BackgroundPoint‐of‐care (POC) diagnostic tests with good sensitivity and specificity are needed for diagnosing failure of transfer of passive immunity (FTPI) in foals. Turbidimetric immunoassays (TIA) have these characteristics and provide quantitative results. A commercially available TIA‐based POC test (POC‐TIA) has not been validated in horses.ObjectiveTo validate a POC‐TIA and compare results of POC‐TIA, a POC‐ELISA, and radial immunodiffusion (RID).AnimalsHeparinized blood samples (n = 127) from 48 hospitalized foals (<12 hour to 48 days).MethodsProspective validation study. IgG concentrations were measured using RID (gold standard), POC‐TIA, and POC‐ELISA. Agreement between assays was assessed using Bland–Altman analysis. Sensitivity and specificity were calculated using ROC curves. Inter‐ and intra‐assay coefficients of variation (CVs) and linearity were evaluated for POC‐TIA.ResultsThe mean bias (95% limits of agreement) between RID and POC‐TIA was −4 (−185 to 176), 27 (−201 to 255), and 308 (−377 to 993) mg/dL for samples with IgG concentrations of <400, 400–800, and >800 mg/dL, respectively. Sensitivity and specificity at optimal cutoff were 94 and 100% for the POC‐TIA and 94 and 100% for the POC‐ELISA to detect IgG <400 mg/dL, and 85 and 87% (POC‐TIA) and 69 and 79% (POC‐ELISA) to detect IgG ≤800 mg/dL. Intra‐ and interassay CVs for POC‐TIA ranged between 1.6–3.8 and 11.9–18.8%, respectively. Linearity of the dilution series was preserved (R 2 > 0.96).Conclusions and Clinical ImportanceThe POC‐TIA provided unambiguous results and had sufficient sensitivity, specificity, accuracy, and precision to be used as an alternative to other POC tests to assess FTPI in foals.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.