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Clinical and Diagnostic Laboratory Immunology, September 2000, p. 853-855, Vol. 7, No. 5
Molecular Diagnostics Laboratory, Institute
of Hygiene,1 Department of
Pediatrics,2 and Department of Internal
Medicine,3 Karl-Franzens-University, A-8010
Graz, Austria
Received 14 April 2000/Returned for modification 20 June
2000/Accepted 13 July 2000
The Cobas Amplicor HBV Monitor test for quantitative determination
of hepatitis B virus (HBV) DNA in serum has recently been introduced.
To evaluate the performance of this assay in a routine diagnostic
laboratory, reproducibility of results was determined with the First
European Union Concerted Action HBV Proficiency Panel and the Accurun
325 HBV DNA Positive Control, Series 300. Results for 270 routine serum
samples were additionally evaluated. To avoid the retesting of a large
number of samples due to titers exceeding the upper limit for the
linear range of the assay, sera of patients with chronic hepatitis B
(CHB) were diluted prior to the assay to 10
1071-412X/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Semiautomated Quantification of Hepatitis B Virus
DNA in a Routine Diagnostic Laboratory
4 in normal
human plasma, which is included in the assay. The mean coefficient of
variation was 22.9% for all input HBV DNAs. Of 270 routine serum
samples, 182 (150 sera from transplant donors and 32 sera from patients
who had recovered from CHB) tested negative. Eighty-six sera were found
to be HBV DNA positive; in six sera, HBV DNA levels were found to
exceed the upper limit for the linear range of the assay and had to be
retested. In the remaining two sera, inhibition occurred. The
semiautomated Cobas Amplicor HBV Monitor test showed sufficient
reproducibility and helped in avoiding human error. The relatively
narrow linear range of detection is a limitation of the new assay.
*
Corresponding author. Mailing address: Molecular
Diagnostics Laboratory, Institute of Hygiene, Karl-Franzens-University
Graz, Universitaetsplatz 4, A-8010 Graz, Austria. Phone:
43-316-380-4363. Fax: 43-316-380-9649. E-mail:
harald.kessler{at}kfunigraz.ac.at.
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