10–12 Sept 2025
Kaiserin-Friedrich-Stiftung, Berlin
Europe/Berlin timezone

Culture or PCR? Benchmarking Brucellosis Diagnosis Without a Gold Standard

12 Sept 2025, 11:30
15m
Seminar Room

Seminar Room

Oral presentation Microbiological Diagnostics Diagnostics

Speaker

Alessandro Bellato (University of Turin, Italy)

Description

Brucellosis is a zoonosis of major public health concern. However, its near-eradication in high-income countries has limited recent research, and the performance of diagnostic tests in livestock remains unclear due to the lack of a gold-standard.
This study evaluated the performance of bacteriological culture and qPCR for diagnosing brucellosis in buffaloes and cattle.
A total of 5,149 animals, slaughtered in 2022 from confirmed or suspect infected herds in Campania (Italy), were tested according to the protocols provided by the European Union Reference Laboratory. Tissue samples from both seropositive and seronegative animals underwent culture and qPCR. Results were analysed using Bayesian latent class analysis, which estimates test performance without prior knowledge of true infection status.
Overall, 35.9% of animals tested positive to at least one method. Culture sensitivity ranged from 43.9% to 59.2% (median = 51.7%), and qPCR from 65.8% to 82.2% (median = 74.4%). Culture specificity ranged from 89.8% to 99.4% (median = 94.3%), and qPCR from 84.2% to 94.0% (median = 89.3%). Despite qPCR showing higher sensitivity overall, culture yielded better positive predictive values in seronegative animals.
These large-scale results provide robust benchmarking of brucellosis diagnostic and confirm that qPCR cannot fully replace culture, especially in low-prevalence settings. Moreover, the enhanced culture protocol adopted here showed promising results warranting further evaluation.

Keywords

Brucellosis, Bayesian Latent Class Analysis, Bacteriological culture, qPCR, Sensitivity, Specificity, Livestock

Registration ID 69
Professional Status of the submitter, who is also the speaker Postdoc

Authors

Alessandro Bellato (University of Turin, Italy) Dr Lorena Cardillo (Istituto Zooprofilattico Sperimentale del Mezzogiorno, Italy) Dr Maria Ottaiano (Istituto Zooprofilattico Sperimentale del Mezzogiorno, Italy) Ms Agata Campione (Istituto Zooprofilattico Sperimentale del Mezzogiorno, Italy) Dr Michela Di Roberto (Istituto Zooprofilattico Sperimentale del Mezzogiorno, Italy) Dr Anna Cerrone (Istituto Zooprofilattico Sperimentale del Mezzogiorno, Italy) Dr Francesca Bove (Istituto Zooprofilattico Sperimentale del Mezzogiorno, Italy) Dr Roberta Pellicanò (Istituto Zooprofilattico Sperimentale del Mezzogiorno, Italy) Dr Marco Esposito (UOD Prevenzione e Sanità Pubblica Veterinaria, Regione Campania, Italy) Dr Antonio Limone (Istituto Zooprofilattico Sperimentale del Mezzogiorno, Italy) Dr Esterina De Carlo (Istituto Zooprofilattico Sperimentale del Mezzogiorno, Italy) Prof. Anna Rita Attili (School of Biosciences and Veterinary Medicine, University of Camerino, Italy) Dr Giovanna Fusco (Istituto Zooprofilattico Sperimentale del Mezzogiorno, Italy)

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