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希腊传染病科室监测的HIV阳性患者中的血清阳性率:一项血清学方法比较评估的筛查研究。

Seroprevalence of among HIV Positive Patients under Surveillance in Greek Infectious Disease Units: A Screening Study with Comparative Evaluation of Serological Methods.

作者信息

Voyiatzaki Chrysa, Zare Chormizi Apollon Dareios, Tsoumani Maria E, Efstathiou Antonia, Konstantinidis Konstantinos, Chaniotis Dimitrios, Chrysos Georgios, Argyraki Aikaterini, Papastamopoulos Vasileios, Kotsianopoulou Marika

机构信息

Department of Biomedical Sciences, Division of Medical Laboratories Science, University of West Attica, 12243 Athens, Greece.

Immunology of Infection Group, Department of Microbiology, Hellenic Pasteur Institute, 11521 Athens, Greece.

出版信息

Pathogens. 2024 Apr 30;13(5):375. doi: 10.3390/pathogens13050375.

Abstract

This study aims to screen for IgG antibodies against () in the sera of 155 newly diagnosed Human Immunodeficiency Virus (HIV) positive patients under surveillance in Greek Infectious Disease Units. Additionally, risk factors based on patient demographics were examined, and a comparative evaluation of commercially available serological methods was conducted. Three methods were employed to detect IgG antibodies against : Enzyme-Linked Immunosorbent Assay (ELISA), Indirect Immunofluorescence Antibody Test (IFAT), and Western Blot (WB), which was used as a reference here. Forty-nine sera samples were true-positive for IgG antibodies against , resulting in a 31.61% positivity rate, and the immunoassay test statistical reliability analysis resulted in higher IFAT accuracy (90.97%) compared to ELISA (76.26%). Furthermore, statistical analysis of demographic and immunological data included in the study placed female and foreign/non-Greek individuals at 2.24 ( = 0.0009) and 2.34 ( = 0.0006) times higher risk of positive IgG testing compared to their male and Greek counterparts, respectively. Our findings on positivity rates and comparative serology underscore the importance of early and suitable screening measures for newly diagnosed HIV+ patients to mitigate the life-threatening outcomes that may arise from a potential subsequent activation.

摘要

本研究旨在筛查希腊传染病科监测的155例新诊断的人类免疫缺陷病毒(HIV)阳性患者血清中针对()的IgG抗体。此外,还研究了基于患者人口统计学的危险因素,并对市售血清学方法进行了比较评估。采用三种方法检测针对的IgG抗体:酶联免疫吸附测定(ELISA)、间接免疫荧光抗体试验(IFAT)和免疫印迹法(WB),此处将免疫印迹法用作参考。49份血清样本针对的IgG抗体呈真阳性,阳性率为31.61%,免疫分析测试的统计可靠性分析结果显示,与ELISA(76.26%)相比,IFAT的准确性更高(90.97%)。此外,对研究中纳入的人口统计学和免疫学数据的统计分析表明,女性以及外国/非希腊籍个体进行IgG检测呈阳性的风险分别是男性和希腊籍个体的2.24倍(=0.0009)和2.34倍(=0.0006)。我们关于阳性率和比较血清学的研究结果强调了对新诊断的HIV+患者采取早期且合适的筛查措施的重要性,以减轻潜在的后续激活可能导致 的危及生命的后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f18a/11123859/0ddb1175f95d/pathogens-13-00375-g001.jpg

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