[5种国产乙型肝炎病毒e抗原抗体酶免疫测定试剂盒的评价]。

中国疫苗和免疫 Pub Date : 2009-10-01
Feng Wang, Jing-Chen Ma, Tao Yu
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引用次数: 0

摘要

目的:从5种国产EIA试剂盒中选择一种较好的试剂盒用于全国乙型肝炎调查中抗hbe的血清学检测。方法:选取国产抗- hbe EIA检测畅销榜前5种试剂盒,分别检测抗- hbe面板(阳性66例,阴性88例)5次。记录每次试验的co/s比,用log(co/s+1)变换。计算每两个试剂盒的信度指标ICC和CV与效度指标AUC、pac和Se(PR=e)进行比较。结果:5种试剂盒的ICC和CV指标按A、E、C、D、B的顺序排列,从好到坏。对于ICC,除了kit C和e之间存在差异外,两者之间存在显著差异(Bootstrap方法,P < 0.05), auc的大小为0.969 ~ 0.996;pac和Se(FPR=e)指数的排序分别为C、e、D、A、B和C、D、e、B、A;试剂盒C的两项指标均显著高于其他各组(Bootstrap法,P < 0.05)。结论:5种试剂盒均为优良试剂盒,以C试剂盒为最佳。
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[Evaluation of 5 kinds of China-made enzyme immunoassay kits for antibody to hepatitis B virus e antigen detection].

Objective: The aim of this study is to select a better one from five EIA kits made in China for the serological detection of anti-HBe in a national hepatitis B survey.

Methods: Top 5 kinds of kits on the best seller list of China-made anti-HBe EIA detection were selected and each was detected the anti-HBe panel (66 positive and 88 negative) 5 times. The co/s ratio of each test was recorded and transformed by log(co/s+1). ICC and CV, the reliability indices and AUC, pAUC and Se(PR=e), the validity indices were calculated and compared between every two kits.

Results: The indices of ICC and CV of the 5 kinds of kits arranged in the same order of A, E, C, D and B, from the best to the worst. For ICC, there were significantly different between every two of them (Bootstrap method, P < 0.05), except for between kit C and E. The magnitude ofAUCs were from 0.969 to 0.996; the orders of pAUC and Se(FPR=e) indices was C, E, D, A, B, and C, D, E, B, A respectively; both the indices of kit C were significantly higher than others (Bootstrap method, P < 0.05).

Conclusion: All the 5 kinds of kits are excellent and kit C is the best.

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