Abstract
A total of 152 sera from African subjects were tested for presence of antibody to human immunodeficiency virus using four enzyme immunoassays (EIA) marketed by Abbott Diagnostics, Organon Teknika, Wellcome and Diagnostics Pasteur respectively, an indirect immunofluorescence assay (IFA) and an immunoblot assay (IBA) as reference test. The sensitivity (95 % confidence limits, CL) of the EIAs and the IFA ranged between 80.9 % and 99.1 %. The specificity of the Abbott EIA was lower (95 % CL: 38.1–72 %) than that of the other assays (95 % CL: 83.5–100 %). The use of an IFA or the Wellcome competitive EIA as confirmatory test on initially EIA positive sera yielded a specificity of 85.5–100% (95 % CL) compared with the IBA. The costs of screening by an EIA, followed by confirmatory testing of reactive sera with IFA or the Wellcome EIA and IBA on discrepant test results was similar for all combinations with the exception of initial screening with the Abbott EIA which was more expensive. Using a limited number of sera from African subjects no one test system yielded a significantly superior degree of specificity or sensitivity.
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Reesink, H. W., Huisman, J. G., Gonsalves, M., Winkel, I. N., Hekker, A. C.: Evaluation of six enzyme immunoassays for antibody against human immunodeficiency virus. Lancet 1986, ii: 483–486.
Courouce, A. M.: Evaluation of eight elisa kits for the detection of anti-LAV/HTLV-III antibodies. Lancet 1986, i: 1152–1153.
Carlson, J. R., Bryant, M. L., Hinrichs, S. H., Yamamoto, Y. K., Levy, N. B., Yee, J., Higgins, J., Levine, A. M., Holland, P., Gardner, M. B., Pedersen, N. C.: AIDS serology testing in low- and high-risk groups. Journal of the American Medical Association 1985, 253: 3405–3408.
Ward, J. W., Grindon, A. J., Feorino, P. M., Schable, C., Parvin, M., Allen, J. R.: Laboratory and epidemiology evaluation of an enzyme immunoassay for antibodies to HTLV-III. Journal of the American Medical Association 1986, 256: 357–360.
Biggar, R. J., Melbye, M., Kestens, L., de Feyter, M., Saxinger, C., Bodner, A. J., Paluko, L., Blattner, W. A., Gigase, P. L.: The seroepidemiology of HTLV III antibodies in a remote population of eastern Zaire. British Medical Journal 1985, 290: 808–810.
Saxinger, W. C., Levine, P. H., Dean, A. G., De Thé, G., Lange-Wantzin, G., Moghissi, J., Laurent, F., Mei, Hoh, Sarngadharan, M. G., Gallo, R. C.: Evidence for exposure to HTLV III in Uganda before 1973. Science 1985, 227: 1036–1038.
Mann, J. M., Colebunders, R. L., Ndangi Khonde, N. N., Jansegers, L., McCormick, J. B., Quinn, T. C., Kapita, B., Kapeta, K., Ngaly, B., Miatudila, M., Francis, H., Piot, P., Curran, J. W.: Natural history of human immunodeficiency virus infection in Zaire. Lancet 1986, ii: 707–709.
Kreiss, J. K., Koech, D., Plummer, F., Holmes, K., Lightfoote, M., Piot, P., Ronald, A., Ndinya-Achola, J. O., D'Costa, L. J., Roberts, P., Ngugi, E. N., Quinn, T. C.: AIDS virus infection in Nairobi prostitutes. New England Journal of Medicine 1986, 314: 414–418.
Brun-Vézinet, F., Rouzioux, C., Montagnier, L., Chamaret, S., Gruest, J., Barré-Sinoussi, F., Geroldi, D., Chermann, J. C., McCorick, J., Mitchell, S., Piot, P., Taelman, H., Kapita Bila, M., Odio, W., Mbendi N Mazebo, P., Kayembe, K., Bridts, C., Desmyter, J., Feinsod, F. M., Quinn, T. C.: Prevalence of antibodies to lymphadenopathy-associated retrovirus in African patients with AIDS. Science 1984, 226: 453–456.
Biggar, R. J., Gigase, P. L., Melbeye, M., Elbesen, P., Mann, D. L., Goedert, J. J., Weinstock, R., Strong, D., Blattner, W. A.: Elisa HTLV retrovirus antibody reactivity associated with malaria and immunocomplexes in healthy Africans. Lancet 1985, ii: 520–523.
Schupbach, J., Tanner, M.: Specificity of human immunodeficiency virus (LAV/HTLV-III)-reactive antibodies in African sera from southeastern Tanzania. Acta Tropica 1986, 43: 195–206.
Sandström, E. G., Schooley, R. T., Ho, D. D., Byington, R., Sarngadharan, M. G., MacLane, M. E., Essex, M., Gallo, R. C., Hirsch, M. S.: Detection of human anti-HTLV III antibodies by indirect immunofluorescence using fixed cells. Transfusion 1985, 25: 308–312.
Jenicek, M., Cléroux, R.: Théorème de Bayes. In: Epidémiologie, principes, techniques, applications. Edisem, Paris, 1982, p. 31–34.
Bibberfeld, G., Bredberg-Raden, V., Bottiger, B., Putkonen, P. O., Blomberg, J., Juto, P., Wadell, G.: Blood donor sera with false-positive western blot reactions to human immunodeficiency virus. Lancet 1986, ii: 289–290.
Burke, D. S., Redfield, R. R.: False-positive western blot tests for antibodies to HTLV-III. Journal of the American Medical Association 1986, 256: 347.
Quinn, T. C., Mann, J. M., Curran, J. W., Piot, P.: AIDS in Africa: an epidemiologic paradigm. Science 1986, 234: 955–963.
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Vercauteren, G., van der Groen, G. & Piot, P. Comparison of enzyme immunoassays and an immunofluorescence test for detection of antibody to human immunodeficiency virus in African sera. Eur. J, Clin. Microbiol. 6, 132–135 (1987). https://doi.org/10.1007/BF02018193
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DOI: https://doi.org/10.1007/BF02018193