Use of antibody titers measured via serum synergistic hemolysis inhibition testing to predict internal Corynebacterium pseudotuberculosis infection in horses

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Abstract

Objective-To estimate likelihood ratios (LRs) of correctly identifying internal Corynebacterium pseudotuberculosis infection in horses by measurement of antibody titers via serum synergistic hemolysis inhibition (SHI) testing. Design-Retrospective case-control study. Animals-170 horses (171 records; 92 cases of C pseudotuberculosis infection and 79 controls). Procedures-Medical records were reviewed, and horses were grouped on the basis of evidence of internal or external C pseudotuberculosis infection. The LRs and 95% confidence intervals for identification of internal C pseudotuberculosis infection by use of SHI test results were estimated. Results-LRs for C pseudotuberculosis infection increased as antibody titers increased when all horses were included in analyses; LRs for detecting internal infection were significantly > 1 (null value) for reciprocal antibody titers ≥ 1,280 overall and > 160 when horses with external abscesses were excluded. Likelihood ratios for detecting internal infection did not differ from 1 (indicating no change in pretest-to-posttest odds of internal infection) when only horses with external C pseudotuberculosis infection (horses with external and internal abscesses vs those with external abscesses only) were included. The LR for detecting internal infection was 2.98 (95% confidence interval, 2.19 to 4.05) for horses with titers ≥ 512. Conclusions and Clinical Relevance-In the study population, higher titers were typically more indicative of active external or internal C pseudotuberculosis infection than of internal disease specifically. The SHI test was not a useful predictor of internal C pseudotuberculosis infection in horses with external abscesses but was useful in the absence of external disease.

Original languageEnglish (US)
Pages (from-to)86-92
Number of pages7
JournalJournal of the American Veterinary Medical Association
Volume242
Issue number1
DOIs
StatePublished - Jan 1 2013

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Corynebacterium Infections
Corynebacterium pseudotuberculosis
hemolysis
Hemolysis
Horses
horses
antibodies
Antibodies
Infection
Serum
infection
Abscess
testing
abscess
confidence interval
Confidence Intervals
Infection Control
Medical Records
Case-Control Studies
case-control studies

ASJC Scopus subject areas

  • veterinary(all)

Cite this

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title = "Use of antibody titers measured via serum synergistic hemolysis inhibition testing to predict internal Corynebacterium pseudotuberculosis infection in horses",
abstract = "Objective-To estimate likelihood ratios (LRs) of correctly identifying internal Corynebacterium pseudotuberculosis infection in horses by measurement of antibody titers via serum synergistic hemolysis inhibition (SHI) testing. Design-Retrospective case-control study. Animals-170 horses (171 records; 92 cases of C pseudotuberculosis infection and 79 controls). Procedures-Medical records were reviewed, and horses were grouped on the basis of evidence of internal or external C pseudotuberculosis infection. The LRs and 95{\%} confidence intervals for identification of internal C pseudotuberculosis infection by use of SHI test results were estimated. Results-LRs for C pseudotuberculosis infection increased as antibody titers increased when all horses were included in analyses; LRs for detecting internal infection were significantly > 1 (null value) for reciprocal antibody titers ≥ 1,280 overall and > 160 when horses with external abscesses were excluded. Likelihood ratios for detecting internal infection did not differ from 1 (indicating no change in pretest-to-posttest odds of internal infection) when only horses with external C pseudotuberculosis infection (horses with external and internal abscesses vs those with external abscesses only) were included. The LR for detecting internal infection was 2.98 (95{\%} confidence interval, 2.19 to 4.05) for horses with titers ≥ 512. Conclusions and Clinical Relevance-In the study population, higher titers were typically more indicative of active external or internal C pseudotuberculosis infection than of internal disease specifically. The SHI test was not a useful predictor of internal C pseudotuberculosis infection in horses with external abscesses but was useful in the absence of external disease.",
author = "Jeske, {Jennifer M.} and Sharon Spier and Whitcomb, {Mary B} and Nicola Pusterla and Ian Gardner",
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T1 - Use of antibody titers measured via serum synergistic hemolysis inhibition testing to predict internal Corynebacterium pseudotuberculosis infection in horses

AU - Jeske, Jennifer M.

AU - Spier, Sharon

AU - Whitcomb, Mary B

AU - Pusterla, Nicola

AU - Gardner, Ian

PY - 2013/1/1

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N2 - Objective-To estimate likelihood ratios (LRs) of correctly identifying internal Corynebacterium pseudotuberculosis infection in horses by measurement of antibody titers via serum synergistic hemolysis inhibition (SHI) testing. Design-Retrospective case-control study. Animals-170 horses (171 records; 92 cases of C pseudotuberculosis infection and 79 controls). Procedures-Medical records were reviewed, and horses were grouped on the basis of evidence of internal or external C pseudotuberculosis infection. The LRs and 95% confidence intervals for identification of internal C pseudotuberculosis infection by use of SHI test results were estimated. Results-LRs for C pseudotuberculosis infection increased as antibody titers increased when all horses were included in analyses; LRs for detecting internal infection were significantly > 1 (null value) for reciprocal antibody titers ≥ 1,280 overall and > 160 when horses with external abscesses were excluded. Likelihood ratios for detecting internal infection did not differ from 1 (indicating no change in pretest-to-posttest odds of internal infection) when only horses with external C pseudotuberculosis infection (horses with external and internal abscesses vs those with external abscesses only) were included. The LR for detecting internal infection was 2.98 (95% confidence interval, 2.19 to 4.05) for horses with titers ≥ 512. Conclusions and Clinical Relevance-In the study population, higher titers were typically more indicative of active external or internal C pseudotuberculosis infection than of internal disease specifically. The SHI test was not a useful predictor of internal C pseudotuberculosis infection in horses with external abscesses but was useful in the absence of external disease.

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