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使用潜在类别贝叶斯模型评估粪便培养和粪便逆转录聚合酶链反应检测奶山羊和奶绵羊粪便中副结核分枝杆菌脱落情况。

Evaluation of fecal culture and fecal RT-PCR to detect Mycobacterium avium ssp. paratuberculosis fecal shedding in dairy goats and dairy sheep using latent class Bayesian modeling.

作者信息

Bauman Cathy A, Jones-Bitton Andria, Jansen Jocelyn, Kelton David, Menzies Paula

机构信息

Department of Population Medicine, University of Guelph, Guelph, Ontario, N1G 2W1, Canada.

Veterinary Science & Policy Unit, Animal Health and Welfare Branch, Ontario Ministry of Agriculture, Food & Rural Affairs, Elora, Ontario, N0B 1S0, Canada.

出版信息

BMC Vet Res. 2016 Sep 20;12:212. doi: 10.1186/s12917-016-0814-5.

DOI:10.1186/s12917-016-0814-5
PMID:27645908
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5029031/
Abstract

BACKGROUND

The study's objective was to evaluate the ability of fecal culture (FCUL) and fecal PCR (FPCR) to identify dairy goat and dairy sheep shedding Mycobacterium avium ssp. paratuberculosis. A cross-sectional study of the small ruminant populations was performed in Ontario, Canada between October 2010 and August 2011. Twenty-nine dairy goat herds and 21 dairy sheep flocks were visited, and 20 lactating females > two years of age were randomly selected from each farm resulting in 580 goats and 397 sheep participating in the study. Feces were collected per rectum and cultured using the BD BACTEC™ MGIT™ 960 system using a standard (49 days) and an extended (240 days) incubation time, and underwent RT-PCR based on the hsp-X gene (Tetracore®). Statistical analysis was performed using a 2-test latent class Bayesian hierarchical model for each species fitted in WinBUGS.

RESULTS

Extending the fecal culture incubation time statistically improved FCUL sensitivity from 23.1 % (95 % PI: 15.9-34.1) to 42.7 % (95 % PI: 33.0-54.5) in dairy goats and from 5.8 % (95 % PI: 2.3-12.4) to 19.0 % (95 % PI: 11.9-28.9) in dairy sheep. FPCR demonstrated statistically higher sensitivity than FCUL (49 day incubation) with a sensitivity of 31.9 % (95 % PI: 22.4-43.1) in goats and 42.6 % (95 % PI: 28.8-63.3) in sheep.

CONCLUSIONS

Fecal culture demonstrates such low sensitivity at the standard incubation time it cannot be recommended as a screening test to detect shedding of MAP in either goats or sheep. Extending the incubation time resulted in improved sensitivity; however, it is still disappointingly low for screening purposes. Fecal PCR should be the screening test of choice in both species; however, it is important to recognize that control programs should not be based on testing alone when they demonstrate such low sensitivity.

摘要

背景

本研究的目的是评估粪便培养(FCUL)和粪便聚合酶链反应(FPCR)鉴定奶山羊和奶绵羊排出副结核分枝杆菌的能力。2010年10月至2011年8月在加拿大安大略省对小型反刍动物群体进行了一项横断面研究。走访了29个奶山羊群和21个奶绵羊群,从每个农场随机选取20头两岁以上的泌乳母羊,共有580只山羊和397只绵羊参与研究。经直肠采集粪便,使用BD BACTEC™ MGIT™ 960系统,采用标准(49天)和延长(240天)孵育时间进行培养,并基于hsp-X基因(Tetracore®)进行逆转录聚合酶链反应。使用在WinBUGS中拟合的针对每个物种的双检验潜在类别贝叶斯分层模型进行统计分析。

结果

延长粪便培养孵育时间在统计学上提高了FCUL的敏感性,在奶山羊中从23.1%(95%预测区间:15.9 - 34.1)提高到42.7%(95%预测区间:33.0 - 54.5),在奶绵羊中从5.8%(95%预测区间:2.3 - 12.4)提高到19.0%(95%预测区间:11.9 - 28.9)。FPCR显示出在统计学上比FCUL(49天孵育)更高的敏感性,在山羊中的敏感性为31.9%(95%预测区间:22.4 - 43.1),在绵羊中的敏感性为42.6%(95%预测区间:28.8 - 63.3)。

结论

粪便培养在标准孵育时间下敏感性极低,不能推荐作为检测山羊或绵羊排出副结核分枝杆菌的筛查试验。延长孵育时间提高了敏感性;然而,用于筛查目的时仍然低得令人失望。粪便PCR应是这两个物种的首选筛查试验;然而,重要的是要认识到,当敏感性如此之低时,控制计划不应仅基于检测。

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