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加拿大用于诊断牛布鲁氏菌病的标准血清学检测方法比较。

A comparison of standard serological tests for the diagnosis of bovine brucellosis in Canada.

作者信息

Stemshorn B W, Forbes L B, Eaglesome M D, Nielsen K H, Robertson F J, Samagh B S

出版信息

Can J Comp Med. 1985 Oct;49(4):391-4.

Abstract

Six agglutination and two complement fixation tests were compared with respect to specificity, sensitivity and relative sensitivity for the serodiagnosis of bovine brucellosis. Based on 1051 sera from brucellosis free herds, the specificity of the tests was 98.9% for the buffered plate antigen test (BPAT), 99.2% and 99.3% for the standard tube and plate agglutination tests (STAT and SPAT), respectively, and 99.8% for the 2-mercaptoethanol test (2MET). On this small sample, the rose bengal plate test (RBPT), card test (CARD) and the complement fixation test (CFT) correctly classed all sera as negative. On a sample of 167 culture positive cattle, the sensitivities of the tests were CFT: 79.0%, BPAT: 75.4, RBPT: 74.9%, CARD: 74.3%, SPAT: 73.1%, STAT: 68.9%, and 2MET: 59.9%. All tests combined detected only 82% of these infected cattle. Analysis of the relative sensitivity of the six agglutination tests gave the following ranking: BPAT greater than RBPT greater than CARD greater than SPAT greater than STAT. The 2MET ranked between the BPAT and RBPT or between the RBPT and CARD depending on the analysis used. The use of the BPAT as a screening test is recommended provided that a test of high specificity and sensitivity such as the CFT is used to confirm screening test reactions.

摘要

对六种凝集试验和两种补体结合试验在牛布鲁氏菌病血清诊断中的特异性、敏感性和相对敏感性进行了比较。基于来自无布鲁氏菌病牛群的1051份血清,缓冲平板抗原试验(BPAT)的试验特异性为98.9%,标准试管凝集试验和平板凝集试验(STAT和SPAT)的特异性分别为99.2%和99.3%,2-巯基乙醇试验(2MET)的特异性为99.8%。在这个小样本中,虎红平板试验(RBPT)、卡片试验(CARD)和补体结合试验(CFT)将所有血清正确分类为阴性。在167份培养阳性牛的样本中,各试验的敏感性分别为:CFT:79.0%,BPAT:75.4%,RBPT:74.9%,CARD:74.3%,SPAT:73.1%,STAT:68.9%,2MET:59.9%。所有试验联合起来仅检测出这些感染牛中的82%。对六种凝集试验相对敏感性的分析得出以下排名:BPAT大于RBPT大于CARD大于SPAT大于STAT。根据所采用的分析方法,2MET的排名介于BPAT和RBPT之间或RBPT和CARD之间。如果使用高特异性和敏感性的试验(如CFT)来确认筛查试验反应,建议使用BPAT作为筛查试验。

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