首页|自建微流控-芯片法检测布鲁氏菌的性能验证及评价

自建微流控-芯片法检测布鲁氏菌的性能验证及评价

扫码查看
目的 采用自建微流控-芯片法检测系统对本实验室于2021年5月至2022年8月期间收集保存的布鲁氏菌阳性菌株、阳性血清、阴性血清进行检测,验证自建系统检测布鲁氏菌核酸的主要性能是否满足相关标准.方法 依据CNAS-GL039:2019《分子诊断检验程序性能验证指南》、《实验室自建分子诊断项目基本要求专家共识》、《布鲁菌病诊疗专家共识》相关要求,对自建微流控-芯片法检测系统的符合率、重复性、检出限、交叉反应、抗干扰能力、敏感性及特异性进行验证及评价.结果 自建检测系统与经血培养鉴定为布鲁氏菌阳性菌株、体检者阴性标本检测结果的阳性符合率为100%,阴性符合率为100%,总符合率为100%;1.50×108CFU/mL、500 CFU/mL布鲁氏菌阳性标本重复性检出率均为100%;检出限浓度(1000 copies/mL)企业参考品20次重复检测结果均为阳性;七种交叉反应病原体标本检测中,布鲁氏菌核酸结果均为阴性;在混有干扰物质的弱阳性布鲁氏菌标本检测中,布鲁氏菌核酸结果均为阳性;在布鲁氏菌感染检测中的敏感性和特异性分别为89.88%、95.74%.结论 微流控-芯片法检测系统的符合率、重复性、检出限、抗干扰能力、交叉反应、敏感性及特异性性能指标均符合相关标准及检测要求,可用于临床检测工作.
Performance verification and evaluation of self - built microfluidic chip for Brucella detection
Objective To detect positive strains,and positive/negative serum samples of Brucella collected and stored in our laboratory from May 2021 to August 2022,to verify whether the self-built system met the standards for detecting Brucella nucleic acid. Methods The selt-built microfluidic chip detection system was evaluated and verified for its coincidence rate,repeatability,detection-limit,cross-reaction,anti-interference ability,sensitivity,and specificity. This evaluation was conducted according to the CNAS-GL039:2019, Expert Consensus on Basic Requirements of Laboratory Self-Built Molecular Diagnostic Projects and Expert Consensus on Brucellosis Diagnosis and Treatment. Results The selt-built microfluidic chip detection system showed a 100%coincidence rate for detecting positive Brucella strains,and negative samples from physical examiners when compare to blood culture. The repeatability of detecting positive Brucella samples with 1.50 × 108 CFU/mL and 500 CFU/mL was 100%. The detection-limit concentration(1000 copies/mL)of the enterprise reference material was successfully detected in all 20 repeated tests. No Brucella nucleic acids were detected in the detection of seven cross-reaction pathogens. However,Brucella nucleic acids were detected in the detection of weakly positive Brucella samples mixed with interfering substances. The sensitivity and specificity of detecting Brucella were 89.88%and 95.74%,respectively. Conclusion The selt-built microfluidic chip detection system demonstrated a high coincidence rate,repeatability,detection-limit,and anti-interference ability,lack of cross-reaction,and satisfactory sensitivity and specificity. Therefore,this system can be applied for clinical detection.

BrucellaMicrofluidic chipPerformance verification

董占柱、陈昊、孙欣、包春喜、李英智、牛艺卿、李翔、郝明媛、杜彦丹

展开 >

内蒙古民族大学第二临床医学院,内蒙古林业总医院检验科,内蒙古,牙克石022150

内蒙古民族大学第二临床医学院,内蒙古林业总医院眼科,内蒙古,牙克石022150

内蒙古民族大学第二临床医学院,内蒙古林业总医院心内科,内蒙古,牙克石022150

内蒙古民族大学第二临床医学院,内蒙古林业总医院核医学科,内蒙古,牙克石022150

内蒙古民族大学第二临床医学院,内蒙古通辽市科尔沁区第一人民医院检验科,内蒙古,通辽028000

呼伦贝尔市传染病医院检验科,内蒙古,扎兰屯162650

展开 >

布鲁氏菌 微流控-芯片 性能验证

内蒙古自治区卫生健康科技计划

202201609

2024

分子诊断与治疗杂志
中山大学

分子诊断与治疗杂志

CSTPCD
影响因子:0.65
ISSN:1674-6929
年,卷(期):2024.16(2)
  • 18