Evidence map›Paper›PMID 28686629›Full record

ArticlePloS one2017

The characteristics of screening and confirmatory test results for HIV in Xi'an, China.

Linchuan Wang, Kai-Hua Zhou, He-Ping Zhao, Ji-Han Wang, Hai-Chao Zheng, Yan Yu, Wei Chen

Abstract read
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Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Linchuan WangThe First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province, China.
Kai-Hua ZhouHospital of Xi'an Jiaotong University,Xi'an, Shaanxi Province, China.
He-Ping ZhaoHonghui Hospital, Xi'an JiaotongUniversity, Xi'an, Shaanxi Province, China.
Ji-Han WangHonghui Hospital, Xi'an JiaotongUniversity, Xi'an, Shaanxi Province, China.
Hai-Chao ZhengXi'an Center for Disease Control and Prevention,Xi'an, Shaanxi Province, China.
Yan YuHonghui Hospital, Xi'an JiaotongUniversity, Xi'an, Shaanxi Province, China.ORCID http://orcid.org/0000-0002-9618-1699
Wei ChenThe First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIndividuals with recent or acute HIV infection are more infectious than those with established infection. Our objective was to analyze the characteristics of detection among HIV infections in Xi'an.

methodsA 4th-generation kit (Architect HIV Ag/Ab Combo) and three 3rd-generationEIA kits (WanTai, XinChuang and Livzon) were used for HIV screening. Overall, 665 individuals were identified as positive and were tested by western blotting (WB). The characteristics of the screening and confirmatory tests were analyzed, including the band patterns, the early detection performance and the false-positive rates.

resultsIn total, 561 of the 665 patients were confirmed as having HIV-1 infection, and no HIV-2 specific band was observed. Among these 561 WB-positive cases, reactivity to greater than or equal to 9 antigens was the most commonly observed pattern (83.18%), and the absence of reactivity to p17, p31 and gp41 was detected in 6.44%, 5.9% and 2.86% of the cases, respectively. Two cases were positive by the 4th-generation assay but negative by the 3rd-generation assay for HIV screening and had seroconversion. The false-positive rate of the Architect HIV Ag/Ab Combo (22.01%) was significantly higher than those of WanTai (9.88%), XinChuang (10.87%) and Livzon (8.93%), p<0.05.

conclusionHIV infection in Xi'an is mainly caused by HIV-1, and individuals are rarely identified at the early phase. Although the false-positive rate of the 4th-generation assay was higher than that of the 3rd-generation assay, it is still recommended for use as the initial HIV screening test for high-risk individuals. In Xi'an, a 3rd-generation assay for screening could be considered.

Indexed as

Early DiagnosisAdolescentAdultAgedAged, 80 and overChildChinaDiagnostic Tests, RoutineFemaleHIV-1HIV-2HIV AntibodiesHIV AntigensHIV InfectionsHumansMaleHIV AntibodiesHIV AntigensViral Proteins

Identifiers

PMID28686629
PMCPMC5501483

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