[5种国产乙型肝炎病毒表面抗原抗体酶免疫测定试剂盒的评价]。

中国疫苗和免疫 Pub Date : 2009-10-01
Feng Wang, Jing-Chen Ma, Wen-Ying Zhang
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引用次数: 0

摘要

目的:筛选一种适合全国乙型肝炎病毒感染调查中抗hbs血清学检测的EIA试剂盒。方法:选取国产抗hbs EIA检测试剂盒畅销榜前5种试剂盒,各检测5次(阳性44次,阴性108次)。记录每次试验的s/n比,用log(s/n+1)变换。计算各试剂盒间的信度指标ICC和CV与效度指标AUC、pac和Se(FPR=e)进行比较。结果:5种试剂盒的ICC和CV指标按D、E、B、C、A的顺序排列,从好到坏,除CV指标E与B之间差异显著外,其他5种试剂盒的ICC和CV指标差异均显著(Bootstrap法,P < 0.05);AUCs范围为0.980 ~ 0.993,除试剂盒A最低外,各组间pac无显著差异。当特异性固定为0.97时,试剂盒E的灵敏度最高,高于试剂盒B、C和D,后三者的灵敏度均高于试剂盒A(Bootstrap法,P < 0.05)。结论:5种试剂盒均表现优异,综合考虑了信度、效度指标及其功能,以试剂盒D为最佳。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Evaluation of 5 kinds of China-made enzyme immunoassay kits for antibody to hepatitis B virus surface antigen detection].

Objective: To Screen an EIA kit that fits best for using in serological detection of anti-HBs in the national investigation of hepatitis B virus infection.

Methods: Top 5 kinds of kits on the best seller list of China-made anti-HBs EIA detection kits were selected and each was detected the anti-HBs panel(44 positive and 108 negative) 5 times. The s/n ratio of each test was recorded and transformed by log(s/n+1). ICC and CV, the reliability indices and AUC, pAUC and Se(FPR=e), the validity indices were calculated and compared between each kit.

Results: The indices of ICC and CV of the 5 kinds of kits arranged in the same order of D, E, B, C and A, from the best to the worst and the differences between them were significantly important (Bootstrap method, P < 0.05), except for between E and B in the index of CV; the AUCs ranged from 0.980 to 0.993 and pAUCs did not differ with each other, except with kit A, the lowest one. Kit E had the highest sensitivity which was higher than kits B, C and D when the specificity was fixed at 0.97, and the later kits were higher than kit A(Bootstrap method, P < 0.05).

Conclusion: All the 5 kits are excellent and have synthetically considered the reliability and validity indicators and its function, kit D is the best.

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