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Appendix A: Interpretation of Diagnostic Results
Pages 175-178

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From page 175...
... A test result is often classified into a category, such as positive or negative. For bacterial culture, a positive test may be the appearance of colonies on the medium that has a colony morphology consistent with that of the bacteria of interest within the appropriate timeframe.
From page 176...
... In the case of a serologic test such as ELISA, the false positive result could occur because the animal responded to an antigen in their environment that is immunologically similar to the target antigen from Map that is used in the test. A negative test result can be a true negative or a false negative.
From page 177...
... Bayes Theorem relates predictive values and prevalence to sensitivity and specificity (Last, 1995~. Understanding these relationships is critical to making appropriate testing decisions, both in deciding which tests to employ and how to interpret positive and negative test results.
From page 178...
... Third, the appropriate gold standard, a definitive reference testing procedure with very high sensitivity and specificity, must be used to establish the infection status of the study animals. At present, the gold standard is necropsy followed by extensive culture and histological examination of multiple sections of lower small intestine and associated lymph nodes to reliably establish the infection status of each study animal.


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