Verification of dried blood spot as a sample type for HIV viral load and early infant diagnosis on Hologic Panther in Zambia

Author:

Simushi Precious1,Kalunga Mukoshya Nchima1,Mwakyoma Tuku1,Mwewa Mulenga1,Muchaili Lweendo1,Hazeemba Nchimunya1,Mulenga Chileshe1,Mwewa Patience1,Kaseya Chiyenu1,Kachimba John1,Choonga Powell2,Shibemba Aaron3,Hamooya Benison M.4,Zambwe Mowa5,Chipimo Peter J.6,Kasonka Lackson2

Affiliation:

1. Livingstone University Teaching Hospital Laboratory

2. Ministry of Health

3. University Teaching Hospital

4. Mulungushi University

5. Workers Compensation Fund Control Board

6. World Health Organization - Zambia

Abstract

Abstract Objective 1. To verify dried blood spot as a sample type for HIV viral load and early infant diagnosis on Hologic Panther platform 2. To evaluate the analytical performance (precision, linearity and measurement of uncertainty) of the Hologic Panther Results The specificity and sensitivity of Early Infant Diagnosis (EID) performance of Aptima Quant Dx assay on Hologic panther machine against the gold standard machine COBAS Taqman (CAP/CTM) was 100% with an overall agreement of 100%. The quantitative HIV Viral Load (VL) accuracy had a positive correlation of (0.96) obtained against the gold standard (plasma samples) run on COBAS4800 platform. Analytical performance of the Hologic panther machine was evaluated; Precision low positive repeatability 3.50154 and within lab 2.268915 at mean 2.88 concentration and precision high positive repeatability 1.116955 and within lab 2.010677 at mean 5.09 concentration were obtained confirming manufacturers claims. Uncertainty of measurement for this study was found to be +/- 71 copies/ml.Linearity studies were determined and all points were within acceptable limits.We therefore recommend DBS as a sample type alternative to plasma for the estimation of HIV-1 viral load and EID diagnosis on the Hologic panther machine.

Publisher

Research Square Platform LLC

Reference22 articles.

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