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Journal of Clinical Microbiology, January 1998, p. 191-197, Vol. 36, No. 1
Roche Molecular Systems, Branchburg, New
Jersey 08876
Received 26 June 1997/Returned for modification 10 September
1997/Accepted 10 October 1997
We constructed internal controls (ICs) to provide assurance that
clinical specimens are successfully amplified and detected. The IC
nucleic acids contain primer binding regions identical to those of the
target sequence and contain a unique probe binding region that
differentiates the IC from amplified target nucleic acid. Because only
20 copies of the IC are introduced into each test sample, a positive IC
signal indicates that amplification was sufficient to generate a
positive signal from targets present at the limit of test sensitivity.
The COBAS AMPLICOR Chlamydia trachomatis, Neisseria
gonorrhoeae, Mycobacterium tuberculosis, and human
hepatitis C virus tests exhibited inhibition rates ranging from 5 to
9%. Approximately 64% of these inhibitory specimens were not
inhibitory when a second aliquot was tested. Because repeatedly
inhibitory specimens were not reported as false negative and because
additional infected specimens were detected during retesting, test
sensitivities were 1 to 6% greater than they would have been if the IC
had not been used.
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
An Internal Control for Routine Diagnostic PCR:
Design, Properties, and Effect on Clinical Performance
*
Corresponding author. Mailing address: Roche Molecular
Systems, 1080 Route 202, Somerville, NJ 08876. Phone: (908) 253-7463. Fax: (908) 253-7665. E-mail:
Maurice.Rosenstraus{at}roche.com.
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