Background
With a worldwide occurrence, bovine tuberculosis (bTB) is a zoonotic disease that is difficult to control, mainly due to the lack of a diagnostic testing to detect infected animals at all stages. Furthermore, the current standard diagnostic test, the Tuberculin Skin Test (TST), is logistically difficult and time consuming. To address this challenge, the aim of this study was to evaluate the sensitivity and specificity of a multiplex enzyme-linked immunosorbent assay (ELISA) comparing with the TST used for the diagnosis of tuberculosis in cattle in Brazil. The study included 400 Nelore females raised for beef on five farms, in different municipalities in Brazil. The comparative cervical test (CCT) was done and on the day of inoculation of the Purified Protein Derivative (PPD) blood samples were obtained and stored for further analysis of the ELISA IDEXX™ Mycobacterium bovis immunoassay.
Results
Lack of agreement between CCT and ELISA IDEXX™ was observed. No diagnosis described as positive reactor on the CCT was positive at the ELISA, indicating two false positive reactors and 22 negative reactors by CCT were positive by the ELISA IDEXX™. The ELISA IDEXX™ showed sensitivity significantly higher than the official CCT and no significant differences in specificity was observed. ELISA also detected infected animals and herds undetected by the CCT. The parallel use of CCT and ELISA increased sensitivity and the feasibility bTB screening, thus improving the cleaning of the herds.
Conclusions
The results obtained here suggest that the ELISA IDEXX™ may be a supplemental test for the detection of Mycobacterium bovis infection in regions without routine testing and slaughter, where the disease generally progresses to more advanced stages and antibody responses are likely to be more prevalent. The results provided evidence to support the validation of the ELISA IDEXX™ as a supplemental test for bTB eradication programs.