MSD Animal Health, Red Oak North, South County Business Park, Leopardstown, Dublin 18, Ireland.
Ir Vet J. 2012 Jul 31;65(1):16. doi: 10.1186/2046-0481-65-16.
Bovine viral diarrhoea (BVD) is an infectious disease of cattle with a worldwide distribution. Herd-level prevalence varies among European Union (EU) member states, and prevalence information facilitates decision-making and monitoring of progress in control and eradication programmes. The primary objective of the present study was to address significant knowledge gaps regarding herd BVD seroprevalence (based on pooled sera) and control on Irish farms, including vaccine usage.
Preliminary validation of an indirect BVD antibody ELISA test (Svanova, Biotech AB, Uppsala, Sweden) using pooled sera was a novel and important aspect of the present study. Serum pools were constructed from serum samples of known seropositivity and pools were analysed using the same test in laboratory replicates. The output from this indirect ELISA was expressed as a percentage positivity (PP) value. Results were used to guide selection of a proposed cut-off (PCO) PP. This indirect ELISA was applied to randomly constructed within-herd serum pools, in a cross-sectional study of a stratified random sample of 1,171 Irish dairy and beef cow herds in 2009, for which vaccination status was determined by telephone survey. The herd-level prevalence of BVD in Ireland (percentage positive herds) was estimated in non-vaccinating herds, where herds were classified positive when herd pool result exceeded PCO PP. Vaccinated herds were excluded because of the potential impact of vaccination on herd classification status. Comparison of herd-level classification was conducted in a subset of 111 non-vaccinating dairy herds using the same ELISA on bulk milk tank (BMT) samples. Associations between possible risk factors (herd size (quartiles)) and herd-level prevalence were determined using chi-squared analysis.
Receiver Operating Characteristics Analysis of replicate results in the preliminary validation study yielded an optimal cut-off PP (Proposed Cut-off percentage positivity - PCO PP) of 7.58%. This PCO PP gave a relative sensitivity (Se) and specificity (Sp) of 98.57% and 100% respectively, relative to the use of the ELISA on individual sera, and was chosen as the optimal cut-off since it resulted in maximization of the prevalence independent Youden's Index.The herd-level BVD prevalence in non-vaccinating herds was 98.7% (95% CI - 98.3-99.5%) in the cross-sectional study with no significant difference between dairy and beef herds (98.3% vs 98.8%, respectively, p = 0.595).An agreement of 95.4% was found on Kappa analysis of herd serological classification when bulk milk and serum pool results were compared in non-vaccinating herds. 19.2 percent of farmers used BVDV vaccine; 81% of vaccinated herds were dairy. A significant association was found between seroprevalence (quartiles) and herd size (quartiles) (p < 0.01), though no association was found between herd size (quartiles) and herd-level classification based on PCO (p = 0.548).
The results from this study indicate that the true herd-level seroprevalence to Bovine Virus Diarrhoea (BVD) virus in Ireland is approaching 100%. The results of the present study will assist with national policy development, particularly with respect to the national BVD eradication programme which commenced recently.
牛病毒性腹泻(BVD)是一种具有世界分布的牛传染病。欧盟成员国之间的畜群流行率存在差异,流行率信息有助于决策,并监测控制和根除计划的进展。本研究的主要目的是解决爱尔兰农场畜群 BVD 血清阳性率(基于混合血清)和控制方面的重大知识空白,包括疫苗使用情况。
使用混合血清对间接 BVD 抗体 ELISA 检测(Svanova,Biotech AB,Uppsala,瑞典)进行初步验证,这是本研究的一个新颖而重要的方面。血清池是由已知血清阳性的血清样本构建的,并且在实验室重复中使用相同的测试对血清池进行分析。间接 ELISA 的输出表示为阳性百分比(PP)值。结果用于指导拟议截断值(PCO)PP 的选择。在 2009 年对爱尔兰 1171 个奶牛和肉牛畜群进行的分层随机抽样的横断面研究中,将这种间接 ELISA 应用于随机构建的畜群内混合血清池,同时通过电话调查确定了疫苗接种情况。爱尔兰 BVD 的畜群流行率(阳性畜群的百分比)在未接种疫苗的畜群中进行了估计,当畜群混合血清池结果超过 PCO PP 时,将畜群归类为阳性。由于疫苗接种对畜群分类状态的潜在影响,排除了接种疫苗的畜群。使用相同的 ELISA 在 111 个非接种疫苗的奶牛畜群的子集中对批量奶罐(BMT)样本进行了畜群水平分类的比较。使用卡方分析确定了可能的风险因素(畜群规模(四分位数))与畜群流行率之间的关联。
初步验证研究中重复结果的接收者操作特征分析得出了一个最佳截断值 PP(建议截断值阳性百分比-PCO PP)为 7.58%。与使用个体血清的 ELISA 相比,该 PCO PP 具有 98.57%的相对灵敏度(Se)和 100%的相对特异性(Sp),并选择作为最佳截断值,因为它使独立的 Youden 指数最大化了流行率。在横断面研究中,未接种疫苗的畜群 BVD 的畜群流行率为 98.7%(95%CI - 98.3-99.5%),奶牛和肉牛畜群之间没有显著差异(分别为 98.3%和 98.8%,p = 0.595)。在非接种疫苗的畜群中,对批量奶和血清池结果进行比较时,Kappa 分析显示畜群血清学分类的一致性为 95.4%。19.2%的农民使用了 BVDV 疫苗;接种疫苗的畜群中 81%是奶牛。血清流行率(四分位数)与畜群规模(四分位数)之间存在显著关联(p < 0.01),但在基于 PCO 的畜群水平分类方面,畜群规模(四分位数)与畜群水平分类之间没有关联(p = 0.548)。
本研究的结果表明,爱尔兰牛病毒性腹泻(BVD)病毒的真实畜群血清流行率接近 100%。本研究的结果将有助于国家政策的制定,特别是最近开始的国家 BVD 根除计划。