The Immunology Department
from Institute for Diagnosis and Animal Health has organized a
paratuberculosis serological diagnosis capacity testing through
proficiency testing by interlaboratory comparisons of veterinary
laboratories from Romania. The aim of this testing was the
improvement of quality system for testing and evaluation of
laboratories by statistic analyses, studying new classification
models of the veterinary laboratories depending on the obtained
results in testing. The 39 participant laboratories received each a
set with 6 bovine sera: 2 with positive (E3, E4), 2 doubtful, (E1,
E2) and 2 negative (E5, E6) results.
The samples were analysed
by ELISA (Enyzme-linked immunosorbent assay) with absorption step.
In accordance with the instructions each sample had to be worked
for 8 times on the same plate in the same day and the average of
the 8 results was considered the final result. The interpretation
was made according to the criteria established by the kit
producer.
The final report contains
comparative results of laboratories and statistic analyses which
were made according to the reference models described by ISO/IEC
GUIDE 43-1 and 43-2. Thus for each laboratory the standard
deviation of the results repeatability and variation coefficient,
then standard deviation of the reproducibility results and Z -
scores were calculated using the result of Immunology Laboratory of
IDAH, as a reference value. Grubbs test was used for identifying
aberrant results and for elimination of laboratories with
unsuitable results.
The results of
Z-scores were presented in diagrams. In the end it was made a
correlation between the obtained results of Z - scores and
those of qualitative interpretation. Thus the correlation for
negative samples E5 and E6 was 100%, for positive samples E4 of
95%, and E3 of 97,5% and for doubtful samples was as follows: E1
77,5% and E2-52,5%.
The sum of Z scores was
used for the classification of laboratories which had the same
result at the quality interpretation test. Following the results
obtained, 31 laboratories obtained satisfactory result, 6
questionable and 2 unsatisfactory.
The statistical analyses
together with the results of the test permitted a better evaluation
of laboratories.
Key words:
paratuberculosis, ELISA, score Z, proficiency testing