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Impact of test sensitivity and specificity on pig producer incentives to control Mycobacterium avium infections in finishing pigs

机译:试验敏感性和特异性对生猪生产者控制育成猪中鸟分枝杆菌感染的诱因的影响

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摘要

In this paper we analyze the impact of the sensitivity and specificity of a Mycobacterium avium (Ma) test on pig producer incentives to control Ma in finishing pigs. A possible Ma control system which includes a serodiagnostic test and a penalty on finishing pigs in herds detected with Ma infection was modelled. Using a dynamic optimization model and a grid search of deliveries of herds from pig producers to slaughterhouse, optimal control measures for pig producers and optimal penalty values for deliveries with increased Ma risk were identified for different sensitivity and specificity values. Results showed that higher sensitivity and lower specificity induced use of more intense control measures and resulted in higher pig producer costs and lower Ma seroprevalence. The minimal penalty value needed to comply with a threshold for Ma seroprevalence in finishing pigs at slaughter was lower at higher sensitivity and lower specificity. With imperfect specificity a larger sample size decreased pig producer incentives to control Ma seroprevalence, because the higher number of false positives resulted in an increased probability of rejecting a batch of finishing pigs irrespective of whether the pig producer applied control measures. We conclude that test sensitivity and specificity must be considered in incentive system design to induce pig producers to control Ma in finishing pigs with minimum negative effects.
机译:在本文中,我们分析了分枝分枝杆菌(Ma)的敏感性和特异性对生猪生产者控制育成猪中Ma的诱因的影响。对可能的Ma控制系统进行了建模,该系统包括血清诊断测试和对感染Ma的猪群中的肥育猪的惩罚。使用动态优化模型和从生猪生产者到屠宰场的畜群输送的网格搜索,针对不同的敏感性和特异性值,确定了生猪生产者的最佳控制措施和Ma风险增加的输送的最佳惩罚值。结果表明,较高的敏感性和较低的特异性导致使用更严格的控制措施,并导致较高的生猪生产成本和较低的Ma血清阳性率。在较高的敏感性和较低的特异性下,满足屠宰后肥育猪的Ma血清阳性率阈值所需的最小惩罚值较低。由于不完全的特异性,较大的样本量会降低生猪生产者控制Ma血清阳性率的诱因,因为假阳性数量的增加导致拒绝一批育肥猪的可能性增加,而与生猪生产者是否采用控制措施无关。我们得出结论,在激励系统设计中必须考虑测试的敏感性和特异性,以诱导生猪生产者以最小的负面影响来控制育肥猪的Ma。

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