Herausforderungen bei der Influenzadiagnostik in einem Schweinebetrieb – ein Fallbericht

 

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Zusammenfassung

In einem Jungsauenerzeugerbetrieb in Niederösterreich traten über mehrere Jahre hinweg gehäuft Atemwegserkrankungen bei Jungsauen aus Eigenremontierung nach Einstallung in die Altsauenherde auf. Im Herbst 2019 wurden zudem Fruchtbarkeitsstörungen in Form von Spätaborten und Umrauschen beobachtet. Bei der Untersuchung von Nasentupfern mittels PCR auf Influenza-A-Virus (IAV) konnte bei 3 Jungsauen mit respiratorischer Symptomatik und Fieber der IAV-Subtyp H1avN1 nachgewiesen werden. Die Untersuchung der Serumproben dieser Tiere an 2 Zeitpunkten im Abstand von 3 Wochen ergab jedoch keinen Nachweis von Antikörpern im Hämagglutinationshemmtest (HAH), der standardmäßig im Labor verwendet wurde. Auch bei der Untersuchung von Sauen weiterer Altersgruppen waren keine eindeutigen Antikörpertiter gegenüber H1avN1 detektierbar. Nach Erweiterung des diagnostischen Panels des HAH um 7 H1avN1-Testantigene konnte eine Serokonversion um bis zu 3 Titerstufen bei den PCR-positiven Sauen gegenüber 2 verschiedenen H1avN1-Isolaten gemessen werden. Darüber hinaus ließen sich auch bei der Mehrzahl der restlichen untersuchten Altersgruppen hohe Antikörpertiter gegen diese beiden H1avN1-Teststämme nachweisen. Nach Anwendung des europaweit zugelassenen trivalenten Influenzaimpfstoffs konnte das klinische Erscheinungsbild in der Herde deutlich verbessert werden. Der Fallbericht verdeutlicht, dass für eine zielgerichtete Influenzadiagnostik der direkte und der indirekte Erregernachweis kombiniert verwendet werden sollten. Zudem wurde gezeigt, dass die kontinuierliche Anpassung von Testantigenen an die im Feld zirkulierenden Isolate überaus entscheidend für die Aussagekraft des HAH wäre.

Abstract

In a gilt producing farm in Lower Austria, respiratory diseases occurred over the previous years in self-reared gilts after being introduced into the sow herd. In addition, fertility disorders in terms of late abortions and re-breeders were observed in the fall of 2019. Nasal swabs of 3 gilts with respiratory signs and fever were tested positive for influenza A virus (IAV) subtype H1avN1 by PCR. However, examination of serum samples from these animals at 2 different time points did not detect antibodies using the standard hemagglutination inhibition (HI) test of the laboratory. Examination of additional age groups likewise failed to detect H1avN1 antibody titers. In consequence to the extension of the diagnostic panel of the HI test by 7 additional H1avN1 test antigens, a clear seroconversion of the PCR positive sows against 2 different H1avN1 isolates could be measured. In addition, high antibody titers against these 2 H1avN1 strains were also detectable in the majority of the remaining age groups tested. Following the administration of the trivalent influenza vaccine, which has been approved throughout Europe, a significant improvement of the clinical presentation in the herd was achieved. The present case report illustrates that direct and indirect pathogen detection should be used in combination for targeted influenza diagnostics. In addition, it was shown that the continuous adaptation of test antigens to the isolates circulating in the field would be extremely crucial for the significance of the HI test.

Publication History

Received: 18 February 2021

Accepted: 05 May 2021

Article published online:
03 December 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

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