Study on PEG reducing false positive interference in HIV fourth generation reagent detection
10.3969/j.issn.1673-9701.2024.13.011
- VernacularTitle:PEG降低HIV第四代试剂检测假阳性干扰的研究
- Author:
Dongdong YANG
1
;
Yinyu MU
;
Riyi ZHANG
;
Jing LI
;
Lin XU
Author Information
1. 宁波市医疗中心李惠利医院检验科,浙江宁波 315040
- Keywords:
Human immunodeficiency virus;
Polyethylene glycol;
Chemiluminescence;
False positive;
Interference
- From:
China Modern Doctor
2024;62(13):40-42,59
- CountryChina
- Language:Chinese
-
Abstract:
Objective Study on the reduction of false positive interference in the detection of human immunodeficiency virus(HIV)by chemiluminescence method with polyethylene glycol(PEG)precipitation.Methods A total of 109 outpatients and inpatients in Ningbo Medical Center,Lihuili Hospital from January to June 2022 were selected.The positive samples initially screened by chemiluminescence method were confirmed by Western blotting,and 20 true positive samples and 89 false positive samples were confirmed.According to whether treatment agent was added,the false-positive samples were divided into three groups:no PEG precipitation group(no special treatment,89 cases),PEG precipitation group(PEG precipitation treatment,89 cases)and control group(normal saline treatment,89 cases).The level of HIV antigen/antibody(Ag/Ab)in supernatant was measured after centrifugation,and the difference of HIV Ag/Ab level and recovery rate before and after different treatment methods were compared.Results After intervention,the HIV Ag/Ab concentration in PEG precipitation group and control group was significantly lower than that in non-PEG precipitation group(P<0.001).After intervention,there were 3 positive cases in PEG precipitation group and 56 positive cases in control group,and the positive rates were significantly lower than those in non-PEG precipitation group(P<0.001).The recovery rate of PEG precipitation group was 4.92(2.12,12.69)%,and that of control group was 65.28(18.04,91.28)%.The recovery rate of true positive samples was>50%regardless of PEG treatment or normal saline treatment.Conclusion PEG precipitation method can effectively reduce the false positive interference of chemiluminescent HIV fourth-generation reagent detection,and has no effect on true positive samples.
