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七种抗丙型肝炎病毒筛查试验敏感性的比较评估

A comparative evaluation of the sensitivity of seven anti-hepatitis C virus screening tests.

作者信息

Couroucé A M, Barin F, Botté C, Lunel F, Maisonneuve P, Maniez M, Trepo C

机构信息

Institut National de Transfusion Sanguine, Paris, France.

出版信息

Vox Sang. 1995;69(3):213-6. doi: 10.1111/j.1423-0410.1995.tb02597.x.

DOI:10.1111/j.1423-0410.1995.tb02597.x
PMID:8578733
Abstract

The sensitivity of the most recent generation of anti-hepatitis C virus (anti-HCV) screening tests from seven manufacturers was evaluated with a common panel of 530 specimens from 320 HCV-infected subjects. This panel included 221 samples from 57 seroconverters (53 pre-sero conversion negative specimens and 168 positive samples) and 309 selected specimens from 263 other HCV-infected patients of which 19% exhibited NS3 or core reactivity alone with the presence of HCV-RNA assessed by PCR. None of the seven screening tests detected all infectious and antibody-positive specimens. However, important differences were observed between these assays in the number of false-negative results, which seemed mainly due to nonreactivity of antibody to the NS3 antigen.

摘要

使用来自320名丙型肝炎病毒(HCV)感染受试者的530份样本组成的通用样本组,对7家制造商生产的最新一代抗HCV筛查试验的敏感性进行了评估。该样本组包括来自57名血清转化者的221份样本(53份血清转化前阴性样本和168份阳性样本),以及从263名其他HCV感染患者中选取的309份样本,其中19%的样本仅表现出NS3或核心反应性,通过PCR评估存在HCV-RNA。7种筛查试验均未检测出所有感染性和抗体阳性样本。然而,这些检测在假阴性结果数量上存在重要差异,这似乎主要是由于抗体对NS3抗原无反应性所致。

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引用本文的文献

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A study based on four immunoassays: Hepatitis C virus antibody against different antigens may have unequal contributions to detection.一项基于四种免疫分析的研究表明:针对不同抗原的丙型肝炎病毒抗体可能对检测结果的贡献程度不同。
Virol J. 2021 Jul 3;18(1):137. doi: 10.1186/s12985-021-01608-x.
2
Restricted isotypic antibody reactivity to hepatitis C virus synthetic peptides in immunocompromised patients.免疫功能低下患者对丙型肝炎病毒合成肽的同型抗体反应受限。
Clin Diagn Lab Immunol. 1999 Mar;6(2):279-81. doi: 10.1128/CDLI.6.2.279-281.1999.
3
Reduced antibody reactivity to hepatitis C virus antigens in hemodialysis patients coinfected with hepatitis B virus.
感染乙型肝炎病毒的血液透析患者对丙型肝炎病毒抗原的抗体反应性降低。
Clin Diagn Lab Immunol. 1997 Nov;4(6):639-42. doi: 10.1128/cdli.4.6.639-642.1997.
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Risk of hepatitis C virus (HCV) transmission by anti-HCV-negative blood components in Austria and Germany.奥地利和德国抗丙型肝炎病毒(HCV)阴性血液成分传播丙型肝炎病毒的风险。
Ann Hematol. 1996 Jan;72(1):35-9. doi: 10.1007/BF00663014.