title: [Evaluation of Abbott Fourth Generation HIV Antigen and Antibody Assays.].
abstract: BACKGROUND
  In order to reduce the diagnostic window period between the time of human immunodeficiency virus (HIV) infection and serological diagnosis, new fourth generation screening assays which detect HIV p24 antigen and specific antibody simultaneously have been developed. In this study, we evaluated the performance of a new fourth generation assay.
  
  
  METHODS
  We compared a new fourth generation assay, Architect HIV Ag/Ab combo, with another fourth generation assay AxSYM HIV Ag/Ab combo and a third generation assay, AxSYM HIV 1/2 gO for their performance. The assays were evaluated using 3 HIV seroconversion panels, 305 sera of healthy subjects and 100 sera of patients with HBsAg or anti-HCV antibodies. Within-run and total coefficient variations of the three screening assays were analyzed for the evaluation of precision.
  
  
  RESULTS
  Architect HIV Ag/Ab combo shortened the window period by 8.7+/-2.1 days relative to AxSYM HIV 1/2 gO and 2.0+/-2.0 days relative to AxSYM HIV Ag/Ab combo in seroconversion panels. Architect HIV Ag/Ab combo presented the best performance in precision among the three reagents; total CV for positive control was 3.6%, 9.6% and 4.6% for Architect HIV Ag/Ab combo, AxSYM HIV Ag/Ab combo and AxSYM HIV 1/2 gO, respectively. Specificities of three assays were not different in this study.
  
  
  CONCLUSIONS
  HIV Ag/Ab combined assays reduced the diagnostic window as compared to the third generation screening assays, enabling an earlier diagnosis of HIV infection. A new fourth generation assay, Architect HIV Ag/Ab combo presents a better performance than AxSYM HIV Ag/Ab combo, showing improved seroconversion sensitivity and precision.
authors.affiliation: Department of Laboratory Medicine, Hallym University College of Medicine, Anyang, Korea. kangheejung@hallym.ac.kr.
authors.forename: Hee Jung
authors.initials: HJ
authors.lastname: Kang
authors.forename: Kyeong Ha
authors.initials: KH
authors.lastname: Yoo
authors.forename: Han Sung
authors.initials: HS
authors.lastname: Kim
authors.forename: Hyoun Chan
authors.initials: HC
authors.lastname: Cho