Four
commercial ELISA kits for bovine paratuberculosis were evaluated
using individual serum samples from 53 dairy cattle in 10 infected
dairy herds and 368 dairy cattle in 11 paratuberculosis-free herds
of southern Chile. Blood samples were collected in 10 ml Vacutainer
tubes and the sera frozen at -20°C until tested in duplicate
following manufacturer's recommendations. The infection
status of the infected herds was determined by fecal culture on a
single sampling and for the paratuberculosis-free herds by two
consecutive 100% negative fecal cultures one year apart. Fecal
samples were collected via rectum using individual polyethylene
sleeves, transported to the lab, and cultured within 24h on
home-made Herrold's Egg Yolk Medium (HEYM) with mycobactin J
(3 tubes) and HEYM without mycobactin J (1 tube), using the
centrifugation method. Prior to culture, 2g of each fecal sample
was decontaminated with HPC and an antibiotic solution containing
nalidixic acid, vancomycin, and amphotericin B. A 0.15 ml aliquot
of each suspension was used to inoculate all HEYM tubes which were
incubated at 37°C for 16 weeks. Colonies resembling
M. paratuberculosis and showing
mycobactin-dependence were tested and confirmed by
IS900 PCR technology. The following
cutoff values recommended by the manufacturers were used for
sensitivity and specificity analysis of each kit: S/P ≥ 0.25
(kit A), S/P% ≥ 70 (kit B), (OD-neg) ≥ 0.100 (kit C),
and S/P% ≥ 70 (kit D). The specificity of the four ELISAs
were 99.73% (kit A), 99.18% (kit B), 99.46% (kit C), and 98.76%
(kit D). The sensitivity of the four kits for detecting fecal
culture-positive cows were: 32.08% (kit A), 37.74% (kit B), 41.51%
(kit C), and 37.74% (kit D). Receiver Operating Characteristic
(ROC) analysis showed that kit C performed much better than the
other three kits as the AUC values for the four kits assayed were
0.899 (kit A), 0.818 (kit B), 0.945 (kit C), and 0.854 (kit D).
Assay agreement between kits was high (kappa 0.842 to 0.908) for categorical interpretations (positive
or negative); the following kappa values were calculated
for all four kits: A vs B = 0.843; A vs C = 0.843; A vs D = 0.842;
B vs C = 0.908; B vs D = 0.907; and C vs D = 0.952. According to
these results all four paratuberculosis ELISA kits evaluated were
similar in sensitivity and specificity but kit C was most
accurate.