A literature article diagnostic accuracy of 4th generation architect hiv ag/ab combo assay and utility of signal-to-cutoff ratio to predict false positive hiv tests in pregnancy published in the american journal of obstetrics and gynecology (jun 15, 2018) by drs adhikari, macias, white, rogers, mcintire, and roberts at the department of obstetrics and gynecology, university of texas southwestern medical center in dallas, texas usa reported false reactive architect hiv ag/ab combo results which impacted some pregnant patient and babies.Multiple falsely positive results were observed while using architect hiv ag/ab combo reagent for pregnant patients.Other methods were hiv negative, including quantitative hiv-1 rna polymerase chain reaction (pcr viral load), multispot hiv-1/hiv-2 rapid differentiation assay (biorad), and qualitative rna assay (hologic).The patients received interventions that included maternal intrapartum zidovudine, neonatal zidovudine only (prophylaxis initiated), and neonatal zidovudine plus nevirapine (prophylaxis initiated).Other interventions included breast-feeding delays for hiv results and neonatal hiv testing.No specific values per patient were provided and no further patient details were provided.
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Further investigation of the customer issue included a review of the article by a cross functional team, a search for similar complaints, review of field data, and a review of labeling.No adverse trend was identified for the issue.No return patient sample was available as this was a literature article.Historical performance of the all available lots was evaluated using world wide data.Labeling was reviewed and found to be adequate.Based on all available information and abbott diagnostics' complaint investigation no product deficiency was identified.
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