中国当代医药2024,Vol.31Issue(13) :84-87.

赣州市人类免疫缺陷病毒抗体筛查方法假阳性分析

False-positive analysis of human Immunodeficiency virus antibody screening methods in Ganzhou

高倩 廖勇 胡晓军 苏俊枝 刘俊杰 唐满妹
中国当代医药2024,Vol.31Issue(13) :84-87.

赣州市人类免疫缺陷病毒抗体筛查方法假阳性分析

False-positive analysis of human Immunodeficiency virus antibody screening methods in Ganzhou

高倩 1廖勇 1胡晓军 1苏俊枝 1刘俊杰 1唐满妹1
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作者信息

  • 1. 江西省赣州市疾病预防控制中心检验科,江西赣州 341000
  • 折叠

摘要

目的 探讨2015年1月至2022年12月赣州市疾病预防控制中心(CDC)人类免疫缺陷病毒(HIV)抗体筛查实验室4 697份样本的假阳性.方法 对赣州市辖区内筛查阳性的4 697份样本采用免疫印迹法进行确诊实验,统计分析获得各县区及各年份的假阳性率.结果 通过人口特征分析发现女性的检测假阳性率高于男性,孕产期检测和献血人员检测假阳性率高于其他样本来源,差异有统计学意义(P<0.05),提示临床检测时需注意特殊人群;在2015年1月至2022年12月收集的4 697份样本总的假阳性率高达12.14%,并且呈现不断增长趋势,不同年份样本的假阳性率比较,差异有统计学意义(P<0.05);18个县区中有10个县区假阳性率大于10%,CDC均使用第三代酶联免疫法试剂,而医疗机构以化学发光试剂为主.结论 HIV抗体筛查阳性时依然非常有必要进行确诊实验检测,进一步确诊HIV感染,为临床诊断提供参考依据.

Abstract

Objective To investigate the false positives of 4 697 samples from the human immunodeficiency virus(HIV)an-tibody screening laboratory in Ganzhou Center for Disease Control and Prevention from January 2015 to December 2022.Methods Western blotting was used to confirm 4 697 positive samples in Ganzhou.The false positive rate of each county and each year was obtained by statistical analysis.Results Through demographic analysis,it was found that the false posi-tive rate of females was higher than that of males,and the false positive rate of prenatal testing and blood donor testing were higher than the other sample source,and the differences were statistically significant(P<0.05),indicating the need to pay attention to special populations during clinical testing.The total false positive rate of 4 697 samples collected from January 2015 to December 2022 was as high as 12.14%,and showed a growing trend.There were significant differences in the false positive rate between years(P<0.05).The false positive rate was greater than 10%in 10 of the 18 counties.CDC all use third-generation enzyme-linked immunosorbent assay reagents,while medical institutions mainly use chemiluminescence reagents.Conclusion When HIV antibody screening is positive,it is still very necessary to conduct confirmatory test to fur-ther confirm HIV infection and provide reference for clinical diagnosis.

关键词

人类免疫缺陷病毒/假阳性/筛查方法/确诊实验

Key words

Human immunodeficiency virus/False positive/Screening method/Confirmatory test

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基金项目

江西省卫生健康委科技项目(202312004)

江西省赣州市指导性科技计划(GZ2023ZSF341)

出版年

2024
中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
参考文献量20
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