WS/T 573-2018 in English
VALIDAlgorithm and report of immunological testing for infectious diseases
- Issued on:2018-04-27
- Implemented on:2018-11-01
- File Format:PDF
- Delivery:Via email within 1~3 business days
$127.00
本标准规定了感染性疾病免疫测定的临床检测程序、结果报告及解释。
本标准适用于开展各种感染性疾病免疫测定的医学实验室。
Introduction
Analysis of the Standard's Core Content
This standard systematically regulates the three core aspects of infectious disease immunoassays: Clinical Testing Procedure Establishment, Result Reporting Standards, and Clinical Interpretation Key Points. It is applicable to all medical laboratories conducting tests such as enzyme-linked immunosorbent assays and chemiluminescent immunoassays.
Specifications for establishing detection procedures
| Test type | Sensitivity requirement | Specificity requirement | Typical method |
|---|---|---|---|
| Screening test | ≥95% | Depending on clinical impact | ELISA, immunochromatography |
| Diagnostic test | ≥90% | ≥85% | Chemiluminescence, fluorescent immunoassay |
| Confirmatory test | Not mandatory requirement | ≥98% | Western Blot, nucleic acid detection |
Key technical points
1. Processing flow for positive screening test
When a positive result is detected by chemiluminescence analyzer:
- Positive predictive value > 95%: Direct report is allowed but the risk of false positive must be noted
- Positive predictive value < 95%: Confirmation by protein immunoblotting is required
- Hemolyzed/contaminated samples: Strictly implement the resampling system
2. Processing plan for indeterminate results
Taking HCV detection as an example:
- When the first WB test is indeterminate, a follow-up visit should be arranged after 3 months
- Combined with HCV
- Daily testing volume for screening tests ≥ 200 samples
- Confirmatory test turnaround time ≤ 3 working days
- Daily operation of commercial quality control products
- Monthly external quality assessment
- Quarterly method comparison
2. Key Quality Control Points
Establish a three-level quality control system:
3. Report Template Specifications
[Test Item] HIV Antibody Screening Test [Test Method] Chemiluminescence [Test result] Positive (COI=18.6) [Clinical recommendation] Western Blot confirmation test is recommended. If the confirmation test is still inconclusive, follow-up after 3 months is recommended [Lower limit of detection] 0.5 IU/mL

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