Toribio J-A L M L, Sergeant E S G
Faculty of Veterinary Science, The University of Sydney, Camden NSW 2570, Australia.
Aust Vet J. 2007 Aug;85(8):317-24. doi: 10.1111/j.1751-0813.2007.00188.x.
To compare estimates of ovine Johne's infection prevalence produced by several alternate methods based on pooled faecal culture (PFC) results with prevalence estimates based on individual faecal culture (IFC).
Seven methods for estimating prevalence of infection based on PFC results were incorporated in a computer program, including methods for imperfect test sensitivity and specificity, for variable pool size and a Bayesian method that incorporates prior knowledge about test performance and prevalence. These methods were then used to analyse PFC data at one observation 30 months post-vaccination in a field trial of a killed vaccine for the control of OJD, undertaken on three farms in New South Wales.
Prevalence estimates, for three methods that assume a perfect test, were close to the IFC estimate, whereas for three other methods that assume an imperfect test, the estimated prevalence was generally higher than the IFC estimate. In comparison, the Bayesian approach produced more variable estimates that were substantially higher than the IFC estimate when an inappropriately high prior estimate of prevalence was used.
Despite the limitations of each method, two methods provided accurate and reasonable estimates of the prevalence assessed by IFC in all instances, and are appropriate for the analysis of data from this vaccine trial. One of these methods also has the advantage of allowing for variable pool size. However, further research is needed to develop a method that will simultaneously account for variation in pool size and in test sensitivity and specificity.
比较基于混合粪便培养(PFC)结果的几种替代方法所产生的绵羊副结核感染患病率估计值与基于个体粪便培养(IFC)的患病率估计值。
基于PFC结果估计感染患病率的七种方法被纳入一个计算机程序,包括针对不完善检测敏感性和特异性的方法、针对可变样本量的方法以及一种纳入有关检测性能和患病率先验知识的贝叶斯方法。然后,这些方法被用于分析在新南威尔士州三个农场进行的一种用于控制绵羊进行性肺炎的灭活疫苗田间试验中,接种疫苗30个月后的一次观察中的PFC数据。
对于三种假设检测完美的方法,患病率估计值接近IFC估计值,而对于其他三种假设检测不完美的方法,估计的患病率通常高于IFC估计值。相比之下,当使用过高的患病率先验估计值时,贝叶斯方法产生的估计值变化更大,且大大高于IFC估计值。
尽管每种方法都有局限性,但有两种方法在所有情况下都能提供由IFC评估的患病率的准确合理估计值,并且适用于该疫苗试验数据的分析。其中一种方法还具有允许样本量可变的优点。然而,需要进一步研究以开发一种能同时考虑样本量变化以及检测敏感性和特异性变化的方法。