3.01.04 Brucellosis
3.01.04 Brucellosis
3.01.04 Brucellosis
SUMMARY
Description of the disease: Brucellosis is the generic name used for the animal and human infections
caused by several species of the genus Brucella, mainly Brucella abortus, B. melitensis and B. suis.
Infection with Brucella in cattle is usually caused by B. abortus, less frequently by B. melitensis, and
occasionally by B. suis. Brucella melitensis is the main causative agent of infection with Brucella in
sheep and goats. Brucella melitensis and B. abortus may also infect other species, including camels.
Infection with Brucella in pigs is due to B. suis biovars 1–3, but the disease caused by biovar 2 differs
in its host range and its limited geographical distribution. In some areas, B. suis infection has
become established in wild pigs. Clinically, infection with Brucella in animals is characterised by one
or more of the following signs: abortion, infertility, retained placenta, orchitis, epididymitis and, rarely,
arthritis, with excretion of the organisms in uterine discharges, milk, urine and semen. Unequivocal
diagnosis depends on the isolation of Brucella from abortion material, udder secretions or from
tissues removed at post-mortem. Brucella abortus, B. melitensis and B. suis are highly pathogenic for
humans, and potentially contaminated tissues, cultures and materials must be handled under
appropriate containment conditions.
Serological and cellular immunity tests: Serological tests indicate exposure to Brucella species, but
cannot identify the aetiological agent to the species level. The buffered Brucella antigen tests (rose
bengal test and buffered plate agglutination test), the complement fixation test, the enzyme-linked
immunosorbent assays (ELISA) or the fluorescence polarisation assay, are suitable tests for
screening of herds/flocks and individual small ruminants, camelids and bovines (cattle and
buffaloes). However, no single serological test is appropriate in each animal species and all
epidemiological situations, and some of these tests are not adequate for diagnosing brucellosis in
pigs. Therefore, the reactivity of samples that are positive in screening tests should be assessed using
an established confirmatory or complementary strategy. The indirect ELISA or milk ring test
performed on bulk milk samples is effective for screening and monitoring dairy cattle. The brucellin
skin test can be used in unvaccinated ruminants, camels and swine as either a screening or a
confirmatory herd test when positive serological reactors occur in the absence of obvious risk factors.
Requirements for vaccines and diagnostic biologicals: Brucella abortus strain 19 and B. melitensis
strain Rev.1 remain the reference vaccines for the control of Brucella infections in cattle and in sheep
and goats, respectively, with which any other vaccines should be compared. Both should be prepared
from adequately derived seed cultures. The rough B. abortus strain RB51 vaccine has also become
the official vaccine for prevention of B. abortus infection in cattle in some countries. No suitable
vaccines exist for the control of Brucella infection in swine. Brucellin preparations must be free of
smooth lipopolysaccharide, and antigens for serological tests must be prepared from smooth
B. abortus strain 1119-3 or 99 and, in the case of indirect ELISA, from smooth B. melitensis strain 16M
as well. Vaccines and brucellin preparations must comply with relevant standards.
A. INTRODUCTION
Brucellosis is the generic name used for the animal and human infections caused by several species of the genus
Brucella, mainly Brucella abortus, B. melitensis, B. suis and B. canis. Infection of sheep with B. ovis is described
separately in Chapter 3.8.7 Ovine epididymitis (Brucella ovis).
Causal pathogens: Genetic and immunological evidence indicates that all members of the Brucella genus are
closely related. Nevertheless, based on relevant differences in host preference and epidemiology displayed by the
major variants, as well as molecular evidence of genomic variation, the International Committee on Systematics of
Prokaryotes, Subcommittee on the Taxonomy of Brucella took a clear position in 2005 on a return to pre-1986
Brucella taxonomic opinion; the consequences of this statement imply the re-approval of the six classical Brucella
nomenspecies with their corresponding recognised biovars, although both opinions remain valid. The classical
names related to the six Brucella nomenspecies are validly published in the Approved Lists of Bacterial Names,
1980, and the designated type strains are attached to these validly published names: B. abortus, B. melitensis,
B. suis, B. neotomae, B. ovis and B. canis. The first three of these are subdivided into biovars based on cultural and
serological properties (see Tables 2 and 3). Strains of Brucella have been isolated from marine mammals and
classified into two new species: B. ceti and B. pinnipedialis (Foster et al., 2007). A new species, named B. microti,
was also isolated from the common vole (Microtus arvalis) as well as from foxes, soil and frogs raised for human
consumption in Europe (Scholz et al., 2008). Novel isolates from human breast implant infection, from baboons that
had delivered stillborn offspring, and from foxes have also been described, although the natural reservoir of these
isolates remains uncertain. While limited isolates of each new type have been described, they have been formally
published as the tenth, eleventh, and twelfth Brucella species, B. inopinata, B. papionis and B. vulpis respectively
(Scholz et al., 2010; 2016; Whatmore et al., 2014). Finally, various strains isolated from rodents, foxes reptiles, fish
and frogs were characterised as atypical Brucella strains distinct from the currently described species. They have
not yet been approved as new Brucella species.
Brucella is a member of the Brucellaceae family, in the order Rhizobiales, class Alphaproteobacteria. It shows close
genetic relatedness to some plant pathogens and symbionts of the genera Agrobacterium and Rhizobium, as well
as animal pathogens (Bartonella) and opportunistic or soil bacteria (e.g. Ochrobactrum).
Infection with Brucella in cattle is usually caused by biovars (bv.) of Brucella abortus. In some countries,
particularly in southern Europe, Africa and western Asia, where cattle are kept in close association with
sheep or goats, infection can also be caused by B. melitensis (Verger, 1985). Occasionally, B. suis may
cause infections in cattle. The disease is global in distribution but a number of countries are considered
free from both B. abortus and B. melitensis. For up-to-date information, consult OIE WAHIS interface 1.
Young animals and non-pregnant females usually show no signs of the disease. Following infection with
B. abortus or B. melitensis, pregnant adult females develop a placentitis usually resulting in abortion
between the fifth and ninth month of pregnancy. Even in the absence of abortion, profuse excretion of
the organism occurs in the placenta, fetal fluids and vaginal discharges. The mammary gland and
associated lymph nodes may also be infected, and organisms may be excreted in the milk. Colostrum
originating from infected dams is a source of infection in the newborn population. Subsequent
pregnancies are usually carried to term, but uterine and mammary infection recurs, with reduced
numbers of organisms in afterbirth products and milk. In acute infections, the organism is present in
most major body lymph nodes. Adult male cattle may develop orchitis/epididymitis and brucellosis may
be a cause of infertility in both sexes. Brucella abortus can be shed in semen, seminal fluid and urine.
Hygromas, usually involving leg joints, are a common manifestation of brucellosis in some tropical
countries and may be the only obvious indicator of infection; the hygroma fluid is often infected with
Brucella.
1 https://www.woah.org/en/what-we-do/animal-health-and-welfare/disease-data-collection/
Infection with Brucella in sheep and goats (excluding B. ovis infection) is primarily caused by
B. melitensis. Sporadic infections caused by B. abortus or B. suis have been observed in sheep and goats,
but such cases are extremely rare. Infection with Brucella in sheep and goats is widespread although a
number of countries are believed to be free from the agent. For up-to-date information, consult OIE
WAHIS interface. Pathologically and epidemiologically, B. melitensis infection in sheep and goats is very
similar to B. abortus infection in cattle. In most circumstances, the primary routes of transmission of
Brucella are the placenta, fetal fluids and vaginal discharges expelled by infected ewes and goats at and
up to several months following abortion or parturition. Shedding of Brucella is also common in udder
secretions and semen, and Brucella may be isolated from various tissues, such as lymph nodes from the
head, spleen and organs associated with reproduction (uterus, epididymides and testes), and from
arthritic lesions (Alton et al., 1988).
Infection with Brucella in pigs is primarily caused by biovars 1, 2 or 3 of B. suis. Sporadic infections caused
by B. abortus or B. melitensis have been also observed in pigs, but such cases are rare. The disease
occurs in many countries where pigs are raised. Generally, the prevalence is low, but in some regions,
such as South America and south-east Asia, the prevalence may be much higher. Porcine brucellosis
may be a serious but presently unrecognised problem in some countries. Brucella suis bv. 1 infection has
been reported from feral pigs in some of the southern states of the United States of America (USA), in
parts of Australia and several other countries in Oceania. In these countries, a number of human
infections have been reported from people who hunt and handle material taken from feral pigs. The
disease is generally transmitted by consumption of feed contaminated by birth or abortion products and
uterine discharges. Pigs will instinctively eat aborted fetuses and placental membranes. Transmission
during copulation also occurs frequently, and B. suis excretion in semen has implications for those
practising artificial insemination. In pigs, as in ruminants, after the initial bacteraemia, B. suis colonises
the reproductive tract of either sex. In females, placentas and fetuses are invaded, while in males,
invasion occurs in one or more of the following: testes, prostate, epididymides, seminal vesicles or
bulbo–urethral glands. In males the lesions, which are most often unilateral, start with a hyperplasia that
may progress to abscess formation; the final stage is characterised by sclerosis and atrophy. The most
common manifestation of brucellosis in female pigs is abortion, occurring at any time during pregnancy,
but most frequently between day 50 and 110 of gestation. Vaginal discharge is not often evident, and, in
chronically infected herds, infertility rather than abortion is the most relevant clinical sign of the disease.
In males, brucellosis is more likely to be persistent, with lesions in the genital tract often leading to
interference with sexual activity, which can be temporary or permanent. The boar may excrete Brucella
in the semen without any apparent abnormality in the sex organs or interference with sexual activity. In
both sexes, arthritis may occur in various joints, there may be swollen joints and tendon sheaths,
lameness and, occasionally, posterior paralysis or spondylitis. A significant proportion of both male and
female pigs will recover from the infection, often within 6 months, but many will remain permanently
infected (Olsen et al., 2012).
Infection caused by B. suis bv. 2 differs from infection caused by bv. 1 and bv. 3 in its host range,
distribution, and in pathogenicity. Historically, the geographical distribution of B. suis bv. 2 has been in a
broad range between Scandinavia and the Balkans. The prevalence in wild boars appears to be high
throughout continental Europe (EFSA, 2009). In outbreaks in Europe, wild boars were implicated as the
source of transmission of bv. 2 to outdoor reared pigs, and are considered as the main wild reservoir of
this infection (EFSA, 2009). Brucella suis bv. 2 causes miliary lesions, particularly in reproductive tissues,
that often become purulent. To date, B. suis bv. 2 has rarely been reported as the cause of human
brucellosis. However, B. suis bv. 2 infections have been reported in immuno-compromised hunters, who
had been extensively exposed through gutting or skinning boars or hares. Moreover, rare cases of B. suis
bv. 2 infection without clinical signs have been reported in Europe in cattle or sheep exposed to infected
wild boars.
Infection with B. abortus or B. melitensis has been reported in the one-humped camel (Camelus
dromedarius) and the two-humped camel (C. bactrianus), as well as in the South American camelids:
llama (Lama glama), alpaca (Vicugna pacos), guanaco (Lama guanicoe), and vicuña (Vicugna vicugna),
and is related to contact with large and small ruminants infected with B. abortus or B. melitensis.
In addition, brucellosis has been observed in the domestic buffalo (Bubalus bubalis), American and
European bison (Bison bison and B. bonasus, respectively), yak (Bos grunniens), elk/wapiti (Cervus
canadensis, sika deer (C. nippon), African buffalo (Syncerus caffer) and various antelope species. The
clinical manifestations of brucellosis in these animals are similar to those seen in cattle, sheep and goats.
Brucella melitensis infection in wild ruminants may occur when these species are in close contact with
sheep and goats in enzootic areas. The manifestations of brucellosis in these animals are similar to those
in cattle or sheep and goats. However, in several wild ruminant species (e.g. chamois [Rupicapra
rupicapra], Alpine ibex [Capra ibex] and the Iberian wild goat [Capra pyrenaica]), purulent or calcified
arthritis and orchitis as well as uveitis and neurological signs have been reported. These species are
considered as dead-end carriers, and the disease usually disappears naturally as soon as Brucella
infection has been eradicated from domestic livestock, unless anthropogenic effects take place.
Nevertheless three reservoirs are currently described in wild ruminants: B. abortus in bison in the
Yellowstone area of North America, B. melitensis in alpine ibex and B. abortus in wood bison in Wood
Buffalo National Park in Canada. There have also been sporadic reports of B. melitensis isolation from
dogs, especially from contact with infected sheep or goats, or ingestion of placenta or aborted fetuses.
There are two different types of epidemiological situation with regard to B. suis infection in other non-
porcine species. In the first case, B. suis infection occurs in animals that are not the natural host of the
particular infection through the ingestion of contaminated materials or by co-habitation with infected
natural hosts. For example, Arctic foxes and wolves may contract B. suis bv. 4 from reindeer; dogs and
rodents, such as rats and mice, may acquire other B. suis biovars by cohabitation with infected hosts;
cattle and horses may become infected by cohabitation or interaction with infected swine. The infecting
bacteria are invariably the well-defined biovars of the natural host species. In the second case, wildlife
species are natural hosts for B. suis or B. suis-like infections. One example is the so-called murine
brucellosis of the Commonwealth of Independent States (CIS) and the Baltic countries, where small
rodents are infected with B. suis bv. 5.
In addition to wild boar, the European hare (Lepus europaeus) is also considered to be a reservoir for
B. suis bv. 2 and has been implicated as a possible source of transmission to domestic livestock. The
disease in the European hare is characterised by the formation of nodules, varying in size from that of a
millet seed to a cherry or even larger; these often become purulent. Such nodules may occur in almost
any location, sometimes subcutaneously or intramuscularly, in the spleen, liver or lung and in the
reproductive organs of either sex. The body condition of the hare may be unaffected. Other species may
also become infected by cohabitation with B. suis bv. 2 infected swine, wild boars or hares. Gutting or
skinning wild boars in cattle sheds could be a route of transmission to cattle.
Brucella suis bv. 4 causes a serious zoonotic disease in wild or domesticated reindeer or caribou
(Rangifer tarandus and its various subspecies) throughout the Arctic region, including Siberia, Canada
and Alaska. Rangifer tarandus is very susceptible to B. suis infection, which causes fever, depression and
various local signs, such as abortion, retained placentas, metritis, sometimes with blood-stained
discharge, mastitis, bursitis and orchitis. Transmission to humans may be by direct contact or through
consumption of raw milk and other inadequately heated products from reindeer, bone marrow in
particular.
Some Brucella species, most notably B. melitensis, B. abortus, B. suis and, probably to a lesser extent
B. canis are readily transmissible to humans, causing acute febrile illness – undulant fever – which may
progress to a more chronic form and can also produce serious complications affecting the musculo-
skeletal, cardiovascular, and central nervous systems. Precautions should be taken to prevent human
infection. Infection is acquired by the oral, respiratory, or conjunctival routes. Ingestion of raw milk
products constitutes the main risk to the general public where the disease is endemic. There is an
occupational risk to veterinarians, abattoir workers and farmers who handle infected animals/carcasses
and aborted fetuses or placentas. Brucellosis is also one of the most easily acquired laboratory
infections, and all laboratory manipulations with live cultures or potentially infected/contaminated
material must be performed at an appropriate biosafety and containment level determined by biorisk
analysis (see Chapter 1.1.4 Biosafety and biosecurity: Standard for managing biological risk in the
veterinary laboratory and animal facilities). Specific recommendations have been made for the biosafety
precautions to be observed with Brucella-infected materials (for further details see Alton et al., 1988;
Joint FAO/WHO Expert Committee on Brucellosis, 1986; WHO, 1953; WHO, 2004; Chapter 1.1.3 Transport
of biological materials).
B. DIAGNOSTIC TECHNIQUES
Purpose
Immune status
Population Individual Confirmation Herd/flock in individual
Method Contribute to
freedom animal of suspect or prevalence of animals or
eradication
from freedom from clinical infection – populations
policies(b)
infection infection(a) cases(c) surveillance post-
vaccination
Staining methods – – – + – –
Culture – – – +++ – –
PCR(d) – – – +/++ – –
BBAT
+++ ++ +++ + +++ –
(RBT or BPAT)
FPA ++ ++ + ++ ++ –
C-ELISA ++ + + + ++ –
BST ++ – + +++ ++ –
SAT ++ + + – + –
NH and cytosol
protein-based – – + ++ – –
tests(e)
Key: +++ = recommended for this purpose; ++ recommended but has limitations;
+ = suitable in very limited circumstances; – = not appropriate for this purpose.
PCR = polymerase chain reaction; BBAT = buffered Brucella antigen tests (i.e. RBT [rose bengal test] and BPAT [buffered plate
agglutination test]); FPA = fluorescence polarisation assay; CFT = complement fixation test; I- or C-ELISA = indirect/competitive
enzyme-linked immunosorbent assay; BST = brucellin skin test; SAT = serum agglutination test; NH = native hapten
(a)
This applies only to herds/flocks, countries or zones free from infection with Brucella.
(b)
To increase the efficiency of eradication policies in infected herds/flocks, it is recommended to associate tests in parallel so as
to increase the sensitivity of the diagnosis, i.e. two serological tests at least, e.g. BBAT or FPA and CFT or I-ELISA. The sensitivity
is further increased by parallel testing by both serology and BST.
(c)
In low-prevalence or almost-free zones, the predictive value of positive results to serological tests may be very low. In such
situations, agent identification is usually needed to confirm clinical cases.
In infected herds/flocks, a positive result to any serological test may be considered as confirmation of a clinical case. Any reactor
in any serological test should be considered to be infected even in the absence of clinical signs.
In low-prevalence or almost-free zones, singleton serological reactors may be confirmed by culture (or PCR) or BST.
In free countries or zones, suspect animals are those positive to both a screening and a confirmatory serological test (tests in
series) and may be confirmed by culture (or PCR) and/or BST.
(d)
False-positive results may occur.
(e)
In zones where subcutaneous S19 or Rev.1 vaccination is practised, this test may help in differentiating antibodies due to
vaccination from those due to infection.
(f)
Dairy cattle only.
All cases of abortion as well as orchitis in cattle, sheep and goats, camels and pigs, should be considered as
suspected brucellosis and should be investigated through the herd/flock history and submission of specimens for
laboratory testing. The clinical signs are not pathognomonic and unequivocal diagnosis of Brucella infections can
be made only by the isolation and identification of Brucella, but in situations where bacteriological examination is
not practicable, diagnosis must be based on molecular or immunological methods.
All samples from suspect cases should be cooled (4°C) immediately after they are taken, and transported to the
laboratory by the most rapid means. If they are to spend more than 12 hours in transit, all samples apart from vaginal
swabs, should be frozen (–20°C). On arrival at the laboratory, samples that are not to be cultured immediately should
be frozen (Alton et al., 1988). In all cases, the shorter the shipment and storage time, the higher is the probability of
Brucella isolation, especially in cases where the initial amount of Brucella is low in the sample. No specific transport
medium has been demonstrated to improve Brucella survival in animal samples.
Brucella are coccobacilli or short rods measuring from 0.6 to 1.5 µm long and from 0.5 to 0.7 µm wide.
They are usually arranged singly, and less frequently in pairs or small groups. The morphology of Brucella
is fairly constant, except in old cultures where pleomorphic forms may be evident. Brucella are nonmotile.
They do not form spores; pili or true capsules are not produced. Brucella are Gram negative and usually
do not show bipolar staining. They are resistant to decolourisation by weak acids and thus stain red by
the Stamp’s modification of the Ziehl–Neelsen’s method (Alton et al., 1988). With this method, in smears
of organs or biological fluids previously fixed with heat or ethanol, Brucella organisms stain red against
a blue background. A fluorochrome or peroxidase-labelled antibody conjugate-based technique could
also be used. The presence of intracellular, weakly acid-fast organisms of Brucella morphology or
immuno-specifically stained organisms is presumptive evidence of brucellosis. However, these methods
are not feasible or have a low sensitivity in milk and dairy products where Brucella are often present in
small numbers, and interpretation is frequently impeded by the presence of fat globules. Care must be
taken as well in the interpretation of positive results in the Stamp’s method because other organisms that
cause abortions, e.g. Chlamydia abortus or Coxiella burnetii, may be difficult to differentiate from
Brucella organisms in these preparations. The results, whether positive or negative, should be confirmed
by culture.
Polymerase chain reaction (PCR) methods can also be used to demonstrate the agent in various
biological samples (Bricker, 2002; Whatmore & Gopaul, 2011), but the sensitivity of these approaches
may be low with respect to classical bacteriology because of limitations around sample volume.
Molecular tests may detect infection where poor sample storage means bacteria are no longer viable.
Bacteriological isolation is slow, expensive and cumbersome, but it should be performed whenever
possible to confirm the disease and to determine the Brucella species involved. It also enables emerging
epidemiological approaches such as high throughput sequencing to be applied. Although often
considered not sensitive, it can be very effective when the type and number of samples, their adequate
storage, amount seeded and the culture media used are optimised.
The most widely used selective medium is the modified Farrell’s medium (FM) (Stack et al., 2002),
added to 1 litre of agar: polymyxin B sulphate (5000 units = 5 mg); bacitracin (25,000 units =
25 mg); natamycin (50 mg); nalidixic acid (5 mg); nystatin (100,000 units); vancomycin (20 mg). A
corresponding freeze-dried antibiotic supplement is available commercially. However, nalidixic
acid and bacitracin, at the concentration used in FM, have inhibitory effects on some B. abortus,
B. melitensis and B. suis strains. Accordingly, the simultaneous use of FM and the less selective
Thayer–Martin’s modified (mTM) culture media has been considered the strategy of choice for
Brucella primary isolation from field veterinary samples. However, the mTM is not translucent
because of the haemoglobin contained as a basal component, being thus unsuitable for the direct
observation of colonial morphology, probably the most practical procedure for the presumptive
identification of Brucella (Alton et al., 1988).
A selective and translucent culture medium (named CITA) was formulated by De Miguel et al.
(2011). For its preparation, blood agar base is used as a basal component, supplemented with 5%
sterile calf serum and containing vancomycin (20 mg/litre), colistin methanesulfonate
(7.5 mg/litre), nitrofurantoin (10 mg/litre), nystatin (100,000 International Units [IU)]/litre), and
amphotericin B (4 mg/litre). This antibiotic mixture can be prepared as follows: weigh
vancomycin, colistin and nystatin in the same 50 ml sterile container, then rehydrate the mixture
with 10 ml of a 1:1 solution of absolute methanol in sterile purified water. Weigh then nitrofurantoin
in a sterile tube and dissolve it with 1 ml of 0.1 M NaOH solution (sterilised previously by filtration
through a 0.22 µm filter). Finally, weigh 10 mg of amphotericin B in a 20 ml sterile container and
dissolve with 1 ml dimethyl sulphoxide. Once fully dissolved (5–10 minutes are required), add 9 ml
of 10 mM sterile phosphate-buffered saline (PBS) (pH=7.2 ± 0.2). The final concentration of
amphotericin B would be 1 mg/ml; a total of 4 ml of this solution are required for 1 litre of medium.
The remaining Amphotericin B suspension can be kept at 5°C ± 3°C for several days for further
uses. This CITA medium inhibits most contaminant microorganisms but allows simultaneously
the growth of all Brucella species and is more sensitive than both mTM and Farrell’s media for
isolating all smooth Brucella species from field samples, being thus the selective medium of
choice for overall Brucella isolation, although the maximal diagnostic sensitivity is obtained using
both FM and CITA simultaneously (De Miguel et al., 2011).
A modified Brucella selective medium (named MBS) has been developed to select B. abortus
strains, including the RB51 vaccine strain more effectively than previously described media but
needs further validation studies to confirm performance (Her et al., 2010).
Contrary to the situation with several B. abortus biovars as well as B. ovis, the growth of
B. melitensis or B. suis is not dependent on an incubating atmosphere containing 5–10% CO2
(Table 2), but such a CO2 enriched-atmosphere is optimal for the culture of all Brucella.
As the number of Brucella organisms is likely to be lower in milk, colostrum and some tissue
samples than in abortion material, enrichment can be advisable. In the case of milk, results can be
improved by centrifugation and culture from both the cream and the pellet, but strict safety
measures should be implemented in this case to avoid aerosols. A more practical way to increase
the sensitivity of milk culture while avoiding the risks of centrifugation is increasing the number
of both FM and CITA culture plates per milk sample tested (two plates per udder quarter should
be a minimum), each plate being inoculated with ca. 0.5 ml of milk. Enrichment can be carried out
in liquid medium consisting of serum–dextrose broth, tryptose broth or trypticase–soy broth
(TSB) or Brucella broth supplemented with an antibiotic mixture of at least amphotericin B
(1 µg/ml), and vancomycin (20 µg/ml) (all final concentrations). The enrichment medium should
be incubated at 37°C ± 2°C in air supplemented with 5–10% (v/v) CO2 for up to 6 weeks, with
weekly subcultures on to solid FM and CITA selective media. If preferred, a biphasic system of
solid and liquid selective medium in the same bottle (Castañeda’s method) may be used to
minimise subculture. A selective biphasic medium composed of the basal Castañeda’s medium
with the addition of the following antibiotics to the liquid phase, is sometimes recommended for
isolation of Brucella in milk (quantities are per litre of medium): polymyxin B (sulphate)
(6000 units = 6 mg); bacitracin (25,000 units = 25 mg); natamycin (50 mg); nalidixic acid (5 mg);
amphotericin B (1 mg); vancomycin (20 mg); D-cycloserine (100 mg).
Lysis by phagesa
Serum requirement
Urease activity
Oxidase
Tb Wb Iz1 R/C
Species Preferred host
104 RTD
RTDc
RTD
RTD
RTD
B. abortus S –d + + + + – (+)e (+)f Cattle and other Bovidae
Bv. 1: swine
Bv. 4: reindeer
Bv. 5: rodents
B. ovis R + – – – – + – – Sheep
B. canis R – – – – – + + +j Dogs
B. microti S – – + + + ND + +h Unknownn
B. inopinata S ND – ND ND ND ND ND +j Unknown
B. vulpis S + + + – – + Unknown
From Alton et al. (1988), Joint FAO/WHO Expert Committee on Brucellosis (1986), Whatmore (2009),
Whatmore et al. (2014) and Scholz et al (2016).
(+)/(–) Most isolates positive/negative
a Phages: Tbilisi (Tb), Weybridge (Wb), Izatnagar1 (Iz1) and R/C
b Normally occurring phase: S: smooth, R: rough
c RTD: routine test dilution
d B. abortus bv. 2 generally requires serum for growth on primary isolation
e Some African isolates of B. abortus bv. 3 are negative
f Intermediate rate, except strain 544 and some field strains that are negative
g Some isolates are lysed by Wb
h Slow rate, except some strains that are rapid
I Some isolates of B. suis bv. 2 are not or only partially lysed by phage Wb or Iz1
j Rapid rate
k Minute plaques
l Neotoma lepida
m Partial lysis
n strains isolated from many wild mammals (rodent, fox, wild boar), amphibians and environment
ND Not determined
All culture media used should be subjected to quality control with the reference strains to show
that it performs properly. The use of a small inoculum of fastidious strains, such as B. abortus
bv. 2, B. ovis or B. suis bv. 2, is preferred.
On suitable solid media, colonies of B. abortus, B. melitensis and B. suis can be clearly visible after
a 3- to 4-day incubation period. After 4-days’ incubation, Brucella colonies are round, 1–2 mm in
diameter, with smooth margins. They are translucent and a pale honey colour when plates are
viewed through a transparent medium. When viewed from above, colonies appear convex and
pearly white. Later, colonies become larger and slightly darker. Smooth (S) Brucella cultures have
a tendency to undergo variation during growth, especially with subcultures, and to dissociate to
rough (R) forms. Colonies are then much less transparent, have a more granular, dull surface, and
range in colour from matt white to brown in reflected or transmitted light. Checking for
dissociation is easily tested by crystal violet staining: rough colonies stain red/violet and smooth
colonies do not uptake dye or stain pale yellow. If the colonies are smooth, they should be checked
against antiserum to smooth Brucella, or, if available, against anti-A and -M monospecific sera. In
the case of non-smooth colonies, isolates should be checked with antiserum to Brucella R antigen.
Changes in the colonial morphology are generally associated with changes in virulence,
serological properties or phage sensitivity. Typical colonial morphology and positive
agglutination with specific Brucella antiserum, followed by the oxidase and urease tests (see
Tables 2 and 3), allow preliminary identification of the isolate as Brucella. However, it is
recommended that subsequent confirmation and typing is performed by a reference laboratory.
1.2.3.1. Tissues
Samples are removed aseptically with sterile instruments. The tissue samples are prepared
by removal of extraneous material (e.g. fat), cut into small pieces, and macerated using a
paddle blender or tissue grinder with a small amount of sterile PBS, before being inoculated
on to solid media or enrichment broth.
1.2.3.3. Milk
Milk culture can be particularly valuable for screening individual animals or herds for the
presence of Brucella. Samples of milk must be collected cleanly after washing, drying and
disinfecting the teats. Personal protection must be worn throughout. It is essential that
samples should contain milk from all quarters, and 10–20 ml of milk should be taken from
each teat, changing or disinfecting the gloves from one animal to the next to avoid cross-
contamination of the samples. The first streams are discarded and the sample is milked
directly into a sterile vessel or container. Care must be taken to avoid contact between the
milk and the milker’s hands. The milk can be centrifuged and the cream and deposit are
spread on solid selective medium, either separately or mixed or streaked directly as
indicated above. If Brucella are present in bulk milk samples, their numbers are usually low,
and isolation from such samples is very unlikely.
Agglutination with
CO2 requirement
Growth on dyesa Reference strain
H2S production
monospecific sera
Biovar
Species
Fuchsin
Thionin
Basic
A M R Strain ATCC NCTC
5 – – + – – + – 513 ND 11996
B1/94
B. ceti (–) – (+) (+) + (–) – ND 12891
BCCN 94-74
B2/94
B. pinnipedialis (+) – + (+) (+) (–) – ND 12890
BCCN 94-73
CCM4915
B. microti – – + + (–) (+) – BCCN 07-01 ND ND
CAPM 6434
BO1
B. inopinata – + + + – +e BCCN 09-01 ND ND
CAPM 6436
F8/08-60
B. papionis – – – – + – – ND 13660
CIRMBP 0958
F60
B. vulpis – – + + + – BCCN 09-2 ND ND
DSM 101715
From Alton et al. (1988), Joint FAO/WHO Expert Committee on Brucellosis (1986),
Whatmore (2009), Whatmore et al. (2014), and Scholz et al. (2016).
All the above samples should be cooled (4–10°C) immediately after sampling and transported to
the laboratory in the fastest way. Otherwise, the samples should be frozen to avoid viability losses.
On arrival at the laboratory, milk and tissue samples and other biological liquids should be frozen
if they are not to be cultured immediately.
Any colonies showing the characteristic Brucella morphology should be examined using a Gram-
stained-smear. As the serological properties, dyes and phage sensitivity are usually altered in the non-
smooth phases, attention to the colonial morphology is essential in the typing tests described below. The
recommended methods for observing colonial morphology are Henry’s method by obliquely reflected
light, the acriflavine test described by Braun & Bonestell, or White & Wilson’s crystal violet method of
staining colonies (Alton et al., 1988).
Identification of Brucella organisms to species and biovar level can be carried out by a combination of
the following tests: organism morphology after Gram or Stamp’s staining, direct observation of colonial
morphology, growth characteristics, urease and oxidase tests, and the slide agglutination test with a
polyclonal anti-Brucella serum. Species and biovar identification requires elaborate tests (such as phage
lysis and agglutination with anti-A, -M or -R monospecific sera), the performance of which should be left
to reference laboratories with accredited expertise in these methods. The simultaneous use of several
phages e.g. Tbilisi (Tb), Weybridge (Wb), Izatnagar1 (Iz1) and R/C provides a phage-typing system that, in
experienced hands, allows a practical identification of the Brucella species. However, several
characteristics, for example added CO2 requirement for growth, production of H2S (detected by lead
acetate papers), and growth in the presence of basic fuchsin and thionin, are revealed by routine tests
that can be performed in moderately equipped non-specialised laboratories (see Tables 2 and 3). While
the technique remains useful particularly at the species level, the value of the biovar designations as
epidemiological markers is increasingly questioned as, notably in the case of B. melitensis and some
B. abortus biovars, molecular evidence has shown biovars do not correspond to meaningful genetic
divisions.
MALDI-TOF (matrix assisted laser desorption ionisation time of flight) is increasingly used in diagnostic
microbiology and has been applied to identification of Brucella. While application of MALDI-TOF appears
effective for genus identification the close genetic relationship among Brucella species, and limitations
in commercial database coverage, has not yet enabled robust and unambiguous discrimination of
Brucella species.
For the maintenance of B. abortus, B. melitensis or B. suis strains as well as for sending them to a
reference laboratory for typing, it is essential that only smooth colonies be selected. Cultures may be
maintained for short periods at 5°C ± 3°C, but for longer periods they should be lyophilised or stored in a
screw-capped tube at a temperature ≤ –16°C in tryptose broth with 15% (v/v) glycerol. For shipment,
cultures should be lyophilised and sealed in ampoules packed in screw-capped canisters or subcultured
onto appropriate nutrient agar slopes contained in screw-capped bottles. The strains could also be sent
suspended in transport media (e.g. Amies), but this could cause dissociation.
For transporting Brucella cultures, the caps of the bottles or canisters should be screwed tightly down
and sealed with PVC (polyvinyl chloride) tapes. Bottles should be wrapped in absorbent paper or cotton
wool, sealed in polyethylene bags and packed into a rigid container (triple packaging) in accordance with
the requirements of the International Air Transport Association (IATA) for shipping dangerous goods
(IATA, 2021). These regulations are summarised in Chapter 1.1.2 Collection, submission and storage of
diagnostic specimens and Chapter 1.1.3 Transport of biological materials, and they must be followed.
The PCR, including the real-time format, provides an additional means of detection and identification of
Brucella sp. (Bricker, 2002; Lopez-Goni et al., 2011; Ocampo-Sosa et al., 2005; Whatmore & Gopaul, 2011).
Despite the high degree of DNA homology within the genus Brucella, several historical molecular
methods including PCR, PCR restriction fragment length polymorphism (RFLP) and Southern blot,
allowed, to a certain extent, the differentiation of Brucella species and some of their biovars (for a review
see Bricker, 2002; Moreno et al., 2002; Whatmore & Gopaul, 2011).
The first species-specific multiplex PCR assay for the differentiation of Brucella was described by Bricker
& Halling (1994). The assay, named AMOS-PCR, was based on the polymorphism arising from species-
specific localisation of the insertion sequence IS711 in the Brucella chromosome, and comprised five
oligonucleotide primers that could identify without differentiating B. abortus bv. 1, 2 and 4 but could not
identify B. abortus bv. 3, 5, 6, and 9. Modifications to the assay have been introduced over time to
improve performance, and additional strain-specific primers were incorporated for identification of the
B. abortus vaccine strains, and other biovars and species (Ocampo-Sosa et al., 2005). A multiplex PCR
assay (Bruce-ladder) has been proposed for rapid and simple one-step identification of Brucella (Lopez-
Goni et al., 2011). The major advantage of this assay over previously described PCRs is that it can identify
and differentiate in a single step most Brucella species as well as the vaccine strains B. abortus strain 19
(S19), B. abortus RB51 and B. melitensis Rev.1. In contrast to other PCRs, Bruce-ladder is also able to
detect DNA from B. neotomae, B. pinnipedialis and B. ceti. An update to the original Bruce-ladder PCR
protocol has been described. This updated version (Bruce-ladder v2.0), that has been validated in
several laboratories, is also able to discriminate between B. suis and B. canis, and allows the
differentiation of B. microti as does a modification reported by Kang et al. (2011). Similarly, another
updated multiplex PCR assay (Suis-ladder), has been developed for fast and accurate identification of
B. suis strains at the biovar level (Lopez-Goni et al., 2011).
Alternative approaches allowing identification of all Brucella species, B. suis biovars and vaccine strains
based on single nucleotide polymorphism (SNP) discrimination by either primer extension or real-time
PCR or the ligase-chain-reaction have been described. These tests are rapid, simple, unambiguous, and
based on a robust population genetic analysis that helps ensure the species/biovar specificity of markers
used (Whatmore & Gopaul, 2011).
A number of other methods adding useful epidemiological information have also been described and are
widely used. These include multilocus sequencing schemes (Whatmore & Foster, 2021) and several
typing schemes based on the use of MLVA (multiple locus variable number of tandem repeats analysis)
(Le Fleche et al., 2006; Scholz & Vergnaud, 2013; Whatmore & Foster, 2021). Depending on the particular
markers chosen, these methods allow isolates to be identified at species level and provide
epidemiological information at the subspecies level. Finally, whole genome sequence-based approaches
are rapidly becoming tools for routine surveillance and outbreak detection for several infectious
diseases including brucellosis. Through various analytical approaches being developed, including SNP-
based approaches or gene-by-gene comparison through core-genome multilocus sequence typing
(cgMLST), it is already clear that whole genome sequence approaches will offer the ultimate level of
epidemiological precision. These tools will become more widely accessible with time and ultimately
greatly inform understanding of local and international brucellosis epidemiology.
Vaccine strains B. abortus S19, B. melitensis Rev.1 and B. abortus RB51 may be identified using specific
PCRs (Kang et al., 2011; Lopez-Goňi et al., 2011), or by their growth characteristics in culture.
Brucella abortus S19 has the typical properties of a bv. 1 strain of B. abortus, but does not require CO2,
does not grow in the presence of benzyl-penicillin (3 µg/ml = 5 IU/ml), thionin blue (2 µg/ml), or i-
erythritol (1 mg/ml) (all final concentrations), and presents a high L-glutamate use (Alton et al., 1988).
Brucella melitensis strain Rev.1 has the typical properties of a bv. 1 strain of B. melitensis, but develops
smaller colonies on solid media, does not grow in the presence of basic fuchsin, thionin (both at 20 µg/ml)
or benzyl-penicillin (3 µg/ml), but does grow in the presence of streptomycin at 2.5 or 5 µg/ml (5 IU/ml)
(Alton et al., 1988).
Brucella abortus strain RB51 can be distinguished from its B. abortus biovar 1 smooth counterparts by its
rough morphology and growth in presence of rifampicin (250 µg per ml of media).
2. Serological tests
No single serological test is appropriate in all epidemiological situations and all animal species; all tests have
limitations especially when testing individual animals. Consideration should be given to all factors that impact on
the relevance of the test method and test results to a specific diagnostic interpretation or application. In
epidemiological units where vaccination with smooth Brucella is practised, and depending on the vaccination
method (dose/route) used, positive serological reactions may be expected among the vaccinated animals because
of antibodies cross-reacting with wild strain infection. Moreover, a number of bacteria, in particular Yersinia
enterocolitica O:9, may induce antibody responses that cause false positive serological reactions (FPSR) in
brucellosis tests, impeding accurate serological diagnosis. FPSR may occur in all animal species at variable rates
according to the time and the region.
The serum agglutination test (SAT) is generally regarded as being unsatisfactory for the purposes of international
trade. The complement fixation test (CFT) is more specific than the SAT, and has also a standardised system of
unitage, but can be impacted by anti-complementary activity. The diagnostic performance characteristics of some
enzyme-linked immunosorbent assays (ELISAs) and the fluorescence polarisation assay (FPA) are comparable with
or better than that of the CFT, and as they are technically simpler to perform and more robust, their use may be
preferred. The diagnostic performance of these tests has been compared in cattle, small ruminants and swine.
For the control of brucellosis at the national or local level, BBATs (the rose bengal test [RBT] and the buffered plate
agglutination test [BPAT]), ELISA and FPA, are considered as suitable screening tests. Depending on the purpose
of testing, positive reactors could be retested using a suitable confirmatory or complementary method.
In other species, for example, buffaloes (Bubalus bubalis), American and European bison (Bison bison, Bison
bonasus), yak (Bos grunniens), elk/wapiti (Cervus elaphus), camels (Camelus bactrianus and C. dromedarius), and
South American camelids, Brucella sp. infection follows a course similar to that in cattle. The same serological
procedures may be used for these animals, but each test should be validated for its fitness in the corresponding
animal species.
OIE reference standards are those against which all other standards are compared and standardised.
These reference standards are all available to national reference laboratories and should be used to
establish secondary or national standards against which working standards can be prepared and used
in the diagnostic laboratory for daily routine use.
These sera have been developed and designated by OIE as International Standard Sera 2 . The use of
these reagents promotes international harmonisation of diagnostic testing and antigen standardisation:
i) For RBT, CFT, SAT and milk ring test (MRT), OIE International Standard Serum (OIEISS, previously
named the WHO Second International standard anti-Brucella abortus Serum; WHO, 1953) is used.
This serum is of bovine origin and contains 1000 IU (SAT) and 1000 ICFTU (international
complement fixation test units).
ii) For indirect ELISA (I-ELISA), competitive or blocking ELISA (C-ELISA) and FPA in cattle, three OIE
ELISA Standard Sera are available for use. These are also of bovine origin and consist of a strong
positive (OIEELISASPSS), a weak positive (OIEELISAWPSS) and a negative (OIEELISANSS) standard.
iii) For I-ELISA, C-ELISA and FPA in sheep and goats, the International standard anti-Brucella
melitensis Serum (ISaBmS) is used (McGiven et al., 2011).
iv) For I-ELISA, C-ELISA and FPA in pigs, there is no OIE International Standard serum available at
present. However, an EU standard for porcine I-ELISA and C-ELISA, EUPigBSS, is available 3.
Brucella abortus strain 99 (Weybridge) (S99)3 or B. abortus strain 1119-3 (USDA) (S1119-3) 4 should always
be used for the production of antigens for the BBATs, SAT, CFT and FPA. These B. abortus strains can
be also used as a source of soluble antigen extracts (smooth lipopolysaccharide [S-LPS] or O-
polysaccharide [OPS]) for the ELISAs or the Native Hapten tests, but B. melitensis strain 16M is also
suitable for such a purpose. It should be emphasised that antigen made with any of the two B. abortus or
B. melitensis 16M strains is used to test for any infections due to smooth Brucella species.
The strains must be completely smooth and should not auto-agglutinate in saline and 0.1% (w/v)
acriflavine. They must be pure cultures and conform to the characteristics of CO2-independent strains of
B. abortus bv. 1 or B. melitensis bv. 1. The original seed cultures should be propagated to produce a seed
lot that must conform to the properties of these strains, and should be preserved by lyophilisation or by
freezing in liquid nitrogen.
For antigen production, the seed culture is used to inoculate a number of potato-infusion agar slopes
that are then incubated at 37°C ± 2°C for 48 hours. SDA and TSA, to which 5% equine or new-born calf
serum or 0.1% yeast extract may be added, are satisfactory solid media provided a suitable seed is used
as recommended above. The growth is checked for purity, resuspended in sterile PBS, pH 6.4, and used
to seed layers of potato-infusion agar or glycerol-dextrose agar in Roux flasks. These are then incubated
at 37°C ± 2°C for 72 hours with the inoculated surface facing down. Each flask is checked for purity by
Gram staining samples of the growth, and the organisms are harvested by adding 50–60 ml phenol
saline (0.5% phenol in 0.85% sodium chloride solution) to each flask. The flasks are gently agitated, the
suspension is decanted, and the organisms are killed by heating at 80°C for 90 minutes. Following a
viability check, the antigen is stored at 5°C ± 3°C.
Alternatively, the cells may be produced by batch or continuous culture in a fermenter, using a liquid
medium containing (per litre of purified water) D-glucose (30 g), a high-grade peptone (30 g), yeast
extract (Difco) (10 g), sodium dihydrogen phosphate (9 g) and disodium hydrogen phosphate (3.3 g). The
initial pH is 6.6 (± 0.2), but this tends to rise to pH 7.2 (± 0.2) during the growth cycle. Care should be taken
to check batches of peptone and yeast extract for capacity to produce good growth without formation of
abnormal or dissociated cells. Vigorous aeration and stirring is required during growth, and adjustment
to pH 7.2 (± 0.2) by the addition of sterile 0.1 M HCl may be necessary. The seed inoculum is prepared as
2 Obtainable from the OIE Reference Laboratory for brucellosis in the United Kingdom (see online list of OIE Reference
Laboratories: https://www.woah.org/en/what-we-offer/expertise-network/reference-laboratories/#ui-id-3).
3 Obtainable from the OIE Reference Laboratory for brucellosis in France.
4 Obtainable from the United States Department of Agriculture (USDA), National Veterinary Services Laboratories (NVSL)
1800 Dayton Road, Ames, Iowa, United States of America.
described above. The culture is incubated at 37°C ± 2°C for 48 hours. Continuous culture runs can be
operated for much longer periods, but more skill is required to maintain them. In-process checks should
be made on the growth from either solid or liquid medium to ensure purity, an adequate viable count and
freedom from dissociation to rough forms. Cells for use in the preparation of all antigens should be
checked for purity and smoothness at the harvesting stage.
The culture is harvested by centrifugation to deposit the organisms, which are resuspended in phenol
saline. The organisms are killed by heating at 80°C for 90 minutes and are stored at 5°C ± 3°C. They must
form stable suspensions in physiological saline solutions and show no evidence of auto-agglutination. A
viability check must be performed on the suspensions and no growth must be evident after 10 days of
incubation at 37°C ± 2°C. The packed cell volume (PCV) of the killed suspensions can be determined by
centrifuging 1 ml volumes in Wintrobe tubes at 3000 g for 75 minutes.
Additional checks may be performed with the ISaBmS. The highest dilution (in negative goat
serum) of this standard that must give a positive result and the lowest dilution (in negative
goat serum) that must simultaneously give a negative result have been established at 1/16
and 1/200, respectively (McGiven et al., 2011).
It is also be advisable to compare the reactivity of new and previously standardised batches
of antigen using a panel of well-defined reference sera.
However the above standardisation against the OIEISS is probably a cause of the reduced
sensitivity of some RB antigen batches for diagnosing B. melitensis infection in small
ruminants and of the discrepancies with the CFT (Blasco et al., 1994a). When testing small
ruminants, the discrepancies with the CFT can be minimised by using three volumes of
serum and one volume of antigen (e.g. 75 μl and 25 μl, respectively) in place of an equal
volume of each as mentioned in the standard test procedure. However, this modification of
the RBT should not be recommended for testing cattle and pig sera.
Two staining solutions are required: brilliant green (2 g/100 ml) and crystal violet
(1 g/100 ml) both certified stains dissolved in purified water. Once prepared, the two
solutions should be stored separately for a period of 24 hours, and then mixed together in
equal volumes in a dark bottle and stored in a refrigerator for a period of not less than
6 months before use. The mixed stain may only be used between 6 and 12 months after initial
preparation.
Buffered diluent is prepared by slowly dissolving sodium hydroxide (150 g) in 3–4 litres of
sterile phenol saline. Lactic acid (675 ml) is added to this solution, and the final volume is
adjusted to 6 litres by adding sterile phenol saline. The pH of the solution should be
3.65 ± 0.05.
Brucella abortus S1119-3 packed cells are diluted to a concentration of 250 g/litre in phenol
saline; 6 ml of stain is added per litre of cell suspension, and the mixture is shaken thoroughly
before being filtered through sterile absorbent cotton. The cells are centrifuged at 10,000 g
at 5°C ± 3°C, and the packed cells are then resuspended at a concentration of 50 g/100 ml in
buffered diluent (as described above). This mixture is shaken thoroughly for 2 hours, and is
then further diluted by the addition of 300 ml of buffered diluent per 100 ml of suspended
cells (i.e. final concentration of 50 g packed cells/400 ml buffered diluent). The mixture is
stirred at room temperature for 20–24 hours before the cell concentration is adjusted to 11%
(w/v) in buffered diluent. This suspension is stirred overnight before testing. Pending final
quality control tests, the antigen is stored at 5°C± 3°C until required for use. The antigen
should not be frozen.
The pH of the buffered plate antigen should be 3.70 ± 0.03 and the pH of a serum–antigen
mixture at a ratio of 8:3 should be 4.02 ± 0.04. The 11% stained-cell suspension should
appear blue–green. Each batch of buffered plate antigen should be checked by testing at
least 10 weakly reactive sera and comparing the results with one or more previous batches
of antigen. If possible, the antigen batches should be compared with the standard antigen
prepared by the NVSL, USDA (see footnote 5 for address). There is, however, no
international standardisation procedure established for use with either the OIEISS or with
the ISaBmS.
The CFT is widely used but it is complex to perform, and requires good laboratory facilities and
adequately trained staff to accurately titrate and maintain the reagents. There are numerous variations
of the CFT in use, but this test is most conveniently carried out in a microtitre format. Warm or cold
fixation may be used for the incubation of serum, antigen and complement: either 37°C ± 2°C for
30 minutes or 5°C ± 3°C for 14–18 hours. A number of factors affect the choice of the method: anti-
complementary activity in serum samples of poor quality is more evident with cold fixation, while fixation
at 37°C ± 2°C increases the frequency and intensity of prozones, and a number of dilutions must be tested
for each sample.
Several methods have been proposed for the CFT using different concentrations of fresh or preserved
sheep red blood cells (SRBCs) (a 2%, 2.5% or 3% suspension is usually recommended) sensitised with an
equal volume of rabbit anti-SRBC serum diluted to contain several times (usually from two to five times)
the minimum concentration required to produce 100% lysis of SRBCs in the presence of a titrated
solution of guinea-pig complement. The latter is independently titrated (in the presence or absence of
antigen according to the method) to determine the amount of complement required to produce either
50% or 100% lysis of sensitised SRBCs in a unit volume of a standardised suspension; these are defined
as the 50% or 100% haemolytic unit of complement/minimum haemolytic dose (C’H or MHD50 or C’H or
MHD100), respectively. It is generally recommended to titrate the complement before each set of tests, a
macromethod being preferred for an optimal determination of C’H50. Usually, 1.25–2 C’H100 or 5–6 C’H50
are used in the test.
Barbital (veronal) buffered saline is the standard diluent for the CFT. This is prepared from tablets
available commercially; otherwise it may be prepared from a stock solution of sodium chloride (42.5 g),
barbituric acid (2.875 g), sodium diethyl barbiturate (1.875 g), magnesium sulphate (1.018 g), and calcium
chloride (0.147 g) in 1 litre of purified water, diluted by the addition of four volumes of 0.04% gelatine
solution before use. However, this buffer contains barbituric derivatives that are no longer available in
several countries. Satisfactory results may be also obtained with a barbituric-free solution of sodium
chloride 0.85% containing calcium and magnesium, prepared by adding 1 ml of a stock solution of 1 M
magnesium chloride and 0.3 M calcium chloride (anhydrous MgCl2: 9.5 g CaCl2: 3.7 g; purified water: up
to 100 ml) (stored in small amounts at 5°C ± 3°C) to 1 litre of saline solution (Alton et al., 1988). The pH is
critical and must be strictly adjusted to 7.35 (± 0.05). The replacement of the veronal buffer by this
barbituric-free buffer has been validated in the OIE Brucellosis Reference Laboratory in France 5.
Using standard 96-well microtitre plates with round (U) bottoms, the technique is usually
performed as follows:
i) Volumes of 25 µl of diluted inactivated test serum are placed in the well of the first, second
and third rows. The first row is an anti-complementary control for each serum. Volumes of
25 µl of CFT buffer are added to the wells of the first row (anti-complementary controls) to
compensate for lack of antigen. Volumes of 25 µl of CFT buffer are added to all other wells
except those of the second row. Serial doubling dilutions are then made by transferring 25 µl
volumes of serum from the third row onwards; 25 µl of the resulting mixture in the last row
are discarded.
ii) Volumes of 25 µl of antigen, diluted to working strength, are added to each well except in
the first row.
iii) Volumes of 25 µl of complement, diluted to the number of units required, are added to each
well.
A control serum that gives a minimum positive reaction should be tested in each set of tests
to verify the sensitivity of test conditions.
v) The plates are incubated at 37°C ± 2°C for 30 minutes or at 5°C ± 3°C overnight, and a volume
(25 or 50 µl according to the technique) of sensitised SRBCs is added to each well. The
plates are re-incubated at 37°C ± 2°C for 30 minutes.
vi) The results are read after the plates have been centrifuged at 1000 g for 10 minutes at 5°C ±
3°C or left to stand at 5°C ± 3°C for 2–3 hours to allow unlysed cells to settle. The degree of
haemolysis is compared with standards corresponding to 0, 25, 50, 75 and 100% lysis. The
absence of anti-complementary activity is checked for each serum in the first row.
vii) Standardisation of results of the CFT
A unit system that is based on the OIEISS exists for the standardisation of results. This serum
contains 1000 ICFTU per ml. If this serum is tested in a given method and gives a titre of, for
example 200 (50% haemolysis), then the factor for an unknown serum tested by that
method can be found from the formula: 1000 × 1/200 × titre of test serum = number of ICFTU
of antibody in the test serum per ml. The OIEISS contains specific IgG; national standard sera
should also depend on this isotype for their specific complement-fixing activity. Difficulties
in standardisation arise because different techniques selectively favour CF by different
immunoglobulin isotypes. It is recommended that any country using the CFT on a national
scale should obtain agreement among the different laboratories performing the test to use
the same method in order to obtain the same level of sensitivity. To facilitate comparison
between countries, results should always be expressed in ICFTUs, calculated in relation to
those obtained in a parallel titration with a standard serum, which in turn may be
standardised against the OIEISS.
viii) Interpretation of the results: Sera giving a titre equivalent to 20 ICFTU/ml or more are
considered to be positive.
Animals that have been vaccinated with B. abortus S19 or B. melitensis Rev.1 between 3 and
6 months are usually considered to be infected if the sera give positive fixation at a titre of
30 or greater ICFTU/ml when the animals are tested at an age of 18 months or older.
This procedure is an example, other volumes and quantities of reagents could be chosen
provided that the test is standardised against the OIEISS as described above and the results
expressed in ICFTU/ml.
The CFT is usually very specific but less sensitive than RBT and ELISA, particularly in the
case of swine, as swine complement interacts with guinea-pig complement to produce a
pro-complementary activity that reduces the sensitivity. Thus, the CFT has a reduced
sensitivity for diagnosing B. suis infection, is not capable of eliminating the FPSR problem,
and can be recommended only as a complementary test in swine. Moreover, like most
serological tests, the CFT can be positive in ruminants after B. abortus S19 or B. melitensis
Rev.1 vaccination and it is not specific enough in presence of FPSR. Therefore, CFT results
should be investigated using suitable confirmatory or complementary strategies.
2.5.1.1. Test standardisation of the I-ELISA (EU, 2008; McGiven et al., 2011)
2.5.1.1.1. Infection with Brucella in cattle
i) A 1/2 pre-dilution of the OIEELISAWPSS or a 1/16 pre-dilution of the OIEELISASPSS made
up in a negative bovine serum (or in a negative pool of bovine sera) must give a positive
reaction;
and
ii) A 1/8 pre-dilution of the OIEELISAWPSS or a 1/64 pre-dilution of the OIEELISASPSS made
up in a negative bovine serum (or in a negative pool of bovine sera) must give a
negative reaction;
and
iii) The OIEELISANSS must always give a negative reaction.
The I-ELISAs that use S-LPS or OPS as antigens are highly sensitive for the detection of anti-
Brucella antibodies in cattle, small ruminants and pigs, but are not capable of fully resolving the
problem of differentiating between antibodies resulting from B. abortus S19 and B. melitensis
Rev.1 vaccination. The B. abortus RB51 vaccine may also interfere in S-LPS-based I-ELISAs.
Using I-ELISA standardised against OIE standard sera described above, the diagnostic sensitivity
should be equal to or greater than that of the BBATs (RBT/BPAT) or the CFT in the testing of
infected cattle, small ruminants and pigs. However, the specificity would usually be lower (EFSA,
2006; 2009; Greiner et al., 2009; Gusi et al., 2019).
The problem of FPSR may be reduced but not fully resolved, in pigs in particular, by performing
I-ELISAs using extracts from rough strains of Brucella. Most FPSR are a result of cross reaction
with the OPS portion of the S-LPS molecule; cross-reaction among core epitopes is less frequent
but does exist. The use of chaotropic I-ELISAs or procedures using heterologous extracts or
Brucella cytosolic proteins as antigens does not resolve this problem, at least in cattle (Munoz et
al., 2005). Moreover, in the context of FPSR, the most specific diagnostic procedure remains the
brucellin skin test (see Section B.3.1 below).
Several commercial I-ELISAs are available. Some protocols are less sensitive or less specific than
others; therefore results obtained from different assays are not always comparable. I-ELISA for
diagnosing anti-Brucella antibodies in small ruminants and pigs is essentially the same as that
described for cattle, but the cut-off should have been properly established for these species using
the appropriate validation techniques (see chapter 1.1.6), and, moreover, I-ELISA for sheep and
goats should be standardised against the ISaBmS (McGiven et al., 2011).
i) A positive and a negative control are included in each plate. OD (optical density) ranges to
be obtained with these two controls must be established to define the criteria for validating
each plate results. The OD of the positive control is the one with which the OD of each test
serum is compared to establish the final result (negative or positive).
ii) An additional positive serum (internal control) must be included in each plate to validate the
repeatability of the test from plate to plate and from day to day.
2.5.2.1. Test standardisation of the C-ELISA (EU, 2008; McGiven et al., 2011)
2.5.2.1.1. Infection with Brucella in cattle:
i) A 1/2 pre-dilution of the ELISAWPSS or a 1/16 pre-dilution of the OIEELISASPSS made up
in a negative bovine serum (or in a negative pool of bovine sera) must give a positive
reaction;
and
ii) A 1/8 pre-dilution of the OIEELISAWPSS or a 1/64 pre-dilution of the OIEELISASPSS made
up in a negative bovine serum (or in a negative pool of bovine sera) must give a
negative reaction;
and
iii) The OIEELISANSS must always give a negative reaction.
and
ii) a 1/300 pre-dilution of the ISaBmS made up in a negative goat serum (or in a negative
pool of goat sera) must give a negative reaction;
and
iii) the above-mentioned negative goat serum (or negative pool of goat sera) must always
give a negative reaction.
The C-ELISA using an MAb specific for one of the epitopes of the Brucella sp. OPS has been shown
in cattle, sheep and swine to have usually, but not always, higher specificity but lower sensitivity
than the BBAT or I-ELISA (Munoz et al., 2005; 2012; Nielsen et al., 1995; Praud et al., 2012; Stack
et al., 1999).
The C-ELISA may reduce but not fully eliminate the reactions caused by antibodies produced in
response to vaccination. It is highly probable that the improved specificity is due to a reduction in
sensitivity of the C-ELISA compared with BBAT and I-ELISA. Therefore, the results from C-ELISA
reactions should not be considered in isolation but alongside suitable confirmatory or
complementary strategies as for RBT, BBAT, CFT and I-ELISA.
The choice of MAb and its more or less high and unique specificity and affinity will have a distinct
influence on the diagnostic performance characteristics of the assay. As with any MAb-based
assays, the universal availability of the MAb or the hybridoma must also be considered with
respect to international acceptance and widespread use.
i) A positive and a negative control are included in each plate. OD ranges to be obtained with
these two controls must be established to define the criteria for validating each plate results.
The OD of the positive control is the one with which the OD of each test serum is compared
to establish the final result (negative or positive).
ii) An additional positive serum (internal control) must be included in each plate to validate the
repeatability of the test from plate to plate and from day to day.
The FPA is a simple technique for measuring antigen/antibody interaction. It is a homogeneous assay in
which analytes are not separated and it is therefore very rapid. However, unlike another homogeneous
method (e.g. RBT) a blank/background read is required for each sample before adding the antigen. Thus
it is a two-step assay.
For the diagnosis of brucellosis, a small molecular weight fragment (average 22 kD) of the OPS of
B. abortus strain B. abortus 1119-3 S-LPS is labelled with fluorescein isothiocyanate (FITC) and used as
the antigen. Once the blank/background read is performed (2–3 minutes), this antigen is added to
diluted serum and a measure of the antibody content is obtained in about 2 minutes after the addition of
antigen using a fluorescence polarisation analyser (FPM) (Nielsen et al., 1996).
The amount of antigen used per test is determined by diluting the material derived above until a
total fluorescence intensity of 250,000–300,000 is achieved using the FPM.
The antigen can be stored as a liquid for several years at 5°C ± 3°C in a dark bottle or it may be
freeze-dried in dark bottles. Labelled antigen may be obtained from a limited number of
commercial sources.
2.6.2. Test standardisation of the FPA (EU, 2008; McGiven et al., 2011)
2.6.2.1. Infection with Brucella in cattle
i) the OIEELISAWPSS and OIEELISASPSS consistently give a positive reaction;
and
ii) a 1/8 pre-dilution of the OIEELISAWPSS or a 1/64 pre-dilution of the OIEELISASPSS made up
in a negative bovine serum (or in a negative pool of bovine sera) must give a negative
reaction;
and
iii) the OIEELISANSS must always give a negative reaction.
The diagnostic sensitivity and specificity of the FPA for bovine brucellosis are almost identical to
those of the C-ELISA. The FPA for diagnosing anti-Brucella antibodies in small ruminants and
swine is essentially the same as that described for cattle, but the cut-off should have been
properly established for these species using the appropriate validation techniques (see chapter
1.1.6), and the test should be standardised against the corresponding international Standards, as
mentioned above.
The FPA is capable of reducing but not fully eliminating the reactions due to residual antibody
produced in response to vaccination (Nielsen et al., 1996). Moreover, the specificity of FPA in
FPSR conditions is currently unknown in cattle and small ruminants, but it has been clearly shown
that it does not resolve the FPSR problem in swine (Praud et al., 2012).
Accordingly, like all other serological tests, positive reactions should be investigated using
suitable confirmatory and/or complementary strategies.
Bovine sera are diluted 1/10 for the plate test or 1/100 for the tube test.
Sheep and goat as well as porcine sera are diluted 1/10 for the plate test or 1/25 (goat and porcine)
and 1/40 (sheep) for the tube test.
The diluent used is 0.01 M Tris (1.21 g), containing 0.15 M sodium chloride (8.5 g), 0.05% Igepal
CA630 (500 µl) (formerly NP40), 10 mM EDTA (3.73 g) per litre of purified water, pH 7.2 ± 0.2 (Tris
buffer).
An initial reading to assess light scatter is obtained with the FPM after mixing. Suitably labelled
titrated antigen is added, mixed and a second reading is obtained in the FPM about 2 minutes
later.
A reading (in millipolarisation units, mP) over the established threshold level is indicative of a
positive reaction.
A typical threshold level is 90–100 mP units, however, the test should be standardised locally
against the corresponding OIE reference standard sera (as mentioned above). A strong positive,
a weak positive and a negative working standard serum (standardised against the above-
mentioned OIE reference standard sera) should be included.
The SAT has been used with success for many years in surveillance and control programmes for bovine
brucellosis, particularly in northern Europe. Its specificity is significantly improved with the addition of
EDTA to the antigen (MacMillan & Cockrem, 1985).
The antigen represents a bacterial suspension of B. abortus strain 99 or B. abortus strain 1119-3 in phenol
saline (NaCl 0.85% [w/v] and phenol at 0.5% [v/v]). Formaldehyde must not be used. Antigens may be
delivered in the concentrated state provided the dilution factor to be used is indicated on the bottle label.
EDTA may be added to the antigen suspension to 5 mM final test dilution to reduce the level of false-
positive results. Subsequently the pH of 7.2 ± 0.2 must be readjusted in the antigen suspension.
The OIEISS contains 1000 IUs of agglutination. The antigen should be prepared without reference to the
cell concentration, but its sensitivity must be standardised in relation to the OIEISS in such a way that the
antigen produces either 50% agglutination with a final serum dilution of 1/600 to 1/1000 or 75%
agglutination with a final serum dilution of 1/500 to 1/750. It may also be advisable to compare the
reactivity of new and previously standardised batches of antigen using a panel of defined sera.
The test is performed either in tubes or in microplates. The mixture of antigen and serum dilutions should
be incubated for 16–24 hours at 37°C ± 2°C. If the test is carried out in microplates, the incubation time
can be shortened to 6 hours. At least three dilutions must be prepared for each serum in order to refute
prozone negative responders. Dilutions of suspect serum must be made in such a way that the reading
of the reaction at the positivity limit is made in the median tube (or well for the microplate method).
Interpretation of results: The degree of Brucella agglutination in a serum must be expressed in IU per ml.
A serum containing 30 or more IU per ml is considered to be positive.
In cattle, native hapten tests 6 are highly specific in B. abortus S19 vaccination contexts, and have been
used successfully in combination with the RBT as a screening test. The optimal sensitivity (close to that
of CFT but significantly lower than that of RBT and S-LPS based I-ELISAs) is obtained in a reverse radial
immunodiffusion (RID) system in which the serum diffuses into a hypertonic gel containing the
polysaccharide, but the double gel diffusion assay is also useful (Munoz et al., 2005). Calves vaccinated
subcutaneously with the standard dose of B. abortus S19 at 3-5 months of age are negative usually by
2 months after vaccination, and adult cattle vaccinated subcutaneously 4–5 months previously with the
reduced dose of B. abortus S19 do not give positive reactions unless the animals become infected and
shed the vaccine strain in their milk. The conjunctival vaccination (both in young and adults) reduces
significantly the time to obtain a negative response in native hapten tests. A characteristic of the native
hapten tests is that a positive result correlates with Brucella shedding as shown in experimentally and in
naturally infected cattle (Jones et al., 1980). In case of FPSR caused by Yersinia enterocolitica O:9 and
FPSR of unknown origin in cattle, gel precipitation tests using native hapten or Brucella cytosol proteins
usually give negative results (Munoz et al., 2005).
These native hapten tests are also of interest in sheep and goats as they are very specific for
discriminating the serological responses of infected animals (positive) from those induced in
B. melitensis Rev.1 vaccinated animals (usually negative after a given time post-vaccination). The optimal
diagnostic sensitivity (around 90%) is obtained in the double gel diffusion or RID tests for sheep and
goats, respectively.
An efficient means of screening dairy herds is by testing milk from the bulk tank. When a positive test
result is obtained, all cows contributing milk should be blood tested. The milk I-ELISA is a sensitive and
specific test, and is particularly valuable for testing large herds. The MRT is a suitable alternative if the
milk I-ELISA is not available. However, the MRT is not suitable in milk from small ruminants.
6 The detailed procedure can be obtained from the brucellosis Laboratory, Centro de Investigación y Tecnología
Agroalimentaria / Gobierno de Aragón, Avenida Montaňana 930, 50059 Zaragoza, Spain.
Bulk milk samples are generally tested at much lower dilutions than sera, i.e. undiluted to 1/2
to 1/10 in diluent buffer, with the remainder of the assay being similar to that described for
serum.
FPSR may be observed in milk I-ELISA, but usually less frequently than with blood tests.
The I-ELISA for diagnosing anti-Brucella antibodies in sheep or goat milk is essentially the
same as that described for cattle, but the cut-off should be properly established for these
species using the appropriate validation techniques (see chapter 1.1.6). However there are
no international standardisation recommendations of the milk I-ELISA against the
corresponding ISaBmS.
In large herds (> 100 lactating cows), the sensitivity of the test becomes less reliable. The MRT
may be adjusted to compensate for the dilution factor from bulk milk samples from large herds.
The samples are adjusted according to the following formula: herd size < 150 animals use, 1 ml
bulk milk; 150–450 animals, use 2 ml milk sample, 451–700 animals, use 3 ml milk sample.
False-positive reactions may occur in cattle vaccinated less than 4 months prior to testing, in
samples containing abnormal milk (such as colostrum) or in cases of mastitis. Therefore, it is not
recommended to use this test in very small farms where these problems have a greater impact
on the test results.
Before use, the staining solution is shaken and filtered through cotton wool. The packed cells
are suspended in the staining solution at the rate of 1 g per 30 ml stain, and held at room
temperature (22°C ± 4°C) for 48 hours (some laboratories prefer to heat at 80°C for
10 minutes instead). The stained cells are then deposited by centrifugation, and washed
three times in a solution of sodium chloride (6.4 g), 85% lactic acid (1.5 ml) and 10% sodium
hydroxide (4.4 ml) in 1.6 litres of purified water, final pH 3.0 ± 0.2. The washed cells are
resuspended at the rate of 1 g in 27 ml of a diluent consisting of 0.5% phenol saline, adjusted
to pH 4.0 ± 0.2 by the addition of 0.1 M citric acid (approximately 2.5 ml) and 0.5 M disodium
hydrogen phosphate (approximately 1 ml) and maintained at 5°C± 3°C for 24 hours. The
mixture is filtered through cotton wool, the pH is checked, and the PCV is determined and
adjusted to approximately 4%.
The antigen should be stored as recommended by the manufacturer but usually at 5°C ± 3°C.
The pH of the antigen should be 3.5 (± 0.2) and its colour should be dark blue. A little free
stain in the supernatant of a centrifuged sample is permissible. When diluted in milk from a
brucellosis-free animal, the antigen must produce a uniform coloration of the milk layer with
no deposit and no coloration of the cream layer.
i) Bring the milk samples and antigen to room temperature (22°C ± 4°C); only sufficient antigen
for the day’s tests should be removed from the refrigerator.
ii) Gently shake the antigen bottle well.
iii) The test is performed by adding 30–50 µl of antigen to a 1–2 ml volume of whole milk (the
volume of milk may be increased for bulk samples from larger herds – see above).
iv) The height of the milk column in the tube must be 20–25 mm. The milk samples must not
have been frozen, heated, subjected to violent shaking or stored for more than 72 hours.
v) The milk/antigen mixtures are normally incubated at 37°C ± 2°C for 1 hour, together with
positive and negative working standards. However, overnight incubation at 5°C± 3°C
increases the sensitivity of the test and allows for easier reading.
vi) A strongly positive reaction is indicated by formation of a dark blue ring above a white milk
column. Any blue layer at the interface of milk and cream should be considered to be
positive as it might be significant, especially in large herds.
vii) The test is considered to be negative if the colour of the underlying milk exceeds that of the
cream layer.
viii) When the MRT is adjusted for large herd sizes (2 or 3 ml of milk used), 0.1 ml of pooled
negative cream is added to the test tube and is followed by 30–50 µl of the ring test antigen.
After mixing, the test is incubated and read in the same manner as the unadjusted MRT. The
negative pooled cream is collected from the separation of composite, unpasteurised milk
from a brucellosis negative herd of 25 or more cows.
Serological investigations in wild species are usually carried out for screening purposes. In these
particular circumstances, adequate specificity is of paramount importance. The RBT can be
recommended as a general purpose diagnostic test in all wildlife species. The CFT could also be
recommended for such purpose, but the selection of the complement inactivation temperature and the
cut-off titres have not been properly documented in all wildlife species. Both tests require the use of high
quality serum samples that are not easy to obtain in wildlife studies. When poor quality serum samples
are tested in both RBT and CFT, the results are frequently uninterpretable. The I- and C-ELISAs appear
to be useful for epidemiological sero-surveys in wild animals as both are generally more reliable than
both RBT and CFT, and, moreover, can be used with poor quality and haemolysed sera (Stack et al., 1999).
Another advantage of the ELISAs is that if serum is not available, it is possible to test meat juice samples.
Attention must be paid to the conjugate used in the I-ELISA as it must have a satisfactory affinity for the
corresponding antibody isotypes of the wild species under study. However, in wild species, the
interpretation of ELISA results may be problematic, due to the lack of validation studies. Whenever
possible, the cut-off of ELISAs should be properly established for the particular species using the
appropriate validation techniques (see chapter 1.1.6). Nevertheless, where positive or doubtful
serological results are found, a bacteriological investigation should be conducted, when possible, to
clarify the diagnosis.
An alternative immunological assay is the brucellin skin test, which can be used for screening
unvaccinated herds, provided that a purified (free of S-LPS) and standardised antigen preparation is
used. The brucellin skin test has a very high specificity, such that serologically negative unvaccinated
cattle that are positive reactors to the brucellin test should be regarded as infected animals (Pouillot et
al., 1997). The brucellin skin test also has a high sensitivity for the diagnosis of B. melitensis infection in
small ruminants and, in the absence of vaccination, is considered one of the most specific diagnostic
tests.
Brucellin was developed for use in ruminants, but is also effective for confirming the disease at the herd
level in pigs. Field trials have also shown its good sensitivity in Brucella-infected pigs (Dieste-Perez et al.,
2014). Also, results of this test may aid the interpretation of serological reactions thought to be FPSR due
to infection with cross-reacting bacteria, as FPSR affected animals always give negative results in the
skin test (Dieste-Perez et al., 2014; Pouillot et al., 1997). Preliminary studies have suggested that brucellin
can be used as a confirmatory diagnostic test in camels (Khalafalla et al., 2020).
Animals vaccinated with B. melitensis Rev.1, B. abortus S19 or RB51 can give positive results in this test
for years (Pouillot et al., 1997; De Massis et al., 2005; 2015). Therefore this test cannot be recommended
either as the sole diagnostic test or for the purposes of international trade in areas where Brucella
vaccines are used. Moreover, not all infected animals react, therefore this test alone cannot be
recommended as an individual diagnostic test or for the purposes of international trade. However, due
to its high specificity and its adequate sensitivity at the herd or flock level, it can be recommended for
herd/flock surveillance in brucellosis-free areas.
It is essential to use a standardised, defined brucellin preparation that does not contain S-LPS antigen,
as this may provoke nonspecific inflammatory reactions or interfere with subsequent serological tests.
Although the brucellin test is probably the most specific indirect assay for diagnosing brucellosis (in
unvaccinated animals), the final diagnosis should not be made solely on the basis of positive intradermal
reactions given by a few animals in the herd, and should be supported by a complementary diagnostic
test. The intradermal inoculation of brucellin induces a temporary anergy in the cellular immune
response, at least in some animal species (Blasco et al., 1994b). Therefore an interval of 6 weeks is
generally recommended between two tests on the same animal.
3.1.1. Test procedure
3.1.1.1. Infection with Brucella in cattle
i) A volume of 0.1 ml of brucellin (2000 Units/ml) is injected intra-dermally into the caudal fold,
the skin of the flank, or the side of the neck.
ii) The test is read after 48–72 hours.
iii) The skin thickness at the injection site is measured with vernier callipers before injection
and at re-examination.
iv) A strong positive reaction is easily recognised by local swelling and induration. However,
borderline reactions require careful interpretation. Skin thickening of 1.5–2 mm would be
considered as a positive reaction.
The interferon gamma release assay (IGRA) involves stimulation of lymphocytes in whole blood with a
suitable antigen such as brucellin. The resulting gamma interferon production is detected through a
capture ELISA. This test could be useful in the discrimination of brucellosis from FPSR but more specific
antigens are still needed and the protocol needs to be standardised and properly validated in the
different animal species and epidemiological conditions. For the moment, a fully validated protocol is not
available.
1. Vaccines
As mentioned previously, brucellosis is one of the most easily acquired laboratory infections, and strict safety
precautions should be observed. Laboratory manipulation of live cultures of Brucella, including vaccine strains, is
hazardous and must be performed at an appropriate biosafety and containment level determined by biorisk
analysis (see Chapter 1.1.4). The S19, RB51 and Rev.1 vaccines have some virulence for humans, and a hazard
warning should be included on the label of the final containers. Medical advice should be sought in the event of
accidental inoculation or exposure (see Section C.1.2.3.2.3 Precautions) (Ashford et al., 2004; Joint FAO/WHO
Expert Committee on Brucellosis, 1986; USDA, 2003).
1.1. Background
Brucella abortus S19 vaccine induces good immunity to moderate challenge by virulent B. abortus
or B. melitensis organisms. The vaccine must be prepared from USDA-derived seed (see footnote
5 for address) and each batch must be checked for purity (absence of extraneous
microorganisms), viability (live bacteria per dose) and smoothness (determination of dissociation
phase). Seed lots for B. abortus S19 vaccine production should be regularly tested for residual
virulence and immunogenicity in mice.
Control procedures for this vaccine are detailed in Section C.1.2.2.3 In-process controls.
different methods to apply this vaccine. In the USA (a country that was almost free of bovine
brucellosis before RB51 was introduced), calves are vaccinated subcutaneously between the ages
of 4 and 12 months with 1–3.4 × 1010 viable organisms. Vaccination of cattle over 12 months of age
is carried out only under authorisation from the State or Federal Animal Health Officials, and the
recommended dose is 1–3 × 109 viable organisms (USDA, 2003). In other countries, it is
recommended to vaccinate cattle as calves (4–12 months of age) with a 1–3.4 × 1010 dose, with
revaccination from 12 months of age onwards with a similar dose to elicit a booster effect and
increase immunity.
However, it has been reported that full doses of B. abortus strain RB51 when administered
intravenously in cattle induce severe placentitis and placental infection in most vaccinated cattle,
and that there is excretion in milk in a relevant number of vaccinated animals. Field experience
also indicates that it can induce abortion and increased perinatal mortality if applied to pregnant
cattle. These observations have led to the recommendation to avoid vaccination of pregnant
cattle with B. abortus RB51. One way to reduce the side effects of B. abortus RB51 is to reduce the
dose. When using the reduced dose of this vaccine (1 × 109 colony-forming units [CFU]), on late
pregnant cattle, no abortions or placentitis lesions have been reported, but the vaccine strain can
be shed by a significant proportion of vaccinated animals. However, this reduced dose does not
protect against B. abortus when used as a vaccine in calves, and the protection against B. abortus
is only moderate when used as an adult vaccine. The protection conferred by B. abortus RB51
against B. melitensis infection in cattle is unknown.
Brucella melitensis Rev.1 is the most widely used vaccine for the prevention of brucellosis in sheep
and goats, and, despite its drawbacks, remains the reference vaccine with which any other
vaccines should be compared. By contrast, the rough B. abortus RB51 vaccine is not effective
against B. melitensis infection in sheep. The Rev.1 vaccine is used as a freeze-dried suspension of
live B. melitensis Rev.1 strain for the immunisation of sheep and goats. It should be given to lambs
and kids aged between 3 and 5 months as a single subcutaneous or conjunctival inoculation,
5 months being the upper time limit to minimise the antibody response to make this vaccination
compatible with further serological testing. No matter the inoculation route, the standard dose
must be between 0.5 × 109 and 2.0 × 109 viable organisms. The reduced doses confer a
significantly lower protection than the standard doses, and should not be recommended for
vaccinating sheep and goats. The subcutaneous vaccination induces long-lasting serological
responses, causing strong interferences in serological tests and should not be recommended for
use in combined eradication programmes. However, when this vaccine is administered
conjunctivally at the standard dose, it produces a similar protection without inducing a persistent
antibody response, thus facilitating the application of eradication programmes combined with
vaccination. Care must be taken when using B. melitensis Rev.1 vaccine to avoid the risk of
contaminating the environment or causing human infection. In many developing countries and
endemic areas, vaccination of the whole population has to be considered as the best option for
the control of the disease (Blasco, 1997). However, Rev.1 vaccine is known to often cause abortion
and excretion in milk when animals are vaccinated during pregnancy, either with a full or reduced
dose (Blasco, 1997). These side-effects are considerably reduced when adult animals are
vaccinated conjunctivally (full dose) during lambing/kidding, lactation or before mating.
Therefore, when mass vaccination is the only means of controlling the disease, a vaccination
campaign should be recommended using the standard dose of Rev.1 administered by the
conjunctival route when the animals are not pregnant or during the late lambing/kidding and pre-
breeding season (Blasco, 1997).
The subcutaneous vaccination of young animals and the vaccination of adult animals, even at
reduced doses, may lead to long-term persistence of vaccinal antibodies in a significant
proportion of Rev.1 vaccinated animals that creates serious interferences in the serological
diagnosis of brucellosis. As indicated above, conjunctival vaccination minimises these problems
(particularly when the upper limit of age for vaccination is 5 months) and thus it is the method of
choice for combined eradication programmes. Therefore, the serological diagnosis of brucellosis
should take into account the vaccinal state of the flock and the overall frequency distribution of
antibody titres detected in the group of animals tested.
It is also reported that B. abortus strain RB51 vaccine is ineffective for the protection of swine
against exposure to B. suis (Stoffregen et al., 2006).
Brucella abortus RB51 original seed for vaccine production is available commercially. It is
also obtainable from the USDA (see footnote 5 for address). Brucella abortus RB51 has the
normal properties of a bv. 1 strain of B. abortus, but is 100% in the rough phase and does
grow in the presence of rifampicin (250 µg/ml).
Brucella melitensis strain Rev.1 original seed for vaccine production can be obtained
commercially. A European reference Rev.1 strain that possesses the characteristics of the
Rev.1 original seed is also obtainable from the OIE Reference Laboratory for brucellosis in
France. Strain Rev.1 must conform to the characteristics of B. melitensis bv. 1, except that it
should grow more slowly. Additionally, when incubated in air (atmospheres containing CO2
alter the results) at 37°C± 2°C, it should grow on agar containing streptomycin (2.5 µg/ml),
and it should be inhibited by the addition to a suitable culture medium of sodium benzyl-
penicillin (3 µg [5 IU]/ml), thionin (20 µg/ml) or basic fuchsin (20 µg/ml).
PCR and molecular techniques have been used to further characterise the S19, RB51 or Rev.1
vaccines (see Section B.1.4).
The specific requirements for S19 and Rev.1 vaccine production recommend that each seed
lot (i.e. the culture used to inoculate medium for vaccine production) should be no more than
three passages removed from an original seed culture and that the harvest of a vaccine lot
should be no more than three passages from a seed lot or an original seed. The original seed
culture should always be checked for the absence of dissociation before use. The
recommended method for preparing seed material is given in Alton et al. (1988).
1.2.1.2.1. Purity
Tests for purity and freedom from contamination of biological materials may be found in
Chapter 1.1.9 Tests for sterility and freedom from contamination of biological materials
intended for veterinary use.
1.2.1.2.2. Safety
The S19 and Rev.1 vaccines show reduced virulence, but should keep a minimal virulence to
be efficient (see Section C.1.2.1.2.3 Potency). However a safety test is not routinely done. If
desired, when a new manufacturing process is started and when a modification in the
innocuousness of the S19 and Rev.1 vaccine preparations is expected, it may be performed
on cattle (S19) and sheep and goats (Rev.1). This control should be done as follows: the test
uses 12 female calves or sheep/goats respectively, aged 4–6 months. Six young females are
injected with one or three recommended doses. Each lot of six young females are kept
separately. All animals are observed for 21 days. No significant local or systemic reaction
should occur. If, for a given dose and route of administration, this test gives good results on
a representative batch of the vaccine, it does not have to be repeated routinely on seed lots
or vaccine lots prepared with the same original seed and with the same manufacturing
process. A safety test on S19/Rev.1 vaccine may also be performed in guinea-pigs. Groups
of at least ten animals are given intramuscular injections of doses of vaccine diluted in PBS,
pH 7.2 ± 0.2, to contain 5 × 109 viable organisms. The animals should show no obvious
adverse effects and there must be no mortality.
If this safety test has been performed with good results on a representative seed lot or batch
of the test vaccine, it does not have to be repeated routinely on other vaccine lots prepared
from the same seed lot and using the same manufacturing process.
If a safety test for RB51 is desired, 8- to 10-week-old female Balb/c mice can be injected
intraperitoneally with 1 × 108 CFUs and the spleens cultured at 6 weeks post-inoculation.
Spleens should be free from RB51 and the mice should not develop anti-OPS antibodies.
1.2.1.2.3. Potency
i) S19 vaccine
An S19 vaccine is effective if it possesses the characteristics of the S19 original strain,
i.e. if it is satisfactory with respect to identity and smoothness. Moreover, it should have
been produced with a given seed lot with adequate immunogenicity and residual
virulence (Grillo et al., 2000).
a) Identity
Brucella abortus present in the vaccine is identified by suitable morphological,
serological and biochemical tests and by culture: B. abortus S19 has the normal
properties of a B. abortus bv. 1 strain of, but does not require CO2 for growth, does
Appearance of colonies after staining with crystal violet: S colonies do not take
up the dye. Dissociated colonies (I, M, or R) are stained various shades of red and
purple and the surface may show radial cracks. Sometimes a stained surface film
slips off a dissociated colony and is seen adjacent to it.
The colony phase can be confirmed by the acriflavine agglutination test (Alton et
al., 1988). S colonies remain in suspension, whereas R colonies are agglutinated
immediately and, if mucoid, will form threads. Intermediate colonies may remain
in suspension or a very fine agglutination may occur.
c) Residual virulence (50% persistence time or 50% recovery time) (Grillo et al.,
2000; Pouillot et al., 2004)
1) Prepare adequate suspensions of either the B. abortus S19 seed lot to be
tested (test vaccine) and the S19 original seed culture (as a reference strain).
For this, harvest 24–48 hours’ growth of each strain in sterile buffered saline
solution (BSS: NaCl 8.5 g; KH2PO4 1.0 g; K2HPO4 2.0 g; purified water
1000 ml; pH 6.8 ± 0.2) and adjust the suspension in BSS to 109 CFU/ml using
a spectrophotometer (0.170 OD when read at 600 nm). The exact number
of CFU/ml should be checked afterwards by plating serial tenfold dilutions
on to adequate culture medium (blood agar base or TSA are
recommended).
2) Inject subcutaneously 0.1 ml (108 CFU/mouse) of the suspension containing
the test vaccine into each of 32 female CD1 mice, aged 5–6 weeks. Carry out,
in parallel, a similar inoculation in another 32 mice using the suspension
containing the S19 reference strain. The original seed S19 strain, which has
been shown satisfactory with respect to immunogenicity and/or residual
virulence, can be obtained from USDA (see footnote 5 for address).
3) Kill the mice by cervical dislocation, in groups of eight selected at random
3, 6, 9 and 12 weeks later.
4) Remove the spleens and homogenise individually and aseptically with a
glass grinder (or in adequate sterile bags with a paddle blender) in 1 ml of
sterile BSS.
5) Spread each whole spleen suspension in toto onto several plates containing
a suitable culture medium and incubate in standard Brucella conditions for
5–7 days (lower limit of detection: 1 bacterium per spleen). An animal is
considered infected when at least 1 CFU is isolated from the spleen.
6) Calculate the 50% persistence time or 50% recovery time (RT50) by a
statistical method specifically developed for RT50 calculations 7 . For this,
determine the number of cured mice (no colonies isolated in the spleen) at
each slaughtering point time (eight mice per point) and calculate the
percentage of cured accumulated mice over time, by the Reed and Muench
method (see ref. cited in Grillo et al., 2000). The function of distribution of
this percentage describes a sigmoid curve, which must be linearised for
calculating the RT50 values, using the computerised PROBIT procedure of
the statistical package.
7) Compare statistically the parallelism (intercept and slope) between the
distribution lines obtained for both tested and reference S19 strains using
the software specifically designed for this purpose. Two RT50 values can be
statistically compared exclusively when they come from parallel
distribution lines. If parallelism does not exist, the residual virulence of the
tested strain should be considered inadequate, and discarded for vaccine
production.
8) If the parallelism is confirmed, compare statistically the RT50 values
obtained for both tested and reference S19 strains using the software
specifically designed for this purpose. To be accepted for vaccine
production, the RT50 obtained with the tested strain should not differ
significantly from that obtained with the reference S19 strain (RT50 and
confidence limits are usually around 7.0 ± 1.3 weeks).
The underlying basis of the statistical procedure for performing the above
residual virulence calculations have been described in detail (see ref. cited in
Grillo et al., 2000). Alternatively, the statistical calculations described in steps 6
to 8 above can be avoided by an easy-to-use specific HTML-JAVA script program
(Rev2) available free from the OIE Reference Laboratory in France (Pouillot et al.,
2004).
If this test has been performed with good results on a representative seed lot, it
does not have to be repeated routinely on other seed lots and vaccine batches
prepared from the same seed strain and using the same manufacturing process.
7 To obtain details of the software contact the OIE Reference Laboratory for brucellosis in France.
5) All the mice are challenged 30 days after vaccination (and immediately
following 16 hours starvation), intraperitoneally with a suspension
(0.1 ml/mouse) containing 2 × 105 CFU of B. abortus strain 544 (CO2-
dependent), prepared, adjusted and retrospectively checked as above.
6) Kill the mice by cervical dislocation 15 days later.
7) Each spleen is excised aseptically, the fat is removed, and the spleen is
weighed and homogenised.
8) Alternatively, the spleens can be frozen and kept at ≤ –16°C for 24 hours to
7 weeks.
9) Each spleen is homogenised aseptically with a glass grinder (or in adequate
sterile bags in Stomacher) in nine times its weight of BSS, pH 6.8 ± 0.2 and
three serial tenfold dilutions (1/10, 1/100 and 1/1000) of each homogenate
made in the same diluent. Spread 0.2 ml of each dilution by quadruplicate
in agar plates and incubate two of the plates in a 10% CO2 atmosphere
(allows the growth of both vaccine and challenge strains) and the other two
plates in air (inhibits the growth of the B. abortus 544 CO2-dependent
challenge strain), both at 37°C± 2°Cfor 5 days.
10) Colonies of Brucella (B. abortus 544) should be enumerated on the dilutions
corresponding to plates showing fewer than 300 CFU. When no colony is
seen in the plates corresponding to the 1/10 dilution, the spleen is
considered to be infected with five bacteria. These numbers of Brucella per
spleen are first recorded as X and expressed as Y, after the following
transformation: Y = log (X/log X). Mean and standard deviation, which are
the response of each group of six mice, are then calculated.
11) The conditions of the control experiment are satisfactory when: i) the
response of unvaccinated mice (mean of Y) is at least of 4.5; ii) the response
of mice vaccinated with the reference S19 vaccine is lower than 2.5; and iii)
the standard deviation calculated on each lot of six mice is lower than 0.8.
12) Carry out the statistical comparisons (the least significant differences test
is recommended) of the immunogenicity values obtained in mice
vaccinated with the S19 strain to be tested with respect to those obtained in
mice vaccinated with the reference vaccine and in the unvaccinated control
group. The test vaccine would be satisfactory if the immunogenicity value
obtained in mice vaccinated with this vaccine is significantly lower than that
obtained in the unvaccinated controls and, moreover, does not differ
significantly from that obtained in mice vaccinated with the reference
vaccine (for detailed information on this procedure, see the OIE Reference
Laboratory in France).
If this test has been performed with good results on a representative seed lot, it
does not have to be repeated routinely on other seed lots and vaccine batches
prepared from the same seed strain and with the same manufacturing process.
a) Identity
The reconstituted RB51 vaccine should not contain extraneous microorganisms.
Brucella abortus present in the vaccine is identified by suitable morphological,
serological and biochemical tests and by culture: B. abortus RB51 has the normal
properties of a B. abortus bv. 1 strain, but is 100% in the rough phase and does
grow in the presence of rifampicin (250 µg/ml). PCR and molecular techniques
have been described to further characterise the RB51 vaccine strain (see Section
B.1.4).
c) Potency
As dosage (CFU) of the master seed was correlated to protection as part of
registration of RB51 for use cattle in the USA, in-vivo potency tests are not
routinely conducted for serials of the RB51 vaccine. In the USA, plate counts of
viable organisms have been approved and used as a measure of potency (this
approach is identical to the potency test for S19 vaccine in the USA (USDA, 2003).
Rough vaccines for brucellosis have been discussed in some detail (Moriyon et
al., 2004).
a) Identity
Brucella melitensis present in the vaccine is identified by suitable morphological,
serological and biochemical tests and by culture: when incubated in air at 37°C ±
2°C, Rev.1 strain is inhibited by addition to the suitable culture medium of 3 µg
(5 IU) per ml of sodium benzyl-penicillin, thionin (20 µg/ml) or basic fuchsin
(20 µg/ml); the strain grows on agar containing 2.5 µg per ml of streptomycin.
PCR and molecular techniques have been described to further characterise the
Rev.1 vaccine strain (see Section B.1.4).
Sometimes, slight and difficult to observe differences can be seen in the size of
Rev.1 colonies. The small colonies (1–1.2 mm in diameter) are typical for Rev.1, but
larger Rev.1 colonies can appear depending on the medium used, the amount of
residual moisture in the incubator atmosphere, and the presence or absence of
CO2. The frequency of variation in colony size occurs normally at a ratio of 1 large
to 103 small colonies. Both Rev.1 variants are of the S (smooth) type. To avoid an
increase in this colony size variation along successive passages, it is important to
always select small colonies for preparation of seed lots.
c) Residual virulence (50% persistence time or 50% recovery time) (Grillo et al.,
2000)
The same technical procedures indicated for RT50 calculation of S19 vaccine (see
above) have to be applied for Rev.1, except that B. abortus S19 seed lot to be
tested (test vaccine) and the S19 original seed culture (used as a reference strain),
respectively, are replaced by the corresponding B. melitensis Rev.1 seed lot to be
tested (test vaccine) and the B. melitensis Rev.1 original seed culture as the
reference strain. For the reference original Rev.1 strain, RT50 and confidence
limits are around 7.9 ± 1.2 weeks. A given Rev.1 vaccine seed lot or batch should
keep similar residual virulence to be acceptable.
If this test has been done with good results on a representative seed lot, it does
not have to be repeated routinely on seed lots and vaccine batches prepared
from the same seed strain and with the same manufacturing process.
d) Immunogenicity in mice
The same technical procedures indicated for immunogenicity calculation of S19
vaccine (see above) have to be applied for Rev.1, except that B. abortus S19 seed
lot to be tested (test vaccine) and the B. abortus S19 original seed culture (used
as a reference strain), respectively, are replaced by the corresponding
B. melitensis Rev.1 seed lot to be tested (test vaccine) and the B. melitensis Rev.1
original seed culture as the reference strain.
If this test has been done with good results on a representative seed lot, it does
not have to be repeated routinely on seed lots and vaccine batches prepared
from the same seed strain and with the same manufacturing process.
Reports from both experimental challenge studies and field studies remain controversial as
far as the value of B. abortus strain RB51 in protecting cattle from brucellosis is concerned
(see above). The organism is attenuated in calves but can cause safety problems in adults.
Brucella abortus strain RB51 contains minimally expressed OPS but there is no serological
conversion in both standard RBT and CFT in vaccinated animals. In addition, it has also been
claimed that RB51 does not induce detectable antibodies, using current OPS-based testing
procedures (USDA, 2003). However, the presence of common core epitopes in both smooth
and rough Brucella does not allow always the antibody response to RB51 to be distinguished
from that induced by field smooth Brucella strains, no matter which S-LPS or OPS-based
ELISA is used (Gusi et al., 2019). The efficacy of RB51 against Brucella infection in cattle is
controversial (Moriyon et al., 2004), but it is claimed that it protects against moderate
challenge with virulent B. abortus, although the precise duration of this protection is
unknown. The efficacy of this vaccine against B. melitensis infection in cattle is also
unknown. The vaccine is very stable and no reversion to smoothness has been described in
vivo or in vitro. The organism behaves as an attenuated strain in a variety of animals
including mice where it is rapidly cleared from the tissues.
Numerous independent studies have confirmed the value of B. melitensis strain Rev.1 as a
vaccine for protecting sheep and goats from brucellosis. Its virulence is unchanged after
passage through pregnant sheep and goats. However, abortions and excretion in milk may
result when the Rev.1 vaccine is inoculated into pregnant ewes and goats. The vaccine-
induced abortions are not avoided using reduced doses and doses as low as 106, used either
subcutaneously or conjunctivally in pregnant animals, have been proven to induce abortions
and milk excretion of the vaccine strain (Blasco, 1997).
For the production of S19 vaccine, the procedures described above can be used, except that
the cells are collected in PBS, pH 6.3 ± 0.2, and deposited by centrifugation or by the addition
of sodium carboxymethyl cellulose at a final concentration of 1.5 g/litre. The yield from one
fermenter run or the pooled cells from a batch of Roux flask cultures that have been
inoculated at the same time from the same seed lot constitutes a single harvest. More than
one single harvest may be pooled to form a final bulk, which is used to fill the final containers
of a batch of vaccine. Before pooling, each single harvest must be checked for purity, cell
concentration, dissociation and identity. A similar range of tests must be done on the final
bulk, which should have a viable count of between 8 and 24 × 109 CFU/ml. Adjustments in
concentration are made by the addition of PBS for vaccine to be dispensed in liquid form, or
by the addition of stabiliser for lyophilised vaccine. If stabiliser is to be used, loss of viability
on lyophilisation should be taken into account, and should not be in excess of 50%. The final
dried product should not be exposed to a temperature exceeding 35°C during drying, and
the residual moisture content should be 1–2%. The contents must be sealed under vacuum
or dry nitrogen immediately after drying, and stored at 5°C ± 3°C.
The production process for B. abortus strain RB51 is very similar to the one used for S19.
For the production of B. melitensis strain Rev.1 vaccine, the procedures described above for
antigens (Alton et al., 1988) can be used except that the cells are collected in a freeze-drying
stabiliser and deposited by centrifugation. The yield from one fermenter run or the pooled
cells from a batch of Roux flask cultures inoculated on the same occasion from the same
seed lot constitutes a single harvest. More than one single harvest may be pooled to form
the final bulk that is used to fill the final containers of a batch of vaccine. Before pooling,
each single harvest must be checked for purity, cell concentration, dissociation and identity.
The volume of the final bulk is adjusted by adding sufficient stabiliser so that a dose contains
an appropriate number of viable organisms. After adjusting the cell concentration of the final
bulk, tests for identity, dissociation and absence of contaminating organisms are conducted
(see below).
Brucella abortus S19 and B. melitensis strain Rev.1 for vaccine production is grown on
medium free from serum or other animal products, under conditions similar to those
described above for B. abortus S99 or S1119-3 (Alton et al., 1988). The phenol saline is
replaced by a freeze-drying stabiliser.
Serum–dextrose agar, and trypticase–soy agar, to which 5% serum or 0.1% yeast extract
may be added, are among the solid media that have been found to be satisfactory for
propagating the Rev.1 strain (Alton et al., 1988). However, Rev.1 strain does not grow well on
potato agar and generally needs 3–5 days to grow.
For all vaccines, the organisms are not killed but are stored at 5°C ± 3°C while quality control
examinations are carried out as described below.
For preparation of the lyophilised vaccine, a stabiliser containing 2.5% casein digest, e.g.
Tryptone (Oxoid), 5% sucrose and 1% sodium glutamate, dissolved in purified water and
sterilised by filtration is recommended.
Antimicrobial preservatives must not be used in live B. abortus strain S19 or RB51 and
B. melitensis strain Rev.1 vaccines.
The viable count of the final containers should not be less than the recommended doses
(see above).
For S19 and Rev.1, at least 99% of cells in seed lots and 95% of cells in final lots should be in
the smooth phase, while 100% of the RB51 cells must be in the rough phase. Additionally, for
RB51, all colonies should be negative on dot-blot assays with monoclonal antibodies specific
for the OPS antigen.
For S19 and Rev.1, the immunogenicity and the residual virulence (50% persistence time or
50% recovery time) in the mice model should also be determined on representative seed
lots. If these tests have been done with good results on a representative seed lot, it does not
have to be repeated routinely on seed lots and vaccine batches prepared from the same
seed strain and with the same manufacturing process.
1.2.2.4.1. Purity
Tests for purity and freedom from contamination of biological materials may be found in
chapter 1.1.9.
1.2.2.4.2. Identity
See Section C.1.2.1.2.3 Potency.
1.2.2.4.3. Safety
See Section C.1.2.1.2.2 Safety.
S19:
Rev.1:
RB51:
1.2.3.2.2. Reversion-to-virulence
Brucella abortus S19 and B. melitensis Rev.1 vaccines prepared from seed stock from
appropriate sources are stable in characteristics, provided that the in-process and batch
control requirements described above are fulfilled, and show no tendency to reversion to
virulence.
Brucella abortus strain RB51 has shown no tendency to revert to virulent smooth organisms
after many passages in vitro or in vivo. This is probably due to the nature and place of the
mutations found in this strain. Brucella abortus strain RB51, despite carrying, among other
unknown mutations, an IS711-disrupted wboA (a putative glycosyl-tranferase gene),
accumulates low amounts of cytoplasmic M-like OPS.
1.2.3.2.3. Precautions
Brucella abortus S19 and RB51, as well as B. melitensis Rev.1, although attenuated strains,
are still capable of causing disease in humans. Accordingly cell cultures and suspensions
must be handled under appropriate conditions of biohazard containment (see chapter 1.1.4).
Reconstitution and subsequent handling of the reconstituted vaccine should be done with
care to avoid accidental injection or eye or skin contamination. Vaccine residues and
injection equipment should be decontaminated with a suitable disinfectant (phenolic,
iodophor or aldehyde formulation) at recommended concentration. Medical advice should
be sought in the event of accidental exposure. The efficacy of the antibiotic treatment of
infections caused by S19, RB51 or Rev.1 in humans has not been fully established. However,
it must be reiterated that, while the S19 strain carries no particular antibiotic resistance
compared with other Brucella field strains, Rev.1 and RB51 strains are respectively
streptomycin- and rifampicin-resistant.
The duration of immunity induced by RB51 vaccine in cattle is unknown, whatever the dose
applied and the age at vaccination. Revaccination within 6–12 months has been proposed
for boosting immunity in endemic areas.
1.2.3.5. Stability
Brucella abortus S19 and B. melitensis Rev.1 vaccines prepared from seed stock from
appropriate sources are stable in characteristics, provided that the in-process and batch
control requirements described above are fulfilled, and show no tendency to reversion to
virulence. The lyophilised vaccine shows a gradual loss of viable count, but should retain its
potency for the recommended shelf life. Allowance for this phenomenon is normally made
by ensuring that the viable count immediately following lyophilisation is well in excess of the
minimum requirement. Maintenance of a cold chain during distribution of the vaccine will
ensure its viability.
Brucella abortus strain RB51 has shown no tendency to revert to virulent smooth organisms
after many passages in vitro or in vivo. This is probably due to the nature and place of the
mutations found in this strain. Brucella abortus strain RB51, despite carrying, among other
unknown mutations, an IS711-disrupted wboA (a putative glycosyl-tranferase gene),
accumulates low amounts of cytoplasmic M-like OPS.
2.1. Background
Brucellin-INRA is an LPS-free extract from rough B. melitensis B115, and a single inoculation of this
preparation does not provoke formation of antibodies reactive in BBAT, CFT or ELISAs. However, as this
rough strain contains Brucella OPS sugars in the cytosol extract, the repeated inoculation of brucellin
could elicit antibodies, interfering with other diagnostic tests. For this reason, cytosolic protein extracts
have been obtained from rough B. abortus mutants, defective in genes strictly necessary to synthesise
perosamine, and therefore unable to generate OPS antibody response in sheep.
Tests for purity and freedom from contamination of biological materials may be found in
chapter 1.1.9.
ii) Safety
Brucellin preparations should also be checked for abnormal toxicity. Doses equivalent to
20 cattle doses (2 ml) should be injected intraperitoneally into a pair of normal guinea-pigs
that have not been exposed previously to Brucella organisms or their antigens. Five normal
mice are also inoculated subcutaneously with 0.5 ml of the brucellin (2000 U/ml) to be
examined. Animals are observed for 7 days, and there should be no local or generalised
reaction to the injection.
ii) Reversion-to-virulence
Not applicable.
iii) Precautions
Brucellin is not toxic. Nevertheless it may provoke severe hypersensitivity reactions in
sensitised individuals who are accidentally exposed to it. Care should be taken to avoid
accidental injection or mucosal contamination. Used containers and injection equipment
should be carefully decontaminated or disposed of by incineration in a suitable disposable
container.
8 An EU reference brucellin (2000 Units/ml) is obtainable from the OIE Reference Laboratory for brucellosis in France.
9 The statistical procedure can be obtained from the OIE Reference Laboratory for brucellosis in France.
2.2.3.5. Stability
The freeze-dried preparation retains full potency for several years. The liquid commercial
preparation should retain potency for the recommended shelf-life.
REFERENCES
ALTON G.G., JONES L.M., ANGUS R.D. & VERGER J.M. (1988). Techniques for the Brucellosis Laboratory. Institut National
de la Recherche Agronomique, Paris, France.
ANGUS R.D. & BARTON C.E. (1984). The production and evaluation of a buffered plate antigen for use in a presumptive
test for brucellosis. Dev. Biol. Stand., 56, 349–356.
ASHFORD D.A., DI PIETRA J., LINGAPPA J., WOODS C., NOLL H., NEVILLE B., WEYANT R., BRAGG S.L., SPIEGEL R.A., TAPPERRRO J.
& PERKINS B.A. (2004). Adverse events in humans associated with accidental exposure to the livestock brucellosis
vaccine RB51. Vaccine, 22, 3435–3439.
BLASCO J.M. (1997). A review on the use of B. melitensis Rev 1 vaccine in adult sheep and goats. Prev. Vet. Med., 31,
275–283.
BLASCO J.M., GARIN-BASTUJI B., MARÍN C.M., GERBIER G., FANLO J., JIMÉNEZ DE BAGÜES M.P. & CAU C. (1994a). Efficacy of
different rose bengal and complement fixation antigens for the diagnosis of Brucella melitensis infection in sheep
and goats. Vet. Rec., 134, 415–420.
BLASCO J.M., MARÍN C., JIMÉNEZ DE BAGÜÉS M.P. & BARBERÁN M. (1993). Efficacy of Brucella suis strain 2 vaccine against
Brucella ovis in rams. Vaccine, 11, 1291–1294. doi: 10.1016/0264-410x(93)90097-h. PMID: 8296481
BLASCO J.M., MARÍN C.M, JIMÉNEZ DE BAGÜES M.P., BARBERAN M., HERNANDEZ A., MOLINA L., VELASCO J., DIAZ R. & MORIYÓN
I. (1994b). Evaluation of allergic and serological tests for diagnosing Brucella melitensis infection of sheep. J. Clin.
Microbiol., 32, 1835–1840.
BRICKER B.J. (2002). PCR as a diagnostic tool for brucellosis. Vet. Microbiol., 90, 435–446.
BRICKER B.J. & HALLING S.M. (1994) Differentiation of Brucella abortus bv. 1, 2, and 4, Brucella melitensis, Brucella ovis,
and Brucella suis bv. 1 by PCR. J. Clin. Microbiol., 32, 2660–2666.
DE MASSIS F., ATZENI M., CALISTRI P., DI GIANNATALE E., FERRI N., MARCHI E., MARTUCCIELLO A. & TITTARELLI M. (2015). A
diagnostic protocol to identify water buffalo (Bubalus bubalis) vaccinated with Brucella abortus strain RB51 vaccine.
Vet. Ital., 51, 99–105. doi:10.12834/VetIt.472.2296.3
DE MASSIS F., GIOVANNINI A., DI EMIDIO B., RONCHI G.F., TITTARELLI M., DI VENTURA M., NANNINI D.& CAPORALE V. (2005). Use
of the complement fixation and brucellin skin tests to identify cattle vaccinated with Brucella abortus strain RB51.
Vet. Ital., 41, 291–299.
DE MIGUEL M.J., MARÍN C.M., MUÑOZ P.M., DIESTE L., GRILLÓ M.J. & BLASCO J.M. (2011). Development of a selective culture
medium for primary isolation of the main Brucella species. J. Clin. Microbiol., 49, 1458–1463.
DIESTE-PEREZ L., BLASCO J.M., DE MIGUEL M.J., MARÍN C.M., BARBERÁN M., CONDE-ÁLVAREZ R., MORIYÓN I., MUÑOZ P.M.
(2014). Performance of skin tests with allergens from B. melitensis B115 and rough B. abortus mutants for
diagnosing swine brucellosis. Vet. Microbiol., 168, 161–168.
EUROPEAN FOOD SAFETY AUTHORITY (EFSA). (2006). Opinion of the Scientific Panel on Animal Health and Welfare
(AHAW) on a request from the Commission concerning Brucellosis Diagnostic Methods for Bovines, Sheep, and
Goats. EFSA J., 432, 1–44. https://doi.org/10.2903/j.efsa.2007.432.
EUROPEAN FOOD SAFETY AGENCY (EFSA) (2009). Scientific Opinion of the Panel on Animal Health and Welfare (AHAW)
on a request from the Commission on porcine brucellosis (Brucella suis). EFSA J., 1144, 1–112.
EUROPEAN UNION (2008). Commission Decision of 10 December 2008 amending Annex C to Council Directive
64/432/EEC and Decision 2004/226/EC as regards diagnostic tests for bovine brucellosis (notified under
document number C [2008] 7642) (Text with EEA relevance) (2008/984/EC). Official Journal of the European Union,
L 352/38-45.
FOSTER G., OSTERMAN B.S., GODFROID J., JACQUES I. & CLOECKAERT A. (2007). Brucella ceti sp. nov. and Brucella
pinnipedialis sp. nov. for Brucella strains with cetaceans and seals as their preferred hosts. Int. J. Syst. Evol.
Microbiol., 57, 2688–2693.
GREINER M., VERLOO D. & DE MASSIS F. (2009). Meta-analytical equivalence studies on diagnostic tests for bovine
brucellosis allowing assessment of a test against a group of comparative tests. Prev. Vet. Med., 92, 373–381.
GRILLO M.J., BOSSERAY N. & BLASCO J.M. (2000). In vitro markers and biological activity in mice of seed lot strains and
commercial Brucella melitensis Rev.1 and Brucella abortus B19 vaccines. Biologicals, 28, 119–127.
GUSI A.M., BERTU W.J., JESÚS DE MIGUEL M., DIESTE-PÉREZ L., SMITS H.L., OCHOLI R.A., BLASCO J.M., MORIYÓN I. & MUÑOZ P.M.
(2019). Comparative performance of lateral flow immunochromatography, iELISA and Rose Bengal tests for the
diagnosis of cattle, sheep, goat and swine brucellosis. PLoS Negl. Trop. Dis., 13, e0007509.
HER M., CHO D.H., KANG S.I., CHO Y.S., HWANG I.Y., BAE Y.C., YOON H., HEO Y.R., JUNG S.C. & YOO H. (2010). The
development of a selective medium for the Brucella abortus strains and its comparison with the currently
recommended and used medium Diagn. Microbiol. Infect. Dis., 67, 15–21.
INTERNATIONAL AIR TRANSPORT ASSOCIATION (IATA) (2021). Dangerous Goods Regulations Manual
https://www.iata.org/en/publications/dgr/
JIMENEZ DE BAGÜES M.P., MARÍN C. & BLASCO J.M. (1991). Effect of antibiotic therapy and strain 19 vaccination on the
spread of Brucella melitensis within an infected dairy herd. Prev. Vet. Med., 11, 17–24.
JOINT FOOD AND AGRICULTURE ORGANIZATION OF THE UNITED NATIONS (FAO)/WORLD HEALTH ORGANIZATION (WHO) EXPERT
COMMITTEE ON BRUCELLOSIS (1986). Technical Report Series 740, Sixth Report. WHO, Geneva, Switzerland.
JONES L.M., BERMAN D.T., MORENO E., DEYOE B.L., GILSDORF M.J., HUBER J.D. & NICOLETTI P.L. (1980). Evaluation of a radial
immunodiffusion test with polysaccharide B antigen for diagnosis of bovine brucellosis. J. Clin. Microbiol., 12, 753–
760.
KANG S.I., HER M., KIM J.W., KIM J.Y., KO K.Y., HA Y.M. & JUNG S.C. (2011). Advanced multiplex PCR assay for
differentiation of Brucella species. Appl. Environ. Microbiol., 77, 6726–6728.
KHALAFALLA A.I., RASHID J., KHAN R.A., ALAMIN K.M., BENKHELIL A., DE MASSIS F., CALISTRI P., GIOVANNINI A., KHAN I.A., AL
HOSANI M.A. & AL MUHAIRI S.S. (2020). Preliminary Comparative Assessment of Brucellergene Skin Test for Diagnosis
of Brucellosisin Dromedary Camels Camelus dromedarius. Vector Borne Zoonotic Dis., 20, 412–417.
LE FLECHE P., JACQUES I., GRAYON M., AL DAHOUK S., BOUCHON P., DENOEUD F., NÖCKLER K., NEUBAUER H., GUILLOTEAU L.A. &
VERGNAUD G. (2006). Evaluation and selection of tandem repeat loci for a Brucella MLVA typing assay. BMC
Microbiol., 6, 9.
LOPEZ-GONI I., GARCÍA–YOLDI D., MARÍN C.M., DE MIGUEL M.J., BARQUERO-CALVO E., GUZMÁN-VERRI C., ALBERT D. & GARIN-
BASTUJI B. (2011). New Bruce-ladder multiplex PCR assay for the biovar typing of Brucella suis and the discrimination
of Brucella suis and Brucella canis. Vet Microbiol., 154, 152–155.
MCGIVEN J., TAYLOR A., DUNCOMBE L., SAYERS R., ALBERT D., BANAI M., BLASCO J.M., ELENA S., FRETIN D., GARIN-BASTUJI B.,
MELZER F., MUÑOZ P.M., NIELSEN K., NICOLA A., SCACCHIA M., TITTARELLI M., TRAVASSOS DIAS I., WALRAVENS K. & STACK J.
(2011).The first International Standard anti-Brucella melitensis Serum. Rev. sci. tech. Off. int. Epiz., 30, 809–819.
MACMILLAN A.P. & COCKREM D.S. (1985). Reduction of non–specific reactions to the Brucella abortus serum
agglutination test by the addition of EDTA. Res. Vet. Sci., 38, 288–291.
MORENO E., CLOECKAERT A. & MORIYON I. (2002). Brucella evolution and taxonomy. Vet. Microbiol., 90, 209–227.
MORGAN W.J.B., MACKINNON D.J., LAWSON J.R. & CULLEN G.A. (1969). The rose bengal plate agglutination test in the
diagnosis of brucellosis. Vet. Rec., 85, 636–641.
MORIYON I., GRILLÓ M.J, MONREAL D., GONZALEZ D., MARÍN C.M., LÓPEZ-GOÑI I., MAINAR-JAIME R.C., MORENO E. & BLASCO J.M.
(2004). Rough vaccines in animal brucellosis: structural and genetic basis and present status. Vet. Res., 35, 1–38.
MUNOZ P.M., BLASCO J.M., ENGEL B., DE MIGUEL M.J., MARÍN C.M., DIESTE L., MAINAR-JAIME R.C. (2012). Assessment of
performance of selected serological tests for diagnosing brucellosis in pigs. Vet. Immunol. Immunopathol., 146,
150–158
MUNOZ P.M., MARIN C.M., MONREAL D., GONZALES D., GARIN–BASTUJI B., DIAZ R., MAINAR–JAIME R.C., MORIYON I. & BLASCO J.
(2005). Efficacy of several serological tests and antigens for the diagnosis of bovine brucellosis in the presence of
false positive serological results due to Yersinia enterocolitica O:9. Clin. Diagn. Lab. Immunol., 12, 141–151.
NATIONAL ACADEMIES OF SCIENCES, ENGINEERING AND MEDICINE (2020). Revisiting Brucellosis in the Greater Yellowstone
Area. Washington, DC: The National Academies Press. https://doi.org/10.17226/24750.
NICOLETTI P. (1990). Vaccination against Brucella. Adv. Biotech. Processes, 13, 147–168.
NICOLETTI P, JONES L M & BERMAN D.T. (1978). Comparison of the subcutaneous and conjunctival route of vaccination
with Brucella abortus strain 19 vaccine in adult cattle. J. Am. Vet. Med. Assoc., 173, 1450–1456.
NIELSEN K., GALL D., JOLLEY M., LEISHMAN G., BALSEVICIUS S., SMITH P., NICOLETTI P. & THOMAS F. (1996). A homogenous
fluorescence polarisation assay for detection of antibody to Brucella abortus. J. Immunol. Methods, 195, 161–168.
NIELSEN K., KELLY L., GALL D., NICOLETTI P. & KELLY W. (1995). Improved competitive enzyme immunoassay for the
diagnosis of bovine brucellosis. Vet. Immunol. Immunopathol., 46, 285–291.
OCAMPO–SOSA A.A., AGÜERO–BALBÍN J. & GARCÍA–LOBO J.M. (2005). Development of a new PCR assay to identify
Brucella abortus biovars 5, 6 and 9 and the new subgroup 3b of biovar 3. Vet. Microbiol., 110, 41–51.
OLSEN S.C., GARIN-BASTUJI B., BLASCO J.M., NICOLA A.M., SAMARTINO L. (2012). Swine Brucellosis. In: Diseases of Swine,
Zimmerman J.J., Karriker A.L., Ramirez A., Schwartz K.J. & Stevenson G.W. eds, 10th Edition, John Wiley & Sons, USA,
697–708.
PONSART C., RIOU M., LOCATELLI Y., JACQUES I., FADEAU A., JAY M., SIMON R., PERROT L., FREDDI L., BRETON S., CHAUMEIL T.,
BLANC B., ORTIZ K., VION C., RIOULT D., QUÉMÉRÉ E., SARRADIN P., CHOLLET J.Y., GARIN-BASTUJI B. & ROSSI S. (2019). Brucella
melitensis Rev.1 vaccination generates a higher shedding risk of the vaccine strain in Alpine ibex (Capra ibex)
compared to the domestic goat (Capra hircus). Vet. Res., 50, 100.
POUILLOT R., GARIN–BASTUJI B., GERBIER G., COCHE Y., CAU C., DUFOUR B. & MOUTOU F. (1997). The brucellin skin test as a
tool to differentiate false positive serological reactions in bovine brucellosis. Vet. Res., 28, 365–374.
POUILLOT R., GRILLÓ M.J., ALABART J.L., GARIN–BASTUJI B. & BLASCO J.M. (2004). Statistical procedures for calculating the
residual virulence of Brucella abortus strain 19 (S19) and Brucella melitensis strain Rev.1 vaccines in mice: theoretical
basis and practical applications. Rev. sci. tech. Off. int. Epiz., 22, 1051–1063.
PRAUD A., GIMENEZ O., ZANELLA G., DUFOUR B., POZZI N., ANTRAS V., MEYER L. & GARIN-BASTUJI B. (2012). Estimation of
sensitivity and specificity of five serological tests for the diagnosis of porcine brucellosis. Prev. Vet. Med., 104, 94–
100.
SCHOLZ H.C., HUBALEK Z., SEDLACEK I., VERGNAUD G., TOMASO H., AL DAHOUK S., MELZER F., KÄMPFER P., NEUBAUER H.,
CLOECKAERT A., MAQUART M., ZYGMUNT M.S., WHATMORE A.M., FALSEN E., BAHN P., GÖLLNER C., PFEFFER M., HUBER B., BUSSE
H.J. & NÖCKLER K. (2008). Brucella microti sp. nov., isolated from the common vole Microtus arvalis. Int. J. Syst. Evol.
Microbiol., 58, 375–382.
SCHOLZ H.C., NÖCKLER K., GÖLLNER C., BAHN P., VERGNAUD G., TOMASO H., AL DAHOUK S., KÄMPFER P., CLOECKAERT A.,
MAQUART M., ZYGMUNT M.S., WHATMORE A.M., PFEFFER M., HUBER B., BUSSE H.J. & DE B.K. (2010). Brucella inopinata sp.
nov., isolated from a breast implant infection. Int. J. Syst. Evol. Microbiol., 60, 801–808.
SCHOLZ H.C., REVILLA-FERNÁNDEZ S., DAHOUK S.A., HAMMERL J.A., ZYGMUNT M.S., CLOECKAERT A., KOYLASS M., WHATMORE
A.M., BLOM J., VERGNAUD G., WITTE A., AISTLEITNER K. & HOFER E. (2016). Brucella vulpis sp. nov., isolated from
mandibular lymph nodes of red foxes (Vulpes vulpes). Int. J. Syst. Evol .Microbiol., 66, 2090–2098.
SCHOLZ H.C. & VERGNAUD G. (2013). Molecular characterisation of Brucella species. Rev. Sci. Tech., 32, 149–162.
STACK J.A., HARRISON M. & PERRETT L.L (2002). Evaluation of a selective medium for Brucella isolation using natamycin.
J. Appl. Microbiol., 92, 724–728.
STACK J.A., PERRETT L.L., BREW S.D. & MACMILLAN A.P. (1999). C–ELISA for bovine brucellosis suitable for testing poor
quality samples. Vet. Rec., 145, 735–736.
STOFFREGEN W.C., OLSEN S.C., BRICKER B.J. (2006). Parenteral vaccination of domestic pigs with Brucella abortus
strain RB51. Am. J. Vet. Res., 67, 1802–1808.
UNITED STATES DEPARTMENT OF AGRICULTURE (USDA), ANIMAL AND PLANT HEALTH INSPECTION SERVICES (APHIS) (2003).
Availability of an Environmental Assessment for Licensing of Brucella abortus Vaccine, Strain RB–51, Live Culture.
Federal Register, 18 Feb 2003, 68, 7761.
VERGER J.M. (1985). B. melitensis infection in cattle. In: Brucella melitensis, Plommet M. & Verger J.M., eds. Martinus
Nijhoff Publ., Dordrecht, Netherlands, 197–203.
VERGER J.M., GRAYON M., ZUNDEL E., LECHOPIER P. & OLIVER-BERNARDIN V. (1995). Comparison of the efficacy of Brucella
suis strain 2 and Brucella melitensis Rev.1 live vaccines against a Brucella melitensis experimental infection in
pregnant ewes. Vaccine, 13, 191–196.
WHATMORE A.M. (2009). Current understanding of the genetic diversity of Brucella, an expanding genus of zoonotic
pathogens. Infect. Genet. Evol., 9, 1168–1184.
WHATMORE A.M. & FOSTER J.T. (2021). Emerging diversity and ongoing expansion of the genus Brucella. Infect. Genet.
Evol., 16, 104865.
WHATMORE A.M. & GOPAUL K.K. (2011). Recent advances in molecular approaches to Brucella diagnostics and
epidemiology. In: Brucella: Molecular Microbiology and Genomics, López-Goñi I. & O’Callaghan D., eds, Caister
Academic Press, Norfolk, UK, 57–88.
WHATMORE A.M., DAVISON N., CLOECKAERT A., AL DAHOUK S., ZYGMUNT M.S., BREW S.D., PERETT L.L., KOYLASS M.S.,
VERGNAUD G., QUANCE C., SCHOLZ H.C., DICK E.J. Jr, HUBBARD G. & SCHLABRITZ-LOUTSEVITCH N.E. (2014). Brucella papionis
sp. nov. isolated from baboons (Papio spp.). Int. J. Syst. Evol. Microbiol., 64, 4120–4128.
WORLD HEALTH ORGANIZATION (1953). WHO Technical Report Series No. 68. Sixth report of the WHO Expert
Committee on Biological Standardization. WHO, Geneva, Switzerland.
WORLD HEALTH ORGANIZATION (2004). WHO Laboratory Biosafety Manual, Third Edition. WHO, Geneva, Switzerland.
XIE X. (1986). Orally administrable brucellosis vaccine: Brucella suis strain 2 vaccine. Vaccine, 4, 212–216.
ZHU L., FENG Y., ZHANG G., JIANG H., ZHANG Z., WANG N., DING J. & SUO X. (2016). Brucella suis strain 2 vaccine is safe and
protective against heterologous Brucella spp. infections. Vaccine, 34, 395–400. doi: 10.1016/j.vaccine.2015.09.116.
Epub 2015 Nov 25. PMID: 26626213.
*
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NB: There are OIE Reference Laboratories for brucellosis (Brucella abortus, B. melitensis and B. suis)
(please consult the OIE Web site for the most up-to-date list:
https://www.woah.org/en/what-we-offer/expertise-network/reference-laboratories/#ui-id-3).
Please contact OIE Reference Laboratories for any further information on
diagnostic tests, reagents and vaccines for these Brucella agents
NB: BOVINE BRUCELLOSIS FIRST ADOPTED IN 1990. BRUCELLOSIS IN SHEEP, GOATS AND SWINE FIRST ADOPTED IN 1991. CHAPTER
FIRST ADOPTED WITH CURRENT TITLE IN 2016. MOST RECENT UPDATES ADOPTED IN 2022.