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酶联免疫吸附试验检测梅毒螺旋体抗体的分析性能评价

Performance Evaluation of ELISA in the Detection of Treponema Pallidum Antibody

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目的 评价ELISA检测梅毒螺旋体(TP)抗体的分析性能,探讨未知诊断的定性实验的性能评价方法.方法 参照临床实验室标准化协会(CLSI)发布的EP12-A2文件对ELISA法测定TP的临界值±20%范围的重复性进行分析,并与TP明胶凝集试验(TPPA)结果进行一致性比较.结果 +20%浓度临界值检测阳性率为≥95%,CV为14.8%;-20%浓度临界值检测阴性率≥95%,CV为19.6%;两种方法的一致程度百分比为99.6%,一致程度95%可信区间为98.8%~99.6%.结论 TP-ELISA法检测TP抗体的临界值±20%浓度范围之外标本,可得到可靠的检测结果.TP-ELISA法与TPPA法结果一致性好,可代替其作为TP诊断试验.
Objective To evaluate the performance of treponema pallidum (TP) antibody detected by ELISA.Methods According to the CLSI document EP12-A2,the reproducibility of TP antibody measurement within the range of ±20% cut off by ELISA was analyzed,and the concordance was compared with TP particle agglutination assay (TPPA).Results The samples with +20% concentrations from the cut-off point yielded positive rate ≥95%.The coefficient of variation (CV) was 14.8%.The yielded negative rate was ≥95% in samples with-20% concentrations from the cut-off point.The CV was 19.6%.The comparison of the two analysis assay was showed that the concordance was 99.6%.The 95% confidence interval was 98.8% ~99.6%.Conclusion The reliable results could be acquired by ELISA when it utilized in the detection of TP antibody with the concentration away from the range of ±20% cut off.The ELISA could replace TPPA for the treponema pallidum antibody detection.

Treponema pallidum antibodyELISAParticle agglutination assayQualitative testPerformance evaluationDiagnosis

庄岳鹏、肖辉建、吕丽红、赵婉婷、王思敏

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解放军第180医院,福建泉州362000

梅毒螺旋体抗体 酶联免疫吸附试验 明胶凝集试验 定性试验 性能评价 诊断

2013

标记免疫分析与临床
中国同辐股份有限公司

标记免疫分析与临床

CSTPCD
影响因子:0.978
ISSN:1006-1703
年,卷(期):2013.20(6)
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