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Abstract Background and purpose  Homonymous visual field defects (HVFDs) are among the most common disorders that occur in the elderly after vascular brain damage and can have a major impact on quality of life (QOL). Aims of this study were to describe the vision-targeted, health-related QOL in patients with HVFDs after cerebrovascular lesion, and to determine the relationship between patients’ self-reported difficulties and the characteristics of HVFDs in the binocular visual field. Methods  The German version of the 25-item National Eye Institute Visual Functioning Questionnaire (NEI-VFQ-25) was used. NEI-VFQ-25 scores for patients were compared to reference values of healthy German subjects from Franke (Z Med Psychol 7:178–184, 1999). Extent and location of absolute HVFDs were assessed by binocular semi-automated kinetic perimetry (SKP) within the 90� visual field. Correlations of the NEI-VFQ-25 scores of patients with the area of sparing within the affected hemifield (A-SPAR) were estimated by Spearman’s r s. Results  The mean NEI-VFQ-25 composite score for 33 patients (time span after brain injury at least 6 months) was 77.1, which was significantly lower (p p r s = 0.38) was observed. Conclusions  Our findings indicate that detectable decrements in vision-targeted, health-related QOL are observed in patients with homonymous visual field loss. A relationship of the perceived visual functioning with objective parameters is by definition difficult; however, understanding what components of visual function affect certain visual tasks, would help in developing more efficient, clinical assessment strategies. The results reveal a tendency for increasing QOL with advancing size of the area of sparing within the affected hemifield (A-SPAR). The lack of a strong correlation between NEI-VFQ-25 subscales and A-SPAR suggests that an assessment of the visual field may not accurately reflect patients’ perceived difficulty in visual tasks. Additional consideration of visual exploration via eye and head movements may improve the correlation between visual function and its perception. [ABSTRACT FROM AUTHOR]

Abstract  The challenge to provide seamless mobility in the near future emerges as a key topic in various standardization bodies. This includes first of all the support of seamless handover between homogeneous networks. Distinct technologies—such as IEEE 802.11WLANs (Wi-Fi) and IEEE 802.16 MANs WiMAX—have recently augmented such support to existing standards to enable seamless homogeneous handover. Cellular networks, in contrast, already included this inherently from the start. Currently considerable effort goes into coupling of different radio access technologies. Therefore, the second key topic in standardization is seamless heterogeneous handovers. IEEE, IETF, as well as 3GPP consider different approaches toward architectures and protocols enabling seamless mobility management. In this work, we discuss recent and on-going standardization activities within IEEE, IETF, and 3GPP toward seamless homogeneous as well as heterogeneous mobility support. [ABSTRACT FROM AUTHOR]

Background VetCompass Australia collects de-identified data from primary-care, companion animal practices across Australia, providing a large, representative database. VetCompass data were used to investigate an outbreak of megaoesophagus in dogs in Australia in 2017/2018. A specific proprietary dogfood was hypothesized as the cause. Methods The instantaneous daily hazard of megaoesophagus for the period January 2012 to February 2018 was plotted using survival analyses. A case-control study focused on dog demographics and management practices was performed to determine risk factors for megaoesophagus. Results There was a 7-fold increase in the incidence rate of canine megaoesophagus from 2014 (0.11 [95% CI 0.02 to 0.58] cases per 100,000 dogs per day) to 2018 (0.82 [95% CI 0.19 to 4.2] cases per 100,000 dogs per day) with greater numbers diagnosed during summer months of the year. The odds of feeding one specific dry dogfood was 325 (95% CI 64 to 1644) times greater for cases, compared with controls. Conclusions Evidence obtained through this study strongly suggests that a specific dogfood was responsible for most cases. The food was recalled prior to completion of this research. Further investigation into incidence rates and seasonal patterns of canine megaoesophagus are ongoing. Key messages Use of aggregated, de-identified data collected across small animal practices in Australia allowed identification of trends and seasonal patterns of a rare disease in dogs for the first time and provides opportunity for surveillance of this and other companion animal diseases. [ABSTRACT FROM AUTHOR]

Background Despite the potentially important role that intensively managed dairy goats play in the spread of Q fever, the prevalence of Coxiella burnetii among dairy goat herds in Australia is largely unknown. The aim of this cross-sectional study was to estimate the prevalence of coxiellosis-positive dairy goat herds in Australia and to identify risk factors associated with coxiellosis positivity. Methods Owners or managers of commercial dairy goat herds were contacted and asked to complete a questionnaire about risk factors for coxiellosis and to provide a bulk tank milk (BTM) sample. BTM samples were tested using an enzyme-linked immunosorbent assay (ELISA) and real-time quantitative polymerase chain reaction (RT-PCR) targeting the Com1 and IS 1111 sections of the C. burnetii genome. Questionnaire responses from coxiellosis positive and coxiellosis negative herds were compared using frequency cross-tabulations and multivariable logistic regression. Results Herd managers from 49 of the 61 commercial dairy goat herds in Australia took part in the study. Of this group, three BTM samples were found to be both ELISA and RT-PCR positive. Two BTM samples were ELISA positive but RT-PCR negative. There were 10 (95% CI 4.4 to 22) C. burnetii positive herds per 100 herds at risk. Conclusions The prevalence of coxiellosis among commercial dairy goat farms in Australia is relatively low. Key messages The Australian dairy goat industry should focus on biosecurity measures and risk management plans to reduce the probability of C. burnetii introduction. [ABSTRACT FROM AUTHOR]

Background Coxiella burnetii is the cause of Q fever, a zoonotic disease spread by aerosol transmission. This study investigated C. burnetii environmental contamination in and around an endemically infected, intensively managed dairy goat farm in Victoria, Australia. Methods Dust, soil and water were collected in and around kidding pens. Samplings were collected before, during and after each kidding season. Soil was sampled along a 500 m transect from the main kidding pen in the predominant wind direction to assess the risk of C. burnetii spread from the main farm shed as a point source. DNA extraction and quantitative PCRs targeting the IS 1111 and com1 genes were performed. Analyses are ongoing to describe the change in the frequency of C. burnetii positive environmental samples as a function of distance from the main farm shed. Results Dust inside the kidding pen contained C. burnetii DNA at all time points, with higher loads during the kidding seasons. Soil samples were positive for both PCR targets and were evenly dispersed within close ranges (500 m) from the main farm shed. Only those water samples taken from close to the main farm shed were positive. Conclusions C. burnetii was readily found in dust and soil in and around a farm shed where coxiellosis was endemic. Further environmental sampling will allow us to estimate the distance over which C. burnetii contamination occurs around a known point source. Key messages Results of this study will provide information critical for estimating Q fever risk around livestock facilities. [ABSTRACT FROM AUTHOR]

Toxoplasma gondii is the zoonotic parasite responsible for toxoplasmosis in warm-blooded vertebrates. This systematic review compares and evaluates the available knowledge on enzyme-linked immunosorbent assays (ELISAs), their components, and performance in detecting T. gondii antibodies in animals. Four databases were searched for published scientific studies on T. gondii and ELISA, and 57 articles were included. Overall, indirect (95%) and in-house (67%) ELISAs were the most used types of test among the studies examined, but the 'ID Screen® Toxoplasmosis Indirect Multi-species' was common among commercially available tests. Varying diagnostic performance (sensitivity and specificity) and Kappa agreements were observed depending on the type of sample (serum, meat juice, milk), antigen (native, recombinant, chimeric) and antibody-binding reagents used. Combinations of recombinant and chimeric antigens resulted in better performance than native or single recombinant antigens. Protein A/G appeared to be useful in detecting IgG antibodies in a wide range of animal species due to its non-species-specific binding. One study reported cross-reactivity, with Hammondia hammondi and Eimeria spp. This is the first systematic review to descriptively compare ELISAs for the detection of T. gondii antibodies across different animal species. [ABSTRACT FROM AUTHOR]

• A network approach to forecasting mosquito-borne diseases. • Development of a Ross River virus Outbreak Surveillance System. • Decision-support tool to guide public health. • Epidemiology understanding of Ross River virus transmission in temperate regions. Ross River virus (RRV) is Australia's most epidemiologically important mosquito-borne disease. During RRV epidemics in the State of Victoria (such as 2010/11 and 2016/17) notifications can account for up to 30% of national RRV notifications. However, little is known about factors which can forecast RRV transmission in Victoria. We aimed to understand factors associated with RRV transmission in epidemiologically important regions of Victoria and establish an early warning forecast system. We developed negative binomial regression models to forecast human RRV notifications across 11 Local Government Areas (LGAs) using climatic, environmental, and oceanographic variables. Data were collected from July 2008 to June 2018. Data from July 2008 to June 2012 were used as a training data set, while July 2012 to June 2018 were used as a testing data set. Evapotranspiration and precipitation were found to be common factors for forecasting RRV notifications across sites. Several site-specific factors were also important in forecasting RRV notifications which varied between LGA. From the 11 LGAs examined, nine experienced an outbreak in 2011/12 of which the models for these sites were a good fit. All 11 LGAs experienced an outbreak in 2016/17, however only six LGAs could predict the outbreak using the same model. We document similarities and differences in factors useful for forecasting RRV notifications across Victoria and demonstrate that readily available and inexpensive climate and environmental data can be used to predict epidemic periods in some areas. Furthermore, we highlight in certain regions the complexity of RRV transmission where additional epidemiological information is needed to accurately predict RRV activity. Our findings have been applied to produce a Ross River virus Outbreak Surveillance System (ROSS) to aid in public health decision making in Victoria. [ABSTRACT FROM AUTHOR]

Canine vector-borne pathogens (CVBP) have a worldwide distribution and show a high prevalence in tropical countries such as Sri Lanka. Some CVBP are zoonotic, with dogs identified as reservoir hosts for human subcutaneous dirofilariasis and potentially for spotted fever rickettsioses and re-emergent brugian filariasis in Sri Lanka, making these pathogens emerging public health issues in the country. Veterinarians are crucial in monitoring, preventing, and controlling these pathogens in dogs. Therefore, it is imperative to understand veterinarians' knowledge, attitude, and practices (KAP) regarding CVBP to mitigate their impact. A survey was designed and administered electronically to veterinarians residing and practising in Sri Lanka. Responses were evaluated using descriptive, univariable, and multivariable analyses to investigate associations between demographic factors, knowledge, attitude, and practices related to CVBP. Out of the 170 participating veterinarians, nearly 70% had moderate or high knowledge. However, the awareness of zoonotic pathogens, Brugia spp. (16%) and Rickettsia conorii (18%), was low, and a considerable number of veterinarians were unaware of the zoonotic nature of Dirofilaria repens. Based on multivariable analysis adjusting for experience and self-rated knowledge, new graduates had higher odds of knowledge compared to experienced veterinarians (OR 5.7, 95% CI 1.7–23, p = 0.028). Questions assessing the attitude towards CVBP indicated that most participating veterinarians comprehend and agree with their importance. Nearly all participants agreed that ectoparasite control is the best option to prevent CVBP infections (91%, 153/167) and that for effective treatment of CVBP, a definitive diagnosis is required (81%, 135/167). However, veterinarians recommended suboptimal treatments for some CVBP, like Babesia gibsoni. Better practices were associated with being a companion animal practitioner (OR 2.4, 95% CI 1.1–5.7, p = 0.032) and having a low to moderate canine caseload (OR 3.6, 95% CI 1.3–10.4, p = 0.038). Limited knowledge of zoonotic CVBP among veterinarians, along with suboptimal treatment, might contribute to dogs acting as reservoirs and high prevalence of these pathogens in Sri Lanka. Therefore, continued veterinary education is recommended to improve knowledge and practices, which in turn will help to improve the diagnosis, treatment, and control of these infections in Sri Lanka to ensure the well-being of dogs and humans. Author summary: Pathogens spread by ticks, fleas, and mosquitos, so called vector-borne pathogens, are common in tropical countries like Sri Lanka. Some vector-borne pathogens affect dogs as well as humans, potentially causing severe illness in both. As dogs can act as reservoir hosts, preventing these infections is vital for animal and human health. Veterinarians are the experts when it comes to diagnosing, treating, and controlling vector-borne pathogens in dogs. Thus, their understanding and approach to these diseases are key in reducing their impact. This study highlights both the strengths and gaps in veterinarians' knowledge, attitude and practices concerning vector-borne pathogens and identifies areas for improvement. This will assist relevant stakeholders and policymakers to develop targeted continuing veterinary education and best practice guidelines for diagnosis, treatment, and prevention of diseases caused by vector-borne pathogens in dogs. This will not only lead to better care for dogs affected by these diseases, but ultimately aid in reducing the risk to human health. [ABSTRACT FROM AUTHOR]

Background: Millions of working equids provide socio-economic support for many low-income communities worldwide. With the prevalence of harness-related wounds reported as higher than 60%, this study aims to describe the equipment used by working equids in three locations of the Ethiopian national regional state of Oromia (Fiche, Bishoftu and Shashamene), and the attitudes and practices of equid owners, users and harness makers regarding work equipment. This mixed-methods study consists of cross-sectional surveying of working equids used for taxi or transport of goods or water, as well as cart-driver questionnaires and focus groups (FG) with working equid stakeholders. Activities conducted with FG included participatory ranking of equipment attributes and equipment drawing exercises. Indicators of equipment design and assembly, as well as cart-driver attitudes and practices were described quantitatively. Associations between equipment characteristics and species, work-type and cart-driver indicators were investigated through univariable logistic regression models, whereas focus group discussions were transcribed and analysed thematically. Results: In total, 368 working equid surveys and cart-driver questionnaires were completed and 87 participants took part in nine FG. Equipment composition and characteristics differed considerably from ideal animal draught and harnessing principles described in the literature, with none of the observed harnesses adhering to all principles and thus not considered fully adequate. Various harness compositions were used, with only saddles and breast collars present in all. Donkey equipment had fewer components than that of horses, such as swingle trees (OR 0.02; 95% CI 0.01–0.06; p < 0.001) or girths (OR 0.09; 95%CI 0.02–0.4; p = 0.002). Horse equipment was more likely to have functional elements such as breeching (OR 7.8; 95% CI 2.9–20.9; p < 0.001). Of all equipment attributes, FG participants ranked cost, design and impact on animal wellbeing as having the highest importance. Thematic analysis identified motivations and priorities regarding equipment; awareness and knowledge of design and function; barriers to using ideal equipment; and consequences of equipment design and practices as key themes. Conclusions: Various weaknesses of design, assembly and use of equid work equipment were identified. Promoting behavioural change through awareness and training could lead to a sustainable improvement of work equipment quality, access, and prevention of equipment-related problems. [ABSTRACT FROM AUTHOR]

Background: Epidemiological investigations were carried out following detection of an outbreak of megaoesophagus in Victorian Police working dogs in early 2018 and an increase in the number of canine megaoesophagus cases reported by companion animal veterinarians in Eastern Australia starting in late 2017. VetCompass Australia data were used to quantify the incidence of canine megaoesophagus for the period January 2012 to February 2018 and a matched case-control study carried out to identify individual animal risk factors for canine megaoesophagus in 2017–2018. Results: There was a 7-fold increase in the incidence rate of canine megaoesophagus from 2014 (0.11 [95% CI 0.02 to 0.58] cases per 100,000 dogs per day) to 2018 (0.82 [95% CI 0.19 to 4.2] cases per 100,000 dogs per day). Since 2013, the incidence of megaoesophagus in Australia has shown a seasonal pattern, with greater numbers of cases diagnosed during the warmer months of the year. In the case-control study, use of Mars Petcare Advance Dermocare as a source of food was 325 (95% CI 64 to 1644) times greater for cases, compared with controls. Conclusions: Our analyses provide evidence that the feeding of Advance Dermocare was responsible for the majority of cases in the outbreak of megaoesophagus in Eastern Australia in 2017–2018. The increase in the incidence rate of megaoesophagus in Australia since 2014–2015 warrants further investigation. [ABSTRACT FROM AUTHOR]

Vector-borne pathogens (VBPs) cause significant diseases in dogs in the tropics. In Sri Lanka, the scarce availability of previous studies on canine VBPs has hampered an accurate evaluation of their prevalence in pet dog populations. In this study, we collected demographic, clinical, and environmental data together with whole blood from 423 pet dogs from three geoclimatic zones in Sri Lanka. All blood samples were screened using a previously validated multiplex qPCR assay to detect the six most prevalent canine VBPs in tropical Asia. Multivariable logistic regression models were used to investigate environmental and host factors as predictors of VBP infections. Overall, 254 dogs (60.1%, 95% CI: 55.3–64.6%) were infected with one or more VBPs. Babesia gibsoni was the most prevalent VBP with 37.4% (95% CI: 32.7–42.2%) of dogs infected followed by Hepatozoon canis (21.04%, 95% CI: 17.25–25.24%), haemotropic mycoplasmas (10.2%, 95% CI: 7.5–13.4%), Babesia vogeli (5%, 95% CI: 3.2–7.5%), Ehrlichia canis (4.5%, 95% CI: 2.7–6.9%), and Anaplasma platys (3.8%, 95% CI: 2.12–6.1%). Predictors of VBP infections included tick infestation for H. canis (p = 0.05) and A. platys (p = 0.01), as well as age for B. gibsoni (p = 0.01) and H. canis (p = 0.05) infection. Local breed (p = 0.004), male dogs (p = 0.001) and flea infestation (p = 0.04) were significantly associated with haemotropic mycoplasma infections suggesting direct-blood exchange through fighting and fleas as a possible means of transmission for these pathogens. Clinical results suggest that B. gibsoni and E. canis caused clinically significant disease, especially in exotic breeds such as German shepherds and Rottweilers compared to the local breeds (p < 0.001). Measures such as educating pet dog owners on the importance of being vigilant on ectoparasite infestation of their pets, preventing pet dogs from interacting with stray or community dogs, and the compliant use of effective ectoparasiticides will be crucial for effective control of VBPs in pet dogs in Sri Lanka. [ABSTRACT FROM AUTHOR]

Background: Brucellosis in dogs caused by Brucella suis is an emerging zoonotic disease. Objectives: To document clinical characteristics, serology, microbiology, and clinical response to treatment in B. suis‐seropositive dogs. Animals: Longitudinal study of 27 privately‐owned dogs. Dogs that tested positive by serology, culture, or real‐time polymerase chain reaction (qPCR) were included in the study. Methods: Clinical (physical examination and imaging) and laboratory (serology, hematology, serum biochemistry, and qPCR or culture) assessments were made at baseline and after approximately 3, 6, 12, and 18 months. Results: Dogs were followed for 10 895 dog days, with 17/27 dogs completing the 18‐month follow‐up. Ten dogs had signs consistent with brucellosis before enrollment (n = 4), at baseline (n = 2) or during follow‐up (n = 6), with 2 dogs experiencing relapse of historical signs. Antibody titers persisted for the duration of follow‐up in 15/17 dogs (88%). Radiographic (n = 5) and ultrasound (n = 11) findings, of variable clinical relevance, were observed. Brucella DNA and organisms were detected in 3 dogs, all of which had clinical signs, including in the milk of a bitch around the time of whelping. Brucella DNA was not detected in blood (n = 92 samples), urine (n = 80), saliva (n = 95) or preputial swabs (n = 78) at any time during follow‐up. Six dogs underwent treatment, all of which achieved clinical remission although remission was not reflected by decreasing antibody titers. Conclusions and Clinical Importance: Most dogs with B. suis infections have subclinical infections. Serology is poorly associated with clinical disease. Excretion of organisms appears rare except in whelping bitches. Clinical management using antibiotics with or without surgery is recommended. [ABSTRACT FROM AUTHOR]

Brucella suis is an emerging, zoonotic disease predominantly affecting dogs and humans that engage in feral pig hunting in Australia and other countries. Although B. suis infection in dogs shares some clinical similarities to the host‐adapted species (B. canis), B. suis remains an incompletely understood pathogen in dogs with limited published data on its pathogenesis and clinical features. This case series describes the presentations, diagnosis, and clinical management of B. suis infection in three dogs: (1) a bitch with dystocia, abortion and mastitis; (2) an entire male dog with septic arthritis and presumptive osteomyelitis; and (3) a castrated male dog with lymphadenitis. Unique features of these cases are reported including the first documented detection of B. suis from milk and isolation from lymph nodes of canine patients, as well as the follow‐up of pups born to a B. suis‐infected bitch. Consistent with previous reports, all three dogs showed a favourable clinical response to combination antibiotic therapy with rifampicin and doxycycline. Individually tailored drug regimens were required based on the clinical presentation and other factors, including owner expectations and compliance with therapy as well as a zoonotic risk assessment (generally considered low, except around time of whelping). The authors include their recommendations for the clinical management of dogs that are at‐risk or seropositive for B. suis with or without clinical signs or laboratory‐confirmed infection. [ABSTRACT FROM AUTHOR]

Soil-transmitted helminths (STH) infect 1.5 billion people and countless animals worldwide. In Australian Indigenous communities, STH infections have largely remained endemic despite control efforts, suggesting reservoirs of infection may exist. Dogs fulfil various important cultural, social and occupational roles in Australian Indigenous communities and are populous in these settings. Dogs may also harbour zoonotic STHs capable of producing morbidity and mortality in dogs and humans. This review provides an overview of human and zoonotic STH infections, identifies the Australian Indigenous locations affected and the parasite species and hosts involved. The meta-analysis provides estimates of individual study and pooled true prevalence of STH infections in Australian Indigenous communities and identifies knowledge gaps for further research on zoonotic or anthroponotic potential. A systematic literature search identified 45 eligible studies documenting the presence of Strongyloides stercoralis, Trichuris trichiura, Ancylostoma caninum, Ancylostoma duodenale, Ancylostoma ceylanicum, undifferentiated hookworm, and Ascaris lumbricoides. Of these studies, 26 were also eligible for inclusion in meta-analysis to establish true prevalence in the light of imperfect diagnostic test sensitivity and specificity by Rogan-Gladen and Bayesian methods. These studies revealed pooled true prevalence estimates of 18.9% (95% CI 15.8–22.1) for human and canine S. stercoralis infections and 77.3% (95% CI 63.7–91.0) for canine A. caninum infections indicating continued endemicity, but considerably more heterogenous pooled estimates for canine A. ceylanicum infections, and A. duodenale, undifferentiated hookworm and T. trichiura in humans. This review suggests that the prevalence of STHs in Australian Indigenous communities has likely been underestimated, principally based on imperfect diagnostic tests. Potential misclassification of hookworm species in humans and dogs due to outdated methodology, also obscures this picture. High-quality contemporary studies are required to establish current true prevalence of parasite species in all relevant hosts to guide future policy development and control decisions under a culturally sound One Health framework. Author summary: Soil-transmitted helminths include hookworms, threadworms, whipworms and roundworms. These worms may infect different hosts including humans and dogs, and some species are zoonotic, meaning that they able to transmit between animals and humans. In many Australian Indigenous communities, people remain infected with these worms at high rates compared to other parts of the country despite various control strategies. Resource and health literacy inequalities are primary drivers for these differences. However, the potential for dogs to act as reservoirs for zoonotic worm infections in humans must also be considered. For this reason, it's important to create a clear picture of the level of infection by location and host. Given that tests used to establish prevalence can produce false positive or negative results, we performed a meta-analysis allowing comparison of true prevalence estimates by location and host, regardless of the test used. This review suggests that threadworm and dog hookworm remain endemic in Australian Indigenous communities, though a gap exists to accurately inform the prevalence of the other worms. It also highlights the need for One Health strategies in research, policy and control where humans, all animal hosts and the environment are considered in a culturally relevant way. [ABSTRACT FROM AUTHOR]

Q fever is an important zoonotic disease perceived to be an occupational hazard for those working with livestock. Outbreaks involving large numbers of people are uncommon, but the increasing case incidence coupled with changing environmental and industry conditions that promote transmission of Q fever has raised concerns that large and serious outbreaks could become more frequent. The aim of this study was to use expert opinion to better understand how large Q fever outbreaks might occur in an Australian context and to document factors believed to be drivers of disease transmission. Focus groups were conducted with human and animal health professionals across several Australian states. All discussions were recorded, transcribed verbatim and imported into NVIVO for thematic analysis. Four anthropogenic risk factors (disease awareness, industry practices, land use, human behaviour) and three ecological risk factors (physical environment, agent dissemination, animal hosts) emerged from the data. Analysis of expert opinions pointed to the existence of numerous scenarios in which Q fever outbreaks could occur, many of which depict acquisition in the wider community outside of traditional at‐risk occupations. This perception of the expansion of Q fever from occupational‐acquisition to community‐acquisition is driven by greater overarching economic, political and socio‐cultural influences that govern the way in which people live and work. Findings from this study highlight that outbreaks are complex phenomena that involve the convergence of diverse elements, not just that of the pathogen and host, but also the physical, political and socioeconomic environments in which they interact. A review of the approaches to prevent and manage Q fever outbreaks will require a multisectorial approach and strengthening of community education, communication and engagement so that all stakeholders become an integrated part of outbreak mitigation and response. [ABSTRACT FROM AUTHOR]

Brucella suis infection of dogs is an emerging issue worldwide requiring specific management to address zoonotic risks and animal welfare concerns. Diagnosis in dogs is routinely based on serological testing, but to date these tests have only been validated for use in production animal species and humans. This study aimed to assess the diagnostic performance of three commonly used serological tests in dogs. Canine sera (n = 989) were tested with the Rose Bengal rapid plate agglutination test (RBRPT), the complement fixation test (CFT) and a competitive ELISA (C-ELISA). Diagnostic test performance was evaluated using a three test, two population Bayesian latent class analysis accounting for conditional dependence between the three tests. Positive and negative predictive values (PPV, NPV) were calculated for a range of expected prevalence estimates for the individual tests and test combinations interpreted in series and parallel. The RBRPT showed the highest individual Se of 0.902 (95 % posterior credible interval [PCI] 0.759–0.978) and the CFT the highest individual diagnostic specificity (Sp) of 0.914 (95 % PCI 0.886–0.946). The C-ELISA had marginally the best overall diagnostic performance (Youden's index = 0.807). The CFT and the C-ELISA interpreted in parallel returned the highest combined Se and Sp (0.988 and 0.885, respectively). All tests returned NPVs of > 0.982 in 2–8 % prevalence settings. Series interpretation of the three-test combination as well as the two-test combinations of the RBRPT and the C-ELISA and the CFT and the C-ELISA produced a PPV of 0.502 when the estimated prevalence was 8 %. While all tests are suitable for the detection of B. suis antibodies in dogs, they should not be interpreted in isolation as their diagnostic value is dependent on the pre-test probability of the disease. As such they are useful tools for the diagnosis of B. suis in dogs when exposure, history and clinical presentation indicate a risk of brucellosis. • First reported evaluation of serological tests for smooth strain Brucella in dogs. • Bayesian latent class analysis accounted for co-dependency between all three tests. • Rose Bengal, complement fixation and C-ELISA suitable for diagnostic use in dogs. • The negative predictive value of all single and combined tests is generally high. [ABSTRACT FROM AUTHOR]