactions and real-time PCR tests have been developed for several pathogens involved in PRDC and are characterized by their high sensitivity and ease of use. In combination with a reliable sampling technique, such as TBS, these detection methods based on PCR have been able to detect M. hyopneumoniae at an early age [38,39] and in an early stage of infection [40,41].
The results from the current study in 600 pig farms clearly demonstrate that post-weaned piglets can be infected at an early stage with M. hyopneumoniae, which is in accordance with previous reports applying the same sampling technique [39]. However, besides M. hyopneumoniae, other major pathogens related to PRDC may be involved in the clinical picture of coughing post-weaned piglets (3-12 weeks of age), such as IAV-S, PRRSV, and to a lesser extent PCV-2. In contrast to a previous study [43], we analyzed the results at farm level, designating a farm as positive to a specific pathogen when at least one of the pools of sampled post-weaned piglets was detected positive for that specified pathogen. Therefore, we can not entirely compare the farm prevalence levels observed in the present study with the piglet prevalence levels from the previous study.
In contrast to previous studies [38-41], where sampling was focused on M. hyopneumoniae detection and prevalence only, the current study clearly demonstrates that M. hyopneumoniae is in many cases combined with other pathogens related to PRDC. The demonstrated presence of M. hyopneumoniae during the postweaning period might significantly impact the clinical course of other PRDC pathogens such as PRRSV [9,10], IAV-S [2,11,12], or PCV-2 [14,15].
There were clear differences in the prevalence of pathogen-positive farms between Belgium and the Netherlands for M. hyopneumoniae, IAV-S and PCV-2, whereas for PRRSV the results tended to be similar. For both M. hyopneumoniae and PCV-2, differences in piglet vaccination level can not entirely explain the difference in percentage of positive farms between both countries. Since the vaccination level for M. hyopneumoniae in Belgium is higher than in the Netherlands, we would expect the level of M. hyopneumoniae-positive farms to be lower in Belgium. However, in the current study, we classified a farm as positive when at least one piglet pool tested positive for the pathogen, and therefore, the in-farm prevalence was not really taken into account. Indeed, previous studies under both experimental [47] and field [48] conditions have shown that piglets vaccinated for M. hyopneumoniae during the suckling period and subsequently infected with M. hyopneumoniae during the post-weaning period excrete lower amounts of M. hyopneumoniae and therefore have a reduced R0 for M. hyopneumoniae. This observation was confirmed during an experimental vaccination-infection trial enrolling piglets from birth till slaugher age. Piglets vaccinated for M. hyopneumoniae at early age excrete 2 log10 less M. hyopneumoniae as compared to unvaccinated control pigs [13]. The same study also demonstrated a significant reduction of about 4 log10 in the level of PCV-2 in vaccinated piglets as compared to unvaccinated controls [13].
For IAV-S, the difference between Belgium and the Netherlands might be explained by the size of sow herds. Since IAV-S can endemically circulate in sow herds, larger herds tend to more prone to continuous circulation during the post-weaning phase. This is mainly due to the fact that larger herds wean piglets that might become susceptible to IAV-S post-weaning, on a weekly basis. In contrast, smaller herds rather operate according to batch-management systems with intervals between consecutive batches of 2, 3, 4 or 5 weeks, creating a gap that might potentially reduce circulation of infection. For PRRSV, we previously demonstrated that changes in farm management system without clear adaptations in internal biosecurity did not have an impact on the kinetics of PRRSV at farm level.
Seasonal variations could be observed for all PRDC pathogens analyzed in the current study. For M. hyopneumoniae, the seasonal variation in percentage of farms positive for the pathogen are less pronounced as compared to the variations that could be observed on a piglet level in our previous study, although the same trend could be observed. The level of M. hyopneumoniae-positivity was highest during autumn and winter, and lower during spring and summer, when weather conditions in our region are less favorable for M. hyopneumoniae transmission between animals and farms [49]. For PRRSV, the seasonal variations were very discrete as the seasonal percentage varied between 51.4 and 56.5% in Belgium and 44.8 and 58.4% in the Netherlands. For IAV-S, seasonal variation is more pronounced under Belgium conditions, with lower levels in summer and autumn and increased levels during winter and spring, mainly due to the cold and humid conditions favorable for virus transmission [49]. The seasonal variations observed for PCV-2 were less prominent due to the lower percentage of PCV-2-positive farms in both countries. The lower level of PCV-2 during the post-weaning period is in accordance with a previous study [50] on serological and viral dynamics of PCV-2 carried out in PCV-2 infected pig herds in Taiwan, where prevalence was around 11.2% in growing pigs [51,52].
The present study clearly shows that several viral and bacterial pathogens responsible for PRDC may be present during the postweaning period. Following analysis of seasonal variation, it can be concluded most pathogens show a seasonal pattern with a higher percentage of farms positive during autumn and winter, which has more favorable conditions for longer survival and better transmission of pathogens between animals and farms in our region.
Conclusion
In conclusion, the present study showed that many respiratory pathogens are present during the post-weaning period, which may complicate the clinical picture of respiratory disease.
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Citation: Vangroenweghe FACJ. Prevalence and Seasonal Variation of Different Respiratory Pathogens in Post- Weaned Pigs with Signs of Clinical Respiratory Disease Using a Tracheobronchial Swab Sampling Technique: An Update from Belgium and the Netherlands. Austin J Pulm Respir Med. 2022; 9(1): 1084.