免疫层析试验和酶联免疫吸附试验检测谷氨酸脱氢酶(GDH)和 A/B 毒素可作为驹和新生仔猪艰难梭菌相关性腹泻诊断的替代方法。
Immunochromatographic test and ELISA for the detection of glutamate dehydrogenase (GDH) and A/B toxins as an alternative for the diagnosis of Clostridioides (Clostridium) difficile-associated diarrhea in foals and neonatal piglets.
机构信息
Veterinary School, Universidade Federal de Minas Gerais, Antônio Carlos Avenue, Belo Horizonte, MG, Brazil.
出版信息
Braz J Microbiol. 2020 Sep;51(3):1459-1462. doi: 10.1007/s42770-020-00275-4. Epub 2020 May 3.
Considering the lack of studies evaluating the performance of commercially available methods for diagnosis of Clostridioides (Clostridium) difficile infection (CDI) in animals, the present study aimed to assess an immunochromatographic test for detection of glutamate dehydrogenase (GDH) and A/B toxins of C. difficile, also evaluated by an ELISA kit, in foals and neonatal piglets. Intestinal contents of 47 piglets and feces of 35 foals were tested to GDH antigen and A/B toxins in a lateral flow method (Ecodiagnostica, Brazil). Also, these samples were submitted to A/B toxin detection by an ELISA kit (C. difficile Tox A/B II, Techlab Inc., USA), using the toxigenic culture (TC) as the reference method. The GDH component of the lateral flow test showed sensitivity and negative predictive value (NPV) of 100% and a high specificity in samples of piglets (82.61%) and foals (100%). Detection of A/B toxins using the lateral flow test and the ELISA resulted in a specificity of 100% in samples of both species. On the other hand, the sensibility ranged from 54.2 to 90% for the ELISA and from 12.5 to 60% for the lateral flow test for piglets' and foals' samples, respectively. In conclusion, the present work suggests that the lateral flow test for GDH detection could be a useful method for diagnosing CDI in these species. On the other hand, the low sensitivity of the lateral flow test for A/B toxins might compromise its utility in piglets.
鉴于缺乏评估市售方法在诊断动物艰难梭菌(Clostridioides)感染(CDI)方面性能的研究,本研究旨在评估一种免疫层析试验,用于检测谷氨酸脱氢酶(GDH)和艰难梭菌 A/B 毒素,该试验也通过 ELISA 试剂盒进行评估,用于检测驹和新生仔猪。采用侧向流动法(巴西 Ecodiagnostica)检测了 47 头仔猪的肠内容物和 35 头驹的粪便中的 GDH 抗原和 A/B 毒素。此外,这些样本还通过 ELISA 试剂盒(C. difficile Tox A/B II,Techlab Inc.,美国)进行 A/B 毒素检测,使用产毒培养(TC)作为参考方法。侧向流动试验的 GDH 成分在仔猪(100%)和驹(100%)样本中具有 100%的敏感性和阴性预测值(NPV),且特异性较高。使用侧向流动试验和 ELISA 检测 A/B 毒素在两种物种的样本中均具有 100%的特异性。另一方面,ELISA 的敏感性范围为 54.2%至 90%,而侧向流动试验的敏感性范围为 12.5%至 60%,分别用于仔猪和驹的样本。总之,本研究表明,用于检测 GDH 的侧向流动试验可能是诊断这些物种 CDI 的有用方法。另一方面,A/B 毒素侧向流动试验的低敏感性可能会影响其在仔猪中的应用。
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