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密歇根州MAPIA作为疑似结核病牛生前补充检测的评估。

An Evaluation of MAPIA in Michigan as an Ante-Mortem Supplemental Test for Use in Suspect Tuberculosis Cattle.

作者信息

Fitzgerald Scott D, Grodi Heather A, Kaneene John B

机构信息

Department of Pathobiology and Diagnostic Investigation, College of Veterinary Medicine and the Diagnostic Center for Population and Animal Health, Michigan State University, Lansing, MI 48910, USA.

出版信息

Vet Med Int. 2012;2012:674368. doi: 10.1155/2012/674368. Epub 2012 Apr 10.

Abstract

The objective of this study was to make use of bovine tuberculosis suspect cattle from the state of Michigan to validate a multiantigen print immunoassay for use on sera to serve as an improved supplementary ante-mortem test to increase specificity of current tuberculosis testing methods. Over a 27-month period, 234 sera were collected and tested by MAPIA method, which was evaluated using four different interpretation criteria. These results were subsequently compared to final mycobacterial culture and PCR results obtained by the National Veterinary Services Laboratories, Ames, IA, which served as the true indicator of the cattle's tuberculosis infection status. This study indicates that an interpretation criterion which includes 3 or more positive reactions to the 11 different mycobacteria antigens utilized provided both an acceptable sensitivity (69.39%) and a high specificity (90.27%). This MAPIA technique shows potential for eventual application as a supplementary ante-mortem tuberculosis serologic test following one of the various current or soon-to-be-approved whole herd screening assays as part of a tuberculosis eradication program.

摘要

本研究的目的是利用密歇根州的牛结核病疑似病牛,验证一种用于血清检测的多抗原印迹免疫测定法,作为一种改进的补充生前检测方法,以提高当前结核病检测方法的特异性。在27个月的时间里,收集了234份血清并采用MAPIA方法进行检测,该方法使用四种不同的判读标准进行评估。随后将这些结果与美国衣阿华州埃姆斯市国家兽医服务实验室获得的最终分枝杆菌培养和PCR结果进行比较,这些结果作为牛结核病感染状况的真实指标。本研究表明,对所使用的11种不同分枝杆菌抗原出现3个或更多阳性反应的判读标准,既提供了可接受的敏感性(69.39%),又具有较高的特异性(90.27%)。这种MAPIA技术显示出最终有可能作为一种补充生前结核病血清学检测方法应用,该检测方法是在当前或即将获批的各种全群筛查检测方法之一之后,作为结核病根除计划的一部分。

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