Screening for Human Immunodeficiency Virus Infection by Use of a Fourth-Generation Antigen/Antibody Assay and Dried Blood Spots: In-Depth Analysis of Sensitivity and Performance Assessment in a Cross-Sectional Study
Author(s) -
Karl Stéfic,
Jérôme Guinard,
Gilles Peytavin,
Leïla Saboni,
Cécile Sommen,
Claire Sauvage,
Florence Lot,
Syria Laperche,
Annie Velter,
Françis Barin
Publication year - 2019
Publication title -
journal of clinical microbiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.349
H-Index - 255
eISSN - 1070-633X
pISSN - 0095-1137
DOI - 10.1128/jcm.01645-19
Subject(s) - antibody , dried blood , dried blood spot , population , medicine , immunoassay , human immunodeficiency virus (hiv) , antigen , immunology , cross sectional study , fourth generation , virology , biology , third generation , pathology , chemistry , environmental health , chromatography , genetics , telecommunications , computer science
We evaluated the performance of a fourth-generation antigen/antibody (Ag/Ab) assay for detecting HIV-1 infection on dried blood spots (DBS) both in a conventional laboratory environment and in an epidemiological survey corresponding to a real-life situation. Although a 2-log loss of sensitivity compared to that with plasma was observed when using DBS in an analytical analysis, the median delay of positivity between DBS and crude serum during the early phase postacute infection was 7 days.
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