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| ===Laboratory Tests=== | | ===Laboratory Tests=== |
− | *'''ELISA''' for serum '''antibody'''
| + | |
− | **False positives occur, particularly in the presence of maternal Ab | + | The standard in-practice diagnostic tests detect serum |
− | *Positives can be confirmed by lab work (Western blotting) | + | antibodies to FIV using a variety of commercially |
| + | available laboratory kits. Some test kits detect antibody |
| + | to the core protein p24, whereas others detect antibody |
| + | to the envelope protein gp4l. Non-haemolysed |
| + | plasma or serum is most reliable for use in these tests. |
| + | The use of whole anticoagulated blood is discouraged |
| + | since this can make the interpretation of colour changes |
| + | difficult and hence increase the risk of false positive |
| + | results. |
| + | INTERPRETING A POSITIVE RESULT |
| + | A positive test result is found in three situations: |
| + | * PERSISTENTLY INFECTED CATS. FIV antibodies are |
| + | associated with lifelong infection with this virus. |
| + | * KITTENS BORN TO AN FIV-POSITIVE QUEEN. Passive |
| + | transfer of antibodies occurs via the milk, with the |
| + | result that maternally derived antibodies may be |
| + | detected when kittens are blood tested for FIV antibodies. |
| + | Although all of the kittens born to a queen infected |
| + | with FIV may be antibody positive, the virus itself is |
| + | usually only passed on to a maximum of one-third of the |
| + | kittens in a litter. Maternally derived antibodies may persist |
| + | for up to four months and it may be a further two |
| + | months before infected kittens seroconvert. It is therefore |
| + | recommended that kittens born to FIV-infected |
| + | queens are not antibody tested until they are at least six |
| + | months old. |
| + | * FALSE POSITIVE RESULT. No test is 100 per cent accurate |
| + | and so the clinical signs and background of the cat |
| + | should be taken into account when assessing test results. |
| + | Generally, a specificity of around 98 per cent is recognised |
| + | with practice test kits. |
| + | Weak positive test results are usually seen when there |
| + | is non-specific binding causing a partial colour change. |
| + | These should be interpreted as equivocal results and the |
| + | cat should be retested using a different test. |
| + | INTERPRETING A NEGATIVE RESULT |
| + | Negative results indicate one of three possibilities: |
| + | * THE CAT IS NOT INFECTED WITH FIV. |
| + | * THE CAT IS FIV INFECTED BUT HAS ANTIBODIES NOT |
| + | DETECTABLE BY THE TEST USED. |
| + | * THE CAT IS FIV INFECTED BUT THERE ARE NO ANTIBODIES |
| + | PRESENT. This may be the case in the early stages |
| + | of infection (less than two months post-infection). If the |
| + | cat is known to have recently been at risk, for example |
| + | recently bitten by an FIV-positive cat, it should be retested |
| + | six to eight weeks later. In some cats, there is a failure |
| + | to mount an antibody response to the virus, meaning that |
| + | these animals never seroconvert and so are not identifiable |
| + | by these tests. Up to 15 per cent of FIV-infected |
| + | cats may be seronegative. |
| | | |
| ===Pathology=== | | ===Pathology=== |