Chambers Mark A, Lyashchenko Konstantin P, Greenwald Rena, Esfandiari Javan, James Eurig, Barker Leslie, Jones Jeff, Watkins Gavin, Rolfe Simon
TB Research Group, Department of Statutory and Exotic Bacterial Diseases, Veterinary Laboratories Agency Weybridge, New Haw, Surrey KT15 3NB, UK.
Clin Vaccine Immunol. 2010 Mar;17(3):408-11. doi: 10.1128/CVI.00424-09. Epub 2009 Dec 30.
Between October 2005 and May 2006, a total of 727 badgers found dead in Wales were reported, and 550 were delivered to the Regional Laboratories of the Veterinary Laboratories Agency (VLA). Of the 459 carcasses suitable for examination, 55 were deemed to be infected with Mycobacterium bovis on the basis of culture, spoligotyping, and variable-number tandem repeat typing. Acid-fast bacteria were observed histologically in a further six badgers, but these bacteria were not confirmed as M. bovis by culture. A rapid serological test (BrockTB Stat-Pak) performed on thoracic blood showed a sensitivity of 35% and a specificity of 99%. Presence of M. bovis infection was 45 times more likely to be confirmed postmortem by culture in BrockTB Stat-Pak-reactive animals than in seronegative ones. Using visible carcass lesions as a marker of bovine tuberculosis (bTB) infection had a similar sensitivity (38%) but was significantly less specific (84%) than serology. The overall accuracy of the antibody detection was 93% (346 correct results from 374 tests), whereas the accuracy of regarding visible lesions as a marker for bTB infection was 78% (354 correct from 453 carcasses examined). Culture remains the gold standard method for detecting M. bovis infection in badgers. However, where resources are limited and/or an instant result is preferred, the BrockTB Stat-Pak could be used in field surveillance efforts to identify animals which should be examined further by only submitting test-negative animals to more detailed postmortem examination and culture.
在2005年10月至2006年5月期间,威尔士共报告了727只死亡獾,其中550只被送到了兽医实验室机构(VLA)的区域实验室。在459具适合检查的尸体中,根据培养、间隔寡核苷酸分型(spoligotyping)和可变数目串联重复序列分型(variable-number tandem repeat typing),有55只被判定感染了牛分枝杆菌。在另外6只獾的组织学检查中观察到抗酸菌,但这些细菌经培养未被确认为牛分枝杆菌。对胸腔血液进行的快速血清学检测(BrockTB Stat-Pak)显示敏感性为35%,特异性为99%。在BrockTB Stat-Pak检测呈阳性的动物中,死后通过培养确诊感染牛分枝杆菌的可能性是血清阴性动物的45倍。将可见的尸体损伤作为牛结核病(bTB)感染的标志物,其敏感性相似(38%),但特异性明显低于血清学检测(84%)。抗体检测的总体准确率为93%(374次检测中有346次结果正确),而将可见损伤作为bTB感染标志物的准确率为78%(453具检查尸体中有354次正确)。培养仍然是检测獾感染牛分枝杆菌的金标准方法。然而,在资源有限和/或更希望得到即时结果的情况下,BrockTB Stat-Pak可用于现场监测工作,仅将检测呈阴性的动物送去进行更详细的死后检查和培养,以确定哪些动物需要进一步检查。