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野生动物疾病复杂性:生前与死后诊断当前应用综述

complex in wildlife: Review of current applications of antemortem and postmortem diagnosis.

作者信息

Lekko Yusuf Madaki, Ooi Peck Toung, Omar Sharina, Mazlan Mazlina, Ramanoon Siti Zubaidah, Jasni Sabri, Jesse Faez Firdaus Abdullah, Che-Amat Azlan

机构信息

Department of Veterinary Clinical Studies, Faculty of Veterinary Medicine, Universiti Putra Malaysia, 43400 UPM Serdang, Selangor, Malaysia.

Department of Veterinary Medicine, Faculty of Veterinary Medicine, University of Maiduguri, 1069 PMB, Maiduguri, Borno State, Nigeria.

出版信息

Vet World. 2020 Sep;13(9):1822-1836. doi: 10.14202/vetworld.2020.1822-1836. Epub 2020 Sep 9.

Abstract

Tuberculosis (TB) is a chronic inflammatory and zoonotic disease caused by complex (MTBC) members, which affects various domestic animals, wildlife, and humans. Some wild animals serve as reservoir hosts in the transmission and epidemiology of the disease. Therefore, the monitoring and surveillance of both wild and domestic hosts are critical for prevention and control strategies. For TB diagnosis, the single intradermal tuberculin test or the single comparative intradermal tuberculin test, and the gamma-interferon test, which is regarded as an ancillary test, are used. Postmortem examination can identify granulomatous lesions compatible with a diagnosis of TB. In contrast, smears of the lesions can be stained for acid-fast bacilli, and samples of the affected organs can be subjected to histopathological analyses. Culture is the gold standard test for isolating mycobacterial bacilli because it has high sensitivity and specificity compared with other methods. Serology for antibody detection allows the testing of many samples simply, rapidly, and inexpensively, and the protocol can be standardized in different laboratories. Molecular biological analyses are also applicable to trace the epidemiology of the disease. In conclusion, reviewing the various techniques used in MTBC diagnosis can help establish guidelines for researchers when choosing a particular diagnostic method depending on the situation at hand, be it disease outbreaks in wildlife or for epidemiological studies. This is because a good understanding of various diagnostic techniques will aid in monitoring and managing emerging pandemic threats of infectious diseases from wildlife and also preventing the potential spread of zoonotic TB to livestock and humans. This review aimed to provide up-to-date information on different techniques used for diagnosing TB at the interfaces between wildlife, livestock, and humans.

摘要

结核病(TB)是一种由复合分枝杆菌(MTBC)成员引起的慢性炎症性人畜共患病,可影响各种家畜、野生动物和人类。一些野生动物是该疾病传播和流行病学中的储存宿主。因此,对野生和家养宿主进行监测对于预防和控制策略至关重要。对于结核病诊断,可采用单次皮内结核菌素试验或单次比较皮内结核菌素试验,以及被视为辅助试验的γ-干扰素试验。尸检可识别与结核病诊断相符的肉芽肿性病变。相比之下,病变涂片可进行抗酸杆菌染色,受影响器官的样本可进行组织病理学分析。培养是分离分枝杆菌的金标准检测方法,因为与其他方法相比,它具有较高的敏感性和特异性。用于抗体检测的血清学检测可简单、快速且低成本地检测许多样本,并且该方案可在不同实验室进行标准化。分子生物学分析也适用于追踪该疾病的流行病学。总之,回顾MTBC诊断中使用的各种技术有助于为研究人员制定指导方针,以便根据手头的情况选择特定的诊断方法,无论是野生动物疾病爆发还是用于流行病学研究。这是因为深入了解各种诊断技术将有助于监测和管理来自野生动物的传染病新出现的大流行威胁,并防止人畜共患结核病向家畜和人类的潜在传播。本综述旨在提供有关在野生动物、家畜和人类界面诊断结核病所使用的不同技术的最新信息。

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