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. 2003 Jan;41(1):310–317. doi: 10.1128/JCM.41.1.310-317.2003

TABLE 7.

Potential interference by endogenous substances, microorganisms and other viruses, and commonly prescribed drugs

Potentially interfering substance, microorganism pool, or drug poola Specificityb (%) Sensitivityc
Endogenous substances (level tested)
    Hemoglobin (500 mg/dl) 98.0 100
    Conjugated bilirubin (60 mg/dl) 98.0 98.0
    Unconjugated bilirubin (60 mg/dl) 100 96.0
    Triglycerides (3,000 mg/dl) 100 98.0
    Human immunoglobulin (8 g/dl)d 100 100e
Microorganisms and viruses
    Pool 1 98.0 96.0
    Pool 2 100 100
    Pool 3 100 100
    Pool 4 100 100
    Pool 5 100 100
Commonly prescribed drugs
    Pool 1 100 98.0
    Pool 2 100 100
    Pool 3 100 98.0
    Pool 4 100 100
    Pool 5 100 100
    Pool 6 100 100
a

For the microorganisms pools, the testing was done at 50,000 CFU/ml or 50,000 copies/ml. The microorganism pools included the following: pool 1, Escherichia coli, Pseudomonas aeruginosa, Klebsiella pneumoniae, Haemophilus influenzae, and cytomegolovirus; pool 2, Enterobacter cloaceae, Pseudomonas fluorescens, Staphylococcus aureus, Serratia marcescens, and Streptococcus pneumoniae; pool 3, Staphylococcus epidermis, Streptococcus group B, Candida albicans, HIV-1 subtype B, and hepatitis B virus; pool 4, HIV-1 subtypes A, C, and D; and pool 5, HIV-1 subtypes E and F and group O, and Propionibacterium acnes. The drug pools included the following: pool 1, alpha interferon 2b, ribavarin, and azathioprine; pool 2, cyclosporine, spironolactone, and prednisone; pool 3, alpha interferon 2b, tacrolimus, and amantidine HCl; pool 4, fluoxetine HCl, Peginterferon Alfa-2b, and azidothymidine; pool 5, ganciclovir and dideoxycytidine; and pool 6, didanosine and dedehydreoxythymidine.

b

Specificity defined as the percentage of nonreactive samples of total samples tested. A total of 50 samples were tested for each endogenous substance and disease-causing organism pool. A total of 50 samples were tested for each of drug pools 1 and 3, 60 samples were tested for drug pool 2, and 40 samples were tested for drug pools 4 to 6.

c

Sensitivity defined as the percentage of reactive samples of a total of 50 samples tested.

d

Normal human serum contains 4 to 8 g of immunoglobulin per dl. With an additional 8 g/dl added, this would bring the total concentration to 12 to 16 g of immunoglobulin per dl.

e

Only 49 samples tested.