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Murex hiv ag ab combination

Manufactured by DiaSorin
Sourced in Japan, United Kingdom, France

The Murex HIV Ag/Ab Combination is a laboratory diagnostic test used for the detection of HIV-1 and HIV-2 antibodies and the HIV-1 p24 antigen in human serum or plasma samples. The test utilizes an enzyme immunoassay (EIA) principle to identify the presence of HIV-specific antibodies and antigens.

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5 protocols using murex hiv ag ab combination

1

Comprehensive Viral Serological Profiling

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The participants’ serum was tested using the Abbott ARCHITECT® automated immunologic assay platform and commercially available ARCHITECT assay kits for HCV antibody (anti-HCV) and HCV core antigen (HCVcoreAg), hepatitis B surface antigen (HBsAg), hepatitis B e antigen (HBeAg), and hepatitis B core antibodies (anti-HBc) (Abbott Laboratories, USA). Specimens were initially screened for anti-HCV and HBsAg and with subsequent testing of reactive specimens for HCVcoreAg and HBeAg, respectively. Each run included standardized ARCHITECT® controls.
Blood specimens were tested for HIV per national guidelines: screening for HIV antibody using Genscreen Ultra HIV Ag/Ab (Bio-Rad, USA) with confirmation of positive tests by Determine HIV-1/2 (Alere, Japan) and Murex HIV Ag/Ab Combination (DiaSorin, United Kingdom of Great Britain and Northern Ireland) testing. The National Reference Laboratory at NIHE conducted external quality assurance on a randomly selected 10% of HIV-negative and 5% of HIV-positive screening samples.
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2

Viral Coinfection Screening Protocol

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Blood was drawn to test for viral co-infections at the time of enrollment in the study. HIV–Analysis for HIV-1 and HIV-2 antibodies was performed by enzyme linked immuno sorbent assay (ELISA) with Murex HIV Ag/Ab combination (DiaSorin, Dartfort, UK). Confirmatory testing was done with Western Blot analysis. HTLV–Sera with HTLV-1 diagnosis by ELISA (Cambridge Biotech Corp., Worcester, MA) were confirmed by Western Blot analysis. HBV–Hepatitis B core antigen (HBc) total antibodies was determined using an Anti-HBc Architect System (Abbott Laboratories. Abbott Park, Illinois, U.S.A). HCV–HCV IgG antibodies was determined using an Anti-HCV Architect System (Abbott Laboratories. Abbott Park, Illinois, U.S.A). HCV RNA was determined by RealTime PCR (Abbot Laboratories. Abbott Park, Illinois, U.S.A).
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3

Comprehensive STI Testing Protocol

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The HIV testing procedure was based on rapid tests performed at the study site by a trained laboratory scientist and verified in the Microbiology and Immunology laboratory at MUHAS. The Tanzanian HIV testing algorithm21 (link) was applied, which uses 2 sequential HIV rapid tests, SD Bioline HIV 1/2 (Standard Diagnostics Inc, the Republic of Korea) for screening and Uni-Gold HIV 1/2 (Trinity Biotech, Ireland) for confirmation of infection. Participants who were reactive to both HIV rapid tests were regarded as HIV infected. Enzyme-linked immunosorbent assay (ELISA) tests, Murex HIV Ag/Ab Combination (DiaSorin S.p.A., UK Branch), and Enzygnost HIV Integral 4 ELISA (Siemens Healthcare, Germany) were used to resolve discordant results between the 2 HIV rapid tests.
Syphilis testing was performed using a Laborex rapid treponemal assay (Orient Gene Biotech Co Ltd, Zhejiang, China), and all reactive samples were confirmed on a Treponema pallidum hemagglutination assay (TPHA, Chronolab, Barcelona, Spain). All reactive rapid hepatitis B and C test samples were confirmed using Murex Hepatitis B and Hepatitis C ELISAs (DiaSorin S.p.A., Italy), respectively. A urine pregnancy testing was performed every 6 months by detection of β-human chorionic gonadotrophin (β-HCG) using Laborex pregnancy rapid test (Orient Gene Biotech Co Ltd, Zhejiang, China).
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4

HIV Serostatus Determination Protocol

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Wives previously testing HIV-negative as well as wives not yet tested for HIV serology were tested to determine initial HIV serostatus at the time of enrolment. The tests were performed at the Microbiology Department at BMH. An HIV-positive diagnosis was made when serum tested positive in the screening test (Alere Determine HIV-1/2, Alere Medical Japan, Japan) and two different anti-HIV antibody enzyme-linked immunosorbent assays following the official diagnostic protocol of the Ministry of Health of Vietnam [12 ]. Either of the two following kits were used: Genscree ULTRA HIV Ag-Ab, Bio-Rad Laboratories, France; Murex HIV Ag/Ab Combination, DiaSorin Dartford, UK; Serodia HIV-1/2, Fujirebio Inc., Japan; and Roche Elecsys HIV Combi, Roch Diagnostics, Germany.
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5

HCV and HBV Serological Screening Protocol

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Laboratory and diagnostic methods have been described in detail previously.8 In summary, stored specimens from MSM surveyed underwent HCV Ag/Ab (Murex HCV Ag/Ab Combination, DiaSorin, Italy) and hepatitis B surface antigen (HBsAg) (Murex HBsAg V.3, DiaSorin) testing.18 A non-random selection of the HCV Ag/Ab+ specimens from MSM and, for comparison, from PWID specimens from the same survey9 underwent in-house real-time quantitative PCR for HCV RNA followed by 5′ untranslated region (UTR) sequencing of HCV RNA+ specimens. HCV genotyping was performed by amplification of the 5′ UTR fragment (nt 70–300) followed by Sanger sequencing and phylogenetic analysis in the presence of relevant reference strains collected from GenBank.
HIV status was determined using Genscreen HIV Ultra HIV Ag/Ab (Bio-Rad) to screen for antibodies to HIV; HIV-seropositive specimens were confirmed by using Determine HIV ½ (Alere) and Murex HIV Ag/Ab Combination (DiaSorin). Serologic testing was performed at the National Reference Laboratory on HIV at NIHE in Hanoi. HCV and HBV genotyping and quality assurance testing were performed by the U.S. Centers for Disease Control and Prevention in Atlanta, Georgia.
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