Exam 1 Flashcards
Define a Direct Test
Detect pathogens or products
Types of direct tests
Culture, PCR, Sequencing
Define an Indirect Test
Detect immune response (antibody) to pathogen
Types of indirect tests
Agglutination, ELISA, Lateral flow
Define Sensitivity
Ability to identify TRUE positives
Define Specificty
Ability to identify TRUE negatives
Define Positive Predictive Value (PPV)
Probability the disease is present when the test is positive
Define Negative Predictive Value (NPP)
Probability the disease is not present when the test is negative
Define Prevalence
What is the probability of the target condition occurring in the population
How do you calculate Sensitivity?
True positives / (all animals tested true positives + false negatives)
How do you calculate Specificity?
True negatives / (false positives + true negatives)
Define Screening Test
A sensitive test with few false negative results.
Define Confirmatory Test
A specific test with few false positive results.
Ideally, this would be a highly sensitive and specific test
What is a Bacterial or Fungal Culture?
Identification of bacteria and fungi through: colony and cell morphology characteristics and protein and nutrient-utilization differences
Does a culture require live bacteria/fungi?
Yes
How quickly can you get Culture Results?
Varies - but can be slow if the bacteria or fungi grow slowly
Sensitivity/Specificity of a culture?
Variable
What is PCR?
Identification of bacteria through exploitation of DNA sequence differences using DNA primers specific for a pathogen
Specificity/Sensitivity of a PCR?
Highly specific and sensitive
How quickly can you get PCR results?
Rapid results regardless of the pathogen
Do you need live bacteria/fungi for a PCR?
No- can be either live or dead
Can you do antimicrobial susceptibility testing with PCR? Why or why not?
No - there is no bacteria to isolate to grow in test
What is Sequencing?
Identification of bacteria by sequencing the entire genome or segments of DNA
Do you need live bacteria/fungi for sequencing?
No - can be live or dead
Benefits of Sequencing?
Allows for extremely specific identification
Allows for evaluation of the presence of genes related to virulence and antimicrobial resistance
Downfalls of sequencing?
Expensive and generally slow
Cannot do antimicrobial susceptibility testing as there is no bacterial isolate to grow in test
What is an Agglutination test?
Detects antibody by mixing patient serum with antigen of interest
Cross-linking of patient antibody with test antigen creates visible clumping
Specificity/Sensitivity of Agglutination Tests?
Less specific, more sensitive
*may see false positives necessitating a second confirmatory test
What is an ELISA?
Detects patient antibody to test antigen fixed to the plate
A more high-through put, automated test
Specificity/Sensitivity of ELISAs?
Generally good sensitivity and specificity
What is a Lateral Flow Test?
A rapid test that detects antigen or antibody
Specificity/Selectivity of a Lateral Flow Test?
Generally good specificity and selectivity
Ab Tests:
May see false positives if there is cross-reactivity between ??
May see false positives if there is cross-reactivity between pathogen of interest and another agent
Ab Tests:
May see false negatives if ??
May see false negatives if early in infection before detectible antibody is available
Ab Tests:
Can detect maternal antibody up to ??? age
Can detect maternal antibody up to 6 months of age
Ab Tests:
A single test DOES/DOES NOT differentiate (usually) between a previous infection, current infection or vaccine response
A single test does not differentiate (usually) between a previous infection, current infection or vaccine response
Negatives of using a Swab to Sample?
Small sample size
Reduced recovery of organisms from swab
Not good for fungi
What is MALDI-TOF?
Mass Spec to identify bacteria
Is A. bovis Gram + or Gram - ?
Gram +
Is A. Lingnieresii Gram + or Gram - ?
Gram -
Is E. coli Gram + or Gram - ?
Gram -
Is Salmonella spp. Gram + or Gram - ?
Gram -
Is Lawsonia intracellularis Gram + or Gram - ?
Gram -
Is C. perf Gram + or Gram - ?
Gram +
Is Brachyspira spp. Gram + or Gram - ?
Gram -
Which of the following are Facultative Anaerobes?
1. A. bovis
2. A. Lingnieresii
2. E.coli (ETEC/STEC)
3. C.perf
4. Salmonella spp.
A. Lingnieresii, E. coli, Salmonella spp.
Which bacteria are Obligate Anaerobes?
A. bovis, Brachyspira spp. C. perf
(ABC!)
Which bacteria are Microaerophilic?
Lawsonia intracellularis and Campylobacter spp.
Which bacteria are extracellular?
A. bovis, A. lingnieresii, Brachyspira spp, C. perf
(AABC)
Which bacteria are Facultative Intracellular?
E. coli (ETEC and STEC) and Salmonella spp.