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[每种情况下均采用两种酶免疫测定法进行巨细胞病毒抗体测定]

[CMV antibody determination with two enzyme immunoassays in each case].

作者信息

Albert S, Sibrowski W, Kühnl P, Knödler B, Seidl S, Böhm B O, Doerr H W

机构信息

Zentrum der Hygiene, Univ.-Klinik Frankfurt/Main.

出版信息

Beitr Infusionsther. 1990;26:40-2.

PMID:1703884
Abstract

In each of the two present studies (Frankfurt blood donor center and blood bank of the university of Hamburg) two commercial enzyme immunoassay (EIA) test kits for detecting cytomegalovirus (CMV) antibodies were compared according to their concordance. In the Frankfurt study, 448 sera of blood donors and patients were tested for IgG- and IgM-specific antibodies by CMV-ELA Test (Medac); IgG-specific antibodies were tested in 3 serum dilutions (1:10, 1:100, 1:1000) of each sample, 221 sera were additionally assayed using the EIA of ABBOTT. Both methods showed the same results in 214/221 (96.8%) sera (p less than 0.001). The determination of CMV-IgG-specific antibody levels were as follows: Out of 294 seropositive individuals, titers greater than or equal to 1:1000 were seen in 81% (238). IgM antibodies to CMV were determined in 22/448 serum specimen, which all had IgG antibodies too; there were 18/22 (81.8%) samples with elevated titers for CMV-IgG (greater than or equal to 1:1000). In the second study, 500 sera of blood donors from Hamburg were tested for CMV-IgG antibodies by two enzyme immunoassays, CMV-IgG-ELA (Medac) and Anti-CMV-IgG-ELISA (Biotest). The results were concordant in 418 (83.6%) of the 500 samples (p less than 0.01). All EIA procedures were found to be convenient test methods for CMV antibody screening and the results showed significant correlations. Furthermore, the determination of CMV-IgG-specific antibodies seems to be sufficient for routine CMV screening in blood donor centers.

摘要

在目前的两项研究(法兰克福献血中心和汉堡大学血库)中,对两种用于检测巨细胞病毒(CMV)抗体的商用酶免疫测定(EIA)试剂盒的一致性进行了比较。在法兰克福的研究中,通过CMV - ELA检测(Medac)对448份献血者和患者的血清进行了IgG和IgM特异性抗体检测;对每个样本的3种血清稀释度(1:10、1:100、1:1000)进行了IgG特异性抗体检测,另外221份血清使用雅培公司的酶免疫测定法进行了检测。两种方法在214/221(96.8%)的血清中显示出相同的结果(p小于0.001)。CMV - IgG特异性抗体水平的测定结果如下:在294名血清阳性个体中,81%(238例)的滴度大于或等于1:1000。在22/448份血清样本中检测到了CMV的IgM抗体,这些样本也都含有IgG抗体;其中18/22(81.8%)的样本CMV - IgG滴度升高(大于或等于1:1000)。在第二项研究中,通过两种酶免疫测定法,即CMV - IgG - ELA(Medac)和抗CMV - IgG - ELISA(Biotest),对500份来自汉堡的献血者血清进行了CMV - IgG抗体检测。500个样本中有418个(83.6%)结果一致(p小于0.01)。所有酶免疫测定程序都被发现是用于CMV抗体筛查的便捷检测方法,且结果显示出显著相关性。此外,CMV - IgG特异性抗体的测定似乎足以用于献血中心的常规CMV筛查。

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