Screening for Antibody to the Human Immunodeficiency Virus

Screening for Antibody to the Human Immunodeficiency Virus

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时间:2019-07-16

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1、CentersforDiseaseControlandPreventionEpidemiologyProgramOfficeCaseStudiesinAppliedEpidemiologyNo.871-703ScreeningforAntibodytotheHumanImmunodeficiencyVirusStudent'sGuideLearningObjectivesAftercompletingthiscasestudy,theparticipantshouldbeableto:GDefineand

2、performcalculationsofsensitivity,specificity,predictive-valuepositive,andpredictive-valuenegative;GDescribetherelationshipbetweenprevalenceandpredictivevalue;GDiscussthetrade-offsbetweensensitivityandspecificity;GListtheprinciplesofagoodscreeningprogram.T

3、hiscasestudywasdevelopedin1987byLylePeterson,GuthrieBirkhead,andRichardDicker.U.S.DEPARTMENTOFHEALTHANDHUMANSERVICESPublicHealthServiceCDC-EIS,2003:ScreeningforHIV(871-703)–Student'sGuidePage2PARTIInDecember1982,areportintheMMWRsymptomsandsignsofHIVinfect

4、ion,thosewithdescribedthreepersonswhohaddevelopedvariousautoimmunedisordersandneoplasticacquiredimmunodeficiencysyndrome(AIDS)butdiseasesthatcouldgiveafalse-positivetestwhohadneitherofthepreviouslyknownriskresult,andpresumablyhealthybloodandfactorsforthed

5、isease:homosexual/bisexualplasmadonors.activitywithnumerouspartnersandintravenousdruguse.ThesethreepersonshadpreviouslyNumerouscomplexissueswerediscussedevenreceivedwhole-bloodtransfusions.By1983,beforelicensure.Amongthemwerewidespreadrecognitionoftheprob

6、lemofunderstandingthemagnitudeoftheproblemoftransfusion-relatedAIDSledtocontroversialfalse-positivetestresults,anddeterminingrecommendationsthatpersonsinknownwhethertest-positiveblooddonorsshouldbehigh-riskgroupsvoluntarilydeferfromdonatingnotified.blood.

7、InJune1984,afterthediscoveryofthehumanimmunodeficiencyvirus(HIV),fiveItisnowMarch2,1985.ThefirstHIVantibodycompanieswerelicensedtoproducetestkitswillarriveinbloodbanksinthestateinaenzyme-linkedimmunosorbentassay(EIA,thenfewhours.MeetingwithStateEpidemiolo

8、gisttocalledELISA)testkitsfordetectingHIVdiscusstheappropriateuseofthistestaretheantibody.AFoodandDrugAdministrationCommissionerofHealth,themedicaldirectorof(FDA)spokesmanstatedthat,"...gettingthistesttheregionalblo

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