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10.1177/0004563220963847

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32961061!7672672!32961061
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suck abstract from ncbi


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pmid32961061      Ann+Clin+Biochem 2020 ; 57 (6): 429-434
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  • Performance verification of anti-SARS-CoV-2-specific antibody detection by using four chemiluminescence immunoassay systems #MMPMID32961061
  • Wan Y; Li Z; Wang K; Li T; Liao P
  • Ann Clin Biochem 2020[Nov]; 57 (6): 429-434 PMID32961061show ga
  • OBJECTIVES: The purpose of the current study was to evaluate the analytical performance of seven kits for detecting IgM/IgG antibodies against coronavirus (SARS-CoV-2) by using four chemiluminescence immunoassay systems. METHODS: Fifty patients diagnosed with SARS-CoV-2 infection and 130 controls without coronavirus infection from the General Hospital of Chongqing were enrolled in the current retrospective study. Four chemiluminescence immunoassay systems, including seven IgM/IgG antibody detection kits for SARS-CoV-2 (A_IgM, A_IgG, B_IgM, B_IgG, C_IgM, C_IgG and D_Ab), were employed to detect antibody concentrations. The chi-square test, the receiver operating characteristic (ROC) curve and Youden's index were determined to verify the cut-off value of each detection system. RESULTS: The repeatability verification results of the A, B, C and D systems are all qualified. D_Ab performed best (92% sensitivity and 99.23% specificity), and B_IgM performed worse than the other systems. Except for the A_IgM and C_IgG systems, the optimal diagnostic thresholds and cut-off values of the other kits and their recommendations are inconsistent with each other. B_IgM had the worst AUC, and C_IgG had the best diagnostic accuracy. More importantly, the B_IgG system had the highest false-positive rate for testing patients with AIDS, tumours and pregnancies. The A_IgM system test showed the highest false-positive rates among elderly individuals over 90 years old. COVID-2019 IgM/IgG antibody test systems exhibit performance differences. CONCLUSIONS: The Innodx Biotech Total Antibody serum diagnosis kit is the most reliable detection system for anti-SARS-CoV-2 antibodies, which can be used together with nucleic acid tests as an alternative method for SARS-CoV-2 detecting.
  • |*Antibody Specificity[MESH]
  • |*Luminescence[MESH]
  • |Antibodies, Viral/*analysis/blood/immunology[MESH]
  • |Betacoronavirus/*immunology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Immunoassay/*methods[MESH]
  • |Limit of Detection[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]


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