RT Journal Article T1 Once bitten twice shy: Risk factors associated with bovine tuberculosis recurrence in Castilla y Leon, Spain A1 Pozo Piñol, Pilar A1 Bezos Garrido, Javier A1 Romero Martínez, Beatriz A1 Grau, Anna A1 Nacar, Jesus A1 Saez, Jose Luis A1 Minguez, Olga A1 Álvarez Sánchez, Julio AB Persistence of bovine tuberculosis (bTB) in cattle herd remains a major challenge in disease elimination due to the ineffectual removal of all infected animals in a bTB breakdown. Characterization of herds with a higher probability of experiencing further bTB breakdowns can help to implement specific risk-based policies for disease control and eradication. Here, our aim was to identify herd- and breakdown-level risk factors in bTB infected herds in Castilla y Leon, Spain, associated with a decreased time to recurrence and an increased risk of recurrence using a mixed effects Cox proportional hazards model and a multivariable logistic regression model, respectively. Results revealed that location (province), herd size and number of incoming animals/contacts were good predictors of a decreased time to bTB recurrence and an increased risk of becoming a recurrent herd. Additionally, the duration of the previous outbreak and the number of IFN-γ herd-tests applied in it were associated with increased odds of (an early) recurrence. Risk factors identified here can be used for early identification of herds in which bTB eradication may be more challenging and that should thus be subjected to increased control efforts. The characterization of high-risk herds may help to minimize the risk of reinfection and emphasize early detection and removal of bTB positive animals in the herd. PB Elsevier SN 0034-5288 YR 2023 FD 2023-06 LK https://hdl.handle.net/20.500.14352/107527 UL https://hdl.handle.net/20.500.14352/107527 LA eng NO Pozo, P., Bezos, J., Romero, B., Grau, A., Nacar, J., Saez, J. L., Minguez, O., & Alvarez, J. (2023). Once bitten twice shy: Risk factors associated with bovine tuberculosis recurrence in Castilla y Leon, Spain. Research in veterinary science, 159, 72–80. https://doi.org/10.1016/j.rvsc.2023.04.011 NO Ministerio de Ciencia, Innovación y Universidades (España) NO Ministerio de Agricultura, Pesca y Alimentación (España) NO European Union NO Agencia Estatal de Investigacion NO Ministerio de Economía, Comercio y Empresa (España) DS Docta Complutense RD 9 abr 2025