Evidence map›Paper›PMID 39920623›Full record

ArticleBMC veterinary research2025

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

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 and 3 more

Abstract read
In one paragraph

Article in BMC veterinary research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Sophie Amalie Blirup-PlumDepartment of Veterinary and Animal Sciences, University of Copenhagen, Grønnegårdsvej 7, Frederiksberg C, DK-1870, Denmark. Samb@sund.ku.dk.
Henrik Elvang JensenDepartment of Veterinary and Animal Sciences, University of Copenhagen, Grønnegårdsvej 7, Frederiksberg C, DK-1870, Denmark.
Katrine Top HartmannDepartment of Veterinary and Animal Sciences, University of Copenhagen, Grønnegårdsvej 7, Frederiksberg C, DK-1870, Denmark.
Søren Saxmose NielsenDepartment of Veterinary and Animal Sciences, University of Copenhagen, Grønnegårdsvej 7, Frederiksberg C, DK-1870, Denmark.
Karen PankokeDepartment of Veterinary and Animal Sciences, University of Copenhagen, Grønnegårdsvej 7, Frederiksberg C, DK-1870, Denmark.
Mette Sif HansenDepartment of Veterinary and Animal Sciences, University of Copenhagen, Grønnegårdsvej 7, Frederiksberg C, DK-1870, Denmark.
Ken Steen PedersenDepartment of Veterinary and Animal Sciences, University of Copenhagen, Grønnegårdsvej 7, Frederiksberg C, DK-1870, Denmark.
Inge LarsenDepartment of Veterinary and Animal Sciences, University of Copenhagen, Grønnegårdsvej 7, Frederiksberg C, DK-1870, Denmark.
Jens Peter NielsenDepartment of Veterinary and Animal Sciences, University of Copenhagen, Grønnegårdsvej 7, Frederiksberg C, DK-1870, Denmark.
John Elmerdahl OlsenDepartment of Veterinary and Animal Sciences, University of Copenhagen, Grønnegårdsvej 7, Frederiksberg C, DK-1870, Denmark.
Egle KudirkieneDepartment of Veterinary and Animal Sciences, University of Copenhagen, Grønnegårdsvej 7, Frederiksberg C, DK-1870, Denmark.
Thomas Hartig BraunsteinDepartment of Biomedical Sciences, University of Copenhagen, Copenhagen N, DK-2200, Denmark.
Kristiane BaringtonDepartment of Veterinary and Animal Sciences, University of Copenhagen, Grønnegårdsvej 7, Frederiksberg C, DK-1870, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobally, 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.

resultsA 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.

conclusionThe 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.

Indexed as

Swine DiseasesUmbilicusAnimalsAnimals, NewbornCase-Control StudiesDenmarkFemaleMaleSwineAntimicrobial reductionClinical diagnosisFluorescence in situ hybridizationHistologyMicrobiologyOmphalitisPathologyPiglets

Identifiers

PMID39920623
PMCPMC11806824

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.