用于诊断布鲁氏菌病的间接血凝试验:过去、现在和未来

M. Mikailov, S. Gunashev, E. A. Yanikova, A. A. Halikov, A. Bulashev
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引用次数: 0

摘要

布鲁氏菌病是一种人畜共患病,给全世界的畜牧业生产造成巨大损失,并对公众健康产生重大影响。由于旅游业的增长和移民的扩大,目前没有一个无布鲁氏菌病的国家能够保证其防止病原体传入的能力。及时发现受感染的动物是预防布鲁氏菌病并将流行风险降至最低的有效手段。试管凝集试验、罗斯孟加拉平板试验、补体固定试验和酶联免疫吸附试验是鉴定血清阳性生产动物的常规方法,但这些方法都有局限性,而且结果并不总是相关。间接血凝试验(IHA)在非传统方法中脱颖而出,因为它价格低廉、方案简单,而且比传统的血清学试验更可靠,尤其是在出现可疑和/或假阴性结果的情况下。长期以来,多个国家的实验室一直在研究 IHA 的诊断价值,但主要是由后苏联的研究团队进行的;因此,研究结果继续发表在俄文期刊上,确保当地科学界能够获得研究结果。此外,该检测方法在诊断布鲁氏菌病和其他传染病方面的功效尚未得到审查。本综述旨在总结有关开发和使用 IHA 诊断布鲁氏菌病的研究结果,并确定进一步改进的前景。关键词:布鲁氏菌病;诊断价值;间接血凝试验;改进前景;血清学试验。
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Indirect hemagglutination assay for diagnosing brucellosis: Past, present, and future
Brucellosis is a zoonotic disease that causes enormous losses in livestock production worldwide and has a significant public health impact. None of the brucellosis-free countries is currently able to guarantee their ability to prevent the introduction of the pathogen due to the increase in tourism and the expansion of migration. The timely identification of infected animals is an effective means of preventing brucellosis and minimizing the epidemiological risk. The tube agglutination test, Rose Bengal plate test, complement fixation test, and enzyme-linked immunosorbent assay, which are routinely used to identify seropositive productive animals, have limitations and results that do not always correlate. The indirect hemagglutination assay (IHA) stands out among non-traditional methods because it is affordable, has a simple protocol, and is more reliable than classical serological tests, especially in cases of questionable and/or false-negative results. The diagnostic value of the IHA has long been studied by laboratories in several countries, but mostly by post-soviet research teams; therefore, the results continue to be published in Russian-language journals, ensuring that the local scientific community can access the results. In addition, the efficacy of this test for the diagnosis of brucellosis and other infectious diseases has not yet been reviewed. The purpose of this review was to summarize the results of studies on the development and use of IHA for the diagnosis of brucellosis and to determine the prospects for further improvement Keywords: brucellosis, diagnostic value, indirect hemagglutination assay, prospects for improving the test, serological tests.
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