COMPARISON OF SOME RAPID TECHNIQUES USED FOR DIAGNOSIS OF BRUCELLOSIS OF ABORTED COWS COMPARED WITH CONVENTIAL METHOD

Document Type : Research article

Authors

Dept. of Reproductive diseases, ARRI, ARC, Giza, Egypt

Abstract

A total of 158 specimens of uterine discharges and lochia were collected from aborted cows of different localities in Egypt. The blood samples of the same aborted cows were also collected for serological tests. The bacteriological method was applied for isolation of Brucella organisms from 102 uterine discharges and 56 lochia of aborted cows. Primary inoculation was done on Brucella agar plates. The plates were incubated in the presence of 5% CO2 in Carbon dioxide incubator for 72-120 hrs. The isolates were initially recognized on the basis of their cultural and morphological features and biochemical identification. DOT-ELISA was applied on the colonies plates for detection of Brucella microorganisms in the aborted materials. The direct fluorescent antibody test (DFAT) was applied on the specimens of uterine discharges and lochia. Samples were coated on the slides as antigens, then Brucella specific antibodies labelled with a fluorescein conjugate were added and examined under the fluorescent microscope. The applied serological tests in this study were Rose Bengal Test (RBT), Standard Tube Agglutination Test (SAT), Rivanol Test (RT) and Enzyme Linked Immunosorbant Assay (ELISA) test. The rate of isolation of Brucella melitensis (B. melitensis) from aborted cows was 7.59% from 12 isolates; 7.84% from 8 uterine discharges and 7.14% from 4 lochia by cultural bacteriological method and Dot-ELISA. The result of DFAT were 25(15.82%) positive; 16 (15.69%) from uterine discharges and 9 (16.07%) from lochia. The results of serological tests on the serum samples were 64 (40.51%), 58 (36.71%), 55 (34.81%) and 66 (41.77%) positive results for RBT, SAT, RT and ELISA respectively. Finally, we concluded that in order to eradicate and control brucellosis, we must apply a good surveillance reliable diagnostic test. The practical serological diagnosis must be based on screening test of high sensitivity followed by a confirmatory test as ELISA test of high specificity. A combination of serological test with FAT is usually needed for diagnosis of Brucella organisms in aborted cases.

Keywords


COMPARISON OF SOME RAPID TECHNIQUES USED FOR DIAGNOSIS OF BRUCELLOSIS OF ABORTED COWS COMPARED WITH CONVENTIAL METHOD

 

ABOU GAZIA, K.A.; EMAN, SH. RAMADAN and MONA M. SOBHY

Dept. of Reproductive diseases, ARRI, ARC, Giza, Egypt.

Email: khalidabougazia@yahoo.com

 

 

 

ABSTRACT

 

 

 

 

Received at:21/12/2013

 

 

 

Accepted: 20/2/2014

 

A total of 158 specimens of uterine discharges and lochia were collected from aborted cows of different localities in Egypt. The blood samples of the same aborted cows were also collected for serological tests. The bacteriological method was applied for isolation of Brucella organisms from 102 uterine discharges and 56 lochia of aborted cows. Primary inoculation was done on Brucella agar plates. The plates were incubated in the presence of 5% CO2 in Carbon dioxide incubator for 72-120 hrs. The isolates were initially recognized on the basis of their cultural and morphological features and biochemical identification. DOT-ELISA was applied on the colonies plates for detection of Brucella microorganisms in the aborted materials. The direct fluorescent antibody test (DFAT) was applied on the specimens of uterine discharges and lochia. Samples were coated on the slides as antigens, then Brucella specific antibodies labelled with a fluorescein conjugate were added and examined under the fluorescent microscope. The applied serological tests in this study were Rose Bengal Test (RBT), Standard Tube Agglutination Test (SAT), Rivanol Test (RT) and Enzyme Linked Immunosorbant Assay (ELISA) test. The rate of isolation of Brucella melitensis (B. melitensis) from aborted cows was 7.59% from 12 isolates; 7.84% from 8 uterine discharges and 7.14% from 4 lochia by cultural bacteriological method and Dot-ELISA. The result of DFAT were 25(15.82%) positive; 16 (15.69%) from uterine discharges and 9 (16.07%) from lochia. The results of serological tests on the serum samples were 64 (40.51%), 58 (36.71%), 55 (34.81%) and 66 (41.77%) positive results for RBT, SAT, RT and ELISA respectively. Finally, we concluded that in order to eradicate and control brucellosis, we must apply a good surveillance reliable diagnostic test. The practical serological diagnosis must be based on screening test of high sensitivity followed by a confirmatory test as ELISA test of high specificity. A combination of serological test with FAT is usually needed for diagnosis of Brucella organisms in aborted cases.

 

 

Keywords: Rapid techniques, Brucellosis, Cows.

 

 


INTRODUCTION

 

Brucella has a significant economic impact on our livestock business. It has severe consequence on production of cattle that influences two of the greatest infertility and sterility problems, (Parker, 2003).

 

Brucellosis is a highly infectious bacterial disease that mainly affects cattle, sheep, pigs and goats. The organism causing brucellosis primarily infects the reproductive organs and thrives in the uterus of pregnant animals, often leading to late abortion (OIE 2001). The organism can remain undetected for prolonged periods as there are no clinical signs until abortion occurs (AHVLA, 2013).

 

Bovine brucellosis is the best known and most controversial infection of the bovine reproductive system. It is one of the core profiles of economic consideration in livestock production enterprises since loss of calf due to abortion and its squeal lead to infertility (Verma et al., 2000).

 

Brucellosis infection of cattle causes abortion or premature calving of recently infected animals, the foetus, placenta and uterine fluid contain large quantities of Brucella organisms which can infect other animal coming into contact with an infected animal around the time of calving (Nielsen et al., 2005).

 

The gold standard technique for diagnosis of brucellosis is isolation and identification of the causative bacterium Brucella species. Isolation of Brucella organisms requires a high secured laboratory facilities (biological containment level 3), an extended time for results, highly skilled personnel and hazardous procedure. Brucellosis is generally diagnosed by detection of antibodies in serum or other body fluids. Subsequently, various modification of agglutination test and numerous other tests have been developed to increase test accuracy (Nielsen and Yu, 2010).

 

Brucellosis was firstly diagnosed by using a simple tube agglutination test by Wright and Smith (1897). The other tests have been developed to increase test sensitivity. However no test is 100% accurate. So, generally serological diagnosis consists of testing sera by several tests, usually as screening test of high sensitivity followed by a confirmatory test of high specificity (Nielsen et al., 2005).

 

The present study was contemplated to reveal some rapid diagnostic techniques used for diagnosis of brucellosis of aborted cows as DFAT and DOT-ELISA compared with convential method

 

MATERIALS and METHODS

 

In the present study a total of 158 specimens were collected from aborted cows of different farms in Egypt (102 uterine discharges and 56 lochia). Also 158 blood samples of the same aborted cows were collected for serological tests.

 

The conventional bacteriological methods (Alton      et al., 1988) were applied for isolation and identification of Brucella organisms from the all specimens.

 

Primary inoculation was done on sheep blood agar plates in duplicate by directly streaking the swabs to be cultivated. The plates were incubated at 37°C in the presence of 5% CO2 in Carbon dioxide incubator for 72-120 hrs. The isolates were initially recognized on the basis of their cultural and morphological features. They were also biochemically characterized as described by (Carter and Cole, 1995).

 

DOT-ELISA was applied on the colonies plates for detection of Brucella microorganisms in the aborted materials as described by (Nielsen et al., 2004).

 

Direct Florescence Antibody Technique (DFAT) was applied on the specimens of uterine discharges and lochia. Samples coated on the slides as antigens and then Brucellaspecific antibodies labeled with a fluorescein conjugate were added (Nicoletti and Tanya, 1993).

 

The serological tests applied on these studies were Rose Bengal tset (RBT), Standerd Tube agglutination test (SAT), Rivanol test (RT) and Enzyme linked Immunoasorbant Assay (ELISA) according to (Nielsen, 2002).

 

RESULTS

 

From 102 uterine discharge samples only 8 brucella isolates could be identified, also 4 brucella isolates could be identified from 56 lochia samples, but when we used DFAT on uterine discharge and lochia gave 25 positive brucella cases.

 

Serological test applied on serum obtained from 158 blood samples showed better detection of brucella antibody by ELISA  66 sample than Rose Bengal 58 positive sample.

 

 

Table 1: Brucella isolates encountered from aborted cows by culture.

 

% of isolates

Brucella isolates*

No. of samples

Type of samples

7.84%

 

7.14%

8

 

4

102

 

56

Uterine discharges

 

Lochia

7.59%

12

158

Total

 

  * based on cultural, morphological and biochemical features.

 

Table 2: The incidence of Brucella in samples of aborted cows by DFAT and Dot ELISA.

 

Positive samples by Dot ELISA

Positive samples by DFAT

No. of samples

Type of samples

8

(7.84%)

4

(7.14%)

16

(15.69%)

9

(16.07%)

102

 

56

 

Uterine Discharges

 

Lochias

12

(7.59%)

25

(15.82%)

158

Total

 


Table 3: The prevalence of Brucella in serum samples of aborted cows by serological test.

 

Serological Tests

No. of samples

Type of samples

ELISA

RT

SAT

RBT

66

(41.77%)

55

(34.81%)

58

(36.71%)

64

(40.51%)

158

Serum

 

 

 

 

Fig.1: Positive DFAT applied on lochia of aborted cow.

 


DISCUSSION

 

Brucellosis remains a major worldwide zoontic disease (Cutler and Whatmore, 2003). It is a bacterial disaease of global importance that may affect different mammals. The disease primarily affects the reproductive system with concomitant loss in productivity of animals (Young, 1995).

 

Brucellosis is considered as an emerging problem in developing countries where there is an increasing incidence of B. melitensis in cattle (Corbel, 1997). The organisms survive within the environment for prolonged periods (Moreno and Gorvel, 2004). Interaction with placental trophoblasts suggests that the ability to acquire iron is vital as the Brucella enter their acute replicative stage within the placental disruption resulting in fetal loss or birth of weak and/or infected off spring (Eschenbrenner et al., 2002 and Cutler et al., 2005).

 

The accurate diagnosis of brucellosis in any species goes straight forward but may be very difficult in some cases (Nielsen and Yu, 2010). Brucelladiagnostic tests were developed based on agglutination methods. These assays have been played with problems of both sensitivity and specificity (Alton et al., 1988 and Nielsen, 2002).

 

Diagnosis of brucella infection can be made by isolation and identification of the organisms by convential methods (Bercovich, 2000). In the present study, the rate of isolation of B.melitensis from aborted cows was 12 isolates; 8 from uterine discharges and 4 from lochia by cultural bacteriological method and Dot- ELISA (Table, 1 & 2). These findings agree with (Zowghi and Ebadi 1988), that all the isolates of brucella encountered in this study were identified by biochemical tests as described by (Carter and Cole, 1995).

 

The obtained results revealed Brucella positive by direct fluorescent antibody test applied through specific binding of antibody to the provide antigen conjugated with fluorescein conjugate. The results were 25positive cases of DFAT; 16 from uterine discharges and 9 from lochias. These findings coincide with (Samartino et al., 1999) and (Bahn and Nockler 2005). The higher incidence rate of Brucellaorganisms was done by DFAT which is a simple, rapid diagnostic test, relatively inexpensive and accurate (Nielsen et al., 2004).

 

Serodiagnonostic methods for brucellosis have primarily been based on serology with lipopolysaccharides (LPS) from smooth strains producing greatest immunological response (Kittelberger et al., 1997). In this study, different serological tests were applied on the serum samples; RBT gave 64, SAT gave 58 RT gave 55 and ELISA test gave 66 positive results (Table, 3). These findings agreed with (Verma et al., 2000 and Nielsen et al., 2005). The higher positivity of ELISA test generally has very high sensitivity and excellent screening assays for diagnosis of brucella especially in individual animal test of serum (Wright et al., 1997 and Gall et al., 2001 and McGiven et al., 2003).

 

CONCLUSION

 

Finally, we conclude that in order to eradicate and control brucellosis, we must apply good surveillance reliable diagnostic test. The practical serological diagnosis must be based on screening test of high sensitivity followed by a confirmatory test as ELISA test of high specificity. A combination of serological test with DFAT is usually needed for diagnosis of brucella organisms in aborted cases.

 

REFERENCES

 

AHVLA (2013): Animal Health and Veterinary Laboratories Agency, London, England. © Crown Copyright.

Alton, G.G.; Jones, L.M.; Angus, R.D. and Verger, J.M. (1988): Techniques for brucellosis laboratory. Inst. Nat. de Res. Agronomique, Paris, France.

Bahn, P. and Nockler, K. (2005): Validation of the fluorescence Polarization assay (FPA) for the serological diagnosis of brucellosis. Berl. Tierarztl. Wochenschr. 118: 372-6.

Bercovich, Z. (2000): The use of skin delayed-type hypersensitivity as an adjunct test to diagnose brucellosis in cattle: a review. Vet Q 22,    123130

Carter, G.R. and Cole, J.R. (1995): Diagnostic procedures in veterinary bacteriology and mycology. 6th Ed. Academic Press Inc. California.

Corbel, M. (1997): Brucellosis: an overview. Emerg Infect Dis 3, 213221.

Cutler, S. and Whatmore, A. (2003)Progress in understanding brucellosis. Vet. Rec. 153, 641642.

Cutler, S.J.; Whatmore, N.J. and Commander, N.J. (2005): Brucellosis – new aspects of an old disease. J. App. Microbiol. Volume 98, Issue 6, p1270–1281.

Eschenbrenner, M.; Wagner, M.A.; Horn, T.A.; Kraycer, J.A.; Mujer, C.V.; Hagius, S.; Elzer, P. and DelVecchio, V.G. (2002): Comparative proteome analysis of Brucella melitensis vaccine strain Rev 1 and a virulent strain, 16 M. J Bacteriol 184, 49624970.

Gall, D.; Nielsen, K.; Forbes, L.; Cook, W.; Leclair, D.; Balsevicius, S.; Kelly, L.; Smith, P. and Mallary, M. (2001): Evaluation of the fluorescence polarization assay and comparison to other serological assays for detection of brucellosis in cervids. J. Wildl. Dis., 37: 110-118.

Kittelberger, R.; Reichel, M.P.; Joyce, M.A. and Staak, C. (1997):  Serological crossreactivity between Brucella abortus and Yersinia enterocolitica 0: 9. III. Specificity of the in vitro antigen-specific gamma interferon test for bovine brucellosis diagnosis in experimentally Yersinia enterocolitica 0: 9-infected cattle. Vet. Microbiol. 57, 361371.

McGiven, J.; Tucker, J.; Perrett, L.; Stoack, J.; Brew, S. and MacMillan, A. (2003): FPA and cELISA for the detection of antibodies to Brucella abortus in cattle sera and comparison to SAT, CFT and iELISA. J. Immunol. Meth; 278: 171-8

Moreno, E. and Gorvel, J.-P. (2004): Invasion, intracellular trafficking and replication of Brucella organisms in professional and non-professional phagocytes. In Brucella Molecular and Cellular Biology ed. Lopes-Goni, I. and Moriyon, I. pp. 287312. Norfolk, UK: Horizon Bioscience.

Nicoletti, P. and Tanya, V. (1993): Comparison of enzyme labelled immunosorbent assay and practical concentration fluorescence immunoassay with standard serologic methods and bacterial culture for detection of brucella sp. infected cows in herds with brucellosis. J. Am. Vet. Med. Assoc.; 202: 1975-7.

Nielsen, K. (2002): Diagnosis of brucellosis by serology. Vet. Microbiol. 90:447-459.

Nielsen, K.; Smith, P.; Conde, S.; Draghi de Benitez, G.; Gall, D.; Halbert, G.; Kenny, K. and Massengill, C. (2004): Rough lipopolysaccharide of Brucella abortus RB51 as a common antigen for serological detection of B. ovis, B. canis, and B. abortus RB51 exposure using indirect enzyme immunoassay and fluorescence polarization assay. J. Immunoassay Immunochem 25, 171182.

Nielsen, K.; Smith, P.; Yu, W.; Nicoletti, P.; Elzer, P. and Robles, C. (2005): Towards single screening test for brucellosis. Rev. Sci. Tech.; 24: 1027-37.

Nielsen, K. and Yu, W.L. (2010): Serological diagnosis of brucellosis. Sc. Biol. Med. Sci. MASA, 1 p: 65-89.

OIE (World organization for animal Health) (2001):Manual of standards for diagnostic tests and vaccines, 4th Ed. OIE, Paris, 957 pp

Parker, R. (2003): Diseases Affecting Reproduction in Beef Cattle. College of Agricultural, Consumer and Environmental Sciences, New MexicoStateUniversity.

Samartino, L.; Gall, D.; Gregoret, R. and Nielsen, K. (1999): Validation of enzyme linked immunosorbent assays for the diagnosis of bovine brucellosis. Vet. Microbiol. 70:      193-200.

Verma, S.; Katoch, R.C.; Sharma, M. and Niagom, P. (2000): Abortions and infertility in livestock due to brucellosis in Himachal Prodesh, India. Vet. Arhiv. 70: 75-82.

Wright, A.E. and Smith, F. (1897): Cited by Morgan, W.J.B. (1967):  The serological diagnosis of bovine brucellosis. Vet. Rec., 80: 612-620.

Wright, P.F.; Tounkara, K.; Lelenta, M. and Jeggo, M.H. (1997): International reference standard: antibody standards for the indirect enzyme-linked immunosorbent assay. Rev. Sci. Tech., 3: 824-832.

Young, D.A. (1995): Fluorescence Nightingale's fever. Br Med. J. 311, 16971700.

Zowghi, E. and Ebadi, A. (1988): Abortions due to Brucella abortion in sheep in Iran. Rev. Scien. Techn. Office. Intentional des. Epizooties, 7: 379-382.

 

 

مقارنة بعض الطرق السريعة لتشخيص مرض البروسيلا فى الأبقار المجهضة مع الطريقة التقليدية

 

خالدعبدالسميع ابو جازية , ايمان شوقت رمضان , منى محمد صبحى

Email: khalidabougazia@yahoo.com

 

تم تجميع عدد 158 عينة من أبقار مجهضة اشتملت على عدد 102 عينة أفرازات رحمية وعدد 56 عينة السائل النفاسى وتم أخذ عينات دم من نفس الأبقار المجهضة لفحصها سيرولوجيا لمرض البروسيلا. تم زرع هذه العينات بکترولوجيا على أطباق تحتوى على بروسيلا أجار مضافا إليها نسبة 10% دم أغنام وحفظت هذه الأطباق في درجة حرارة  37 درجة مئوية في حضانة تحتوى على نسبة 5 % من غاز ثاني أکسيد الکربون لمدة 72-120 ساعة. تم أخذ المعزولات الايجابية من الاطباق لاجراء التجارب البيوکيميائية عليها للتعرف على نوع البروسيلا المعزول وتم تطبيق اختبار الدوت اليزا على العينات الايجابية للتأکد من النتائج. وکذلک تم تطبيق الاختبار الفلورسينتى المباشر على عينات الأبقار المجهضة بتثبيتها على الشرائح الخاصة بالاختبار الفلورسينتى ووضع صبغة الفلورسين التى تحتوى على المضادات لميکروب البروسيلا وفحصها تحت الميکروسکوب الفلورسينتى باستخدام الأشعة فوق البنفسجية. وکذلک تم تطبيق الاختبارات المصلية على مصل هذه الأبقار المجهضة مثل اختبار التلزن البطىء والروز بنجال والريفانول وکذلک اختبار الاليزا. وکانت نتائج العزل کالتالى: عزل ميکروب البروسيلا ميليتنسيز من عدد 12 عينة بنسبة 7.59% من اجمالى عينات الأبقار المجهضة تشمل عدد 8 عينات ايجابية بنسبة 7.84% من الافرازات الرحمية وعدد 4 عينات ايجابية بنسبة 7.14% من السائل النفاسى وکانت نتيجة اختبار الدوت اليزا نفس النتائج. أما نتيجة الاختبار الفلورسينتى المباشر کانت ايجابية لعدد 25 بنسبة 15.82% لعدد 16 عينة ايجابية بنسبة 15.69% من الافرازات الرحمية وعدد 9 عينات ايجابية بنسبة 16.07% من الأنسجة النفاسية. وکانت نتيجة الاختبارات المصلية کالآتى: عدد 64 عينة ايجابية لاختبار الروزبنجال بنسبة  40.51% , عدد 58 عينة ايجابية باستخدام اختبار التلزن البطئ بنسبة 36.71 % , وعدد 55 عينة ايجابية لاختبار الريفانول بنسبة  34.81% وکانت نتيجة اختبار الاليزا هو عدد 66 عينة ايجابية بنسبة  41.77%. وأخيرا لکى نتخلص ونکافح مرض البروسيلا لابد من تطبيق الاختبارات الحقيقية والتشخيص المصلى الفعال وأن يعتمد على اختبار کاشف سريع مباشر يتميز بالکفاءة العالية مع استخدام اختبار تأکيدى مثل الاليزا لما يتميز به من دقة فى التشخيص بجانب الاختبارات السيرولوجية السريعة الکاشفة وکذلک يوصى باستخدام الاختبار الفلورسينتى المباشر للتشخيص السريع لحالات الاجهاض فى الابقار.

 

 
REFERENCES
 
Alton, G.G.; Jones, L.M.; Angus, R.D. and Verger, J.M. (1988): Techniques for brucellosis laboratory. Inst. Nat. de Res. Agronomique, Paris, France.
Bahn, P. and Nockler, K. (2005): Validation of the fluorescence Polarization assay (FPA) for the serological diagnosis of brucellosis. Berl. Tierarztl. Wochenschr. 118: 372-6.
Bercovich, Z. (2000): The use of skin delayed-type hypersensitivity as an adjunct test to diagnose brucellosis in cattle: a review. Vet Q 22,    123130
Carter, G.R. and Cole, J.R. (1995): Diagnostic procedures in veterinary bacteriology and mycology. 6th Ed. Academic Press Inc. California.
Corbel, M. (1997): Brucellosis: an overview. Emerg Infect Dis 3, 213221.
Cutler, S. and Whatmore, A. (2003)Progress in understanding brucellosis. Vet. Rec. 153, 641642.
Cutler, S.J.; Whatmore, N.J. and Commander, N.J. (2005): Brucellosis – new aspects of an old disease. J. App. Microbiol. Volume 98, Issue 6, p1270–1281.
Eschenbrenner, M.; Wagner, M.A.; Horn, T.A.; Kraycer, J.A.; Mujer, C.V.; Hagius, S.; Elzer, P. and DelVecchio, V.G. (2002): Comparative proteome analysis of Brucella melitensis vaccine strain Rev 1 and a virulent strain, 16 M. J Bacteriol 184, 49624970.
Gall, D.; Nielsen, K.; Forbes, L.; Cook, W.; Leclair, D.; Balsevicius, S.; Kelly, L.; Smith, P. and Mallary, M. (2001): Evaluation of the fluorescence polarization assay and comparison to other serological assays for detection of brucellosis in cervids. J. Wildl. Dis., 37: 110-118.
Kittelberger, R.; Reichel, M.P.; Joyce, M.A. and Staak, C. (1997):  Serological crossreactivity between Brucella abortus and Yersinia enterocolitica 0: 9. III. Specificity of the in vitro antigen-specific gamma interferon test for bovine brucellosis diagnosis in experimentally Yersinia enterocolitica 0: 9-infected cattle. Vet. Microbiol. 57, 361371.
McGiven, J.; Tucker, J.; Perrett, L.; Stoack, J.; Brew, S. and MacMillan, A. (2003): FPA and cELISA for the detection of antibodies to Brucella abortus in cattle sera and comparison to SAT, CFT and iELISA. J. Immunol. Meth; 278: 171-8
Moreno, E. and Gorvel, J.-P. (2004): Invasion, intracellular trafficking and replication of Brucella organisms in professional and non-professional phagocytes. In Brucella Molecular and Cellular Biology ed. Lopes-Goni, I. and Moriyon, I. pp. 287312. Norfolk, UK: Horizon Bioscience.
Nicoletti, P. and Tanya, V. (1993): Comparison of enzyme labelled immunosorbent assay and practical concentration fluorescence immunoassay with standard serologic methods and bacterial culture for detection of brucella sp. infected cows in herds with brucellosis. J. Am. Vet. Med. Assoc.; 202: 1975-7.
Nielsen, K. (2002): Diagnosis of brucellosis by serology. Vet. Microbiol. 90:447-459.
Nielsen, K.; Smith, P.; Conde, S.; Draghi de Benitez, G.; Gall, D.; Halbert, G.; Kenny, K. and Massengill, C. (2004): Rough lipopolysaccharide of Brucella abortus RB51 as a common antigen for serological detection of B. ovis, B. canis, and B. abortus RB51 exposure using indirect enzyme immunoassay and fluorescence polarization assay. J. Immunoassay Immunochem 25, 171182.
Nielsen, K.; Smith, P.; Yu, W.; Nicoletti, P.; Elzer, P. and Robles, C. (2005): Towards single screening test for brucellosis. Rev. Sci. Tech.; 24: 1027-37.
Nielsen, K. and Yu, W.L. (2010): Serological diagnosis of brucellosis. Sc. Biol. Med. Sci. MASA, 1 p: 65-89.
OIE (World organization for animal Health) (2001):Manual of standards for diagnostic tests and vaccines, 4th Ed. OIE, Paris, 957 pp
Parker, R. (2003): Diseases Affecting Reproduction in Beef Cattle. College of Agricultural, Consumer and Environmental Sciences, New MexicoStateUniversity.
Samartino, L.; Gall, D.; Gregoret, R. and Nielsen, K. (1999): Validation of enzyme linked immunosorbent assays for the diagnosis of bovine brucellosis. Vet. Microbiol. 70:      193-200.
Verma, S.; Katoch, R.C.; Sharma, M. and Niagom, P. (2000): Abortions and infertility in livestock due to brucellosis in Himachal Prodesh, India. Vet. Arhiv. 70: 75-82.
Wright, A.E. and Smith, F. (1897): Cited by Morgan, W.J.B. (1967):  The serological diagnosis of bovine brucellosis. Vet. Rec., 80: 612-620.
Wright, P.F.; Tounkara, K.; Lelenta, M. and Jeggo, M.H. (1997): International reference standard: antibody standards for the indirect enzyme-linked immunosorbent assay. Rev. Sci. Tech., 3: 824-832.
Young, D.A. (1995): Fluorescence Nightingale's fever. Br Med. J. 311, 16971700.
Zowghi, E. and Ebadi, A. (1988): Abortions due to Brucella abortion in sheep in Iran. Rev. Scien. Techn. Office. Intentional des. Epizooties, 7: 379-382.