用于检测临床样本中乙型肝炎表面抗原的 Determine HBsAg 2 快速检测卡性能评估。

Jasmine Samal, Anushka Soni, Amit Pandey, Gagan Chooramani, Ekta Gupta
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引用次数: 0

摘要

目的和背景:乙型肝炎病毒是慢性肝病的主要病因之一。提高检测乙型肝炎感染的灵敏度和特异性的快速诊断测试有助于在资源有限的环境中进行大规模的社区筛查。本研究旨在评估检测 HBsAg 的快速卡片测试的临床性能:在这项研究中,使用 Determine HBsAg 2 检测卡对解冻后的存档血清样本进行了检测,并参照基于化学发光的检测方法(HBsAg 定性检测,美国雅培诊断公司)对其性能进行了评估:本研究共使用了 120 份患者样本(46 份确诊为 HBsAg 阳性,74 份确诊为 HBsAg 阴性)。研究对象的总年龄中位数为 44 岁(IQR:36-51 岁),男性占多数(90%)。与参考测定相比,Determine HBsAg 2测定的特异性为100%(74/74),灵敏度为84.7%(39/46)。卡片检测出现假阴性结果的样本(n = 7)的 HBsAg 水平低于卡片检测的检测限:Determine HBsAg 2 检测法可在 15 分钟内快速得出结果,灵敏度和特异性都很高。结论:Determine HBsAg 2 检测试剂盒可在 15 分钟内快速检测出结果,并具有良好的灵敏度和特异性,因此是大规模筛查和公共卫生监测项目中经济实惠的好工具:临床意义:用于早期检测乙型肝炎感染的准确而经济的快速卡片检测可快速隔离感染病例,从而减少社区传播:Samal J, Soni A, Pandey A, et al. Determine HBsAg 2 快速检测卡检测临床样本中乙肝表面抗原的性能评估。Euroasian J Hepato-Gastroenterol 2024;14(1):9-11.
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Performance Evaluation of Determine HBsAg 2 Rapid Card Test for the Detection of Hepatitis B Surface Antigen in Clinical Samples.

Performance Evaluation of Determine HBsAg 2 Rapid Card Test for the Detection of Hepatitis B Surface Antigen in Clinical Samples.

Aim and background: Hepatitis B virus is one of the leading underlying causes of chronic liver disease. Rapid diagnostic tests with improved sensitivity and specificity for detecting hepatitis B infection could aid in large-scale community screening in resource-limited settings. This study was designed to assess the clinical performance of a rapid card test to detect HBsAg.

Materials and methods: In this study, archived once-thawed serum samples were tested on the Determine HBsAg 2 card and their performance was evaluated in reference to a chemiluminescence-based assay (HBsAg qualitative assay, Abbott Diagnostics, US).

Results: A total of 120 patient samples (46 confirmed HBsAg-positive and 74 confirmed HBsAg-negative) were used in this study. The overall median age of the study population was 44 years (IQR: 36-51 years), with a male gender predominance (90%). A specificity of 100% (74/74) and sensitivity of 84.7% (39/46) was observed for the Determine HBsAg 2 assay compared with the reference assay. The samples that showed false-negative results (n = 7) by the card test had HBsAg levels below the limit-of-detection of the card assay.

Conclusion: The Determine HBsAg 2 assay gives rapid results in 15 minutes with good sensitivity and specificity. This makes it a good, affordable tool for large-scale screening and public health surveillance programs.

Clinical significance: Accurate and cost-effective rapid card tests for early detection of Hepatitis B infection would enable quick isolation of infected cases, thus reducing transmission in the community.

How to cite this article: Samal J, Soni A, Pandey A, et al. Performance Evaluation of Determine HBsAg 2 Rapid Card Test for the Detection of Hepatitis B Surface Antigen in Clinical Samples. Euroasian J Hepato-Gastroenterol 2024;14(1):9-11.

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