Comparison of Two Methodologies for CD4+ T Lymphocytes Relative Counting on Immune Monitoring of Patients with Human Immunodeficiency Virus

Considering that counting the percentage of CD4 T lymphocytes can add prognostic information regarding patients infected with HIV, the aim of this study was to evaluate the percentage values of CD4+ T lymphocytes from 81 patients determined by flow cytometry and estimated by flow cytometry in conjun...

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Main Authors: Danielle Cristyane Kalva Borato, Emerson Carraro, Sônia Regina Weber Ribas, Carlos Augusto Kalva-Filho, José Carlos Rebuglio Vellosa
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/2012/906873
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author Danielle Cristyane Kalva Borato
Emerson Carraro
Sônia Regina Weber Ribas
Carlos Augusto Kalva-Filho
José Carlos Rebuglio Vellosa
author_facet Danielle Cristyane Kalva Borato
Emerson Carraro
Sônia Regina Weber Ribas
Carlos Augusto Kalva-Filho
José Carlos Rebuglio Vellosa
author_sort Danielle Cristyane Kalva Borato
collection DOAJ
description Considering that counting the percentage of CD4 T lymphocytes can add prognostic information regarding patients infected with HIV, the aim of this study was to evaluate the percentage values of CD4+ T lymphocytes from 81 patients determined by flow cytometry and estimated by flow cytometry in conjunction with a hematology counter. Means were compared through the Student's t-test. Pearson's correlation was determined, and the agreement between results was tested by Bland-Altman. The level of significance was P<0.05. It was found a significantly higher mean difference between the relative values of CD4+ T lymphocytes to the hematologic counter (P<0.05), for all strata studied. Positive and significant correlations (P<0.01) were found between the strata CD4 < 200 cells/mL (r=0.93), between 200 and 500 cells/mL (r=0.65), and >500 cells/mL (r=0.81). The limits of agreement were 1.0±3.8% for the stratum of CD4 < 200 cells/mL, approximately 2.2±13.5% for the stratum of CD4 between 200 and 500 cells/mL, and approximately 6.2±20.4% for the stratum > 500 cells/mL. The differences in the percentages of CD4+ T lymphocytes obtained by different methodologies could lead to conflict when used in clinical decisions related to the treatment and care of people infected with HIV.
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spelling doaj-art-e385410d97d245238de585a54105f3e92025-02-03T05:51:50ZengWileyThe Scientific World Journal1537-744X2012-01-01201210.1100/2012/906873906873Comparison of Two Methodologies for CD4+ T Lymphocytes Relative Counting on Immune Monitoring of Patients with Human Immunodeficiency VirusDanielle Cristyane Kalva Borato0Emerson Carraro1Sônia Regina Weber Ribas2Carlos Augusto Kalva-Filho3José Carlos Rebuglio Vellosa4Pharmaceutical Sciences Post Graduate Program, State University of Ponta Grossa (UEPG), General Carlos Cavalcanti Avenue, 4748 Uvaranas, 84030-900 Ponta Grossa, PR, BrazilDepartment of Pharmacy, State University in the Paraná Midwestern (UNICENTRO), CEDETEG Campus, 85040-080 Guarapuava, PR, BrazilCounty Health Department, Expert Assistance Service (EAS), City Hall, 84051-900 Ponta Grossa, PR, BrazilDepartment of Physiotherapy, State University Paulista (UNESP), Presidente Prudente Campus, 19060-900 Presidente Prudente, SP, BrazilPharmaceutical Sciences Post Graduate Program, State University of Ponta Grossa (UEPG), General Carlos Cavalcanti Avenue, 4748 Uvaranas, 84030-900 Ponta Grossa, PR, BrazilConsidering that counting the percentage of CD4 T lymphocytes can add prognostic information regarding patients infected with HIV, the aim of this study was to evaluate the percentage values of CD4+ T lymphocytes from 81 patients determined by flow cytometry and estimated by flow cytometry in conjunction with a hematology counter. Means were compared through the Student's t-test. Pearson's correlation was determined, and the agreement between results was tested by Bland-Altman. The level of significance was P<0.05. It was found a significantly higher mean difference between the relative values of CD4+ T lymphocytes to the hematologic counter (P<0.05), for all strata studied. Positive and significant correlations (P<0.01) were found between the strata CD4 < 200 cells/mL (r=0.93), between 200 and 500 cells/mL (r=0.65), and >500 cells/mL (r=0.81). The limits of agreement were 1.0±3.8% for the stratum of CD4 < 200 cells/mL, approximately 2.2±13.5% for the stratum of CD4 between 200 and 500 cells/mL, and approximately 6.2±20.4% for the stratum > 500 cells/mL. The differences in the percentages of CD4+ T lymphocytes obtained by different methodologies could lead to conflict when used in clinical decisions related to the treatment and care of people infected with HIV.http://dx.doi.org/10.1100/2012/906873
spellingShingle Danielle Cristyane Kalva Borato
Emerson Carraro
Sônia Regina Weber Ribas
Carlos Augusto Kalva-Filho
José Carlos Rebuglio Vellosa
Comparison of Two Methodologies for CD4+ T Lymphocytes Relative Counting on Immune Monitoring of Patients with Human Immunodeficiency Virus
The Scientific World Journal
title Comparison of Two Methodologies for CD4+ T Lymphocytes Relative Counting on Immune Monitoring of Patients with Human Immunodeficiency Virus
title_full Comparison of Two Methodologies for CD4+ T Lymphocytes Relative Counting on Immune Monitoring of Patients with Human Immunodeficiency Virus
title_fullStr Comparison of Two Methodologies for CD4+ T Lymphocytes Relative Counting on Immune Monitoring of Patients with Human Immunodeficiency Virus
title_full_unstemmed Comparison of Two Methodologies for CD4+ T Lymphocytes Relative Counting on Immune Monitoring of Patients with Human Immunodeficiency Virus
title_short Comparison of Two Methodologies for CD4+ T Lymphocytes Relative Counting on Immune Monitoring of Patients with Human Immunodeficiency Virus
title_sort comparison of two methodologies for cd4 t lymphocytes relative counting on immune monitoring of patients with human immunodeficiency virus
url http://dx.doi.org/10.1100/2012/906873
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