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Journal of Clinical Microbiology, January 2000, p. 85-89, Vol. 38, No. 1
0095-1137/0/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.

Relationship of Incremental Specimen Volumes and Enhanced Detection of Human Immunodeficiency Virus Type 1 RNA with Nucleic Acid Amplification Technology

Donald J. Witt,1,* M. Kemper,2 Andrew Stead,1 Christine C. Ginocchio,3 and Angela M. Caliendo4,dagger

Organon Teknika Corporation, Durham, North Carolina1; Sacramento Medical Foundation, Sacramento, California2; North Shore University Hospital-New York University School of Medicine, Manhasset, New York3; and Massachusetts General Hospital, Boston, Massachusetts4

Received 16 June 1999/Returned for modification 18 August 1999/Accepted 27 September 1999

The relationship between specimen input volume and the frequency of reported human immunodeficiency virus type 1 (HIV-1) RNA copy numbers by nucleic acid amplification technology (the NASBA HIV-1 RNA QT system) was investigated. Results obtained with both clinical specimens and dilution panels indicated that both the absolute number of reported results and the reported HIV-1 RNA copy number were directly proportional to the specimen input volumes evaluated (0.1, 0.5, and 1.0 ml). Conversion of the reported HIV-1 RNA copy numbers to a constant 1.0-ml volume indicated that the numerical relationship among the specimen input volumes and the HIV-1 RNA copy numbers was multiplicative. The HIV-1 RNA copy numbers reported for the 0.5-ml input volume were approximately 5-fold increased over those reported for the 0.1-ml input volume, and those reported for the 1.0-ml input volume were 10-fold increased over those reported for the 0.1-ml input volume. For the specimen input volumes investigated, a common linear range of 264 to 5,400,000 HIV-1 RNA copies was observed. The use of increased specimen input volumes did not result in a loss of assay specificity, as the results reported for specimens from 50 seronegative blood donors were negative at all three specimen input volumes. In conclusion, an increase in the input volume of specimens analyzed by nucleic acid amplification technology can be useful for the enhanced detection of HIV-1 RNA.


* Corresponding author. Mailing address: Organon Teknika Corp., 100 Akzo Ave., Durham, NC 27712. Phone: (919) 620-2392. Fax: (919) 620-2324. E-mail: dwitt{at}orgtek.com.

dagger Present address: Emory University Hospital, Atlanta, Ga.


Journal of Clinical Microbiology, January 2000, p. 85-89, Vol. 38, No. 1
0095-1137/0/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.



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