Cost minimization analysis of an in-house molecular test for cytomegalovirus in relation to a commercial molecular system

与商业分子系统相比,内部巨细胞病毒分子检测的成本最小化分析

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作者:Cássia F B Caurio, Odelta S Allende, Roger Kist, Izadora C S Vasconcellos, Francieli P Rozales, Maikel Reck-Kortmann, Daiane F Dalla Lana, Ana Paula Alegretti, Giácomo B Neto, Alessandro C Pasqualotto

Conclusions

These results demonstrated that in-house quantitative polymerase chain reaction testing is an attractive alternative in comparison to automated molecular platforms, being considerably less expensive and as efficacious as the commercial methods.

Objective

This study aimed to optimize and validate an in-house cytomegalovirus quantitative polymerase chain reaction test calibrated using the World Health Organization Standards, and to perform a cost-minimization analysis, in comparison to a commercial cytomegalovirus quantitative polymerase chain reaction test. Study design: The methodology consisted of determining: optimization, analytical sensitivity, analytical specificity, precision, curve variability analysis, and inter-laboratorial reproducibility. Patients (n=30) with known

Results

The in-house assay had a limit of detection and quantification of 60.3IU/mL, with no cross-reactivity with the other viral agents tested. Moreover, the test was precise and had a R2 of 0.954 when compared with the m2000 equipment. The cost analysis showed that the assay was economically advantageous costing a median value of 37.8% and 82.2% in comparison to the molecular test in use at the hospital and the m2000 equipment, respectively. Conclusions: These results demonstrated that in-house quantitative polymerase chain reaction testing is an attractive alternative in comparison to automated molecular platforms, being considerably less expensive and as efficacious as the commercial methods.

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