评价喀土穆州检测牛布鲁氏菌病流行的四种血清学试验

Adil M. A. Salman, H. Nasri
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引用次数: 19

摘要

为了估计苏丹喀土穆州牛布鲁氏菌病的流行率并比较不同的血清学检测,从该州的农场和市场收集了636个分层随机牛奶样本。此外,本署亦从奶牛场收集个别牛奶及血液样本,对散装奶环测试有正面反应。采用乳环试验(MRT)、玫瑰孟加拉平板试验(RBPT)和间接ELISA法检测牛奶和血清中的布鲁氏菌抗体。与血清样本相比,牛奶中布鲁氏菌抗体的流行率更高。乳样酶联免疫吸附试验(ELISA)阳性率为34.7%,乳环试验次之,为32.5%,血清玫瑰平板试验阳性率为27%,血清ELISA阳性率为24.4%。MRT的敏感性为85%,特异性为95%,RBPT的敏感性为92%,特异性为94%。MRT与乳酶联免疫吸附试验(p < 0.01)、RBPT与血清酶联免疫吸附试验(p < 0.05)存在相关性。MRT与牛奶ELISA的符合率为83% Kappa (p < 0.01), RBPT与血清ELISA的符合率为86% Kappa (p < 0.01)。比较同种奶牛的乳酶联免疫吸附测定法与血清酶联免疫吸附测定法的灵敏度、特异度和符合率,乳酶联免疫吸附测定法的灵敏度为92.8%,特异度为98.8%。乳酶联免疫吸附试验与血清酶联免疫吸附试验的符合率为79% Kappa (p < 0.01)。与其他血清学检测相比,牛奶酶联免疫吸附试验将为布鲁氏菌病的检测提供简单而重要的贡献。关键词:苏丹,牛奶,ELISA,血清学,血清ELISA,布鲁氏菌病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of four serological tests to detect prevalence of bovine brucellosis in Khartoum State
To estimate the prevalence rate of bovine brucellosis in Khartoum State of Sudan and to compare the different serological tests, 636 stratified random samples of milk from farms and markets in the state were collected. Individual milk and blood samples were also collected from farms which showed positive reaction to the bulk milk ring test. All these samples were tested for Brucella antibodies using the milk ring test (MRT), Rose Bengal plate test (RBPT) and indirect ELISA test on milk and serum. The prevalence of Brucella antibodies was higher in milk compared with serum samples. In Enzyme-linked Immuno Sorbent Assay (ELISA) test using milk samples, it was 34.7%, followed by Milk Ring Test 32.5%, while the prevalence when using the serum was 27% with the Rose Bengal Plate Test and 24.4% when using serum-ELISA. The sensitivity and specificity of MRT were 85 and 95% and for RBPT were 92 and 94%, respectively. There were association between the MRT and milk-ELISA (p < 0.01) and between RBPT and serum-ELISA (p < 0.05). The percentage agreement among MRT and milk- ELISA was 83% Kappa (p < 0.01), while the percentage agreement between RBPT and serum-ELISA was 86% Kappa (p < 0.01). When comparing the sensitivity, specificity and percentage agreement between milk-ELISA and serum-ELISA for the same cows, sensitivity for milk-ELISA was 92.8% and the specificity was 98.8%. The percentage agreement between milk-ELISA and serum-ELISA was 79% Kappa (p < 0.01). Milk-ELISA will provide an easy and significant contribution to detect brucellosis compared to other serological tests.   Key words: Sudan, milk, ELISA, serology, serum-ELISA, brucellosis.
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