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Tytuł pozycji:

An HIV Diagnostic Testing Algorithm Using the cobas HIV-1/HIV-2 Qualitative Assay for HIV Type Differentiation and Confirmation.

Tytuł:
An HIV Diagnostic Testing Algorithm Using the cobas HIV-1/HIV-2 Qualitative Assay for HIV Type Differentiation and Confirmation.
Autorzy:
Duncan D; Roche Molecular Systems, Pleasanton, California, USA.
Duncan J; Roche Molecular Systems, Pleasanton, California, USA.
Kramer B; Roche Molecular Systems, Basel, Switzerland.
Nilsson AY; Roche Molecular Systems, Basel, Switzerland.
Haile B; Roche Molecular Systems, Pleasanton, California, USA.
Butcher A; Roche Molecular Systems, Pleasanton, California, USA.
Chugh S; Roche Molecular Systems, Pleasanton, California, USA.
Baum P; Roche Molecular Systems, Pleasanton, California, USA.
Aldrovandi GM; Department of Pediatrics, University of California, Los Angeles, Los Angeles, California, USA.
Young S; TriCore Reference Laboratories, Albuquerque, New Mexico, USA.
Avery AK; MetroHealth, Cleveland, Ohio, USA.
Tashima K; The Miriam Hospital, Providence, Rhode Island, USA.
Valsamakis A; Roche Molecular Systems, Pleasanton, California, USA.
Yao JD; Division of Clinical Microbiology, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.
Chang M; Department of Laboratory Medicine and Pathology, University of Washington, Seattle, Washington, USA.
Coombs RW; Department of Laboratory Medicine and Pathology, University of Washington, Seattle, Washington, USA.; Department of Medicine, University of Washington, Seattle, Washington, USA.
Źródło:
Journal of clinical microbiology [J Clin Microbiol] 2021 Jun 18; Vol. 59 (7), pp. e0303020. Date of Electronic Publication: 2021 Jun 18.
Typ publikacji:
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
Język:
English
Imprint Name(s):
Original Publication: Washington, American Society for Microbiology.
MeSH Terms:
HIV Infections*/diagnosis
HIV-1*/genetics
Algorithms ; Diagnostic Tests, Routine ; HIV-2/genetics ; Humans ; RNA, Viral ; Sensitivity and Specificity
References:
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Grant Information:
UM1 AI069412 United States AI NIAID NIH HHS; UM1 AI068618 United States AI NIAID NIH HHS; P30 AI042853 United States AI NIAID NIH HHS; P30 AI027757 United States AI NIAID NIH HHS; UM1 AI106701 United States AI NIAID NIH HHS
Contributed Indexing:
Keywords: HIV-1; HIV-2; PCR; diagnosis; testing algorithm
Substance Nomenclature:
0 (RNA, Viral)
Entry Date(s):
Date Created: 20210415 Date Completed: 20210628 Latest Revision: 20211219
Update Code:
20240104
PubMed Central ID:
PMC8218759
DOI:
10.1128/JCM.03030-20
PMID:
33853869
Czasopismo naukowe
Human immunodeficiency virus types 1 and 2 (HIV-1 and HIV-2) diagnostic testing algorithms recommended by the Centers for Disease Control involve up to three tests and rely mostly on detection of viral antigen and host antibody responses. HIV-1 p24 antigen/HIV-1/HIV-2 antibody-reactive specimens are confirmed with an immunochromatographic HIV-1/HIV-2 antibody differentiation assay, and negative or indeterminate results from the differentiation assay are resolved by an HIV-1-specific nucleic acid amplification test (NAT). The performance of a proposed alternative algorithm using the cobas HIV-1/HIV-2 qualitative NAT as the differentiation assay was evaluated in subjects known to be infected with HIV-1 ( n  = 876) or HIV-2 ( n  = 139), at low ( n  = 6,017) or high ( n  = 1,020) risk of HIV-1 infection, or at high-risk for HIV-2 infection ( n  = 498) (study A). The performance of the cobas HIV-1/HIV-2 qualitative test was also evaluated by comparison to an HIV-1 or HIV-2 alternative NAT (study B). The HIV-1 and HIV-2 overall percent agreements (OPA) in study A ranged from 95% to 100% in all groups. The positive percent agreements (PPA) for HIV-1 and HIV-2 were 100% (876/876) and 99.4% (167/168), respectively, for known positive groups. The negative percent agreement in the HIV low-risk group was 100% for both HIV-1 and HIV-2. In study B, the HIV-1 and HIV-2 OPA ranged from 99% to 100% in all groups evaluated ( n  = 183 to 1,030), and the PPA for HIV-1 and HIV-2 were 100% and 99.5%, respectively, for known positive groups. The cobas HIV-1/HIV-2 qualitative assay can discriminate between HIV-1 and HIV-2 based on HIV RNA and can be included in an alternative diagnostic algorithm for HIV.

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