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Comparative Evaluation of Various Diagnostic Tests in Diagnosis of Bovine Brucellosis

Viswanathan Naveenkumar Mangalanathan Vijaya Bharathi Kannan Porteen
Vol 9(4), 176-181
DOI- http://dx.doi.org/10.5455/ijlr.20181220054724

Brucellosis is a zoonotic, economically important and contagious bacterial disease of livestock characterized by abortions, infertility and reduced production performance and diagnosis of brucellosis is so important in achieving appropriate brucellosis control strategy. This study was aimed to compare and evaluate various brucellosis diagnostic tests like Rose Bengal Test (RBT), Standard Tube Agglutination Test (STAT), indirect ELISA, Milk Ring Test (MRT) and milk ELISA in Tamil Nadu. A total of 483 sera and 483 milk samples were collected from 483 lactating cattle from various districts of Tamil Nadu. Overall, the highest prevalence was encountered by i-ELISA (6.62 %) followed by m-ELISA (5.59%), MRT (4.34%), STAT (3.93%) and RBT (3.10%). The evaluations of various diagnostic tests were achieved using i-ELISA as gold standard and the highest correlation between i-ELISA and m-ELISA (almost perfect agreement, k value - 0.82) were documented. This present study concluded that, m-ELISA have similar promising results with i-ELISA in detecting individual animals which implies, in lactating animals milk-ELISA can be used as suitable alternative test of serum-ELISA.


Keywords : Brucellosis ELISA Lactating Cows Tamil Nadu

Brucellosis is one of the contagious bacterial diseases in farm animal’s which produces heavy economic losses due to abortifacient nature, infertility and reduction in productivity. Brucellosis is also a potent zoonotic disease and prevalent all over the world (Bhat et al., 2012; Islam et al., 2018). Throughout the world for effective brucellosis control, vaccination and test and slaughter policies were practised. In vaccine application, due to accidental exposure risk to human or veterinarians, vaccinal antibody interference to diagnostic assays and abortifacient property of the vaccine strains, practical utility and usage under filed conditions is still questionable. In India like countries, test and slaughter is not practically feasible, instead diagnose and reduce the exposure chance to other susceptible animals may find a way to reduce the incidence rate. In brucellosis, diagnostic choice of test is totally depends on the epidemiological purpose of the study.

In general diagnosis of brucellosis, by detecting antigen as direct approach (culture and polymerase chain reaction) and detecting antibody as indirect approach, in serum (Rose Bengal Plate Agglutination Test (RBPT), Standard Tube Agglutination Test (STAT), Enzyme Linked Immunosorbent Assay (ELISA), Complement Fixation Test (CFT) and Fluorescent Polarization Assay (FPA)) and in milk (MRT and milk ELISA) (Poester et al., 2010; OIE, 2016; Mariam et al., 2017; Kumar et al., 2018) were followed. Even though, various diagnostic methods are available, culture is an irreplaceable gold standard technique in brucellosis (Godfroid et al., 2010). In epidemiological surveillance study, due to fastidious nature of intracellular Brucella and laboratory acquired zoonotic risk, serological tests are highly recommended than isolation of Brucella sp. Because of merits and demerits of available diagnostic test in brucellosis diagnosis over each other (OIE, 2016), minimum of two gold diagnostic assays are recommended to decide the accurate status of disease which may direct us to planning effective disease control strategy in future (Kumar et al., 2018a) . This manuscript mainly focused: (1) to assess the prevalence of brucellosis from lactating cattle in Tamil Nadu by various diagnostic tests (2) to compare and evaluate various brucellosis diagnostic tests like Rose Bengal Test (RBT), Standard Tube Agglutination Test (STAT), indirect ELISA, Milk Ring Test (MRT) and milk ELISA.

Materials and Methods

Sampling Pattern

The present study was conducted in eleven districts of Tamil Nadu, India and 483 cows are randomly selected with the exclusion criteria as pregnant cattle. Blood samples (3 ml) and milk samples (10 ml from each quarter) were collected in aseptic manner using sterile coagulant added test tube (5ml) and sterile screw capped plastic vials (50 ml) respectively and transported on ice to the laboratory. Sera were separated as standard procedure and stored at – 20°C until further use.

RBT, STAT and MRT Test

RBT, STAT and MRT test antigen were obtained from Indian Veterinary Research Institute (I.V.R.I), Izatnagar. The antigen was stored at 4°C until use. As per Alton et al., 1988, RBT, STAT and MRT were performed using respective samples.

Indirect ELISA and Milk ELISA Test

The Brucella antibody ELISA test kit was purchased from SVANOVIR, Sweden and used for testing 483 serum and 483 milk samples according to manufacturer’s guidelines. The samples were run on Svanovir Brucella-Ab indirect ELISA kit and the optical densities (ODs) were determined in a microplate spectrometer (Bio rad) at 450-nm wavelength. Positive and negative control samples were included in each test. Interpretation of the results was based on per cent positivity (PP) calculations; PP is calculated by [Test sample or negative control (OD) x 100) / (Positive control (OD)] and results were interpreted as positive for PP > 60 and negative for PP < 60 for the individual serum (10 µl) sample. In milk, results were interpreted as positive for PP > 10 and negative for PP < 10 for individual and pooled milk samples.

Statistical Analysis

The prevalence and associated diagnostic performance were assessed statistically as per method described by Snedecor and Cochran, 1994. As per Smith (1994) and Thrusfield (1995), evaluation of various diagnostic tests was analysed.

Results and Discussion

Prevalence of Bovine Brucellosis by Various Diagnostic Tests in Lactating Animals

In this cross sectional study, the highest prevalence was detected by i-ELISA (6.62%), followed by m-ELISA (5.80%), MRT (4.35%), STAT (3.93%) and RBT (3.10%) (Table 1).

Table 1: Prevalence of bovine brucellosis by various diagnostic tests in lactating animals

Prevalence by Test Seroprevalence Milk Prevalence
RBT Positive STAT Positive i-ELISA Positive MRT Positive m-ELISA Positive
Total no. of samples screened 483 483 483 483 483
Total no. of positive 15 19 32 21 28
Prevalence of brucellosis (%) 3.1 3.93 6.62 4.35 5.8

These results were concordant with NIVEDI (2014), with the results of i-ELISA (10.06%), MRT (7.38%), RBT (7.04%) and m-ELISA (6.04%). This study also concurred with Chand et al., 2005 who conducted a similar study in Hisar, India with sheep samples and reported that i-ELISA (14.91%) detected more samples than m-ELISA (14.63%), RBPT (13.06%) and STAT (12.07%). Contradictory to present study by Salman and Nasri, 2012 and Neelam Kushwaha et al., 2015 who found that m-ELISA detected more number of samples than i-ELISA. Deviation of this study with earlier workers might be due to presence or absence of antibodies in the samples from selected animals in various clinical and physiological conditions, problem in IgG transport from blood to milk against brucellosis and sample nature influence over each diagnostic test (colostrums, mastitis milk, clotted milk and blood) (Chand et al., 2005) and individual variations in diagnostic sensitivity and specificity of each test.

Comparison of Antibody Detection Methods in Serum and Milk Samples of Lactating Animals

Generally, the correlation of antibody level in milk and serum can be achieved only in milking animals. The i-ELISA and m-ELISA detected higher number positive of samples (6.62 and 5.80 per cent respectively), whereas the RBT, STAT and MRT detected much lower level of positivity in 483 lactating animals. In this study the ELISA techniques were detected more number of positive animals than other serological tests. For evaluation and comparison of various tests, i-ELISA was used as gold standard test. The sensitivity of RBT, STAT, MRT and m-ELISA when compared with i-ELISA were 34.37, 50.00, 46.87  and 78.12 per cent respectively, while the specificity of RBT, STAT, MRT and m-ELISA when compared with i-ELISA were 99.11, 99.33, 98.66 and 99.33 per cent, respectively. In a similar fashion Patel (2007) found the sensitivity of RBT, MRT and m-ELISA were to be 40.00, 30.00 and 55.00 per cent respectively and the specificity was to be 100, 93.93 and 87.87 per cent respectively. Contradictory to present study, Salmon and Nasri, 2012 reported a 92.8 and 98.8 per cent sensitivity and specificity of m-ELISA in cattle and Chand et al., 2005 reported a 96.11 and 100 per cent sensitivity and specificity of m-ELISA in sheep with i-ELISA results.

Table 2: Evaluation of various diagnostic tests (serum and milk) with i-ELISA in lactating animals

Test i-ELISA Sensitivity (%) Specificity (%) Kappa value Chi Square test
Positive Negative Total
RBT Positive 11 4 15 34.37 99.11 0.4445 (111.35)** P<0.01
Negative 21 447 468
Total 32 451 483
STAT Positive 16 3 19 50 99.33 0.6081 (192.44)** P<0.01
Negative 16 448 464
Total 32 451 483
MRT Positive 15 6 21 46.87 98.66 0.5419 (149.03)** P<0.01
Negative 17 445 462
Total 32 451 483
m-ELISA Positive 25 3 28 78.12 99.33 0.8223 (328.29)** P<0.01
Negative 7 448 455
Total 32 451 483

Chi square interpretation: ** – Highly significant, Kappa value interpretation: 0.41 – .60 – Moderate agreement, 0.6100.80 – Substantial, 0.81 – 1.00 – Almost perfect agreement

In Kappa value assessment, agreement of m-ELISA (0.8223) with i-ELISA documented that almost perfect agreement between the two tests. In lactating animals, m-ELISA and i-ELISA showed similar sensitivity pattern which recommends that m-ELISA can be used for diagnosis of brucellosis in milk samples. The STAT (0.6081) agreement with i-ELISA found that substantial between the two test in field diagnosis of brucellosis whereas, MRT (0.5451) and RBT (0.4445) agreement with i-ELISA were moderate in milking animals.

Conclusion

The present manuscript concluded that, ELISA techniques (i-ELISA and m-ELISA) are found to be higher sensitive than other conventional tests (RBT, STAT and MRT). In milking animals, m-ELISA may replace i-ELISA due to its high agreement value and promising results. Since, milk is a suitable non-invasive sample; in lactating animals m-ELISA may be useful as effective diagnostic tool in epidemiological surveillance study.

Acknowledgements

The authors are thankful to Dr. K. Kulasekar, Professor, Department of Veterinary Obstetrics and Gynaeocology, Madras Veterinary College, Chennai for great support for collection of samples in the infertility camp conducted in study areas and also would like to thank Dr. C. Balachandran, Vice-Chancellor, Tamil Nadu Veterinary and Animal Sciences University (TANUVAS), Chennai, for the facilities granted to carry out the work.

References

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