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埃塞俄比亚单剂量皮内比较颈结核菌素试验诊断单峰骆驼结核病的判读标准评估

Appraisal of interpretation criteria for the single intra-dermal comparative cervical tuberculin test for the diagnosis of tuberculosis in dromedary camels in Ethiopia.

作者信息

Jibril Yasmin, Mamo Gezahegne, Issa Ahmed, Zewude Aboma, Ameni Gobena

机构信息

Department of Clinical Studies, College of Veterinary Medicine and Agriculture, Addis Ababa University, P.O.Box 34, Bishoftu, Ethiopia.

Department of Microbiology, Immunology and Veterinary Public Health, College of Veterinary Medicine and Agriculture, Addis Ababa University, P.O.Box 34, Bishoftu, Ethiopia.

出版信息

Trop Anim Health Prod. 2018 Oct;50(7):1665-1670. doi: 10.1007/s11250-018-1610-y. Epub 2018 May 2.

Abstract

Dromedary camels are the main sources of milk, meat and income for the Ethiopian pastoralists as they withstand the harsh environments of the regions of the country. Tuberculosis (TB) affects dromedary camels causing morbidity and mortality in these animals. Hence, early diagnosis and identification of infected camels play a significant role in reducing the transmission of TB in camels. This study was conducted on 168 camels between October 2014 and July 2015 to evaluate the performance of single intra-dermal comparative cervical tuberculin (SICCT) to diagnose TB in camels. Gross pathology was used as a gold standard to define disease status of each camel. The result showed that at the cutoff value of ≥ 3 mm SICCT had optimum performance with sensitivity and specificity of 60.7 and 85%, respectively. Moreover, at a cutoff ≥ 3 mm, the receiver operating characteristics (ROC) revealed area under the ROC curve was 0.729 (0.615-0.842) which is statistically significant (p = 0.000). Thus, the result of the present study could suggest the use of ≥ 3 mm cutoff value for the diagnosis of TB in dromedary camels in Ethiopia.

摘要

单峰骆驼是埃塞俄比亚牧民获取牛奶、肉类和收入的主要来源,因为它们能够耐受该国这些地区的恶劣环境。结核病(TB)会感染单峰骆驼,导致这些动物发病和死亡。因此,早期诊断和识别受感染的骆驼对于减少骆驼结核病的传播起着重要作用。本研究于2014年10月至2015年7月对168峰骆驼进行,以评估单剂量皮内比较颈侧结核菌素(SICCT)诊断骆驼结核病的性能。大体病理学被用作确定每峰骆驼疾病状态的金标准。结果表明,在截断值≥3毫米时,SICCT具有最佳性能,敏感性和特异性分别为60.7%和85%。此外,在截断值≥3毫米时,受试者工作特征(ROC)曲线下面积为0.729(0.615 - 0.842),具有统计学意义(p = 0.000)。因此,本研究结果表明,在埃塞俄比亚,可使用≥3毫米的截断值来诊断单峰骆驼的结核病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5a4/6763518/8ce5c9bacd2f/11250_2018_1610_Fig1_HTML.jpg

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