Document 2715 DOCN M94A2715 TI Comparative clinical evaluation of an anti-HIV 1 + 2 3.gen EIA with a HIV antigen EIA in seroconversion phase. DT 9412 AU Faatz E; Melchior W; Hess G; Jilek F; Babiel R; Boehringer Mannheim GmbH, Penzberg, Germany. SO Int Conf AIDS. 1994 Aug 7-12;10(1):241 (abstract no. PB0395). Unique Identifier : AIDSLINE ICA10/94369860 AB OBJECTIVE: Since the necessity of HIV antigen immunoassays for the detection of early seroconversion in blood banks is still discussed controversially, we did a comparative study of two HIV-antigen immunoassays and two anti-HIV immunoassays. The anti-HIV immunoassays were chosen to be those using a double antigen or bridging test concept, for this type of test concept theoretically is able to detect all immune globulin classes including IgM and is therefore considered to be the most sensitive type of antibody immunoassay in seroconversion. METHODS: The Boehringer Mannheim Enzymun-Test HIVAg, one competitor HIVAg EIA, the Boehringer Mannheim Enzymun-Test anti-HIV 3.generation and one competitor anti-HIV 3.generation EIA were used to evaluate 8 seroconversion panels, the Boston Biomedica HIV antigen mixed titer panel and anti-HIV Low Titer Panel 104 and several other critical samples from different sources. RESULTS: The detection of positive samples is very comparable between the Enzymun-Test HIVAg and the competitor HIVAg EIA and the Boehringer Mannheim Enzymun-Test anti-HIV 3.generation and the competitor anti-HIV 3.generation EIA respectively. With seroconversion panels I and L the first available bleed is positive in all four immunoassays. Since no earlier negative bleed is available with these panels no decision can be made which method would have detected these seroconversions earlier. The seroconversion panels E, P, Q, R, S, and NYBC Panel A are detected one to three bleeds earlier by the antigen assays, which is 7 to 51 days earlier than detection by anti-HIV 3.generation assays. DISCUSSION: The usefulness of a HIVAg screening assay for blood transfusion survey in addition to established anti-HIV screening assays will be discussed. DE Blood Banks Comparative Study Human HIV Antigens/*BLOOD HIV Seropositivity/*DIAGNOSIS/IMMUNOLOGY HIV-1/*IMMUNOLOGY HIV-2/*IMMUNOLOGY *Immunoenzyme Techniques Predictive Value of Tests MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).