核酸检测与酶联免疫吸附法检测HIV、HBV、HCB的性能分析

Wei Huang , Wei Wei , Xiao Tian Shi , Tianlun Jiang
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引用次数: 6

摘要

目的探讨核酸检测(NAT)与酶联免疫吸附试验(ELISA)联合应用的临床疗效。方法对2015年1月~ 2016年12月住院患者106488份HIV、HBV、HCV检测标本,采用NAT + ELISA检测,比较同一患者的阳性、阴性符合率。结果HIV检测结果99.85%(106324例)、HBV检测结果94.80%(100951例)、HCV检测结果99.45%(105902例)相同。HIV、HBV和HCV的NAT+/ELISA -分别为21、316和0,HIV、HBV和HCV的NAT+/ELISA -分别为143、4958和586。结论NAT与ELISA联合应用可有效提高HIV、HBV、HCV的检测准确率和筛查效率,降低漏检率,降低医源性感染风险。
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The analysis of the detection performance of nucleic acid testing and ELISA for HIV, HBV and HCB

Objective

To explore the clinical efficacy of Nucleic acid testing (NAT) in combination with Enzyme linked immunosorbent assay (ELISA).

Methods

Between January 2015 and December 2016, 106,488 specimens from hospitalized patients were detected for HIV, HBV, and HCV by using NAT plus ELISA to compare the positive and negative coincidence rate in the same patient.

Results

99.85% (106,324) HIV results, 94.80% (100,951) HBV results and 99.45% (105,902) HCV results were identical by both tests. The results, showing NAT+/ELISA, for HIV, HBV, and HCV were 21, 316 and 0 respectively, and the results, showing NAT+/ELISA, for HIV, HBV, and HCV were 143, 4958 and 586 respectively.

Conclusions

The combination of NAT and ELISA could effectively improve the detection accuracy and screening efficiency for HIV, HBV and HCV, decrease the rate of missed detection, and reduce the risk of iatrogenic infection.

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