Recommendations for reducing response time to foreign animal disease in the United States with point-of-care diagnostic tests.

IF 1.4 3区 农林科学 Q2 VETERINARY SCIENCES
Heather L Simmons, Julie Stowell-Moss, Jeremiah T Saliki, Amy K Swinford, Jonathan Rushton, Ashley Railey, Barbara Martin, Terry Hensley, Kaitlin Thompson, Shridula Hegde
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引用次数: 0

Abstract

Objective: Foreign animal diseases (FADs) are nonnative to the US and threaten animal welfare and economy. During FAD outbreaks, reliance solely on laboratory-based tests challenges response due to cost and turnaround time. Validated point-of-care (POC) diagnostic tests enable early field detection, reduce economic impact, and protect animal welfare. This proposal recommends a national POC diagnostic testing framework for FADs, providing guidance on modifying existing tests and serving as a resource for laboratory diagnosticians.

Methods: In 2022, at the American Association of Veterinary Laboratory Diagnosticians annual meeting, the National Animal Health Laboratory Network (NAHLN) Laboratory Directors Committee evaluated a draft POC testing process. In 2023, 27 stakeholders, including regulatory agencies, industry stakeholders, and diagnostic laboratories from 8 states, evaluated the draft process for distribution, use, and reporting and provided recommendations for validating POC testing.

Results: The 6 steps of the POC testing framework were validated by 27 stakeholders. Recommendations for improving FAD response were submitted to the USDA APHIS Veterinary Services and NAHLN, focusing on validation, importation, licensing, test validity, deployment, communication of results, animal movement, and indemnity.

Conclusions: Through stakeholder evaluation of testing framework, recommendations were provided to the USDA APHIS Veterinary Services and NAHLN for validating each step of POC testing framework, thereby reducing detection and response times during FAD outbreaks while making it cost efficient for producers and public. However, test performance and human behavior should be thoroughly evaluated to reduce variability of results.

Clinical relevance: Point-of-care testing to enable quick and cost-effective FAD response, rapid containment, reduced disease transmission, and improved efficiency motivated the development of a stakeholder-informed revision to the testing framework through qualitative evaluation and expert recommendations.

关于在美国使用即时诊断测试缩短对外来动物疾病反应时间的建议。
目的:外来动物疾病(Foreign animal diseases, FADs)是一种非原产于美国的疾病,对动物福利和经济构成威胁。在口蹄疫爆发期间,由于成本和周转时间的原因,仅依赖实验室检测对应对工作构成挑战。经过验证的即时护理(POC)诊断测试能够实现早期现场检测,减少经济影响,并保护动物福利。该提案建议为口蹄疫建立国家口蹄疫诊断检测框架,为修改现有检测方法提供指导,并作为实验室诊断医师的资源。方法:2022年,在美国兽医实验室诊断医师协会年会上,国家动物卫生实验室网络(NAHLN)实验室主任委员会评估了POC检测流程草案。2023年,来自8个州的27个利益相关者,包括监管机构、行业利益相关者和诊断实验室,评估了分发、使用和报告的流程草案,并提供了验证POC检测的建议。结果:27个利益相关者对POC测试框架的6个步骤进行了验证。改善FAD反应的建议已提交给美国农业部兽医局兽医服务处和NAHLN,重点是验证、进口、许可、测试有效性、部署、结果沟通、动物运动和赔偿。结论:通过利益相关方对检测框架的评估,向美国农业部兽医局兽医处和NAHLN提供了建议,以验证POC检测框架的每个步骤,从而减少了FAD爆发期间的检测和响应时间,同时使生产者和公众具有成本效益。然而,测试性能和人的行为应该被彻底评估,以减少结果的可变性。临床相关性:护理点检测能够实现快速和具有成本效益的FAD反应、快速遏制、减少疾病传播和提高效率,这促使通过定性评估和专家建议,对检测框架进行了告知利益攸关方的修订。
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来源期刊
CiteScore
1.70
自引率
10.00%
发文量
186
审稿时长
3 months
期刊介绍: The American Journal of Veterinary Research supports the collaborative exchange of information between researchers and clinicians by publishing novel research findings that bridge the gulf between basic research and clinical practice or that help to translate laboratory research and preclinical studies to the development of clinical trials and clinical practice. The journal welcomes submission of high-quality original studies and review articles in a wide range of scientific fields, including anatomy, anesthesiology, animal welfare, behavior, epidemiology, genetics, heredity, infectious disease, molecular biology, oncology, pharmacology, pathogenic mechanisms, physiology, surgery, theriogenology, toxicology, and vaccinology. Species of interest include production animals, companion animals, equids, exotic animals, birds, reptiles, and wild and marine animals. Reports of laboratory animal studies and studies involving the use of animals as experimental models of human diseases are considered only when the study results are of demonstrable benefit to the species used in the research or to another species of veterinary interest. Other fields of interest or animals species are not necessarily excluded from consideration, but such reports must focus on novel research findings. Submitted papers must make an original and substantial contribution to the veterinary medicine knowledge base; preliminary studies are not appropriate.
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