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Proceedings of the 10th International Colloquium on Paratuberculosis

Proceedings of the 10th International Colloquium on Paratuberculosis

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Table 1 UK and Cyprus MAP survey Results<br />

Survey<br />

Total<br />

Samples<br />

Phage Assay Phage - PCR Culture<br />

No. Pos. % No. Pos. % No. Pos. %<br />

UK 54 54 19 35.2 54 1 1.9 54 0 0<br />

Cyprus 225 225 218 96.9 225 50 22.2 225 2 0.9<br />

The TVC results (Table 2) are separated into groups according to microbial load. No relati<strong>on</strong>ship<br />

was seen between <str<strong>on</strong>g>the</str<strong>on</strong>g> TVC and samples being phage-PCR MAP positive. This c<strong>on</strong>firms that<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> MAP were not being introduced into <str<strong>on</strong>g>the</str<strong>on</strong>g> milk by faecal c<strong>on</strong>taminati<strong>on</strong> and that in <str<strong>on</strong>g>the</str<strong>on</strong>g> Cypriot<br />

study we can deduce that MAP is being shed into <str<strong>on</strong>g>the</str<strong>on</strong>g> milk by animals that do not display any<br />

clinical symptoms <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> disease (clinical herd data was not available for <str<strong>on</strong>g>the</str<strong>on</strong>g> UK samples).<br />

Characterizati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> 2 culture isolates identified <strong>on</strong>e as an S strain and <str<strong>on</strong>g>the</str<strong>on</strong>g> o<str<strong>on</strong>g>the</str<strong>on</strong>g>r as a C strain.<br />

The presence <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> S strain in <str<strong>on</strong>g>the</str<strong>on</strong>g> cattle herd populati<strong>on</strong> is interesting from an epidemiological<br />

perspective since <str<strong>on</strong>g>the</str<strong>on</strong>g> presence <str<strong>on</strong>g>of</str<strong>on</strong>g> this strain has also been found in <str<strong>on</strong>g>the</str<strong>on</strong>g> Cypriot sheep and goat<br />

populati<strong>on</strong>s (Liapi et al., 2009). The extended culture times required to isolate this organism<br />

may explain why it was not previously cultured from bovine milk samples.<br />

Table 2 MAP and Viable Count Results<br />

Total Viable Count Data Phage Positive samples IS900-PCR positive samples<br />

Survey �<br />

Log4<br />

cfu/ml<br />

Log4-<br />

Log5<br />

cfu/ml<br />

>Log5.0<br />

1 cfu/ml<br />

�Log4<br />

cfu/ml<br />

Log4-<br />

Log5<br />

cfu/ml<br />

>Log5.01<br />

cfu/ml<br />

�Log4<br />

cfu/ml<br />

Log4-<br />

Log5<br />

cfu/ml<br />

>Log5.01<br />

cfu/ml<br />

UK<br />

21<br />

7<br />

26<br />

15<br />

Cyprus 105 95 25 102 93 23 25 21 4<br />

Prospective analysis <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> phage-PCR data revealed a str<strong>on</strong>g relati<strong>on</strong>ship between <str<strong>on</strong>g>the</str<strong>on</strong>g> pfu<br />

number and <str<strong>on</strong>g>the</str<strong>on</strong>g> probability <str<strong>on</strong>g>of</str<strong>on</strong>g> that sample being shown to c<strong>on</strong>tain MAP by PCR genotyping.<br />

Figure 1 shows <str<strong>on</strong>g>the</str<strong>on</strong>g> distributi<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> pfu count <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> MAP IS900 positive and negative samples.<br />

An area <str<strong>on</strong>g>of</str<strong>on</strong>g> overlap exists between 15 pfu/50 ml (PCR-positive sample with <str<strong>on</strong>g>the</str<strong>on</strong>g> lowest plaque<br />

count) and 75 pfu/50 ml (highest PCR-negative sample). However all samples with >75 plaques<br />

were found to c<strong>on</strong>tain MAP. The FASTplaqueTB assay gives a cut<str<strong>on</strong>g>of</str<strong>on</strong>g>f value <str<strong>on</strong>g>of</str<strong>on</strong>g> 20 pfu per<br />

sputum sample. If a cut<str<strong>on</strong>g>of</str<strong>on</strong>g>f is applied in <str<strong>on</strong>g>the</str<strong>on</strong>g> overlap regi<strong>on</strong> to this data, a test with a high<br />

Sensitivity (Sn, 98%) but a lower Specificity (Sp, 63.4%) was gained.<br />

Fig.1: Relati<strong>on</strong>ship between plaque number Fig. 2: ROC analysis <str<strong>on</strong>g>of</str<strong>on</strong>g> plaque cut<str<strong>on</strong>g>of</str<strong>on</strong>g>f<br />

and IS900 PCR results<br />

2<br />

27<br />

2<br />

1<br />

-<br />

-

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