Evaluation of rapid gross visual appraisal of swine lungs at slaughter as a diagnostic screen for enzootic pneumonia

A rapid gross visual appraisal of enzootic pneumonia lesions was made of 87 lungs at a local abattoir and the lungs were then set aside and examined in more detail. A sample of pulmonary tissue was taken from each lung and submitted for bacterial and histological examination. The principal investigator who had performed the gross and detailed lung scores was then used to assess the agreement of two inspectors who were scoring lung lesions in the abattoir. The Pearson's correlation coefficient between grossly scored lungs and scores derived from a detailed examination was 0.94. Using histological examination as the gold standard, rapid gross examination had a sensitivity of 76% and a specificity of 71%. Using bacterial recovery as a gold standard yielded a sensitivity of 77% and a specificity of 51%. The sensitivity and specificity of inspectors 1 and 2 compared to the principal investigator were: sensitivity = 97.5% and specificity = 97.4% for inspector 1, and 97% and 98% for inspector 2. The kappa values for both of the inspectors compared to the principal investigator were 0.95 suggesting that designated lay inspectors consistently agreed with the principal investigator.