优化艾滋病毒检测:在ART治疗和一般查人群中比较诊断特征和测试性能
Qian Liu1, Xinru Liu2, Le Chang2
1Department of Laboratory Medicine, Beijing Hospital, National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, People's Republic of China.
Clinica chimica acta; international journal of clinical chemistry
|February 23, 2025
概括
准确的艾滋病毒检测对于患者的治疗结果和传播控制至关重要. 这项研究揭示了ART治疗个体与一般查之间的独特HIV标志物模式,需要针对血液安全量身定制的诊断方法.
科学领域:
- 病毒学 病毒学
- 免疫学 免疫学 免疫学
- 公共卫生 公共卫生
背景情况:
- 早期和准确的人类免疫缺陷病毒 (HIV) 检测对于患者管理和预防传播至关重要.
- 了解不同人群中的HIV标志物模式,包括那些接受抗逆转录病毒疗法 (ART) 的人群,对于完善诊断策略至关重要.
研究的目的:
- 为了比较ART患者和接受一般血液查的人之间的HIV标志物概况.
- 在这些不同的人群中评估各种艾滋病毒检测试验的性能.
- 提高艾滋病毒诊断的准确性,提高输血安全.
主要方法:
- 分析了196个献血样本和126个来自艾滋病毒感染者 (PLWH) 接受ART的样本.
- 检测试验包括HIV RNA (NAT),抗原/抗体 (Ag/Ab) 组合试验和西斑 (WB).
- 评估两个抗原检测套件和八个Ag/Ab套件的性能.
主要成果:
- 所有ART样本均为Ag/Ab阳性;32.5%的病毒载量无法检测.
- 献血者显示NAT和Ag/Ab的阳性率为90.8%,其中一个子集表明早期急性感染 (NAT阳性,Ag/Ab阴性).
- 第四代Ag/Ab套件对NAT阳性捐赠者表现出高灵敏度 (95.2%),而罗氏套件表现最好.
结论:
- 在ART治疗个人和一般查人群之间,艾滋病毒检测标志物存在显著差异.
- 目前的诊断分析显示,这些组的表现各不相同.
- 定制的诊断策略对于确保血液安全和有效的艾滋病毒管理至关重要.
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