Zeeh F, Kuhnert P, Miserez R, Doherr M G, Zimmermann W
Departement für klinische Veterinärmedizin, Abteilung für Schweinemedizin, Universität Bern, Schweiz.
Schweiz Arch Tierheilkd. 2005 Sep;147(9):373-9. doi: 10.1024/0036-7281.147.9.373.
Enzootic pneumonia (EP) of pigs, caused by Mycoplasma hyopneumoniae has been a notifiable disease in Switzerland since May 2003. The diagnosis of EP has been based on multiple methods, including clinical, bacteriological and epidemiological findings as well as pathological examination of lungs (mosaic diagnosis). With the recent development of a real-time PCR (rtPCR) assay with 2 target sequences a new detection method for M. hyopneumoniae became available. This assay was tested for its applicability to nasal swab material from live animals. Pigs from 74 herds (average 10 pigs per herd) were tested. Using the mosaic diagnosis, 22 herds were classified as EP positive and 52 as EP negative. From the 730 collected swab samples we were able to demonstrate that the rtPCR test was 100% specific. In cases of cough the sensitivity on herd level of the rtPCR is 100%. On single animal level and in herds without cough the sensitivity was lower. In such cases, only a positive result would be proof for an infection with M. hyopneumoniae. Our study shows that the rtPCR on nasal swabs from live pigs allows a fast and accurate diagnosis in cases of suspected EP.
自2003年5月起,由猪肺炎支原体引起的猪地方流行性肺炎(EP)在瑞士成为须申报的疾病。EP的诊断基于多种方法,包括临床、细菌学和流行病学检查结果以及肺部病理检查(综合诊断)。随着一种具有2个靶序列的实时PCR(rtPCR)检测方法的近期开发,一种新的猪肺炎支原体检测方法问世。对该检测方法在活体动物鼻拭子样本中的适用性进行了测试。对来自74个猪群(每个猪群平均10头猪)的猪进行了检测。采用综合诊断方法,22个猪群被分类为EP阳性,52个猪群为EP阴性。从收集的730份拭子样本中,我们能够证明rtPCR检测具有100%的特异性。在有咳嗽症状的情况下,rtPCR在猪群水平上的敏感性为100%。在个体动物水平以及无咳嗽症状的猪群中,敏感性较低。在这种情况下,只有阳性结果才能证明感染了猪肺炎支原体。我们的研究表明,对活猪鼻拭子进行rtPCR检测,在疑似EP病例中可实现快速准确的诊断。