"Comparison of Saliva and Serum for HIV Surveillance in Developing" Countries CDC Daily UpdateImportant note: Information in this article was accurate in 1992. The state of the art may have changed since the publication date.

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"Comparison of Saliva and Serum for HIV Surveillance in Developing" Countries

Lancet (12/19-26/92) Vol. 340, No. 8834/8835, P. 1496
Frerichs, Ralph R. et al.


Abstract: Saliva is a safe and effective alternative to serum for HIV antibody testing with enzyme-linked immunosorbent assays (ELISAs in developing countries, write Ralph R. Frerichs et al. of the University of California--Los Angeles AIDS Prevention and Control Program. The researchers conducted a field study in Myanmar (formerly Burma) to evaluate saliva as an alternative to detect the frequency of HIV infection in a surveillance program of high-risk and low-risk sentinel groups. The researchers collected duplicate vials of saliva and serum from 479 high-risk and 1,039 low-risk subjects. One vial of each pair was examined blind in two laboratories: one in the United States and the other in Myanmar. The U.S. laboratory followed World Health Organization confirmatory strategy III with three different enzyme-linked immunosorbent assays (ELISAs), while the laboratory in Myanmar followed strategy I with one ELISA. Serum testing in the U.S. was the gold standard. The Cambridge ELISA with saliva was a more effective surveillance device for describing the frequency of subjects with HIV antibodies than the serum ELISA supplied to Myanmar by WHO.


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