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Determination of decisional cut-off values for the optimal diagnosis of bovine tuberculosis with a modified IFN gamma assay (Bovigam (R)) in a low prevalence area in France

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Faye, S. ; Moyen, J.L. ; Gares, H. ; Benet, Jean-Jacques ; Garin-Bastuji, B. ; Boschiroli, M.L.

VETERINARY MICROBIOLOGY

1. French Food Safety Agcy AFSSA, Bacterial Zoonoses Unit, Bovine TB Reference Lab, F-94706 Maisons Alfort, France 2. Reg Anal & Res Lab Dordogne LDAR24, F-24660 Coulounieix Chamiers, France 3. Natl Vet Sch Alfort ENVA, Contagious Dis Unit, F-94704 Maisons Alfort, France 4. AgroParisTech, ABIES Doctoral Sch, ED 0435, F-75231 Paris 5, France

2011

Article

Url / Doi : http://pdn.sciencedirect.com/science?_ob=MiamiImageURL&_cid=...

Volume : 151(1-2) (SI) : 60-67 Conference: 5th International Conference on Mycobacterium Bovis Location: Wellington, NEW ZEALAND Date: AUG 25-28, 2009

Abstract : The Bovigam® gamma interferon (IFNy) assay was used to complement official skin-test screening in a low bovine tuberculosis (bTB) prevalence region in France. The aim of our work was to determine decisional cut-off values for protein purified derivatives (PPD) and ESAT6-CFP10 antigens (R) in order to optimize the efficacy of the modified Bovigam® test, in this low-prevalence area, for optimal classification of infected or non-infected herds following positive skin tests. The sensitivity of the IFNy assay relative to post-mortem bTB-positive animals (Se(r)) was studied in 60 cattle from 20 bTB-infected herds. Its absolute specificity (Sp) was studied in 492 cattle from 25 bTB-free herds from a bTB-free zone. Its operational specificity (relative to the positive skin test) (Sp(r)) was also studied in 547 skin-test positive cattle from 172 bTB-free herds from an infected zone. Using normalized interpretations for individual (PPD or R) results, the cut-off values at 0.02 for PPD and 0.01 for R were obtained with a view to employ them in low prevalence areas with no previously observed non-specific reactions to SITT. Concerning its use after positive skin tests, cut-off values were set at 0.05 for PPD and at 0.03 for R. The choice of an interpretation method considering positive results with PPD and/or R (PPDUR), justified in a high risk context, provided a test Ser of 93% [84-98] and Spr of 71.8% [67.9-75.6]. Analysis of positive results with PPD and R (PPDUR), ideal for low-risk contexts, provided a test Sp(r) of 94.3% [92.0-96.1] and Se(r) of 77% [64-87]. Thus, adapting the criteria to the region's infection status and to the conditions for its application is essential for the appropriate use of the IFNy assay.
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