Table 3.
Agreement among the transtracheal wash (TTW) and each of nasal swab (NS), guarded nasopharyngeal swab (NPS) or bronchoalveolar lavage (BAL) for identification of respiratory pathogens in 100 preweaned Holstein calves with respiratory disease
Pathogen | aMethod | bNo. Calves with Each Combination of Results | Percent Positive Agreement | Kappa (95% CI) | c P | |||
---|---|---|---|---|---|---|---|---|
+/+ | +/− | −/+ | −/− | |||||
Mannheimia haemolytica | NS | 16 | 0 | 4 | 80 | 88.9 (78.1, 99.7) | 0.86 (0.74, 0.99) | .125 |
NPS | 15 | 1 | 2 | 82 | 90.9 (80.7, 100) | 0.89 (0.77, 1.00) | 1.00 | |
BAL | 15 | 1 | 2 | 82 | 90.9 (80.7, 100) | 0.89 (0.77, 1.00) | 1.00 | |
Pasteurella multocida | NS | 57 | 2 | 3 | 38 | 95.8 (92.1, 99.5) | 0.90 (0.81, 0.99) | 1.00 |
NPS | 58 | 1 | 3 | 38 | 96.7 (93.4, 99.9) | 0.92 (0.84, 1.00) | .625 | |
BAL | 57 | 2 | 3 | 38 | 95.8 (92.1, 99.5) | 0.90 (0.81, 0.99) | 1.00 | |
Mycoplasma spp. | NS | 81 | 3 | 5 | 0 | 95.3 (92.0, 98.6) | −0.04 (−0.10, 0.01) | .727 |
NPS | 78 | 8 | 5 | 0 | 92.3 (88.1, 96.5) | −0.07 (−0.14, −0.01) | .581 | |
BAL | 81 | 1 | 5 | 0 | 96.4 (93.6, 99.3) | −0.02 (−0.06, 0.02) | .219 | |
Mycoplasma bovis | NS | 41 | 7 | 1 | 39 | 91.1 (85.0, 97.3) | 0.82 (0.70, 0.94) | .070 |
NPS | 41 | 4 | 3 | 35 | 92.1 (86.3, 97.9) | 0.83 (0.71, 0.95) | 1.00 | |
BAL | 45 | 1 | 2 | 40 | 96.8 (93.1, 100) | 0.93 (0.86, 1.00) | 1.00 | |
Bovine respiratory syncytial virus | NS | 7 | 7 | 2 | 78 | 60.9 (37.3, 84.4) | 0.56 (0.30, 0.81) | .180 |
NPS | 11 | 4 | 2 | 76 | 78.6 (61.8, 95.3) | 0.75 (0.56, 0.94) | .688 | |
BAL | 13 | 0 | 2 | 78 | 92.9 (83.0, 100) | 0.92 (0.80, 1.00) | .500 | |
Bovine coronavirus | NS | 6 | 0 | 7 | 76 | 63.2 (37.8, 88.5) | 0.59 (0.33, 0.86) | .016 |
NPS | 6 | 0 | 9 | 70 | 57.1 (31.9, 82.4) | 0.52 (0.27, 0.78) | .004 | |
BAL | 6 | 0 | 3 | 77 | 80.0 (57.8, 100) | 0.78 (0.55, 1.00) | .250 |
NS, nasal swab; NPS, nasopharyngeal swab; BAL, bronchoalveolar lavage.
Dichotomous testing results for paired samples collected by TTW/and the comparison method, respectively. The total number of calves differs across pathogens due to culture contamination or indeterminate PCR results for at least sample of each pair compared.
P‐value for McNemar's exact test.