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HIV-1感染的土耳其患者中标准与即时检测CD4+ T淋巴细胞测量方法的比较

Comparison of Standard and Point-of-Care CD4+ T Lymphocyte Measurement Methods in HIV-1 Infected Turkish Patients.

作者信息

Toygar Deniz Müge, Akhan Sıla, Sayan Murat, Balcı Sibel

机构信息

Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Kocaeli University, Kocaeli 41001, Turkey.

PCR Unit, Clinical Laboratory, Faculty of Medicine, Kocaeli University, Kocaeli 41001, Turkey.

出版信息

Medicina (Kaunas). 2024 Dec 21;60(12):2094. doi: 10.3390/medicina60122094.

Abstract

: CD4+ T lymphocytes are the primary targets of HIV infection. CD4+ T lymphocyte count is an indicator of immune competence. In this study, we aimed to compare standard flow cytometry and point-of-care (POC) CD4+ T lymphocyte in terms of cost, effectiveness, reliability, time, and the use of this method for disease. : This study includes 113 patients. CD4+ T lymphocyte count and percentage were evaluated by flow cytometry and POC. Also, hemoglobin (Hb) level was studied. The data obtained by two methods are compared. : When the two methods were compared, intraclass coefficients demonstrated a good consistency for Hb (ICC = 0.849) and CD4+ T lymphocyte percentage (ICC = 0.803). For CD4+ T lymphocyte count, consistency was moderate, ICC = 0.651, but still statistically significant ( < 0.001). : In resource-limited countries, virological monitoring with HIV RNA cannot be performed at any time because it is expensive. However, CD4+ T lymphocyte count and percentage monitoring is important in predicting treatment success. POC results are in good consistency with the standard method, and it is also a test that can be used due to being cheap, easy, and quick.

摘要

CD4+ T淋巴细胞是HIV感染的主要靶细胞。CD4+ T淋巴细胞计数是免疫能力的一个指标。在本研究中,我们旨在比较标准流式细胞术和即时检测(POC)CD4+ T淋巴细胞在成本、有效性、可靠性、检测时间以及该方法在疾病中的应用方面的差异。

本研究纳入了113例患者。通过流式细胞术和POC评估CD4+ T淋巴细胞计数及百分比。同时,研究血红蛋白(Hb)水平。比较两种方法获得的数据。

当比较两种方法时,组内相关系数显示Hb(ICC = 0.849)和CD4+ T淋巴细胞百分比(ICC = 0.803)具有良好的一致性。对于CD4+ T淋巴细胞计数,一致性为中等,ICC = 0.651,但仍具有统计学意义(< 0.001)。

在资源有限的国家,由于HIV RNA病毒学监测费用昂贵,无法随时进行。然而,CD4+ T淋巴细胞计数及百分比监测对于预测治疗成功很重要。POC结果与标准方法具有良好的一致性,并且由于其廉价、简便、快速,也是一种可以使用的检测方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbf1/11676371/78584c086bde/medicina-60-02094-g001a.jpg

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