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Evaluation of the fully automated AIX1000 rapid plasma reagin system compared to a manual plasma reagin testing method for the diagnosis of syphilis.
Diagnostic Microbiology and Infectious Disease ( IF 2.9 ) Pub Date : 2020-05-15 , DOI: 10.1016/j.diagmicrobio.2020.115081
Alexander Pyden 1 , Anthony D Kang 2 , Sheryl Amato 1 , Sanjucta Dutta 1 , Gretchen Berg 1 , Stefan Riedel 3
Affiliation  

The analytical performance of the FDA-cleared AIX1000 automated RPR testing platform was evaluated in comparison to manual RPR card testing. Eight hundred thirty-three patient serum samples were analyzed, 87 samples were positive by the AIX1000, 108 were positive by the manual test method; overall agreement between methods was 96.5% (κ = 0.83). Cases were further classified by clinical and laboratory-based confirmation of disease, to which reactivity rates were compared, yielding sensitivities of 96.4% and 100%, and specificities of 99.2% and 96.8% for the automated and manual RPR methods, respectively. The difference in specificity between methods was statistically significant (P < 0.001).

Twenty-five of 29 samples with discordant results were reactive by manual testing (titers of 1:1 or 1:2); 21 of 25 patients with negative AIX100 results were identified to have histories of remote, treated syphilis. Overall, the AIX1000 platform demonstrated excellent agreement with the manual RPR method; discrepancies occurred with specimens at the threshold of reactivity.



中文翻译:

与用于诊断梅毒的手动血浆反应试剂测试方法相比,对全自动AIX1000快速血浆反应试剂系统进行了评估。

与手动RPR卡测试相比,评估了FDA批准的AIX1000自动RPR测试平台的分析性能。分析了833个患者的血清样本,其中AIX1000的阳性样本为87个,手动测试方法的阳性为108个;方法之间的总体一致性为96.5%(κ= 0.83)。通过临床和实验室确诊疾病进一步对病例进行分类,将其与反应率进行比较,自动和手动RPR方法的敏感性分别为96.4%和100%,特异性分别为99.2%和96.8%。两种方法之间的特异性差异具有统计学意义(P <0.001)。

29个样本中有25个样本的结果不一致(通过1:1或1:2的滴定度);在25例AIX100结果阴性的患者中,有21例被确定有远距离梅毒治疗史。总体而言,AIX1000平台与手动RPR方法表现出了极好的一致性。标本在反应性阈值处发生差异。

更新日期:2020-05-15
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