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在检测犬瘟热病毒(CDV)抗体方面,临床检测与病毒中和试验的一致性。

Agreement between In-Clinics and Virus Neutralization Tests in Detecting Antibodies against Canine Distemper Virus (CDV).

机构信息

Department of Veterinary Medicine and Animal Sciences, University of Milan, 26900 Lodi, Italy.

Istituto Zooprofilattico Sperimentale della Sicilia "A. Mirri", 90129 Palermo, Italy.

出版信息

Viruses. 2022 Mar 3;14(3):517. doi: 10.3390/v14030517.

Abstract

Core vaccinations and specific antibody titer evaluations are strongly recommended worldwide by all the vaccination guidelines. Virus neutralization (VN) is considered the gold standard for measuring antibody titer against canine distemper virus, but it is complex and time consuming, and the use of in-clinics tests would allow to obtain quicker results. The aim of this study was to evaluate the agreement of the commercial in-clinics VacciCheck test compared to VN. A total of 106 canine sera were analyzed using both methods. The best agreement was obtained using a protective threshold of ≥1:32. VacciCheck showed 95.5% sensitivity, 87.2% specificity, and 92.5% accuracy. The Cohen's kappa coefficient between methods was 0.84 (CI 95% 0.73 to 0.95), revealing an optimal agreement between the two methods ( = 0.0073). The evaluation of discordant results reveal that most samples had less than 1.5 dilution difference, and that usually did not affect the classification as protected or non-protected. Results also suggest that, in dubious cases, especially when a protective result is expected, retesting is advisable. In conclusion, VacciCheck may be considered as a reliable instrument that may help the clinician in identifying the best vaccine protocol, avoiding unnecessary vaccination, and thus reducing the incidence of adverse effects.

摘要

核心疫苗接种和特定抗体滴度评估是世界范围内所有疫苗接种指南强烈推荐的。病毒中和(VN)被认为是测量犬瘟热病毒抗体滴度的金标准,但它复杂且耗时,使用临床检测可以更快地获得结果。本研究旨在评估商业临床 VacciCheck 检测与 VN 的一致性。使用两种方法分析了总共 106 份犬血清。使用保护阈值≥1:32 时,获得了最佳的一致性。VacciCheck 的灵敏度为 95.5%,特异性为 87.2%,准确性为 92.5%。两种方法之间的 Cohen's kappa 系数为 0.84(95%CI 为 0.73 至 0.95),表明两种方法之间具有最佳的一致性(=0.0073)。对不一致结果的评估表明,大多数样本的稀释度差异小于 1.5,通常不会影响作为保护或非保护的分类。结果还表明,在可疑情况下,特别是在预期有保护结果时,建议重新检测。总之,VacciCheck 可以被认为是一种可靠的工具,可以帮助临床医生确定最佳的疫苗方案,避免不必要的接种,从而降低不良反应的发生率。

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