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ISO 6579:2002/Amd 1:2007 标准方法检测屠宰猪肠系膜淋巴结中沙门氏菌属的灵敏度。

Sensitivity of the ISO 6579:2002/Amd 1:2007 standard method for detection of Salmonella spp. on mesenteric lymph nodes from slaughter pigs.

机构信息

Centro de Investigación y Tecnología Agroalimentaria (CITA) de Aragón, Zaragoza, Spain.

出版信息

J Clin Microbiol. 2013 Jan;51(1):89-94. doi: 10.1128/JCM.02099-12. Epub 2012 Oct 24.

Abstract

The ISO 6579:2002/Amd 1:2007 (ISO) standard has been the bacteriological standard method used in the European Union for the detection of Salmonella spp. in pig mesenteric lymph nodes (MLN), but there are no published estimates of the diagnostic sensitivity (Se) of the method in this matrix. Here, the Se of the ISO (Se(ISO)) was estimated on 675 samples selected from two populations with different Salmonella prevalences (14 farms with a ≥ 20% prevalence and 13 farms with a <20% prevalence) and through the use of latent-class models in concert with Bayesian inference, assuming 100% ISO specificity, and an invA-based PCR as the second diagnostic method. The Se(ISO) was estimated to be close to 87%, while the sensitivity of the PCR reached up to 83.6% and its specificity was 97.4%. Interestingly, the bacteriological reanalysis of 33 potential false-negative (PCR-positive) samples allowed isolation of 19 (57.5%) new Salmonella strains, improving the overall diagnostic accuracy of the bacteriology. Considering the usual limitations of bacteriology regarding Se, these results support the adequacy of the ISO for the detection of Salmonella spp. from MLN and also that of the PCR-based method as an alternative or complementary (screening) test for the diagnosis of pig salmonellosis, particularly considering the cost and time benefits of the molecular procedure.

摘要

国际标准化组织 6579:2002/Amd 1:2007(ISO)标准一直是欧盟用于检测猪肠系膜淋巴结(MLN)中沙门氏菌属的细菌学标准方法,但在这种基质中,该方法的诊断灵敏度(Se)尚无公布的估计值。在这里,使用潜伏类模型与贝叶斯推理相结合,假设 ISO 特异性为 100%,并将 invA 为基础的 PCR 作为第二种诊断方法,对来自两个沙门氏菌流行率不同的群体(14 个流行率≥20%的农场和 13 个流行率<20%的农场)的 675 个样本进行了 ISO(Se(ISO)) 的估计。Se(ISO)估计接近 87%,而 PCR 的灵敏度最高可达 83.6%,其特异性为 97.4%。有趣的是,对 33 个潜在假阴性(PCR 阳性)样本的细菌学重新分析允许分离出 19 株(57.5%)新的沙门氏菌菌株,从而提高了细菌学的整体诊断准确性。考虑到细菌学通常存在 Se 方面的局限性,这些结果支持 ISO 对 MLN 中沙门氏菌属的检测的充分性,也支持基于 PCR 的方法作为猪沙门氏菌病诊断的替代或补充(筛选)检测方法,特别是考虑到分子程序的成本和时间效益。

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