SUMMARY Lymphocyte stimulation tests (lst), performed using 6 antigen preparations, were compared individually and in pairs. The tests were performed on 433 blood samples collected from elk in Mycobacterium bovis-infected herds. These elk were killed as part of Agriculture and Agri-Food Canada's bovine tuberculosis eradication policy, and mycobacterial culture results were obtained from tissues of each animal. The lst, which had the highest total sum of sensitivity and specificity, was a comparative test that used M bovis purified protein derivative (ppd) and M paratuberculosis (johnin) ppd. This test had a sensitivity of 76%, with confidence limits (cl) of 63 to 85% for this estimate, and specificity of 77% (cl, 72 to 81%). The lst, using only M bovis ppd antigen, had a sensitivity of 70% (cl, 57 to 80%) and specificity of 74% (cl, 69 to 79%); when it was compared with culture results, using the kappa statistic, agreement was only 32%. This indicated that the lst identified different elk than did M bovis isolation tests.
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