E.orgCriteria used to establish pregnancy status are listed inside the
E.orgCriteria employed to establish pregnancy status are listed within the order they were evaluated. b Damaging pregnancy test result. doi:0.37journal.pone.006538.thighest HIV EIA falsepositive rates function mainly as reference laboratories for hospitals along with other facilities, and are much more likely PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/22157200 to receive specimens that initially screened HIVrepeatedly reactive than these tested at other regional facilities within precisely the same laboratory technique. The HIV prevalence at the laboratory facilities ranged from 0.7 to two.8 , plus the two reference laboratories mentioned previously had the highest prevalence prices. Following adjusting for prevalence at each laboratory facility, pregnant women had been much less probably to have falsepositive screening test benefits than nonpregnant persons [adjusted OR 0.65, 95 self-assurance interval (CI) (0.six, 0.70)] (Table 2). Among all specimens with repeatedly reactive HIV EIA outcomes, these from pregnant girls have been much more likely to test Western blotnegative and indeterminate than these from persons who have been not pregnant (52.9 vs. 9.8 , p,0.0) and (7.0 vs. three.7 , p,0.0), respectively (Table 3). Amongst persons with indeterminate Western blot final results, the only band detected a lot more typically amongst pregnant females than amongst persons who were not pregnant was the p24 band (79 vs. 68 , p,0.0). The positive predictive value of your HIV EIA test among pregnant women was reduce than that amongst persons who had been not pregnant (30 vs. 86.5 , p,0.0) (Table three). Of 4,329 specimens with repeatedly reactive EIA and Western blotnegative results, 346 (eight.0 ) had a minimum of 1 followup testing occasion by July 2008: 0695 (.2 ) pregnant females, 9675 (7. ) nonpregnant persons, and 2703 (7. ) persons with unknown pregnancy status. Of those with followup test resultsFalsePositive HIV EIA in Pregnant Docosahexaenoyl ethanolamide site WomenTable two. HIV test benefits, falsepositive rate and danger of falsepositive result, by pregnancy statusa, national commercial laboratory, July 2007 to June 2008.EIA nonreactive N Pregnant Not Pregnant Pregnancy UnknownaRepeatedlyreactive EIA Western blot optimistic N 54 (0.06) 4,788 (.34) 4,67 (0.35)Repeatedly reactive EIA Western blotnegative N 95 (0.0) ,675 (0.five) ,703 (0.3)Repeatedly reactive EIA Western blotindeterminate N 306 (0.03) 633 (0.06) 70 (0.05)False optimistic rateb 0.4 0.2 0.8Crude odds ratio (95 CI) 0.65 (0.60, 0.69) Reference 0.86 (0.eight, 0.9)Adjusted odds ratioc (95 CI) 0.65 (0.6, 0.70) Reference 0.85 (0.80, 0.90)99,640 (99.eight) ,086,865 (98.5) ,324,344 (99.five)Excludes 436 with uninterpretable Western blots or repeatedlyreactive EIA with Western blot not performed. False optimistic EIA repeatedlyreactive and Western blot negative or indeterminate False optimistic rate [falsepositive(EIAnonreactive falsepositive)]. c Adjusted for laboratory HIV prevalence. doi:0.37journal.pone.006538.tbwithin a month following the initial EIAreactive and Western blotnegative outcome, fewer pregnant girls than nonpregnant persons had a Western blotpositive result [054 (0 ) vs. 256 (2.four ), p,0.0]. Nine nonpregnant persons and no pregnant women had followup benefits between 3 days and 1 year that have been Western blotpositive. Of ,640 specimens with repeatedlyreactive HIV EIA and Western blotindeterminate benefits, 87 (.four ) had at least one followup testing event by July 2008: 70306 (22.9 ) pregnant women, 57633 (9.0 ) nonpregnant, and 6070 (eight.six ) unknown pregnancy status. Slightly extra than half (57.two ) of your persons with followup test outcomes inside a month soon after the initial indeter.
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