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

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

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加拿大诊断牛布鲁氏菌病的标准血清学试验的比较。
比较6种凝集试验和2种补体固定试验对牛布鲁氏菌病血清诊断的特异性、敏感性和相对敏感性。基于1051份布氏菌病无病牛群血清,缓冲板抗原试验(BPAT)特异性为98.9%,标准管凝集试验(STAT)和平板凝集试验(SPAT)特异性为99.2%和99.3%,2-硫醇试验(2MET)特异性为99.8%。在这个小样本中,玫瑰板试验(RBPT),卡试验(card)和补体固定试验(CFT)正确地将所有血清分类为阴性。在167头培养阳性牛的样本中,测试的敏感性为CFT: 79.0%, BPAT: 75.4, RBPT: 74.9%, CARD: 74.3%, SPAT: 73.1%, STAT: 68.9%, 2MET: 59.9%。所有检测加起来只检测到82%的感染牛。对六种凝集试验的相对敏感性分析得出以下排名:BPAT大于RBPT大于CARD大于SPAT大于STAT。2MET的排名介于BPAT和RBPT之间或介于RBPT和CARD之间,具体取决于所使用的分析。建议使用BPAT作为筛选试验,前提是使用高特异性和敏感性的试验,如CFT来确认筛选试验反应。
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