Literature DB >> 12375660

Clinical specificity and sensitivity of a blood screening assay for detection of HIV-1 and HCV RNA.

Janet Vargo1, Katie Smith, Caroline Knott, Songbai Wang, Chyang Fang, Sherrol McDonough, Cristina Giachetti, Sally Caglioti, Richard Gammon, Denise Gilbert, J Brooks Jackson, William Richards, Susan Stramer, Larry Mimms.   

Abstract

BACKGROUND: An HIV-1 and HCV NAT blood screening assay (Procleix HIV-1/HCV, Gen-Probe, Inc.) simultaneously detecting HIV-1 and HCV RNA) has been implemented. Donor plasma samples reactive in the Procleix HIV-1/HCV assay are tested with the HIV-1 and HCV discriminatory assays to resolve whether HIV-1 RNA, HCV RNA, or both are present. STUDY DESIGN AND METHODS: To determine the specificity of the Procleix HIV-1/HCV assay, data were analyzed for samples from 192,288 donations, tested in 16-member pools. To determine sensitivity, data were analyzed for 2014 commercial samples known to contain HIV-1, HCV, or both, as well as 10 HIV-1 and 10 HCV commercial seroconversion panels.
RESULTS: The specificity of the Procleix HIV-1/HCV assay was 99.7 percent. The HIV-1 and HCV discriminatory assays showed similar specificity. The sensitivity of the Procleix HIV-1/HCV assay was 99.9, 99.6, and 100 percent, respectively, for samples containing HIV-1, HCV, or both. The Procleix discriminatory assays were comparably sensitive. The Procleix discriminatory assays detected all tested samples of known HIV-1 subtype or HCV genotype. Procleix HIV-1/HCV testing of seroconversion panels showed that the median times to a positive reaction for HIV-1 and HCV were reduced by 3 and 25 days, respectively, compared to serologic tests.
CONCLUSION: These studies support the use of the Procleix HIV-1/HCV assay for routine blood donor screening.

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Year:  2002        PMID: 12375660     DOI: 10.1046/j.1537-2995.2002.00130.x

Source DB:  PubMed          Journal:  Transfusion        ISSN: 0041-1132            Impact factor:   3.157


  9 in total

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Journal:  J Clin Microbiol       Date:  2002-07       Impact factor: 5.948

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Authors:  C Thomas Nugent; Vladislav Nodelman; Cristina Giachetti; Douglas D Richman; David J Looney
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Authors:  Elizabeth P Garcia; Lori A Dowding; Lawrence W Stanton; Vladimir I Slepnev
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Review 8.  PCR-based diagnostics for infectious diseases: uses, limitations, and future applications in acute-care settings.

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  9 in total

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