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A modified agglutination test for the diagnosis of Besnoitia besnoiti infection

机译:一种改良的凝集试验,用于诊断贝氏疟原虫感染

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Bovine besnoitiosis is caused by Besnoitia besnoiti, an obligate intracellular apicomplexan parasite. Affected animals present cutaneous and systemic manifestations and the disease may lead to considerable economic losses. Although generally associated to tropical and subtropical areas, bovine besnoitiosis is now considered an emergent disease in Europe, due to the increasing number of new cases and apparent geographical expansion. In this study we evaluated the performance of a modified agglutination test (B-MAT) in the serodiagnosis of bovine besnoitiosis in comparison to the indirect immunofluorescent-antibody test (IFAT). To establish optimal protocol conditions we used bovine sera with a known infection status for B. besnoiti infection. Positive animals (n = 36) presented B. besnoiti dermal cysts and anti-B. besnoiti specific antibodies, as determined by the indirect immunofluorescence test (IFAT). Negative animals (n = 103) were from non-endemic areas in Portugal and negative by the IFAT. From here, we evaluated the sensitivity and specificity of the B-MAT relative to the IFAT with a panel of sera from herds with history of bovine besnoitiosis in Portugal, Spain and France (n = 402), using three serum dilutions (1:80, 1:160, 1:320). Considering the positive cut-off at 1:160 serum dilution, the B-MAT showed an almost perfect test agreement with the IFAT; (kappa = 0.968; 95% CI: 0.941-0.996) with a relative sensitivity of 97.2% (95% CI: 94.1-100%) and a relative specificity of 99.3% (95% CI: 98.4-100%). As a simple and inexpensive technique the B-MAT represents a valuable tool for the diagnosis and study of the epidemiology of bovine besnoitiosis
机译:牛血吸虫病是由血吸虫Besnoitia besnoiti引起的,Besnoitia besnoiti是一种专性的细胞内apicomplexan寄生虫。患病动物表现出皮肤和全身表现,这种疾病可能导致可观的经济损失。尽管通常与热带和亚热带地区有关,但由于新病例的增加和明显的地域扩张,牛的贝氏病在欧洲现在被认为是一种突发疾病。在这项研究中,我们与间接免疫荧光抗体试验(IFAT)相比,评估了改良凝集试验(B-MAT)在牛贝氏病的血清学诊断中的性能。为了建立最佳的实验条件,我们使用了已知的B. benositi感染的牛血清。阳性动物(n = 36)表现出B. besnoiti皮肤囊肿和抗-B。间接免疫荧光试验(IFAT)确定的besnoiti特异性抗体。阴性动物(n = 103)来自葡萄牙的非流行地区,而IFAT阴性。在这里,我们使用三种血清稀释液(1:80)评估了葡萄牙,西班牙和法国(n = 402)有牛牛传染病史的人群血清中B-MAT对IFAT的敏感性和特异性。 ,1:160,1:320)。考虑到血清稀释度为1:160时的阳性临界值,B-MAT与IFAT表现出几乎完美的测试协议; (kappa = 0.968; 95%CI:0.941-0.996),相对灵敏度为97.2%(95%CI:94.1-100%),相对特异性为99.3%(95%CI:98.4-100%)。作为一种简单且廉价的技术,B-MAT代表了诊断和研究牛贝氏病流行病学的宝贵工具

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