Doyle, Sean, Kerr, S., O'Keeffe, Grainne, O'Carroll, D., Daly, P. and Kilty, C. (2000) Detection of parvovirus B19 IgM by antibody capture enzyme immunoassay: receiver operating characteristic analysis. Journal of Virological Methods, 90 (2). pp. 143-1522. ISSN 0166-0934
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Abstract
Parvovirus B19 infection can cause severe effects in high-risk groups including pregnant women and immunocompromised
individuals. Although serological detection of B19 infection is commonplace, minimal information is
available on the absolute performance characteristics of various tests for the detection of B19 IgM. The performance
of the first parvovirus B19 IgM enzyme immunoassay to be cleared by the US Food and Drug Administration (FDA)
is described. The immunoassay cut-off has been established using receiver operating characteristic (ROC) analysis
giving a sensitivity and specificity of detection of 89.1 and 99.4%, respectively. No cross-reactivity is observed with
rubella or other viral disease IgM which cause similar symptomologies to parvovirus B19. Multi-site reproducibility
studies have shown high immunoassay reproducibility with detection rates (observed:expected result) of 100% for
nonreactive specimens (N=324) and strongly reactive (N=403), respectively. Immunoassay reproducibility ranged
from 11.76 to 17.46% coefficient of variation for all reactive specimens tested (N=12) whereby each specimen was
assayed a total of 81 times. Parvovirus B19 IgM seroprevalence of 1% was observed in a US blood donor population
(N=399). In the absence of international performance criteria, this study will be of major benefit to the clinical
virologist in assessing immunoassay reliability for the detection of recent infection with parvovirus B19.
Item Type: | Article |
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Keywords: | Serology; Diagnosis; Infection; Fetus; Pregnancy; Immunocompromised; |
Academic Unit: | Faculty of Science and Engineering > Biology |
Item ID: | 7400 |
Identification Number: | 10.1016/S0166-0934(00)00227-5 |
Depositing User: | Dr. Sean Doyle |
Date Deposited: | 29 Aug 2016 15:31 |
Journal or Publication Title: | Journal of Virological Methods |
Publisher: | Elsevier |
Refereed: | Yes |
Related URLs: | |
URI: | https://mural.maynoothuniversity.ie/id/eprint/7400 |
Use Licence: | This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here |
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