[Comparison of ELISA diagnostic kits used in China for hepatitis C virus IgG antibody detection]

Qing-Ling Meng1, Jian Lu, Feng Qiu

  • 1Institute for Viral Disease Control and Prevention, China CDC, Beijing 102206, China.

Insights

Commercial diagnostic reagents for hepatitis C virus (HCV) IgG antibody detection in China show high conformity rates, with reagent D demonstrating the best performance. This evaluation aids in HCV prevention strategies.

Area of Science:

  • Medical Diagnostics
  • Virology
  • Public Health

Background:

  • Hepatitis C virus (HCV) infection is a significant global health concern.
  • Accurate and reliable diagnostic tools are crucial for effective HCV prevention and control programs.
  • Commercial diagnostic reagents play a vital role in widespread HCV screening.

Purpose of the Study:

  • To evaluate and compare the performance of commercially available hepatitis C virus (HCV) IgG antibody detection reagents in China.
  • To provide data to inform the selection of reliable diagnostic tools for HCV prevention efforts.
  • To assess the conformity and accuracy of different commercial kits against a gold standard.

Main Methods:

  • Six commercial HCV-IgG antibody detection reagents (Enterprises A-F) were selected for evaluation.
  • A total of 160 serum samples, including 88 positive and 72 negative for HCV, were tested.
  • ABBOTT's HCV-IgG reagent was used as the gold standard, with RIBA method for gray zone samples.

Main Results:

  • Total conformity rates across the six reagents ranged from 88.13% to 98.13% when compared to the gold standard.
  • Youden indexes varied from 0.74 to 0.96, indicating good diagnostic accuracy for most reagents.
  • Reagent D exhibited the highest conformity (98.13%) and the highest Youden index (0.96).

Conclusions:

  • Commercial HCV-IgG antibody detection reagents available in China demonstrate high overall conformity, exceeding 88% compared to the ABBOTT gold standard.
  • While generally reliable, variations in performance were noted, particularly concerning the detection of negative samples for some reagents.
  • The findings support the use of these reagents for HCV screening but highlight the need for careful selection based on performance data for optimal HCV prevention.
Abstract