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Detection of human immunodeficiency virus type-1 antibody from oral mucosal transudate using gelatin particles aggregation less-sensitive method

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机构: [1]Department of Prosthetic Dentistry,Kunming Medical University School of Stomatology, Kunming, Yunnan Province, China [2]Department of Infectious Diseases, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province, China [3]Department of Periodontics, Affiliated Stomatology Hospital of Kunming Medical University, Kunming, Yunnan Province, China. [4]Department of Oral Medicine, Kunming Medical University School of Stomatology, Kunming, Yunnan Province, China
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关键词: Gelatin particles aggregation less-sensitive method Human immunodeficiency virus type-1 antibody Oral mucosal transudate

摘要:
Health care workers in stomatology department are at a high risk of occupational HIV infection, and so a non-invasion detecting method with higher bio-safety is essential to be applied before therapy. The oral mucosal transudate (OMT) and venous blood specimens were collected in three groups, including HIV-1 antibody-positive group, high-risk group and general group. Simultaneously the OMT samples were detected by gelatin particles aggregation less-sensitive (PA-LS), and the serum samples were screened by ELISA and confirmed by Western blot (WB). According to the final results of ELISA/WB, it was to evaluate the sensitivity, specificity, omission diagnostic rate, mistake diagnostic rate, positive predictive value and negative predictive value of PA-LS method. For HIV-1 antibody-positive group, the sensitivity of PA-LS detecting HIV-1 antibody in OMT specimens was 100%, the omission diagnostic rate was 0. For high-risk group, the sensitivity of PA-LS detecting HIV-1 antibody on OMT samples was 100%, the specificity was 97.49%, the omission diagnostic rate was 0, the mistake diagnostic rate was 2.51%, the positive predictive value was 88.52% and the negative predictive value was 100%. Compared to ELISA detecting HIV-1 antibody in serum specimens, the consistency of PA-LS detecting HIV-1 antibody positive on OMT samples was excellent (Kappa > 0.8), and the statistical difference of PA-LS detecting HIV-1 antibody in OMT specimens was significant (P < 0.05). In conclusion, compared to HIV-1 antibody detection from serum specimens by ELISA/WB, PA-LS detecting HIV-1 antibody from OMT specimens was non-invasive and accurate.

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出版当年[2017]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学 4 区 病理学
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第一作者机构: [1]Department of Prosthetic Dentistry,Kunming Medical University School of Stomatology, Kunming, Yunnan Province, China
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通讯机构: [4]Department of Oral Medicine, Kunming Medical University School of Stomatology, Kunming, Yunnan Province, China [*1]Department of Oral Medicine, Kunming Medical University School of Stomatology, 1168 West Chunrong Road, Yuhua Street, Chenggong New City, Kunming 650500, Yunnan Province, China.
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