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Estimation of sensitivity and specificity of five serological tests for the diagnosis of porcine brucellosis.

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Article
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Praud, Anne ; Gimenez, O. ; Zanella, G. ; Dufour, Barbara ; Pozzi, N. ; Antras, V. ; Meyer, L. ; Garin-Bastuji, B.

PREVENTIVE VETERINARY MEDICINE

National Veterinary School of Alfortnext term (previous termENVAnext term)/French Agency for Food, Environmental and Occupational Health Safety (ANSES), USC Epidemiology of Animal Infectious Diseases Unit (Epi-MAI), 94700 Maisons-previous termAlfortnext term, France. Centre National de la Recherche Scientifique (CNRS), Centre d'Ecologie Fonctionnelle et Evolutive, UMR 5175, 34293 Montpellier Cedex 5, France. ANSES, Animal Health Laboratory, Epidemiology Unit, 94706 Maisons-previous termAlfortnext term Cedex, France. National Laboratory for the Control of Breeding Animals, 94704 Maisons-previous termAlfort, France. Service of Rural Development, Papeete, French Polynesia. INSERM, Centre for Research in Epidemiology and Population Health (CESP), U1018, Université Paris-Sud, Faculté de Médecine Paris-Sud, Le Kremlin-Bicêtre, France. AP-HP, Hopital Bicêtre, Epidemiology and Public Health Service, 94276 Le Kremlin-Bicêtre, France. ANSES, Animal Health Laboratory, EU/OIE/FAO Brucellosis Reference Laboratory, Bacterial Zoonoses Unit, 23 Avenue du Général de Gaulle, 94706 Maisons-previous termAlfort Cedex, France

2012

Article

Abstract. While serological tests are essential in surveillance and control programs of animal diseases, to date none of the common serological tests approved in the EU (complement fixation test or Rose-Bengal test) has been shown to be reliable in routine individual diagnosis of porcine brucellosis, and some more recent tests like ELISA have not been fully evaluated yet. In the absence of a gold standard, this study allowed the estimation of sensitivities and specificities of these tests with a Bayesian approach using Markov Chain Monte Carlo algorithms.. The pig population that was tested included 6422 animals from Metropolitan France. Serum samples were collected from a large population of pigs, representative of European swine population and tested with five brucellosis serological tests: Rose-Bengal test (RBT), fluorescence polarization assay (FPA), indirect ELISA (I-ELISA) and two competitive ELISAs (C-ELISA). The sensitivity and the specificity of each test were estimated. When doubtful results were excluded, the most sensitive and specific test was C-ELISA2 (Se C-ELISA2 = 0.964, [0.907; 0.994], 95% credibility interval (CrI); Sp C-ELISA2 = 0.996, [0.982; 1.0], 95% CrI). When doubtful results were considered as negative, C-ELISA2 was still the most sensitive and specific test (Se C-ELISA2 = 0.960, [0.896; 0.994], 95% CrI and Sp C-ELISA2 = 0.994, [0.977; 0.999], 95% CrI). The same conclusions were reached when doubtful results were considered as positive (Se C-ELISA2 = 0.963, [0.904, 0.994], 95% CrI and Sp C-ELISA2 = 0.996, [0.986; 1.0], 95% CrI).
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