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Vol. 14. Issue 3.
Pages 322-324 (May - June 2010)
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Vol. 14. Issue 3.
Pages 322-324 (May - June 2010)
Brief communication
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Comparison of a rapid cytomegalovirus pp65 antigenemia assay revealed by immunofluorescence to an in-house assay revealed by immunoperoxidase for diagnosis in solid organ transplant recipient patients
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Emerson Carraro1,2,
Corresponding author
emersoncarraro@bol.com.br

Correspondence to: Laboratório de Virologia Clínica Rua Pedro de Toledo, 781, 15° andar, Vila Clementino São Paulo – SP – Brasil CEP: 04039-032.
, Jacyr Pasternak2, Ana Perosa2, Itacy Siqueira2, Marines Dalla Vale Martino2
1 Microbiology Section, Clinical Laboratory, Hospital Albert Einstein, São Paulo, SP, Brazil
2 Clinical Virology Laboratory, Infectious Diseases Department, UNIFESP, São Paulo, SP, Brazil
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Abstract

Cytomegalovirus (CMV) antigenemia is still one of the two major assays available for diagnosis and monitoring of CMV infections. A commercial rapid test recently available in Brazil for quantification of human cytomegalovirus pp65 antigenemia revealed by immunofluorescence technique was compared with the original in-house method revealed by immunoperoxidase in patients receiving solid organ transplants. Of 80 blood samples tested for CMV antigenemia, 34 (42.5%) were positive: commercial assay detected 33 (97%) and in-house assay detected 20 (58.8%) samples. The numbers of positive cells in the two assays were different, with a median of 4.5 and 12 positive cells obtained by in-house and commercial kit, respectively. Discrepancies between assays occurred in 15 specimens from patients with low-grade antigenemia (median 6 positive cells). The assay-time was reduced in approximately 50% compared to in-house methodology. In conclusion, besides comparable results obtained for both assays, the commercial antigenemia assay provides more rapid and sensitive results.

Keywords:
cytomegalovirus
antigenemia assay
immmunoperoxidase
immunofluorescence
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