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罗氏 Cobas 8800 系统检测 HPV16、HPV18 及其他 12 种 HPV 型别时,自我采集样本与临床医生采集宫颈样本的性能和分析前稳定性。

Performance and pre-analytical stability of self-collected samples versus clinician cervical samples for the detection of HPV16, HPV18 and a pool of 12 other HPV types on the Roche Cobas 8800 System.

机构信息

LABOSUD laboratory (Inovie member), Montpellier, France

出版信息

New Microbiol. 2022 Apr;45(2):111-114.

Abstract

This study aimed to validate the agreement between human papillomavirus (HPV) tests self-collected samples versus clinician cervical specimens, and the pre-analytical stability of self-sampling. One hundred and fifty-seven women aged between 25 and 65 years who presented to the gynaecological department of the "CLEMENTVILLE" clinic in Montpellier voluntarily participated in HPV screening by self-sampling. Polymerase chain reaction was used to detect the presence of HPV16, HPV18 and a pool of 12 other HPV types on the Roche Cobas 8800 System. Median age was 40 years (range 20-73 and IQR 31-49 years). The overall HPV prevalence on the population studied was 27%. The agreement between clinician cervical samples and self-collected vaginal presented good agreement (Kappa =0.90) and high sensitivity (0.91) and specificity (0.98). For swabs stored for 7 days at room temperature, the HPV results presented substantial agreement (Kappa =0.89) and high sensitivity (0.97) and specificity (0.93). Our data showed that the HPV assay performed in the self-collected vaginal samples have high consistency of results with the clinician cervical samples. The use of self-collected cervical sample could be a simple and inexpensive approach in cervical cancer screening programs due to their high pre-analytical stability.

摘要

本研究旨在验证 HPV 检测(自我采集样本与临床医生采集宫颈样本)之间的一致性,并评估自我采样的预分析稳定性。157 名年龄在 25 岁至 65 岁之间的女性自愿参加了蒙彼利埃“克莱蒙费朗”诊所妇科部门的 HPV 筛查。采用聚合酶链反应(PCR)法在罗氏 cobas 8800 系统上检测 HPV16、HPV18 以及 12 种其他 HPV 型别的存在情况。中位年龄为 40 岁(范围 20-73 岁,IQR 31-49 岁)。研究人群的总体 HPV 流行率为 27%。临床医生采集的宫颈样本与自我采集的阴道样本之间具有良好的一致性(Kappa=0.90)和高灵敏度(0.91)和特异性(0.98)。对于室温下储存 7 天的拭子,HPV 结果显示出高度一致性(Kappa=0.89)和高灵敏度(0.97)和特异性(0.93)。我们的数据表明,HPV 检测在自我采集的阴道样本中的结果具有高度一致性,与临床医生采集的宫颈样本一致。由于自我采集的宫颈样本具有高度的预分析稳定性,因此在宫颈癌筛查计划中使用自我采集的宫颈样本可能是一种简单且经济实惠的方法。

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