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Table 1 Clinical scoring systems used in experimental S. suis pig infections (published between 2000 - 2021)

From: A critical review on experimental Streptococcus suis infection in pigs with a focus on clinical monitoring and refinement strategies

Study type

Experimental infection

Observation interval

Humane endpoint

Scoring criteria

Score

Reference

Age of pigs in weeks

Sero-type

Route

path.

4–5

2

i.n.

not defined

score > 2 on attitude or locomotion

body temperature

 < 40.4°C

0

[43]

    

40.5–40.9°C

1

    

41–41.4°C

2

    

41.5–41.9°C

3

    

 > 42°C

4

    

attitude

normal attitude and response to stimuli

0

    

inactive and slow to respond with oculonasal secretions

1

    

only responsive to repeated stimuli

2

    

recumbent, nonresponsive, and unaware of surroundings

3

    

dead

4

    

locomotion

normal gait and posture

0

    

slight incoordination, lameness, and/or joint swelling but rises without assistance

1

    

clearly uncoordinated or lame but stands without assistance

2

    

severe lameness and/or severe ataxia

3

    

dead

4

4–5

2

i.n.

daily

see Li et al. 2007 [101]

[102]

2–3

2

i.n.

daily

meningitis; recumbency due to lameness

respiratory disease see Halbur et al. 1995 [103]

normal-severe

0–6

[37]c

    

CNS/swollen joints, lameness

normal

0

    

mild

1

    

moderate

2

    

severe

3

vac.

6

2

i.n.

twice daily

severe CNS disease or lameness with recumbency

respiratory disease see Halbur et al. 1995  [103]

absence

0

[56]

    

severe

6

    

lameness/CNS

absence

0

    

severe

3

vac.

7

2

i.p.

3/day

score = 3 in either category and body temperature > 40°C for 2 consecutive days

behavior

normal attitude and response to stimuli

0

[75]

    

slight depression with marginally delay in the response to the stimuli, but preserved appetite

1

    

moderate depression, animal only responds to repeated stimuli, reluctant to move, decreased appetite

2

    

severe depression, non-responsive, recumbent, incoordination, diminished appetite

3

    

locomotion

normal gait and posture

0

    

one joint affected, light lameness, but rises and moves without assistance

1

    

moderate lameness, 2–3 joints affected with the swelling but stands without assistance

2

    

severe lameness, ataxia 3–4 joints affected, recumbent and cannot stand or move

3

    

CNS

normal physiological behavior and response to stimuli

0

    

slight incoordination, strabismus

1

    

moderate incoordination, trembling

2

    

severe, lateral or dorsal head inclination, ataxia, opisthotonos, nystagmus, convulsions

3

8

2

i.v.

not defined

severe clinical signs (score > 4)

feed attitude

normal

0

[7]

    

reduced

1

    

anorexia

2

    

behavior

normal

0

    

slightly depressed

1

    

depressed

2

    

moribund, does not stand up

3

    

dead

4

    

lameness

normal

0

    

lameness grade 1, pig avoids movement on the leg

1

    

lameness grade 2, pig does not stand on the leg

2

    

central

nervous

signs

normal

0

    

mild, signs as incoordination are only visible after manipulation of the pig

1

    

moderate, signs as incoordination, head tremor in rest

2

    

Severe, signs as nystagmus, opisthotonos, ataxia

3

vac.

8–9

9

i.v.

8h

body temperature ≥ 40.5°C and apathy and anorexia over 32 h [51] /24 h [24]; polyarthritis; CNS dysfunction; score ≥ 25

body temperature

< 40°C

0

[24, 51]

8

14

i.n.

8h

40.0 – 40.2°C

1

    

40.3 – 40.5°C

2

    

> 40.5°C

3

    

feed intake

good

0

    

moderate

1a

    

ceased

3b

    

lameness

no

0

    

low-grade

1

    

high-grade

3

    

recumbency, polyarthritis

25

    

behavior

fresh

0

    

faint

1

    

listless

10

    

central nervous disorders

25

    

respiratory signs

costo-abdominal

0

    

forced abdominal breathing

1

    

cyanosis (ears)

8

8

2

aerosol

not defined

see Okura et al. 2021 [43] except that only attitude and locomotion is scored

[101]

11–12

2

i.p.

daily

animals unresponsive to stimuli; CNS; lameness score of 3

behavior

physiological

0

[26]

    

depression

1

    

apathy

2

    

locomotion

physiological

0

    

slightly to moderately lame

1

    

severely lame/reluctant to stand

2

    

animal partially/completely down, i.e., animals can rise but lies down again within 10 s

3

    

CNS

absent

0

    

present

1

2–3

2

i.n.

daily

CNS disease; joint swelling, lameness with recumbency

see Thanawongnuwech et al.2000 [37]

[36]c

  1. path. study on pathogenesis, vac. study on vaccination
  2. ascore of 2 in [24]
  3. bscore of 5 in [24]
  4. cPRRSV and S. suis coinfection