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  • Clinical evaluation of Amplicor test for detection of human immunodeficiency virus type 1 proviral DNA in peripheral blood mononuclear cells
    Poljak, Mario, 1965- ...
    *Background and purpose: Polymerase chain reaction (PCR) has proven too be very important in the study of human immunodeficiency virus (HIV) infection and AIDS and has demonstrated both diagnostic ... and research utility. Recently a standardised PCR kit (Amplicor HIV-1 DNA Test) for detection of HIV-1 DNA in blood samples was developed by Roche Molecular Systems. In this work we have summarised our experiences acquired during one and a half year of the routine use of Amplicor HIV-1 DNA Test. Material and methods: 217 whole blood samples collected on EDTA (60 anti HIV-1 positive, 126 negative and 31 indeterminate) from 176 patients in Slovenia were investigated. Results: Sensitivity and specificity of the commercial test on anti HIV-1 positive and anti HIV-1/2 negative samples turned out to be nearly 100%. One Amplicor false positive result which was obtained in initial testing is probably the consequence of sample to sample contamination which occurred during detection procedure of amplification products. Indeterminate serological status of 13 out of 14 subjects who presented first with an indeterminate Western blot plattern in the time of the study was rapidly and accurately resolved using a commercial test. Obe subject, whose initial indeterminate Western blot progressed to HIV-1 seropositivity two weeks later, was initially tested negative by Amplicor test. However, the sequential specimens obtained from the same patient one and three weeks later revealed clearly positive result with both commercial and in-house PCRs. Conslusions: The present study confirmed that Amplicor HIV-1 DNA Test is a practical, rapid, sensitive and specific supplemental test for detection of HIV-1 infection, particularly for quick resolving of HIV indeterminate serological status.
    Type of material - article, component part
    Publish date - 1996
    Language - english
    COBISS.SI-ID - 5124057