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经ELISA法检测呈单独乙肝病毒核心抗体的可靠性

谢昕昕 安哲 张妮 李思鹏 李妙羡 王香玲

检验医学与临床Issue(z2):17-19,3.
检验医学与临床Issue(z2):17-19,3.DOI:10.3969/j.issn.1672-9455.2015.26.007

经ELISA法检测呈单独乙肝病毒核心抗体的可靠性

Reality of isolated anti-HBc positive tested by ELISA

谢昕昕 1安哲 2张妮 2李思鹏 2李妙羡 2王香玲2

作者信息

  • 1. 陕西省中医学院2010级医学检验班
  • 2. 西安交通大学医学院第二附属医院检验科,陕西西安 710004
  • 折叠

摘要

Abstract

Objective To research the reliability of isolated anti‐HBc tested by Enzyme‐Linked Immunosor‐bent Assay (ELISA ) .Methods 178 samples with isolated anti‐HBc initially tested by ELISA were retested by CMIA on Architect i2000 analyzer .Results Among the 29 samples with initial positive anti‐HBe ,the true positive rates of anti‐HBs and anti‐HBe were 100 % (29/29) and 90% (26/29) ,respectively .Among the 149 samples with ini‐tial negative anti‐HBe ,15 .44% (23/149) anti‐HBs was retested positive ;then 28 .19% (42/149)anti‐HBe was retest‐ed positive among the 126 negative‐anti‐HBs samples ,and 55 .03% (82/149) anti‐HBc was retested positive among the 84 negative anti‐HBe samples .In total ,the false positive rate of anti‐HBc was 1 .34% (2/149) .Conclusion False positive anti‐HBc ,False negative anti‐HBe and anti‐HBs could be confirmed among the isolated anti‐HBc initially tested by ELISA ,which cause high missed diagnosis of past HBV infection with immunity and HBV vaccination and therefore retesting anti‐HBs ,anti‐HBe and anti‐HBc in CMIA could be suggested .Initial positive anti‐HBe tested by ELISA had good confirmatory value for isolated anti‐HBc .

关键词

抗-HBc/抗-HBe/可靠性/酶联免疫吸附法(ELISA)/化学发光微粒子免疫分析法(CMIA)

Key words

anti-HBc/anti-HBe/reliability/enzyme-linked immunosorbent assay (ELISA)/chemilu-minescence microparticle immuno assay (CMIA)

引用本文复制引用

谢昕昕,安哲,张妮,李思鹏,李妙羡,王香玲..经ELISA法检测呈单独乙肝病毒核心抗体的可靠性[J].检验医学与临床,2015,(z2):17-19,3.

检验医学与临床

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