1. Performance characteristics of the VIDAS® ANTI-HEV IgM and IgG assays
- Author
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Sandrine Bourg, Jacques Izopet, Laurence Mercier, Raphaelle Joffray, Didier Poirault, Sébastien Lhomme, Sylviane Baron, Soizic Daniel, Jean-Marc Dugua, Alexandre Aversenq, Audrey Larue Triolet, Carole Tourneur, Nadège Goutagny, Catherine Pothion, Françoise Luciani, Marissa Loubet, Florence Abravanel, Emile Eichenlaub, Centre de Physiopathologie Toulouse Purpan (CPTP), Université Toulouse III - Paul Sabatier (UT3), and Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)
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Adult ,Male ,0301 basic medicine ,Adolescent ,[SDV]Life Sciences [q-bio] ,viruses ,030106 microbiology ,Cross Reactions ,medicine.disease_cause ,Sensitivity and Specificity ,Serology ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Hepatitis E virus ,Virology ,medicine ,Humans ,Serologic Tests ,Hepatitis Antibodies ,030212 general & internal medicine ,Child ,Aged ,Aged, 80 and over ,Automation, Laboratory ,biology ,business.industry ,Clinical performance ,Infant ,Reproducibility of Results ,virus diseases ,Diagnostic test ,Anti hev igm ,Middle Aged ,digestive system diseases ,Hepatitis E ,3. Good health ,Infectious Diseases ,Immunoglobulin M ,Child, Preschool ,Immunoglobulin G ,biology.protein ,Female ,Reagent Kits, Diagnostic ,Antibody ,business - Abstract
Several unautomated anti-HEV diagnostic tests are presently available.We have evaluated the performance of the new automated VIDAS® ANTI-HEV IgM and IgG assays.We assessed the reproducibility and cross-reactivity of both VIDAS assays and the analytical sensitivity and linearity of the VIDAS IgG assay. We also tested the VIDAS and comparator assays Wantai IgG and IgM on immunocompetent and immunocompromised patients. Data were analysed according to the infectious profile, with samples from viremic phase (HEV RNA/IgM positive) and post-viremic phase (HEV RNA negative, IgM positive) infections, and uninfected patients (HEV RNA/IgM negative).Within-run reproducibility was10% and between-run reproducibility was12% for both assays. We found no cross-reactivity, except for the VIDAS IgG assay in some patients with HBV (1/10) or malaria (3/23) infections and for the VIDAS IgM assay in some HIV-infected patients (1/10). The VIDAS IgG assay was linear over 0.10-10.0 U/mL. Analytical sensitivity of the IgG assay was 0.71 IU/ml (probit analysis). The clinical sensitivity of the VIDAS IgM assay was 97.65% for viremic samples (83/85) and 59.15% (42/71) for post-viremic samples from immunocompetent patients. It was 78.95% (45/57) for acute phase samples and 77.78% (28/36) for post-viremic samples from immunocompromised patients. Specificity was excellent (99%) in both populations.The analytical and clinical performance of the new VIDAS® ANTI-HEV assays was excellent. These rapid, automated assays for detecting HEV antibodies will strengthen the arsenal for diagnosing HEV infections.
- Published
- 2019
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