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乙型肝炎表面抗原固相酶免疫测定多中心临床试验结果

Results of a multicentre clinical trial of the solid-phase enzyme immunoassay for hepatitis B surface antigen.

作者信息

Kacaki J, Wolters G, Kuijpers L, Stulemeyer S

出版信息

Vox Sang. 1978 Jul-Aug;35(1-2):65-74. doi: 10.1111/j.1423-0410.1978.tb02902.x.

DOI:10.1111/j.1423-0410.1978.tb02902.x
PMID:351960
Abstract

The results obtained in a multicentre clinical trial of an enzyme immunoassay (EIA) method for hepatitis B surface antigen (HBsAg) (65,451 sera tested) have demonstrated that this new test has a significantly higher sensitivity than a reversed haemagglutination test (rHA). In a part of the trial, EIA was also compared with radioimmunoassay (RIA). Only a small number of discrepant results was obtained with these two tests, indicating similar sensitivities. No definite conclusion about a difference in sensitivities could be drawn from these results. Although the specificity of the EIA screening test is lower than that of rHA and RIA, the mean percentage of false positives was 2.2% of the total number of donor samples screened. Presumptive positives in EIA were subjected to a confirmatory test based on neutralization with human antibodies to HBsAg. After elimination of false positives in EIA screening, there was excellent agreement between EIA and RIA results.

摘要

一项针对乙肝表面抗原(HBsAg)的酶免疫测定法(EIA)的多中心临床试验结果(检测了65451份血清)表明,这项新检测方法的灵敏度显著高于反向血凝试验(rHA)。在该试验的一部分中,还将EIA与放射免疫测定法(RIA)进行了比较。这两种检测方法仅获得了少量不一致的结果,表明它们的灵敏度相似。从这些结果中无法得出关于灵敏度差异的明确结论。尽管EIA筛查试验的特异性低于rHA和RIA,但假阳性的平均百分比占所筛查供血者样本总数的2.2%。EIA中的推定阳性样本接受了基于用人抗HBsAg抗体进行中和的确认试验。在消除EIA筛查中的假阳性后,EIA和RIA的结果高度一致。

相似文献

1
Results of a multicentre clinical trial of the solid-phase enzyme immunoassay for hepatitis B surface antigen.乙型肝炎表面抗原固相酶免疫测定多中心临床试验结果
Vox Sang. 1978 Jul-Aug;35(1-2):65-74. doi: 10.1111/j.1423-0410.1978.tb02902.x.
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Comparison of enzyme immunoassay with radioimmunoassay for the detection of hepatitis B surface antigen.酶免疫测定法与放射免疫测定法检测乙型肝炎表面抗原的比较。
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Detection of HBsAg in blood donors. A comparative study using radioimmunoassay, enzymeimmunoassay, reverse passive haemagglutination and latex tests.献血者中乙肝表面抗原的检测。一项使用放射免疫测定法、酶免疫测定法、反向被动血凝试验和乳胶试验的对比研究。
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Solid-phase enzyme-immunoassay for detection of hepatitis B surface antigen.用于检测乙型肝炎表面抗原的固相酶免疫测定法。
J Clin Pathol. 1976 Oct;29(10):873-9. doi: 10.1136/jcp.29.10.873.
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[Experiences with an enzyme-immunoassay for hepatitis B antigen detection in blood donors (author's transl)].
Klin Wochenschr. 1978 May 15;56(10):521-4. doi: 10.1007/BF01492865.
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Rapid and simple hepatitis assays: encouraging results from a blood donor population in Zimbabwe.快速简易肝炎检测:津巴布韦献血人群的鼓舞人心的结果。
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Evaluation of enzyme immunoassay (EIA) as a screening method for hepatitis B markers in an open population.酶免疫测定法(EIA)作为开放性人群乙肝标志物筛查方法的评估。
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[Comparison of the radioimmunological and immunoenzymatic methods in detection of HBsAg].
Boll Soc Ital Biol Sper. 1979 Nov 30;55(22):2337-40.
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Status and significance of testing for hepatitis B surface antigen and surface antibody.乙型肝炎表面抗原和表面抗体检测的现状及意义
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Sandwich enzymoimmunoassay of hepatitis B surface antigen (HBsAg).乙型肝炎表面抗原(HBsAg)的夹心酶免疫测定法。
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引用本文的文献

1
Improved economics of HBsAg screening with commercial radioimmunoassay reagents.使用商业放射免疫分析试剂改进乙肝表面抗原筛查的经济性。
J Clin Pathol. 1980 Jan;33(1):19-23. doi: 10.1136/jcp.33.1.19.
2
[Experiences with an enzyme-immunoassay for hepatitis B antigen detection in blood donors (author's transl)].
Klin Wochenschr. 1978 May 15;56(10):521-4. doi: 10.1007/BF01492865.