Mainar-Jaime Raúl C, Atashparvar Nemat, Chirino-Trejo Manuel, Blasco José M
Unidad Sanidad Animal, Centro de Investigación y Tecnología Agroalimentaria (CITA), Gobierno de Aragón, Apdo. Correos 727, 50080 Zaragoza, Spain.
Prev Vet Med. 2008 Jun 15;85(1-2):41-51. doi: 10.1016/j.prevetmed.2007.12.015. Epub 2008 Feb 19.
Large discrepancies are usually found when different ELISAs for the diagnosis of pig salmonellosis are compared. Thus, our main goal was to estimate the diagnostic accuracy through Bayesian approaches of two commercial assays (Svanovir "test A" and HerdCheck "test B") for the detection of antibodies to Salmonella spp. in slaughter pigs. Previously, we estimated the agreement between both tests and their relative sensitivity (Se) and specificity (Sp) with respect to bacteriology on caecal content and ileocaecal lymph nodes. Test A, at a cut-off OD%>or=20%, indicated higher prevalence than test B (OD%>or=10%) (14.6% vs. 8.6%). Relative Se with respect to overall bacteriology was low (approximately 30%) and similar for both tests, but the relative Sp was significantly lower for test A compared to B (88% vs. 95%). Both tests failed to detect some pigs infected with Salmonella serogroups B and C1, which they were supposed to identify. In general, tests showed only fair-to-moderate agreement when they were compared (kappa: 0.41). In the Bayesian models, Se of test A varied between 63% and 77%, while Se of test B was 73%. Sp of A was always lower than that of test B (89% vs. 95%). The implications derived from the use of these imperfect serological tests will have to be accounted for in large-scale Salmonella-control programs.
在比较用于诊断猪沙门氏菌病的不同酶联免疫吸附测定(ELISA)时,通常会发现较大差异。因此,我们的主要目标是通过贝叶斯方法评估两种商业检测方法(Svanovir“检测A”和HerdCheck“检测B”)在检测屠宰猪中沙门氏菌属抗体方面的诊断准确性。此前,我们估计了这两种检测方法之间的一致性,以及它们相对于盲肠内容物和回盲肠淋巴结细菌学检测的相对敏感性(Se)和特异性(Sp)。检测A在临界光密度百分比(OD%)≥20%时显示的患病率高于检测B(OD%≥10%)(14.6%对8.6%)。相对于总体细菌学检测,两种检测方法的相对敏感性都较低(约30%)且相似,但检测A的相对特异性显著低于检测B(88%对95%)。两种检测方法都未能检测出一些感染了B和C1血清型沙门氏菌的猪,而这些猪本应被检测出来。总体而言,两种检测方法比较时仅显示出一般到中等程度的一致性(kappa值:0.41)。在贝叶斯模型中,检测A的敏感性在63%至77%之间变化,而检测B的敏感性为73%。检测A的特异性始终低于检测B(89%对95%)。在大规模沙门氏菌控制计划中,必须考虑使用这些不完善的血清学检测方法所带来的影响。