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Cauwels BM, Magtoto RL, Clavijo MJ, Poeta Silva APS, Arruda BL, Zimmerman JJ, Baum DH, Giménez-Lirola LG. Comparative assessment of the performance of a commercial fluorescent microsphere immunoassay and three commercial ELISAs for Mycoplasma hyopneumoniae serum antibody detection. Vet Immunol Immunopathol 2024; 276:110826. [PMID: 39243492 DOI: 10.1016/j.vetimm.2024.110826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2024] [Revised: 08/29/2024] [Accepted: 09/02/2024] [Indexed: 09/09/2024]
Abstract
Mycoplasma hyopneumoniae (M. hyopneumoniae) is a significant porcine respiratory disease complex pathogen, prompting many swine farms and production systems to pursue M. hyopneumoniae elimination strategies. Antibody testing is cost-effective in demonstrating sustained freedom from M. hyopneumoniae, often replacing PCR testing on deep tracheal swabs. The process typically involves testing a subpopulation of the herd using an M. hyopneumoniae screening antibody ELISA, with non-negative results further assessed through confirmatory testing, such as PCR. Recently, a commercial (Biovet) fluorescent microsphere immunoassay (FMIA) for detecting M. hyopneumoniae antibodies has been introduced as an alternative to ELISA. Its performance was compared to three commercial ELISAs (Idexx, Hipra, and Biochek) using experimental serum samples from pigs inoculated with M. hyopneumoniae, M. hyorhinis, M. hyosynoviae, M. flocculare, or mock-inoculated with Friis medium. FMIA consistently detected M. hyopneumoniae at earlier time points than the ELISAs, although two false-positive results were encountered using the manufacturer's recommended cutoff. ROC analysis allowed for the evaluation of various cutoffs depending on testing objectives. Poisson regression of misclassification error counts detected no difference in the Biovet FMIA and Hipra ELISA but significantly fewer misclassification errors than Idexx and Biocheck ELISAs. This study showed FMIA as a suitable alternative to traditional ELISAs for screening purposes due to its superior antibody detection rate at early stages. Alternatively, adopting a more stringent cutoff to improve diagnostic specificity could position the FMIA as a viable confirmatory test option. Overall, FMIA is an optimal choice for M. hyopneumoniae antibody surveillance testing, offering versatility in testing strategies (e.g., triplex FMIA M. hyopneumoniae/PRRSV types 1 and 2) and contributing to improved diagnostic capabilities in porcine health management.
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Affiliation(s)
- Brooklyn M Cauwels
- Department of Veterinary Diagnostic and Production Animal Medicine, Iowa State University, Ames, IA, United States
| | - Ronaldo L Magtoto
- Department of Veterinary Diagnostic and Production Animal Medicine, Iowa State University, Ames, IA, United States
| | - Maria J Clavijo
- Department of Veterinary Diagnostic and Production Animal Medicine, Iowa State University, Ames, IA, United States
| | - Ana Paula S Poeta Silva
- Department of Veterinary Diagnostic and Production Animal Medicine, Iowa State University, Ames, IA, United States
| | - Bailey L Arruda
- Virus and Prion Research Unit, National Animal Disease Center, Agricultural Research Service, US Department of Agriculture, Ames, IA, United States
| | - Jeffrey J Zimmerman
- Department of Veterinary Diagnostic and Production Animal Medicine, Iowa State University, Ames, IA, United States
| | - David H Baum
- Department of Veterinary Diagnostic and Production Animal Medicine, Iowa State University, Ames, IA, United States
| | - Luis G Giménez-Lirola
- Department of Veterinary Diagnostic and Production Animal Medicine, Iowa State University, Ames, IA, United States.
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Serafini Poeta Silva AP, Mugabi R, Rotolo ML, Krantz S, Hu D, Robbins R, Hemker D, Diaz A, Tucker AW, Main R, Cano JP, Harms P, Wang C, Clavijo MJ. Effect of pooled tracheal sample testing on the probability of Mycoplasma hyopneumoniae detection. Sci Rep 2024; 14:10226. [PMID: 38702379 PMCID: PMC11068755 DOI: 10.1038/s41598-024-60377-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2023] [Accepted: 04/22/2024] [Indexed: 05/06/2024] Open
Abstract
Tracheal pooling for Mycoplasma hyopneumoniae (M. hyopneumoniae) DNA detection allows for decreased diagnostic cost, one of the main constraints in surveillance programs. The objectives of this study were to estimate the sensitivity of pooled-sample testing for the detection of M. hyopneumoniae in tracheal samples and to develop probability of M. hyopneumoniae detection estimates for tracheal samples pooled by 3, 5, and 10. A total of 48 M. hyopneumoniae PCR-positive field samples were pooled 3-, 5-, and 10-times using field M. hyopneumoniae DNA-negative samples and tested in triplicate. The sensitivity was estimated at 0.96 (95% credible interval [Cred. Int.]: 0.93, 0.98) for pools of 3, 0.95 (95% Cred. Int: 0.92, 0.98) for pools of 5, and 0.93 (95% Cred. Int.: 0.89, 0.96) for pools of 10. All pool sizes resulted in PCR-positive if the individual tracheal sample Ct value was < 33. Additionally, there was no significant decrease in the probability of detecting at least one M. hyopneumoniae-infected pig given any pool size (3, 5, or 10) of tracheal swabs. Furthermore, this manuscript applies the probability of detection estimates to various real-life diagnostic testing scenarios. Combining increased total animals sampled with pooling can be a cost-effective tool to maximize the performance of M. hyopneumoniae surveillance programs.
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Affiliation(s)
| | - Robert Mugabi
- Veterinary Diagnostic and Population Animal Medicine, Iowa State University, Ames, IA, USA
| | | | | | - Dapeng Hu
- College of Liberal Arts and Sciences, Iowa State University, Ames, IA, USA
| | | | | | | | | | - Rodger Main
- Veterinary Diagnostic and Population Animal Medicine, Iowa State University, Ames, IA, USA
| | | | | | - Chong Wang
- Veterinary Diagnostic and Population Animal Medicine, Iowa State University, Ames, IA, USA
- College of Liberal Arts and Sciences, Iowa State University, Ames, IA, USA
| | - Maria Jose Clavijo
- Veterinary Diagnostic and Population Animal Medicine, Iowa State University, Ames, IA, USA.
- PIC®, Hendersonville, TN, USA.
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Sponheim A, Alvarez J, Fano E, Rovira A, McDowell E, Toohill E, Dalquist L, Pieters M. A diagnostic approach to confirm Mycoplasma hyopneumoniae "Day zero" for pathogen eradication. Prev Vet Med 2023; 221:106057. [PMID: 37931354 DOI: 10.1016/j.prevetmed.2023.106057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2023] [Revised: 10/17/2023] [Accepted: 10/20/2023] [Indexed: 11/08/2023]
Abstract
Breeding herds in the US are trending toward eradication of Mycoplasma hyopneumoniae (M. hyopneumoniae) due to the positive impact on welfare and downstream production. In an eradication program, "Day 0″ is the time point when the last replacement gilts to enter the herd were exposed to M. hyopneumoniae and marks the beginning of a herd closure. However, no specific diagnostic protocols are available for confirmation of successful exposure to define Day 0. Therefore, the objective of this study was to develop diagnostic guidelines, including sample collection approaches, for two common gilt exposure methods to confirm an entire population has been infected with M. hyopneumoniae following purposeful exposure. Forty gilts, age 21-56 days, were ear-tagged for longitudinal sample collection at five commercial gilt developer units (GDUs) and were exposed to M. hyopneumoniae by natural contact or aerosolization. Study gilts originated from sources known to be negative to major swine pathogens, including M. hyopneumoniae, and were sampled prior to exposure to confirm negative status, then every two weeks. Blood samples were collected for antibody detection, while laryngeal and deep tracheal secretions and pen based oral fluids were collected for PCR, and sampling continued until at least 85% of samples were positive by PCR. Detection of M. hyopneumoniae varied greatly based on sample type. Oral fluids showed the lowest detection in groups of gilts detected positive by other sample types. Detection by PCR in deep tracheal secretions was higher than in laryngeal secretions. Seroconversion to and PCR detection of M. hyopneumoniae on oral fluids were delayed compared to PCR detection at the individual level. By two weeks post-exposure, at least 85% of study gilts in three GDUs exposed by aerosolization were PCR positive in deep tracheal secretions. Natural contact exposure resulted in 22.5% of study gilts becoming PCR positive by two weeks post-initial exposure, 61.5% at four weeks, and 100% at six weeks on deep tracheal secretions. Deep tracheal secretions required the lowest number of gilts to sample for the earliest detection compared to all other samples evaluated. As observed in one of the GDUs using aerosolization, demonstration of failure to expose gilts to M. hyopneumoniae allowed for early intervention in the exposure protocol and delay of Day 0, for accurate timing of the eradication protocol. Sampling guidelines proposed in this study can be used for verification of M. hyopneumoniae infection of gilts following exposure to determine Day 0 of herd closure.
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Affiliation(s)
- Amanda Sponheim
- Department of Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, 1365 Gortner Ave, St. Paul, MN 55108, USA; Boehringer Ingelheim Animal Health Inc., 3239 Satellite Blvd NW, Duluth, GA 30096, USA
| | - Julio Alvarez
- Department of Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, 1365 Gortner Ave, St. Paul, MN 55108, USA
| | - Eduardo Fano
- Boehringer Ingelheim Animal Health Inc., 3239 Satellite Blvd NW, Duluth, GA 30096, USA
| | - Albert Rovira
- Department of Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, 1365 Gortner Ave, St. Paul, MN 55108, USA; Veterinary Diagnostic Laboratory, College of Veterinary Medicine, University of Minnesota, 1365 Gortner Ave, St. Paul, MN 55108, USA
| | - Emily McDowell
- Pipestone Veterinary Services, 1300 S Highway 75, Pipestone, MN 56164, USA
| | - Elise Toohill
- The Maschhoffs, 6996 State Route 127, Carlyle, IL 62231, USA
| | - Laura Dalquist
- Swine Vet Center, 1608 S Minnesota Ave., St. Peter, MN 56082, USA
| | - Maria Pieters
- Department of Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, 1365 Gortner Ave, St. Paul, MN 55108, USA; Veterinary Diagnostic Laboratory, College of Veterinary Medicine, University of Minnesota, 1365 Gortner Ave, St. Paul, MN 55108, USA; Swine Disease Eradication Center, College of Veterinary Medicine, University of Minnesota, St. Paul, MN, USA.
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Renzhammer R, Auer A, Loncaric I, Entenfellner A, Dimmel K, Walk K, Rümenapf T, Spergser J, Ladinig A. Retrospective Analysis of the Detection of Pathogens Associated with the Porcine Respiratory Disease Complex in Routine Diagnostic Samples from Austrian Swine Stocks. Vet Sci 2023; 10:601. [PMID: 37888553 PMCID: PMC10610783 DOI: 10.3390/vetsci10100601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Revised: 09/26/2023] [Accepted: 09/29/2023] [Indexed: 10/28/2023] Open
Abstract
The diagnostic workup of respiratory disease in pigs is complex due to coinfections and non-infectious causes. The detection of pathogens associated with respiratory disease is a pivotal part of the diagnostic workup for respiratory disease. We aimed to report how frequently certain viruses and bacteria were detected in samples from pigs with respiratory symptoms in the course of routine diagnostic procedures. Altogether, 1975 routine diagnostic samples from pigs in Austrian swine stocks between 2016 and 2021 were analysed. PCR was performed to detect various pathogens, including porcine reproductive and respiratory syndrome virus (PRRSV) (n = 921), influenza A virus (n = 479), porcine circovirus type 2 (PCV2) (n = 518), Mycoplasma (M.) hyopneumoniae (n = 713), Actinobacillus pleuropneumoniae (n = 198), Glaesserella (G.) parasuis (n = 165) and M. hyorhinis (n = 180). M. hyorhinis (55.1%) had the highest detection rate, followed by PCV2 (38.0%) and Streptococcus (S.) suis (30.6%). PRRSV was detected most frequently in a pool of lung, tonsil and tracheobronchial lymph node (36.2%). G. parasuis was isolated more frequently from samples taken after euthanasia compared to field samples. PRRSV-positive samples were more likely to be positive for PCV2 (p = 0.001), M. hyopneumoniae (p = 0.032) and Pasteurella multocida (p < 0.001). M. hyopneumoniae-positive samples were more likely to be positive for P. multocida (p < 0.001) and S. suis (p = 0.046), but less likely for M. hyorhinis (p = 0.004). In conclusion, our data provide evidence that lung samples that were positive for a primary pathogenic agent were more likely to be positive for a secondary pathogenic agent.
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Affiliation(s)
- René Renzhammer
- Department for Farm Animals and Veterinary Public Health, University Clinic for Swine, University of Veterinary Medicine, Veterinärplatz 1, 1210 Vienna, Austria;
| | - Angelika Auer
- Institute of Virology, Department of Pathobiology, University of Veterinary Medicine, Veterinärplatz 1, 1210 Vienna, Austria; (A.A.); (K.D.); (T.R.)
| | - Igor Loncaric
- Institute of Microbiology, Department of Pathobiology, University of Veterinary Medicine, Veterinärplatz 1, 1210 Vienna, Austria; (I.L.); (J.S.)
| | | | - Katharina Dimmel
- Institute of Virology, Department of Pathobiology, University of Veterinary Medicine, Veterinärplatz 1, 1210 Vienna, Austria; (A.A.); (K.D.); (T.R.)
| | - Karin Walk
- Institute of Virology, Department of Pathobiology, University of Veterinary Medicine, Veterinärplatz 1, 1210 Vienna, Austria; (A.A.); (K.D.); (T.R.)
| | - Till Rümenapf
- Institute of Virology, Department of Pathobiology, University of Veterinary Medicine, Veterinärplatz 1, 1210 Vienna, Austria; (A.A.); (K.D.); (T.R.)
| | - Joachim Spergser
- Institute of Microbiology, Department of Pathobiology, University of Veterinary Medicine, Veterinärplatz 1, 1210 Vienna, Austria; (I.L.); (J.S.)
| | - Andrea Ladinig
- Department for Farm Animals and Veterinary Public Health, University Clinic for Swine, University of Veterinary Medicine, Veterinärplatz 1, 1210 Vienna, Austria;
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Lagua EB, Mun HS, Ampode KMB, Chem V, Kim YH, Yang CJ. Artificial Intelligence for Automatic Monitoring of Respiratory Health Conditions in Smart Swine Farming. Animals (Basel) 2023; 13:1860. [PMID: 37889795 PMCID: PMC10251864 DOI: 10.3390/ani13111860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Revised: 05/31/2023] [Accepted: 05/31/2023] [Indexed: 10/29/2023] Open
Abstract
Porcine respiratory disease complex is an economically important disease in the swine industry. Early detection of the disease is crucial for immediate response to the disease at the farm level to prevent and minimize the potential damage that it may cause. In this paper, recent studies on the application of artificial intelligence (AI) in the early detection and monitoring of respiratory disease in swine have been reviewed. Most of the studies used coughing sounds as a feature of respiratory disease. The performance of different models and the methodologies used for cough recognition using AI were reviewed and compared. An AI technology available in the market was also reviewed. The device uses audio technology that can monitor and evaluate the herd's respiratory health status through cough-sound recognition and quantification. The device also has temperature and humidity sensors to monitor environmental conditions. It has an alarm system based on variations in coughing patterns and abrupt temperature changes. However, some limitations of the existing technology were identified. Substantial effort must be exerted to surmount the limitations to have a smarter AI technology for monitoring respiratory health status in swine.
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Affiliation(s)
- Eddiemar B. Lagua
- Animal Nutrition and Feed Science Laboratory, Department of Animal Science and Technology, Sunchon National University, Suncheon 57922, Republic of Korea; (E.B.L.); (H.-S.M.); (K.M.B.A.); (V.C.)
- Interdisciplinary Program in IT-Bio Convergence System (BK21 Plus), Sunchon National University, 255 Jungangno, Suncheon 57922, Republic of Korea
| | - Hong-Seok Mun
- Animal Nutrition and Feed Science Laboratory, Department of Animal Science and Technology, Sunchon National University, Suncheon 57922, Republic of Korea; (E.B.L.); (H.-S.M.); (K.M.B.A.); (V.C.)
- Department of Multimedia Engineering, Sunchon National University, Suncheon 57922, Republic of Korea
| | - Keiven Mark B. Ampode
- Animal Nutrition and Feed Science Laboratory, Department of Animal Science and Technology, Sunchon National University, Suncheon 57922, Republic of Korea; (E.B.L.); (H.-S.M.); (K.M.B.A.); (V.C.)
- Department of Animal Science, College of Agriculture, Sultan Kudarat State University, Tacurong City 9800, Philippines
| | - Veasna Chem
- Animal Nutrition and Feed Science Laboratory, Department of Animal Science and Technology, Sunchon National University, Suncheon 57922, Republic of Korea; (E.B.L.); (H.-S.M.); (K.M.B.A.); (V.C.)
| | - Young-Hwa Kim
- Interdisciplinary Program in IT-Bio Convergence System (BK21 Plus), Chonnam National University, Gwangju 61186, Republic of Korea;
| | - Chul-Ju Yang
- Animal Nutrition and Feed Science Laboratory, Department of Animal Science and Technology, Sunchon National University, Suncheon 57922, Republic of Korea; (E.B.L.); (H.-S.M.); (K.M.B.A.); (V.C.)
- Interdisciplinary Program in IT-Bio Convergence System (BK21 Plus), Sunchon National University, 255 Jungangno, Suncheon 57922, Republic of Korea
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Garcia-Morante B, Maes D, Sibila M, Betlach AM, Sponheim A, Canturri A, Pieters M. Improving Mycoplasma hyopneumoniae diagnostic capabilities by harnessing the infection dynamics. Vet J 2022; 288:105877. [PMID: 35901923 DOI: 10.1016/j.tvjl.2022.105877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Revised: 07/15/2022] [Accepted: 07/23/2022] [Indexed: 11/17/2022]
Abstract
Mycoplasma hyopneumoniae remains one of the most problematic bacterial pathogens for pig production. Despite an abundance of observational and laboratory testing capabilities for this organism, diagnostic interpretation of test results can be challenging and ambiguous. This is partly explained by the chronic nature of M. hyopneumoniae infection and its tropism for lower respiratory tract epithelium, which affects diagnostic sensitivities associated with sampling location and stage of infection. A thorough knowledge of the available tools for routine M. hyopneumoniae diagnostic testing, together with a detailed understanding of infection dynamics, are essential for optimizing sampling strategies and providing confidence in the diagnostic process. This study reviewed known information on sampling and diagnostic tools for M. hyopneumoniae and summarized literature reports of the dynamics of key infection outcomes, including clinical signs, lung lesions, pathogen detection, and humoral immune responses. Such knowledge could facilitate better understanding of the performance of different diagnostic approaches at various stages of infection.
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Affiliation(s)
- Beatriz Garcia-Morante
- Department of Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, 1365 Gortner Ave, St. Paul, MN 55108, USA; IRTA, Centre de Recerca en Sanitat Animal (CReSA, IRTA-UAB), Campus de la Universitat Autònoma de Barcelona, 08193 Bellaterra, Spain
| | - Dominiek Maes
- Department of Reproduction, Obstetrics and Herd Health, Faculty of Veterinary Medicine, Unit Porcine Health Management, Ghent University, Salisburylaan, 133 B-9820 Merelbeke, Belgium
| | - Marina Sibila
- IRTA, Centre de Recerca en Sanitat Animal (CReSA, IRTA-UAB), Campus de la Universitat Autònoma de Barcelona, 08193 Bellaterra, Spain
| | - Alyssa M Betlach
- Department of Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, 1365 Gortner Ave, St. Paul, MN 55108, USA; Swine Vet Center, 1608 S Minnesota Ave, St. Peter, MN 56082, USA
| | - Amanda Sponheim
- Department of Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, 1365 Gortner Ave, St. Paul, MN 55108, USA; Boehringer Ingelheim Animal Health USA Inc., 3239 Satellite Blvd NW, Duluth, GA 30096, USA
| | - Albert Canturri
- Department of Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, 1365 Gortner Ave, St. Paul, MN 55108, USA
| | - Maria Pieters
- Department of Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, 1365 Gortner Ave, St. Paul, MN 55108, USA; Veterinary Diagnostic Laboratory, College of Veterinary Medicine, University of Minnesota, 1333 Gortner Ave, St Paul, 55108 MN, USA; Swine Disease Eradication Center, College of Veterinary Medicine, University of Minnesota, 1988 Fitch Ave, St. Paul, MN 55108, USA.
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Silva APSP, Storino GY, Ferreyra FSM, Zhang M, Miller JM, Harmon KM, Gauger PC, Witbeck W, Doolittle K, Zimmerman S, Wang C, Derscheid RJ, Clavijo MJ, Arruda BL, Zimmerman JJ. Effect of testing protocol and within-pen prevalence on the detection of Mycoplasma hyopneumoniae DNA in oral fluid samples. Prev Vet Med 2022; 204:105670. [DOI: 10.1016/j.prevetmed.2022.105670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Revised: 05/01/2022] [Accepted: 05/09/2022] [Indexed: 12/01/2022]
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Silva APSP, Storino GY, Ferreyra FSM, Zhang M, Fano E, Polson D, Wang C, Derscheid RJ, Zimmerman JJ, Clavijo MJ, Arruda BL. Cough associated with the detection of Mycoplasma hyopneumoniae DNA in clinical and environmental specimens under controlled conditions. Porcine Health Manag 2022; 8:6. [PMID: 35078535 PMCID: PMC8788120 DOI: 10.1186/s40813-022-00249-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2021] [Accepted: 12/02/2021] [Indexed: 11/28/2022] Open
Abstract
Background The association of cough with Mycoplasma hyopneumoniae (MHP) DNA detection in specimens was evaluated under conditions in which the MHP status of inoculated and contact-infected pen mates was closely monitored for 59 days post-inoculation (DPI).
Methods Seven-week-old pigs (n = 39) were allocated to five rooms (with one pen). Rooms contained 9 pigs each, with 1, 3, 6, or 9 MHP-inoculated pigs, respectively, except Room 5 (three sham-inoculated pigs). Cough data (2 × week) and specimens, tracheal swabs (2 × week), oral fluids (daily), drinker wipes (~ 1 × week), and air samples (3 × week) were collected. At 59 DPI, pigs were euthanized, and lung and trachea were evaluated for gross and microscopic lesions. Predictive cough value to MHP DNA detection in drinker and oral fluid samples were estimated using mixed logistic regression. Results Following inoculation, MHP DNA was first detected in tracheal swabs from inoculated pigs (DPI 3), then oral fluids (DPI 8), air samples (DPI 10), and drinker wipes (21 DPI). MHP DNA was detected in oral fluids in 17 of 59 (Room 1) to 43 of 59 (Room 3) samples, drinker wipes in 4 of 8 (Rooms 2 and 3) to 5 of 8 (Rooms 1 and 4) samples, and air samples in 5 of 26 (Room 2) or 3 of 26 (Room 4) samples. Logistic regression showed that the frequency of coughing pigs in a pen was associated with the probability of MHP DNA detection in oral fluids (P < 0.01) and nearly associated with drinker wipes (P = 0.08). Pathology data revealed an association between the period when infection was first detected and the severity of gross lung lesions. Conclusions Dry, non-productive coughs suggest the presence of MHP, but laboratory testing and MHP DNA detection is required for confirmation. Based on the data from this study, oral fluids and drinker wipes may provide a convenient alternative for MHP DNA detection at the pen level when cough is present. This information may help practitioners in specimen selection for MHP surveillance.
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