A parallel evaluation of 5 indirect cost-effective methods for assessing failure of passive immunity transfer in...

The aim of this study was to evaluate the diagnostic accuracy of 5 indirect methods that may be used in veterinary practices to assess the success of maternal immunoglobulins transfer in neonatal calves. Blood samples (n = 245) were collected from 2- to 6-d-old calves. Serum immunoglobulin concentrations were determined by radial immunodiffusion. Serum total protein and albumin concentrations and γ-glutamyl transferase activity were determined by veterinary practitioners using their own biochemistry analyzer. Globulin concentration was calculated. Veterinary practitioners were also asked to assess serum total protein using a digital Brix refractometer (%Brix) and an optical refractometer (g/L). Test sensitivity (Se) and specificity (Sp) were calculated using radial immunodiffusion as the reference standard, with failure of transfer of passive immunity defined as IgG <10.0 g/L. Receiver operating characteristics curves were created and optimal cutoff values for each of the 5 indirect measurement methods were selected based on the maximization of the Youden's J statistic. In this study, Globulin concentration yielded the highest accuracy to identify failure of transfer of passive immunity (Se = 89.4%; Sp = 89.3% at 34 g/L). For %Brix, the optimal combination of Se and Sp was at 8.4% Brix (Se = 86.5% and Sp = 83.8%). The use of an optical refractometer was associated with the lowest diagnostic accuracy (Se = 69.7% and Sp = 81.6% at 52 g/L). For γ-glutamyl transferase activity, the optimal cut-points were different for 2- to 3-d-old calves (Se = 87.5% and Sp = 87.8% at 393 IU/L) or 4- to 6-d-old calves (Se = 90.0% and Sp = 86.4% at 254 IU/L). Because it does not require any specialized laboratory equipment, digital Brix refractometer can be a valuable and inexpensive tool for on-farm use, to help producers and veterinary practitioners in their calf health management programs.