Clinic of Small Animal Medicine, Centre for Clinical Veterinary Medicine, LMU Munich, Veterinaerstrasse 13, 80539 Munich, Germany.
Clinic of Small Animal Surgery and Reproduction, Centre for Clinical Veterinary Medicine, LMU Munich, Veterinaerstrasse 13, 80539 Munich, Germany.
Viruses. 2020 Dec 23;13(1):18. doi: 10.3390/v13010018.
Measuring antibodies to evaluate dogs' immunity against canine parvovirus (CPV) is useful to avoid unnecessary re-vaccinations. The study aimed to evaluate the quality and practicability of four point-of-care (POC) tests for detection of anti-CPV antibodies. The sera of 198 client-owned and 43 specific pathogen-free (SPF) dogs were included; virus neutralization was the reference method. Specificity, sensitivity, positive and negative predictive value (PPV and NPV), and overall accuracy (OA) were calculated. Specificity was considered to be the most important indicator for POC test performance. Differences between specificity and sensitivity of POC tests in the sera of all dogs were determined by McNemar, agreement by Cohen's kappa. Prevalence of anti-CPV antibodies in all dogs was 80% (192/241); in the subgroup of client-owned dogs, it was 97% (192/198); and in the subgroup of SPF dogs, it was 0% (0/43). FASTest and CanTiCheck were easiest to perform. Specificity was highest in the CanTiCheck (overall dogs, 98%; client-owned dogs, 83%; SPF dogs, 100%) and the TiterCHEK (overall dogs, 96%; client-owned dogs, 67%; SPF dogs, 100%); no significant differences in specificity were observed between the ImmunoComb, the TiterCHEK, and the CanTiCheck. Sensitivity was highest in the FASTest (overall dogs, 95%; client-owned dogs, 95%) and the CanTiCheck (overall dogs, 80%; client-owned dogs, 80%); sensitivity of the FASTest was significantly higher compared to the one of the other three tests (McNemars -value in each comparison: <0.001). CanTiCheck would be the POC test of choice when considering specificity and practicability. However, differences in the number of false positive results between CanTiCheck, TiterCHEK, and ImmunoComb were minimal.
评估犬抗细小病毒(CPV)抗体以评估犬的免疫力对于避免不必要的重复接种疫苗很有用。本研究旨在评估四种即时检测(POC)试验检测抗 CPV 抗体的质量和实用性。纳入了 198 只客户所有的和 43 只特定病原体无(SPF)犬的血清;病毒中和试验为参考方法。计算了特异性、敏感性、阳性和阴性预测值(PPV 和 NPV)和总准确性(OA)。特异性被认为是 POC 试验性能的最重要指标。通过 McNemar 确定了 POC 试验在所有犬血清中的特异性和敏感性之间的差异,通过 Cohen 的 kappa 确定了一致性。所有犬的抗 CPV 抗体的流行率为 80%(192/241);在客户所有的犬亚组中,流行率为 97%(192/198);在 SPF 犬亚组中,流行率为 0%(0/43)。FASTest 和 CanTiCheck 最容易操作。CanTiCheck 的特异性最高(所有犬,98%;客户所有的犬,83%;SPF 犬,100%)和 TiterCHEK(所有犬,96%;客户所有的犬,67%;SPF 犬,100%);在 ImmunoComb、TiterCHEK 和 CanTiCheck 之间,特异性没有观察到显著差异。FASTest 和 CanTiCheck 的敏感性最高(所有犬,95%;客户所有的犬,95%);FASTest 的敏感性明显高于其他三种试验(在每种比较中 McNemar 值:<0.001)。当考虑特异性和实用性时,CanTiCheck 将是 POC 试验的首选。然而,CanTiCheck、TiterCHEK 和 ImmunoComb 之间假阳性结果的数量差异很小。