Alp Alpaslan, Hasçelik Gülşen
Hacettepe Universitesi Tip Fakültesi, Mikrobiyoloji ve Klinik Mikrobiyoloji Anabilim Dali, Ankara.
Mikrobiyol Bul. 2008 Oct;42(4):627-34.
It is necessary to use rapid and reliable methods for the diagnosis of hepatitis C virus (HCV) infections and follow up of the patients with HCV infection. The purpose of this study was to compare Cobas Amplicor system (Roche Diagnostics) and Cobas Taqman system (Roche Diagnostics) for the quantitative detection of HCV-RNA in clinical samples. Eightyfour serum samples that were sent to Hacettepe University Adult Hospital Clinical Microbiology Laboratory were included in the study. Fiftytwo (61.9%) of these samples were found to be positive by two methods while 32 (38.1%) samples were found to be negative by two methods. There were no discrepant results between the methods. When positive samples were evaluated it was found that Cobas Amplicor system detected an average HCV-RNA of 822.452 IU/ml while Cobas Taqman system detected an average HCV-RNA of 3.069.984 IU/ml. Since the mean number of HCV-RNA detected by Cobas Taqman system was 3.7 fold of the average number of HCV-RNA detected by Cobas Amplicor system, it was concluded that Cobas Taqman system was a reliable method for the follow up of patients with HCV infection.
采用快速可靠的方法诊断丙型肝炎病毒(HCV)感染并对HCV感染患者进行随访很有必要。本研究的目的是比较Cobas Amplicor系统(罗氏诊断公司)和Cobas Taqman系统(罗氏诊断公司)对临床样本中HCV-RNA的定量检测。本研究纳入了84份送至哈杰泰佩大学成人医院临床微生物学实验室的血清样本。其中52份(61.9%)样本经两种方法检测均为阳性,32份(38.1%)样本经两种方法检测均为阴性。两种方法之间没有不一致的结果。对阳性样本进行评估时发现,Cobas Amplicor系统检测到的HCV-RNA平均为822.452 IU/ml,而Cobas Taqman系统检测到的HCV-RNA平均为3,069,984 IU/ml。由于Cobas Taqman系统检测到的HCV-RNA平均数是Cobas Amplicor系统检测到的平均数的3.7倍,因此得出结论,Cobas Taqman系统是对HCV感染患者进行随访的可靠方法。