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抗体检测诊断试验的检测方法和参考血清国际标准。

International standards for test methods and reference sera for diagnostic tests for antibody detection.

作者信息

Wright P F

机构信息

Canadian Food Inspection Agency, National Centre for Foreign Animal Disease, Manitoba, Canada.

出版信息

Rev Sci Tech. 1998 Aug;17(2):527-49. doi: 10.20506/rst.17.2.1118.

Abstract

International standards are necessary to ensure that the diagnostic tests used by trading partners meet a minimum standard of diagnostic performance. The tests that are used to qualify animals for international movement must provide a degree of confidence that those animals which give negative test results (and therefore qualify for movement) are free of a particular infectious disease agent. Without the development of standards for diagnostic tests, no level of international harmonisation can ever be achieved. International standards for both test methods and sera serve to establish a baseline on which inferences can be made with respect to the diagnostic performance of a given test in a given laboratory. International standard test methods set baseline analytical and diagnostic performance requirements for new reagents or methodologies. International standard sera are primary reference standards and serve as both reference materials for the calibration of test methods and reagents and prototypes for the production of national and working standards. For most serological test methods, three standard sera should be established: a strong positive, a weak positive and a negative standard. These standards are used to calibrate the detection range and analytical sensitivity of the test method. Assays calibrated in this way are more likely to exhibit a diagnostic sensitivity and specificity which parallels that of the standard test method, thus resulting in a higher degree of international harmonisation.

摘要

国际标准对于确保贸易伙伴所使用的诊断检测符合最低诊断性能标准是必要的。用于确定动物是否符合国际运输条件的检测必须提供一定程度的置信度,即那些检测结果为阴性(因此符合运输条件)的动物没有特定的传染病原体。如果不制定诊断检测标准,就永远无法实现任何程度的国际协调。检测方法和血清的国际标准有助于建立一个基线,据此可以推断给定实验室中特定检测的诊断性能。国际标准检测方法为新试剂或方法设定了基线分析和诊断性能要求。国际标准血清是主要参考标准,既用作校准检测方法和试剂的参考物质,也用作生产国家标准和工作标准的原型。对于大多数血清学检测方法,应建立三种标准血清:强阳性、弱阳性和阴性标准。这些标准用于校准检测方法的检测范围和分析灵敏度。以这种方式校准的检测方法更有可能表现出与标准检测方法相当的诊断灵敏度和特异性,从而实现更高程度的国际协调。

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