Performance evaluation of the point-of-care SAMBA I and II HIV-1 Qual whole blood tests

J Virol Methods. 2016 Nov:237:143-149. doi: 10.1016/j.jviromet.2016.08.017. Epub 2016 Aug 24.

Abstract

The SAMBA HIV-1 Qual Whole Blood Test is a nucleic acid-based amplification assay for the qualitative detection of HIV-1 in whole blood of adults or infants. The test can be run on either the semi-automated SAMBA I system for clinical use or the fully automated, including readout, SAMBA II system for point-of-care use in resource-limited settings. We have assessed the performance characteristics of the SAMBA HIV-1 Qual Whole Blood Test on SAMBA I and SAMBA II. The limit of detection obtained for the two tests were 518IU/ml and 399copies/ml on SAMBA I and 457IU/ml and 433copies/ml on SAMBA II. Test specificity on both systems was 100% with a panel of 503 HIV-1 negative samples. Evaluation of test reproducibility showed 100% concordance with expected gold standard results as well as 100% agreement between operators, days, and runs as well as within runs on both SAMBA I and SAMBA II. Our results thus show that the SAMBA HIV-1 Qual Whole Blood Test performs equivalently on SAMBA I and SAMBA II, and also suggest that the test is suitable for implementation in medium-throughput clinical facilities (SAMBA I) or low-throughput point-of-care (POC) settings (SAMBA II) in resource-poor regions.

Keywords: Diagnosis; Early infant diagnosis; HIV-1; Point-of-care.

Publication types

  • Evaluation Study

MeSH terms

  • Adult
  • Early Diagnosis
  • HIV Infections / diagnosis*
  • HIV Infections / virology
  • HIV-1 / genetics*
  • Humans
  • Infant
  • Limit of Detection
  • Nucleic Acid Amplification Techniques* / methods
  • Nucleic Acid Amplification Techniques* / standards
  • Point-of-Care Systems*
  • Reagent Kits, Diagnostic
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Viremia / diagnosis
  • Viremia / virology

Substances

  • Reagent Kits, Diagnostic