Performance of commercially available serological screening tests for human T-cell lymphotropic virus infection in Brazil

Detalhes bibliográficos
Autor(a) principal: Brito, Vanessa da Silva
Data de Publicação: 2018
Outros Autores: Santos, Fred Luciano Neves, Gonçalves, Noilson Lazaro Sousa, Araujo, Thessika Hialla Almeida, Nascimento, Davi Silva Vale, Pereira, Felicidade Mota, Boa-Sorte, Ney Cristian Amaral, Grassi, Maria Fernanda Rios, Araujo, Adele Caterino de, Castro Filho, Bernardo Galvão
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/30198
Resumo: Conselho Nacional de Desenvolvimento Científico e Tecnológico - CNPq (473667/2012-6 and 311054/2014-5), Fundação de Amparo à Pesquisa do Estado da Bahia - FAPESB (2574/2013), and Fundação Nacional para o Desenvolvimento do Ensino Superior - FUNDADESP (9600113).
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spelling Brito, Vanessa da SilvaSantos, Fred Luciano NevesGonçalves, Noilson Lazaro SousaAraujo, Thessika Hialla AlmeidaNascimento, Davi Silva ValePereira, Felicidade MotaBoa-Sorte, Ney Cristian AmaralGrassi, Maria Fernanda RiosAraujo, Adele Caterino deCastro Filho, Bernardo Galvão2018-11-26T16:45:17Z2018-11-26T16:45:17Z2018BRITO, Vanessa da Silva et al. Performance of commercially available serological screening tests for human T-cell lymphotropic virus infection in Brazil. Journal of Clinical Microbiology, p. 1-26, Sept. 2018.https://www.arca.fiocruz.br/handle/icict/3019810.1128/JCM.00961-18Conselho Nacional de Desenvolvimento Científico e Tecnológico - CNPq (473667/2012-6 and 311054/2014-5), Fundação de Amparo à Pesquisa do Estado da Bahia - FAPESB (2574/2013), and Fundação Nacional para o Desenvolvimento do Ensino Superior - FUNDADESP (9600113).Bahiana School of Medicine and Public Health. Integrated and Multidisciplinary HTLV Center. Salvador, BA, Brazil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Laboratório Avançado de Saúde Pública. Salvador, BA, Brasil.Bahiana School of Medicine and Public Health. Integrated and Multidisciplinary HTLV Center. Salvador, BA, Brazil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Laboratório Avançado de Saúde Pública. Salvador, BA, Brasil.Bahiana School of Medicine and Public Health. Integrated and Multidisciplinary HTLV Center. Salvador, BA, Brazil.Bahiana School of Medicine and Public Health. Integrated and Multidisciplinary HTLV Center. Salvador, BA, Brazil.Gonçalo Moniz Public Health Central Laboratory. Bahia State Department of Health. Salvador, BA, Brazil.Bahiana School of Medicine and Public Health. Integrated and Multidisciplinary HTLV Center. Salvador, BA, Brazil.Bahiana School of Medicine and Public Health. Integrated and Multidisciplinary HTLV Center. Salvador, BA, Brazil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Laboratório Avançado de Saúde Pública. Salvador, BA, Brasil.Adolfo Lutz Institute. São Paulo, SP, Brazil.Bahiana School of Medicine and Public Health. Integrated and Multidisciplinary HTLV Center. Salvador, BA, Brazil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Laboratório Avançado de Saúde Pública. Salvador, BA, Brasil.Serological screening for HTLV-1 is usually performed using enzyme-linked immunosorbent assay, particle agglutination or chemiluminescence assay kits. Due to antigen matrix improvement entailing the use of new HTLV-antigens and changes in the format of HTLV screening tests, as well as newly introduced CLIAs, a systematic evaluation of the accuracy of currently available commercial tests is warranted. We aimed to assess the performance of commercially available screening tests for HTLV diagnosis. A diagnostic accuracy study was conducted on a panel of 397 plasma samples: 200 HTLV-negative, 170 HTLV-positive and 27 indeterminate under Western blotting analysis. WB-indeterminate samples (i.e. those yielding no specific bands for HTLV-1 and/or HTLV-2) were assessed by PCR and results were used to compare agreement among the commercially available ELISA screening tests. For performance analysis, WB-indeterminate samples were excluded, resulting in a final study panel of 370 samples. Three ELISA kits (Murex HTLV-1/2, anti-HTLV-1/2 SYM Solution and Gold ELISA HTLV-1/2) and one CLIA kit (Architect r-HTLV-1/2) were evaluated. All screening tests demonstrated 100% sensitivity. Concerning the HTLV-negative samples, SYM Solution and Gold ELISA kits had specificity values >99.5%, while the Architect r-HTLV-1/2 test presented 98.1% specificity, followed by Murex (92.0%). Regarding the 27 samples with WB-indeterminate results, after PCR confirmation, all ELISA kits showed 100% sensitivity, but low specificity. Accuracy findings were corroborated by Cohen's Kappa, which evidenced slight and fair agreement between PCR analysis and ELISA tests for HTLV diagnosis. Based on the data, we believe that all evaluated tests can be safely used for HTLV-infection screening.engAmerican Society for MicrobiologyPerformance of commercially available serological screening tests for human T-cell lymphotropic virus infection in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleHTLVScreening testsDiagnostic reagent kitsNãoNão Publicadoinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/30198/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALBrito VS Performance of screening...2018.pdfBrito VS Performance of screening...2018.pdfapplication/pdf2236052https://www.arca.fiocruz.br/bitstream/icict/30198/2/Brito%20VS%20Performance%20of%20screening...2018.pdf3a37b8b65aceafdc9b2b7c985c4249a9MD52TEXTBrito VS Performance of 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dc.title.pt_BR.fl_str_mv Performance of commercially available serological screening tests for human T-cell lymphotropic virus infection in Brazil
title Performance of commercially available serological screening tests for human T-cell lymphotropic virus infection in Brazil
spellingShingle Performance of commercially available serological screening tests for human T-cell lymphotropic virus infection in Brazil
Brito, Vanessa da Silva
HTLV
Screening tests
Diagnostic reagent kits
title_short Performance of commercially available serological screening tests for human T-cell lymphotropic virus infection in Brazil
title_full Performance of commercially available serological screening tests for human T-cell lymphotropic virus infection in Brazil
title_fullStr Performance of commercially available serological screening tests for human T-cell lymphotropic virus infection in Brazil
title_full_unstemmed Performance of commercially available serological screening tests for human T-cell lymphotropic virus infection in Brazil
title_sort Performance of commercially available serological screening tests for human T-cell lymphotropic virus infection in Brazil
author Brito, Vanessa da Silva
author_facet Brito, Vanessa da Silva
Santos, Fred Luciano Neves
Gonçalves, Noilson Lazaro Sousa
Araujo, Thessika Hialla Almeida
Nascimento, Davi Silva Vale
Pereira, Felicidade Mota
Boa-Sorte, Ney Cristian Amaral
Grassi, Maria Fernanda Rios
Araujo, Adele Caterino de
Castro Filho, Bernardo Galvão
author_role author
author2 Santos, Fred Luciano Neves
Gonçalves, Noilson Lazaro Sousa
Araujo, Thessika Hialla Almeida
Nascimento, Davi Silva Vale
Pereira, Felicidade Mota
Boa-Sorte, Ney Cristian Amaral
Grassi, Maria Fernanda Rios
Araujo, Adele Caterino de
Castro Filho, Bernardo Galvão
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Brito, Vanessa da Silva
Santos, Fred Luciano Neves
Gonçalves, Noilson Lazaro Sousa
Araujo, Thessika Hialla Almeida
Nascimento, Davi Silva Vale
Pereira, Felicidade Mota
Boa-Sorte, Ney Cristian Amaral
Grassi, Maria Fernanda Rios
Araujo, Adele Caterino de
Castro Filho, Bernardo Galvão
dc.subject.en.pt_BR.fl_str_mv HTLV
Screening tests
Diagnostic reagent kits
topic HTLV
Screening tests
Diagnostic reagent kits
description Conselho Nacional de Desenvolvimento Científico e Tecnológico - CNPq (473667/2012-6 and 311054/2014-5), Fundação de Amparo à Pesquisa do Estado da Bahia - FAPESB (2574/2013), and Fundação Nacional para o Desenvolvimento do Ensino Superior - FUNDADESP (9600113).
publishDate 2018
dc.date.accessioned.fl_str_mv 2018-11-26T16:45:17Z
dc.date.available.fl_str_mv 2018-11-26T16:45:17Z
dc.date.issued.fl_str_mv 2018
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv BRITO, Vanessa da Silva et al. Performance of commercially available serological screening tests for human T-cell lymphotropic virus infection in Brazil. Journal of Clinical Microbiology, p. 1-26, Sept. 2018.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/30198
dc.identifier.doi.pt_BR.fl_str_mv 10.1128/JCM.00961-18
identifier_str_mv BRITO, Vanessa da Silva et al. Performance of commercially available serological screening tests for human T-cell lymphotropic virus infection in Brazil. Journal of Clinical Microbiology, p. 1-26, Sept. 2018.
10.1128/JCM.00961-18
url https://www.arca.fiocruz.br/handle/icict/30198
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv American Society for Microbiology
publisher.none.fl_str_mv American Society for Microbiology
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
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collection Repositório Institucional da FIOCRUZ (ARCA)
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