3 resultados para Sensitivity and Specificity

em DigitalCommons@University of Nebraska - Lincoln


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Using the isolation of Mycobacterium bovis as the reference standard, this study evaluated the sensitivity, specificity and kappa statistic of gross pathology (abattoir postmortem inspection), histopathology, and parallel or series combinations of the two for the diagnosis of tuberculosis in 430 elk and red deer. Two histopathology interpretations were evaluated: histopathology I, where the presence of lesions compatible with tuberculosis was considered positive, and histopathology II, where lesions compatible with tuberculosis or a select group of additional possible diagnoses were considered positive. In the 73 animals from which M. bovis was isolated, gross lesions of tuberculosis were most often in the lung (48), the retropharyngeal lymph nodes (36), the mesenteric lymph nodes (35), and the mediastinal lymph nodes (16). Other mycobacterial isolates included: 11 M. paratuberculosis, 11 M. avium, and 28 rapidly growing species or M. terrae complex. The sensitivity estimates of gross pathology and histopathology I were 93% (95% confidence limits [CL] 84,97%) and 88% [CL 77,94%], respectively, and the specificity of both was 89% [CL 85,92%]). The sensitivity and specificity of histopathology II were 89% (CL 79,95%) and 77% (CL 72,81%), respectively. The highest sensitivity estimates (93- 95% [CL 84,98%]) were obtained by interpreting gross pathology and histopathology in parallel (where an animal had to be positive on at least one of the two, to be classified as combination positive). The highest specificity estimates (94-95% [CL 91-97%]) were generated when the two tests were interpreted in series (an animal had to be positive on both tests to be classified as combination positive). The presence of gross or microscopic lesions showed moderate to good agreement with the isolation of M. bovis (Kappa = 65-69%). The results show that post-mortem inspection, histopathology and culture do not necessarily recognize the same infected animals and that the spectra of animals identified by the tests overlaps.

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The taxonomic status of anoplocephaline cestodes of microtine rodents has been reviewed. Of the genus Andrya Railliet, 1883, five species are considered valid: A. macrocephala Douthitt, 1915; A. primordialis Douthitt, 1915; A. montana Kirshenblat, 1941 ; A. arctica Rausch, 1952; A. bairdi Schad, 1954. Of the genus Paranoplocephala Luehe, 1910, six species are regarded as valid: P. omphalodes (Hermann, 1783); P. blanchardi (Moniez, 1891); P. infrequens (Douthitt, 1915); P. variabilis (Douthitt, 1915); P. lemmi Rausch, 1952; P. neofibrinus Rausch, 1952. Andrya caucasica Kirshenblat, 1938, and A. bialowizensis Soltys, 1949, are regarded as synonyms of A. macrocephala. Paranoplocephala brevis Kirshenblat, 1938, is regarded as a synonym of P. infrequens. Three species, A. macrocephala, P. omphalodes, and P. infrequens, are holarctic in distribution, occurring mainly in species of Microtus. The uniformity of microtine rodents as hosts for various helminths has been discussed. It is concluded that Dicrostonyx is the most isolated genus from this standpoint, having two nematodes which have not been recorded from members of other genera, and harboring few helminths in common with others. This agrees with Hinton's conclusions, based on morphological characters of Dicrostonyx. From the present concept of Pleistocene glaciations, it is concluded that P. omphalodes and P. infrequens reached the St. Matthew Islands, in Bering Sea, as parasites of a vole from which Microtus abbreviatus has evolved. It appears that this vole arrived on these islands before North America was invaded, in the late Pleistocene, by the palearctic M. oeconomus and Clethrionomys rutilus,/i>. The present known distribution of P. omphalodes in North America corresponds about to that of M. oeconomus on the continent.

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The comparative cervical skin test for antemortem diagnosis of tuberculosis was done 169 times on 116 different white-tailed deer of known Mycobacterium bovis infection status. The sensitivity and specificity were 97 and 81%, respectively. The magnitude of change in skin thickness at test sites was not significantly influenced by dosage of inoculum, dissemination of the disease process, or repeated skin testing. However, the magnitude of change in skin thickness was significantly greater in deer infected for less than 109 days than in deer infected for more than 109 days. As used in the present study, the comparative cervical skin test is a sensitive method of antemortem diagnosis of M. bovis infection in white-tailed deer.