[关于检测狗全身传染病的内部测试的实用性概述]。

IF 0.4 4区 农林科学 Q4 VETERINARY SCIENCES Tieraerztliche Praxis Ausgabe Kleintiere Heimtiere Pub Date : 2024-04-01 Epub Date: 2024-05-03 DOI:10.1055/a-2289-1927
Julia Walter-Weingärtner, Michèle Bergmann, Katrin Hartmann
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引用次数: 0

摘要

在检测传染病方面,除了在商业实验室进行的方法外,市场上还有几种护理点(POC)检测方法。这些 POC 检验基于酶联免疫吸附试验(ELISA)或其他免疫层析技术,在兽医实践中可在几分钟内得到结果。本文概述了不同生产商生产的多种 POC 检测试剂盒,用于检测粪便中的副病毒抗原、血液中的密螺旋体(D. Dirofilaria (D.) immitis)抗原以及血液中的包柔氏(B. Borrelia (B.) burgdorferi)、阿那普拉斯(A. Anaplasma (A.) spp.)、埃立克(E. Ehrlichia (E.) spp.)、钩端螺旋体(L. Leptospira (L.) spp.)和婴儿利什曼病(L. Leishmania (L.) infantum)抗体(单一或不同组合)。这些检测的灵敏度和特异性对其在兽医实践中的实用性非常重要。此外,抗体的存在或抗原的检测必须与临床症状的存在相关。用于检测犬细小病毒抗原的 POC 检验具有很高的特异性,但所有评估过的 POC 检验的灵敏度都很低。检测白喉杆菌抗原的 POC 检测具有很高的灵敏度和特异性。由于检测的是雌性成虫子宫内的抗原,因此当只有极少数雌性成虫或只有雄性成虫存在时,检测结果为阴性。检测布氏杆菌抗体的 POC 检测只能说明接触过布氏杆菌,并不能证明患有临床莱姆病,因为这种感染极少引起临床症状。检测噬菌体抗体的 POC 检测也不适用于临床无形体病的诊断。只有在极少数情况下噬菌体感染才会导致临床疾病,而在这些情况下,临床症状会在抗体产生之前出现。检测犬伊蚊抗体的 POC 检测具有极高的灵敏度和特异性。检测婴儿钩端螺旋体和钩端螺旋体抗体的 POC 检测具有很高的特异性和灵敏度。不过,接种疫苗后可能会出现钩端螺旋体抗体阳性结果,因为 POC 检测无法区分野外菌株和接种疫苗后的菌株。
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[Overview on utility of in-house tests for detection of systemic infectious diseases in dogs].

For detection of infectious diseases, several point-of-care (POC) tests are on the market in addition to methods performed in commercial laboratories. These POC tests are based on enzyme-linked immunosorbent assay (ELISA) or other immunochromatographic technologies and present results within few minutes in veterinary practice. This article gives an overview of the utility of numerous POC tests of different manufacturers for detection of parvovirus antigen in feces, Dirofilaria (D.) immitis antigen in blood as well as antibodies against Borrelia (B.) burgdorferi, Anaplasma (A.) spp., Ehrlichia (E.) spp., Leptospira (L.) spp. and Leishmania (L.) infantum in blood (single or in different combinations). Sensitivity and specificity of these tests are important for their usefulness in veterinary practice. Furthermore, presence of antibodies or detection of antigen has to correlate with the presence of clinical signs. POC tests for detection of canine parvovirus antigen have a very high specificity, the sensitivity of all evaluated POC tests, however, is very low. POC tests for detection of D. immitis antigen have a very high sensitivity and specificity. As they detect antigen from the uterus of female adult parasites, test results are negative when only very few female or only male adults are present. POC tests for detection of antibodies against B. burgdorferi only indicate contact with Borrelia spp. and do not prove clinical Lyme disease, as the infection only extremely rarely causes clinical signs. POC tests for detection of antibodies against A. phagocytophilum are also not suitable for diagnosis of clinical anaplasmosis. Infections with A. phagocytophilum only lead to clinical disease in very rare cases and in these, clinical signs occur before the development of antibodies. POC tests for detection of antibodies against E. canis have a very high sensitivity as well as specificity. POC tests for detection of antibodies against L. infantum and Leptospira species (spp.) show a very high specificity and a high sensitivity. However, Leptospira spp. antibody-positive results may occur following vaccination, as the POC tests cannot distinguish between field and vaccination strains.

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来源期刊
CiteScore
0.80
自引率
16.70%
发文量
108
期刊介绍: Die Tierärztliche Praxis wendet sich mit ihren beiden Reihen als einzige veterinärmedizinische Fachzeitschrift explizit an den Großtier- bzw. Kleintierpraktiker und garantiert damit eine zielgruppengenaue Ansprache. Für den Spezialisten bietet sie Original- oder Übersichtsartikel zu neuen Therapie- und Operationsverfahren oder den Einsatz moderner bildgebender Verfahren. Der weniger spezialisierte Tierarzt oder Berufseinsteiger findet auf seinen Berufsalltag zugeschnittene praxisbezogene Beiträge in der Fortbildungsrubrik „Aus Studium und Praxis“. Mit dem hervorgehobenen „Fazit für die Praxis“ am Ende jedes Artikels verschafft sich auch der eilige Leser einen raschen Überblick über die wichtigsten Inhalte dieser modern konzipierten Fachzeitschrift mit den vielen hochwertigen, überwiegend farbigen Abbildungen. In jedem Heft ermöglicht ein ATF-anerkannter Fortbildungsartikel den Erwerb einer ATF-Stunde (Akademie für tierärztliche Fortbildung).
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