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What info do you need to justify a testing plan for 1 animal?
pre-test probability
test characteristics (sensitivity, specificity)
your testing goal
the owner’s goal + budget
What info do you need to justify a testing plan for a herd?
pre-test probability
test characteristics (sensitivity, specificity)
which animals from the herd should be tested
Disease progression (infectious)
pre-infection (exposure)
infection
migration within the body (may not be detectable)
multiplication (in definitive hosts)
symptomatic (may persist after pathogen clearance)
long-term carrier
recovery (pathogen cleared, no symptoms, may still be antibody +)
timeline determines where/how to detect the disease
Disease progression (non-infectious)
pre-disease
subclinical
clinical (onset of signs)
chronic
recovery/management
Genetic testing
PCR, Loop-Mediated Isothermal Amplification - version of PCR, sequencing (metagenomics vs viromics), pulsed field gel electrophoresis
all tests search for pathogenic genome - does not necessarily mean that the pathogen is alive or causing symptoms
Antigen/antibody testing
ELISA, fluorescent antibody, hemagglutination, Western blot, agar gel immunodiffusion assay, serum neutralization, MALDI-TOF
confirms that animal has been exposed to a pathogen (by infection or vaccination), does not necessarily mean the animal is currently infected
Organism/cause testing
culture, microscopy, imaging, endocrine, toxins
Secondary testing
CBC/PCV, chemistry, FAMACHA (symptom/function test), treatment
show how an animal has been affected by a disease
How to determine the best test to use?
match stage of disease to sampling method (ex: blood, feces, biopsy, etc.) & test
Sample handling considerations
temperature of storage (especially for live samples)
sunlight exposure (especially for live/viral samples)
chemical exposure (ex: disinfectants)
air