Evaluation of blood samples collected by dried blood spots (DBS) method for hepatitis B virus DNA quantitation and its stability under real life conditions

IF 1.6 Q4 INFECTIOUS DISEASES Journal of clinical virology plus Pub Date : 2022-11-01 DOI:10.1016/j.jcvp.2022.100111
Rahul Garg, Krithiga Ramachandran, S. Jayashree, Reshu Agarwal, Ekta Gupta
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引用次数: 2

Abstract

We evaluated the diagnostic performance of dried blood spots (DBS) compared to plasma for detection and quantification of HBV-DNA under real-life conditions. Blood specimens from 100 known cases of chronic hepatitis B (CHB) requested for quantitative HBV-DNA were included. In a subset of 20 patients, three sets of DBS cards were prepared, one kept at -80°C, the other two kept at room temperature for 7 and 14 days, respectively. DBS method demonstrated sensitivity, specificity, and positive predictive value of 95.3%, 100%, and 100%, respectively in comparison to plasma. The mean HBV-DNA load in plasma was 4.8 log10 IU/ml while in DBS was 4.3 log10 IU/ml with a strong correlation (R2=0.9087). No significant change in viral load was observed at room temperature for up to 14 days. This study suggests that DBS for HBV viral-load quantitation is a good alternative to plasma as it is stable during storage at room temperature and therefore allows easy handling, storage, and transport of specimens in resource-limited settings.

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血斑干法测定乙型肝炎病毒DNA的评价及其在实际条件下的稳定性。
我们评估了干燥血斑(DBS)与血浆在现实条件下检测和定量HBV-DNA的诊断性能。来自100例已知慢性乙型肝炎(CHB)病例的血液标本被要求进行HBV-DNA定量分析。在20例患者中,准备了三套DBS卡,一套保存在-80°C,另两套保存在室温下,分别保存7天和14天。与血浆相比,DBS方法的敏感性、特异性和阳性预测值分别为95.3%、100%和100%。血浆中HBV-DNA平均负荷为4.8 log10 IU/ml, DBS中为4.3 log10 IU/ml,相关性较强(R2=0.9087)。在室温下,病毒载量未见显著变化长达14天。该研究表明,DBS用于HBV病毒载量定量是血浆的一种很好的替代方法,因为它在室温下储存时稳定,因此在资源有限的情况下易于处理、储存和运输标本。
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来源期刊
Journal of clinical virology plus
Journal of clinical virology plus Infectious Diseases
CiteScore
2.20
自引率
0.00%
发文量
0
审稿时长
66 days
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