Rd. Saville et al., EVALUATION OF TWO NOVEL IMMUNOASSAYS DESIGNED TO DETECT HIV ANTIBODIES IN ORAL FLUIDS, Journal of clinical laboratory analysis, 11(1), 1997, pp. 63-68
The testing of oral fluid samples for the detection of HIV antibodies
offers several advantages over the testing of blood. Our objective was
to evaluate a new generation of rapid and simple assays designed spec
ifically to detect HIV-1 and HIV-2 antibodies in oral fluids (saliva).
Serum and oral fluid pairs were collected from 615 high- and low-risk
individuals in the United States, Peru, and the Ivory Coast. Two diff
erent oral fluid collection devices and rapid assay systems included:
(1) the Orapette/SalivaCard HIV-1/HIV-2 and (2) the Omni-Sal/ImmunoCom
b II HIV-1 and HIV-2. The corresponding serum pairs were analyzed by c
onventional ELISAs, and all reactive sera were confirmed with HIV-1 an
d HIV-2 Western blots. The results indicated a 100% sensitivity for bo
th oral fluid assays, including successful detection of HIV-2 antibodi
es. Specificities ranged from 99.8% to 100%. One sample produced a rea
ctive result by the SalivaCard while being nonreactive by the other as
says including that antibodies to HIV can be detected reliably in oral
fluids by simple and rapid assays. This combination of rapid testing
technology and the use of easily collected oral fluid samples offers a
n efficient and accurate alternative to conventional testing and can b
e appropriately applied to a variety of testing situations for the lab
oratory diagnosis of HIV infection. J. Clin. Lab. Anal. 11:63-68.