Kafatos G, Anastassopoulou C, Nardone A, Andrews N, Barbara C, Boot H J, Butur D, Davidkin I, Gelb D, Griskevicius A, Hesketh L, Icardi G, Jones L, Kra-Oz Z, Miller E, Mossong J, Nemecek V, de Ory F, Sobotová Z, Thierfelder W, Van Damme P, Hatzakis A
Health Protection Agency Centre for Infections, London, UK.
J Viral Hepat. 2007 Apr;14(4):260-8. doi: 10.1111/j.1365-2893.2006.00789.x.
The aim of the European Sero-Epidemiology Network 2 was to coordinate and standardize the serological surveillance of vaccine-preventable diseases in Europe. In this study, the standardization of hepatitis B virus (HBV) results is described. The 15 participating national laboratories tested a unique panel of 172 sera established by the Greek reference centre for HBV surface antigen (HBsAg), antibodies to HBsAg (anti-HBs) and/or to the HBV core antigen (anti-HBc) by assay methods of their choice. Country-specific quantitative measurements for anti-HBs and anti-HBc were transformed into common units using standardization equations derived by regressing each country's panel results against the reference centre's results, thus adjusting for interassay and interlaboratory variability. For HBsAg, a qualitative analysis (positive/negative) showed at least 99% agreement with the reference laboratory for all countries. By combining these standardized and qualitative results for the markers mentioned earlier, it was possible to achieve comparable estimates of the proportion of the population susceptible to HBV, vaccinated against HBV, with a past HBV infection, and with a current infection or chronic carrier state. Standardization is a very important tool that allows for international serological comparisons to assess the current vaccination policies and the progress of HBV control in Europe.
欧洲血清流行病学网络2的目标是协调并规范欧洲疫苗可预防疾病的血清学监测。在本研究中,描述了乙型肝炎病毒(HBV)检测结果的标准化情况。15个参与研究的国家实验室通过各自选择的检测方法,对由希腊HBV表面抗原(HBsAg)、HBsAg抗体(抗-HBs)和/或HBV核心抗原抗体(抗-HBc)参考中心建立的一组172份血清样本进行了检测。通过将每个国家的样本检测结果与参考中心的结果进行回归分析得出标准化方程,将各国针对抗-HBs和抗-HBc的特定定量测量结果转换为通用单位,从而校正检测间和实验室间的差异。对于HBsAg,定性分析(阳性/阴性)显示所有国家与参考实验室的一致性至少达到99%。通过综合上述标志物的标准化和定性结果,能够对欧洲人群中易感染HBV、接种过HBV疫苗、曾感染过HBV以及目前感染或处于慢性携带状态的比例进行可比估计。标准化是一项非常重要的工具,可用于国际血清学比较,以评估当前的疫苗接种政策以及欧洲HBV控制的进展情况。