In vivo and in vitro diagnosis of Mycobacterium bovis infection.

The intradermal delayed type hypersensitivity (DTH) skin test, using purified protein derivative from culture of M. bovis or M. avium, is the most frequently used test for diagnosis of tuberculosis or detection of M. bovis infection in cattle. Many improvements have been made to the original tuberculin test, and molecular approaches to identify and clone antigens may lead to improved specificity and sensitivity of DTH skin tests. Recent advances in technology have allowed the development of new in vitro techniques, such as antibody-based, cell-mediated immunity-based and nucleic acid-based diagnostics, which allow more rapid diagnosis than bacteriological culture. The choice of diagnostic technique should consider both the population being investigated (e.g. apparently healthy animals or a herd with a high prevalence of clinical infection) and the aim of the testing (e.g. the screening of healthy animals or confirmation of infection in animals strongly suspected to be infected). Moreover, any evaluation of a diagnostic test must use a carefully selected control population which is representative of the population to be tested in terms of relative proportions of infected and non-infected animals.