SYPHILIS DIAGNOSIS - SCREENING BY ENZYME-IMMUNOASSAY AND VARIATION IN FLUORESCENT TREPONEMAL ANTIBODY ABSORBED (FTA-ABS) CONFIRMATORY TEST-PERFORMANCE

被引:0
作者
CHRONAS, G [1 ]
MOYES, A [1 ]
YOUNG, H [1 ]
机构
[1] UNIV EDINBURGH,SCH MED,STD DIAGNOST LAB,TEVIOT PL,EDINBURGH EH8 9AG,MIDLOTHIAN,SCOTLAND
来源
MEDICAL LABORATORY SCIENCES | 1992年 / 49卷 / 01期
关键词
ENZYME-LINKED IMMUNOSORBENT ASSAY; FLUORESCENT ANTIBODY TECHNIC; REAGENT KITS; DIAGNOSTIC; SYPHILIS;
D O I
暂无
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
Four fluorescent treponemal antibody absorbed (FTA-ABS) test kits were evaluated with 86 treponemal and 84 non-treponemal sera selected with enzyme immunoassay (EIA). Agreement between all four kits was 63% for treponemal, and 50% for non-treponemal. sera. Discrepancies with treponemal sera were associated with low levels of antibody characterised by T. pallidum haemagglutination assay (TPHA) titres less-than-or-equal-to 160 and a negative Venereal Diseases Research Laboratory (VDRL) test. Discrepancies with non-treponemal sera were significantly associated with false reactivity on screening with EIA. Possible reasons for the differences obtained between kits, the importance of screening policies for pre-selecting sera, and the significance of equivocal (borderline) reactions on positive and negative predictive values are discussed.
引用
收藏
页码:50 / 55
页数:6
相关论文
共 14 条
  • [1] COMPARATIVE-EVALUATION OF COMMERCIAL FLUORESCENT TREPONEMAL ANTIBODY-ABSORBED TEST KITS
    BEEBE, JL
    NOURI, NJ
    [J]. JOURNAL OF CLINICAL MICROBIOLOGY, 1984, 19 (06) : 789 - 793
  • [2] FALSE-NEGATIVE SYPHILIS SCREENING - THE PROZONE PHENOMENON, NONIMMUNE HYDROPS, AND DIAGNOSIS OF SYPHILIS DURING PREGNANCY
    BERKOWITZ, K
    BAXI, L
    FOX, HE
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1990, 163 (03) : 975 - 977
  • [3] NEUROSYPHILIS IN AIDS PATIENTS - INITIAL CSF VDRL MAY BE NEGATIVE
    FERARU, ER
    ARONOW, HA
    LIPTON, RB
    [J]. NEUROLOGY, 1990, 40 (03) : 541 - 543
  • [4] SENSITIVITY OF TREPONEMAL TESTS FOR DETECTING PRIOR TREATED SYPHILIS DURING HUMAN-IMMUNODEFICIENCY-VIRUS INFECTION
    HAAS, JS
    BOLAN, G
    LARSEN, SA
    CLEMENT, MJ
    BACCHETTI, P
    MOSS, AR
    [J]. JOURNAL OF INFECTIOUS DISEASES, 1990, 162 (04) : 862 - 866
  • [5] PERCOLL-PURIFIED TREPONEMA-PALLIDUM, AN IMPROVED FLUORESCENT TREPONEMAL ANTIBODY-ABSORBED ANTIGEN
    HANFF, PA
    FERNANDEZ, C
    FOLDS, JD
    [J]. JOURNAL OF CLINICAL MICROBIOLOGY, 1986, 23 (05) : 980 - 982
  • [6] EVALUATION OF SERA FROM PATIENTS WITH LYME-DISEASE IN THE FLUORESCENT TREPONEMAL ANTIBODY-ABSORPTION TEST FOR SYPHILIS
    HUNTER, EF
    RUSSELL, H
    FARSHY, CE
    SAMPSON, JS
    LARSEN, SA
    [J]. SEXUALLY TRANSMITTED DISEASES, 1986, 13 (04) : 232 - 236
  • [7] HUNTER EF, 1976, J CLIN MICROBIOL, V4, P338
  • [8] SPECIFIC SYPHILIS SEROLOGICAL TESTS MAY BECOME NEGATIVE IN HIV-INFECTION
    JOHNSON, PDR
    GRAVES, SR
    STEWART, L
    WARREN, R
    DWYER, B
    LUCAS, CR
    [J]. AIDS, 1991, 5 (04) : 419 - 423
  • [9] STAINING INTENSITIES IN THE FLUORESCENT TREPONEMAL ANTIBODY-ABSORPTION (FTA-ABS) TEST - ASSOCIATION WITH THE DIAGNOSIS OF SYPHILIS
    LARSEN, SA
    FARSHY, CE
    PENDER, BJ
    ADAMS, MR
    PETTIT, DE
    HAMBIE, EA
    [J]. SEXUALLY TRANSMITTED DISEASES, 1986, 13 (04) : 221 - 227
  • [10] LUGER AFH, 1988, IMMUNOLOGICAL DIAGNO, P249