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秦淑文, 刘波, 强来英, 张桂云, 蒋岩, 汪宁. 平行试验与顺序试验替代HIV抗体检测方法[J]. 中国公共卫生, 2006, 22(6): 678-679. DOI: 10.11847/zgggws2006-22-06-24
引用本文: 秦淑文, 刘波, 强来英, 张桂云, 蒋岩, 汪宁. 平行试验与顺序试验替代HIV抗体检测方法[J]. 中国公共卫生, 2006, 22(6): 678-679. DOI: 10.11847/zgggws2006-22-06-24
QIN Shuwen, LIU Bo, QIANG Laiying, . Application of parallel and serial methods in alternative confirmatory strategy on HIV antibody detection[J]. Chinese Journal of Public Health, 2006, 22(6): 678-679. DOI: 10.11847/zgggws2006-22-06-24
Citation: QIN Shuwen, LIU Bo, QIANG Laiying, . Application of parallel and serial methods in alternative confirmatory strategy on HIV antibody detection[J]. Chinese Journal of Public Health, 2006, 22(6): 678-679. DOI: 10.11847/zgggws2006-22-06-24

平行试验与顺序试验替代HIV抗体检测方法

Application of parallel and serial methods in alternative confirmatory strategy on HIV antibody detection

  • 摘要:
      目的   寻求应用不同初筛试验的组合替代传统酶联免疫吸附试验(ELISA)+免疫蛋白印迹试验(WB)的人类免疫缺陷病毒(HIV)抗体检测方法.
      方法   将1 004份血清样本用ELISA和快速试验按平行试验和顺序试验分别进行检测, 以WB为金标准, 对结果进行比较.
      结果   1 004份受检血清中, 平行试验的敏感度和阴性预测值均为100.0%, 而顺序试验则为99.8%和99.7%, 2种试验的特异度和阳性预测值相同, 分别为98.8%和99.4%.
      结论   结合流行率的影响, 平行试验更适用于人群的个体诊断、自愿咨询检测(VCT)及要求漏诊率很低的血液筛查(如血站、医院的献血员筛查), 但费用较高.而顺序试验的检测成本低, 在流行率比较低或资源比较贫困的地区更为适用.

     

    Abstract:
      Objective   To seek some combinations of different screeningreagents to alternate traditional HIV(human immunodeficiency virus)antibody testing methods, a combination of enzy me-linked immunoso rbent assays(ELISAs)and western blot(WB).
      Methods   One thousand and fourserum samples were detected by both ELISAand rapid t esting according serial and parallel methods which were compared with western blot as gold standard.
      Results   In 1004 serum samples, the sensitivity and negative predictive v alue of parallel method were same as 100.0%, while the ones of serial method were 99.8% and 99.7%.The specitivity and positive predictive v alue of the two methods were same as 98.8% and 99.4%.
      Conclusion   Parallel method was more suitable to be used forpersonnel diagnosis, consultation aftertesting and bloo d screeningif the prevalence rate was considered.Serial method made the testing cost reduced and the testing time shorten, and its negative results were more strongerevidence of the true negative person in lowprevalence area.

     

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