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A multidisciplinary approach to diagnose naturally occurring bovine tuberculosis in Brazil

机译:诊断巴西自然发生的牛结核病的多学科方法

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A herd infected naturally with tuberculosis was investigated by different diagnostic methods. Ninety days after a screening test that identified 21 cows as skin test positive, a Comparative Intradermal Tuberculin Test (CITT) was performed in those 21 cows and in 29 other randomly selected skin test negative cows. Milk samples and nasal swabs were collected prior to the CITT for bacteriological culture and PCR, while blood samples were collected for IFN release and antibody responses to MPB70 and MPB83, at three time points post tuberculin injection. Animals positive by CITT were slaughtered and disease confirmation undertaken. Based on the Kappa test, IFN was comparable to the standard tests (culture, PCR and CITT) at all three sampling points. Results from both antibody ELISAs were similar but were not comparable to the standard tests. T-test analysis of the CITT, IFN and ELISAs demonstrated that their performances were not correlated. There is increasing recognition that individually, available diagnostic tests do not detect all infected cattle. Therefore, a comprehensive strategy for the diagnosis of bovine TB should include test results for the detection of both cellular and humoral immune responses where there may be animals at different stages of infection.
机译:通过不同的诊断方法对自然感染了结核病的牛群进行了调查。在筛选试验中确认21头母牛为皮肤试验阳性的90天后,对这21头母牛和其他29例随机选择的皮肤试验阴性母牛进行了比较皮内结核菌素试验(CITT)。在结核菌素注射后的三个时间点,在CITT之前收集牛奶样品和鼻拭子以进行细菌培养和PCR,同时收集血液样品中的IFN释放和对MPB70和MPB83的抗体反应。屠杀CITT阳性的动物并进行疾病确认。根据Kappa测试,在所有三个采样点上,IFN均与标准测试(培养,PCR和CITT)相当。两种抗体ELISA的结果均相似,但与标准测试不符。 CITT,IFN和ELISA的T检验分析表明,它们的性能不相关。越来越多的人认识到,可用的诊断测试不能单独检测出所有感染的牛。因此,诊断牛结核的综合策略应包括检测细胞和体液免疫反应的测试结果,其中可能存在动物处于不同感染阶段。

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