尿液HIV1抗体检测及其临床意义    FREE
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刘文恩

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R512.91

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Detection and clinical significance  of HIV1 antibody in    FREE
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    摘要:

    目的探讨尿液标本中人免疫缺陷病毒(HIV)1抗体检测的临床意义。方法应用酶联免疫吸附试验(ELISA)对59例经疾病预防控制中心(CDC)确诊的HIV感染者及30例健康体检者血液和尿液标本同时进行HIV1抗体检测;以确认结果为准,计算尿液HIV1抗体检测的敏感度、特异度。结果59例经CDC确诊的HIV感染者血清HIV1抗体全部阳性,相应尿液中HIV1抗体阳性53例,阴性6例;对照组30例的血清HIV1抗体全部阴性,相应尿液1例HIV1抗体阳性,经血清ELISA法及胶体硒法对该样本进行HIV1抗体检测均阴性。以确认结果为准,尿液HIV1抗体检测阳性敏感度为89.83%,特异度为96.67%。结论在采集血液标本不便的情况下,可通过检测尿液HIV1抗体对高危人群进行HIV感染筛查。

    Abstract:

    Detection and clinical significance  of HIV1 antibody in urineGUO Jingjing1, XU Dan2, WANG Min2, XIE Weiwei3, LIU Wenen1(1 Xiangya Hospital, Central South University, Changsha 410008, China; 2 Infectious Disease Hospital of Changsha,  Changsha 410011, China; 3 Department of Medical Laboratory of Xiangya School of Medicine,  Central South University, Changsha 410013, China)[Abstract]ObjectiveTo evaluate the clinical significance of detecting antiHIV1 antibody in urine samples.  MethodsAntiHIV1 antibody was  tested in serum and urine samples from 59 HIVinfected persons diagnosed by Provincial Center for Disease Control and Prevention and 30 healthy controls with  ELISA; Taking the results of the counterpart serum samples tested as standard, the sensitivity and specificity of  antiHIV1 antibody in urine samples were calculated.ResultsAmong 59 HIVinfected cases, antiHIV1 antibody positive results of serum test were observed in all cases, while 53 urine samples showed positive and 6 ones were negative. None of the serum samples showed antiHIV1 antibody positive in the control group, but 1 urine sample was positive, which was determined to be negative by serum enzymelinked immunosorbent assay and electroselenium assay. The sensitivity and specificity for the urine ELISA were 89.83% and 96.67% respectively. ConclusionThe results indicate that urine antiHIV1 antibody can be tested to screen HIV infection in high risk population, if serum samples are unavailable.

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郭婧婧,徐丹,王敏,等.尿液HIV1抗体检测及其临床意义    FREE[J]. 中国感染控制杂志,2010,9(1):22-24.
GUO Jingjing, XU Dan, WANG Min, et al. Detection and clinical significance  of HIV1 antibody in    FREE[J]. Chin J Infect Control, 2010,9(1):22-24.

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  • 收稿日期:2009-08-25
  • 最后修改日期:2009-09-15
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  • 在线发布日期: 2010-01-30
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