Evaluation of the Abbott ARCHITECT HIV Ag/Ab combo assay for determining recent HIV-1 infection.

<h4>Background</h4>Given the challenges and costs associated with implementing HIV-1 incidence assay testing, there is great interest in evaluating the use of commercial HIV diagnostic tests for determining recent HIV infection. A diagnostic test with the capability of providing reliable...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Kelly A Curtis, Donna L Rudolph, Yi Pan, Kevin Delaney, Kathryn Anastos, Jack DeHovitz, Seble G Kassaye, Carl V Hanson, Audrey L French, Elizabeth Golub, Adaora A Adimora, Igho Ofotokun, Hector Bolivar, Mirjam-Colette Kempf, Philip J Peters, William M Switzer
Formato: article
Lenguaje:EN
Publicado: Public Library of Science (PLoS) 2021
Materias:
R
Q
Acceso en línea:https://doaj.org/article/d93daca3fe5648539f7b2abba40466f4
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:d93daca3fe5648539f7b2abba40466f4
record_format dspace
spelling oai:doaj.org-article:d93daca3fe5648539f7b2abba40466f42021-12-02T20:05:17ZEvaluation of the Abbott ARCHITECT HIV Ag/Ab combo assay for determining recent HIV-1 infection.1932-620310.1371/journal.pone.0242641https://doaj.org/article/d93daca3fe5648539f7b2abba40466f42021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0242641https://doaj.org/toc/1932-6203<h4>Background</h4>Given the challenges and costs associated with implementing HIV-1 incidence assay testing, there is great interest in evaluating the use of commercial HIV diagnostic tests for determining recent HIV infection. A diagnostic test with the capability of providing reliable data for the determination of recent HIV infection without substantial modifications to the test protocol would have a significant impact on HIV surveillance. The Abbott ARCHITECT HIV Ag/Ab Combo Assay is an antigen/antibody immunoassay, which meets the criteria as the first screening test in the recommended HIV laboratory diagnostic algorithm for the United States.<h4>Methods</h4>In this study, we evaluated the performance characteristics of the ARCHITECT HIV Ag/Ab Combo signal-to-cutoff ratio (S/Co) for determining recent infection, including estimation of the mean duration of recent infection (MDRI) and false recent rate (FRR), and selection of recency cutoffs.<h4>Results</h4>The MDRI estimates for the S/Co recency cutoff of 400 is within the 4 to 12 months range recommended for HIV incidence assays, and the FRR rate for this cutoff was 1.5%. Additionally, ARCHITECT Combo S/Co values were compared relative to diagnostic test results from two prior prospective HIV-1 diagnostic studies in order to validate the use of the S/Co for both diagnostic and recency determination.<h4>Conclusion</h4>Dual-use of the ARCHITECT Combo assay data for diagnostic and incidence purposes would reduce the need for separate HIV incidence testing and allow for monitoring of recent infection for incidence estimation and other public health applications.Kelly A CurtisDonna L RudolphYi PanKevin DelaneyKathryn AnastosJack DeHovitzSeble G KassayeCarl V HansonAudrey L FrenchElizabeth GolubAdaora A AdimoraIgho OfotokunHector BolivarMirjam-Colette KempfPhilip J PetersWilliam M SwitzerPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0242641 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Kelly A Curtis
Donna L Rudolph
Yi Pan
Kevin Delaney
Kathryn Anastos
Jack DeHovitz
Seble G Kassaye
Carl V Hanson
Audrey L French
Elizabeth Golub
Adaora A Adimora
Igho Ofotokun
Hector Bolivar
Mirjam-Colette Kempf
Philip J Peters
William M Switzer
Evaluation of the Abbott ARCHITECT HIV Ag/Ab combo assay for determining recent HIV-1 infection.
description <h4>Background</h4>Given the challenges and costs associated with implementing HIV-1 incidence assay testing, there is great interest in evaluating the use of commercial HIV diagnostic tests for determining recent HIV infection. A diagnostic test with the capability of providing reliable data for the determination of recent HIV infection without substantial modifications to the test protocol would have a significant impact on HIV surveillance. The Abbott ARCHITECT HIV Ag/Ab Combo Assay is an antigen/antibody immunoassay, which meets the criteria as the first screening test in the recommended HIV laboratory diagnostic algorithm for the United States.<h4>Methods</h4>In this study, we evaluated the performance characteristics of the ARCHITECT HIV Ag/Ab Combo signal-to-cutoff ratio (S/Co) for determining recent infection, including estimation of the mean duration of recent infection (MDRI) and false recent rate (FRR), and selection of recency cutoffs.<h4>Results</h4>The MDRI estimates for the S/Co recency cutoff of 400 is within the 4 to 12 months range recommended for HIV incidence assays, and the FRR rate for this cutoff was 1.5%. Additionally, ARCHITECT Combo S/Co values were compared relative to diagnostic test results from two prior prospective HIV-1 diagnostic studies in order to validate the use of the S/Co for both diagnostic and recency determination.<h4>Conclusion</h4>Dual-use of the ARCHITECT Combo assay data for diagnostic and incidence purposes would reduce the need for separate HIV incidence testing and allow for monitoring of recent infection for incidence estimation and other public health applications.
format article
author Kelly A Curtis
Donna L Rudolph
Yi Pan
Kevin Delaney
Kathryn Anastos
Jack DeHovitz
Seble G Kassaye
Carl V Hanson
Audrey L French
Elizabeth Golub
Adaora A Adimora
Igho Ofotokun
Hector Bolivar
Mirjam-Colette Kempf
Philip J Peters
William M Switzer
author_facet Kelly A Curtis
Donna L Rudolph
Yi Pan
Kevin Delaney
Kathryn Anastos
Jack DeHovitz
Seble G Kassaye
Carl V Hanson
Audrey L French
Elizabeth Golub
Adaora A Adimora
Igho Ofotokun
Hector Bolivar
Mirjam-Colette Kempf
Philip J Peters
William M Switzer
author_sort Kelly A Curtis
title Evaluation of the Abbott ARCHITECT HIV Ag/Ab combo assay for determining recent HIV-1 infection.
title_short Evaluation of the Abbott ARCHITECT HIV Ag/Ab combo assay for determining recent HIV-1 infection.
title_full Evaluation of the Abbott ARCHITECT HIV Ag/Ab combo assay for determining recent HIV-1 infection.
title_fullStr Evaluation of the Abbott ARCHITECT HIV Ag/Ab combo assay for determining recent HIV-1 infection.
title_full_unstemmed Evaluation of the Abbott ARCHITECT HIV Ag/Ab combo assay for determining recent HIV-1 infection.
title_sort evaluation of the abbott architect hiv ag/ab combo assay for determining recent hiv-1 infection.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/d93daca3fe5648539f7b2abba40466f4
work_keys_str_mv AT kellyacurtis evaluationoftheabbottarchitecthivagabcomboassayfordeterminingrecenthiv1infection
AT donnalrudolph evaluationoftheabbottarchitecthivagabcomboassayfordeterminingrecenthiv1infection
AT yipan evaluationoftheabbottarchitecthivagabcomboassayfordeterminingrecenthiv1infection
AT kevindelaney evaluationoftheabbottarchitecthivagabcomboassayfordeterminingrecenthiv1infection
AT kathrynanastos evaluationoftheabbottarchitecthivagabcomboassayfordeterminingrecenthiv1infection
AT jackdehovitz evaluationoftheabbottarchitecthivagabcomboassayfordeterminingrecenthiv1infection
AT seblegkassaye evaluationoftheabbottarchitecthivagabcomboassayfordeterminingrecenthiv1infection
AT carlvhanson evaluationoftheabbottarchitecthivagabcomboassayfordeterminingrecenthiv1infection
AT audreylfrench evaluationoftheabbottarchitecthivagabcomboassayfordeterminingrecenthiv1infection
AT elizabethgolub evaluationoftheabbottarchitecthivagabcomboassayfordeterminingrecenthiv1infection
AT adaoraaadimora evaluationoftheabbottarchitecthivagabcomboassayfordeterminingrecenthiv1infection
AT ighoofotokun evaluationoftheabbottarchitecthivagabcomboassayfordeterminingrecenthiv1infection
AT hectorbolivar evaluationoftheabbottarchitecthivagabcomboassayfordeterminingrecenthiv1infection
AT mirjamcolettekempf evaluationoftheabbottarchitecthivagabcomboassayfordeterminingrecenthiv1infection
AT philipjpeters evaluationoftheabbottarchitecthivagabcomboassayfordeterminingrecenthiv1infection
AT williammswitzer evaluationoftheabbottarchitecthivagabcomboassayfordeterminingrecenthiv1infection
_version_ 1718375510404235264