Evidence map›Paper›PMID 41244165›Full record

ArticleAsian journal of transfusion science

Comparative study of the prevalence of HIV using the third- and fourth-generation HIV ELISA in blood donors in South India.

Purshotam Paudel, Dibyajyoti Sahoo, Abhishekh Basavarajegowda, Rakesh Singh, Rajendra G Kulkarni

Abstract read
In one paragraph

Article in Asian journal of transfusion science. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Purshotam PaudelDepartment of Transfusion Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Dibyajyoti SahooDepartment of Transfusion Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Abhishekh BasavarajegowdaDepartment of Transfusion Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Rakesh SinghDepartment of Microbiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Rajendra G KulkarniDepartment of Transfusion Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDifferent generations of ELISA have evolved over the years. With the introduction of the fourth-generation ELISA, there is a claim of higher sensitivity over the third-generation HIV ELISA kits. However, few literatures suggest false positive issues. The present study aimed to assess the seroprevalence of HIV and to see the level of agreement between the third- and fourth-generation ELISA for HIV detection. METHODOLOGY: Prospective cross-sectional study conducted in a tertiary care hospital from November 2021 to May 2023. All positive samples by either the third- or fourth-generation ELISA were included in the study. If any sample was positive in one generation, and the same whole batch was repeated in another generation ELISA. All positive samples were subjected to molecular testing by polymerase chain reaction. Cohen's kappa coefficient was used to see the level of agreement between the thrid and fourth-generation HIV ELISA.

resultsSeventeen samples were positive by the third-generation ELISA versus 50 samples were positive by the fourth-generation ELISA. The prevalence of HIV was found to be 0.9% by the fourth-generation ELISA and 0.3% by the third-generation ELISA. There was a fair level of agreement between the third- and fourth-generation HIV ELISA. Both generations have a sensitivity of 100%, whereas specificity with the third generation was 91% and the fourth was 24%.

conclusionBoth the fourth- and third-generation ELISA are highly sensitive; however, the specificity of the fourth-generation kit is less, leading to more false positive results.

Indexed as

Blood donorELISAfalse positivityHIV testingtransfusion transmittable infection screening

Identifiers

PMID41244165
PMCPMC12614699

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