Proficiency testing for quality assurance of allergens methods

AbstractProficiency testing is an external quality control check, whereby the quality of an analytical result is checked against criteria that are set independently of the laboratory carrying out the analysis. Participants in a proficiency test are encouraged to use the method of their choice to determine the analyte in question. The collated results submitted by the participants are used to derive the best estimate of the ‘true’ level, or assigned value, of the analyte, as a consensus value of the whole data set. Generally, the data submitted will be normally distributed and from a single population, but if a data set is found to be multimodal, then the selection of one of the modes as the assigned value is possible where there is supporting data, typically methodology information. Unless there are independent grounds for preferring one mode over another, it is not possible to set an assigned value or calculate z-scores. However, the analysis of allergens has presented proficiency testers with a new challenge, since it has become apparent that quantitative results may be dependent on the brand of enzyme-linked immunosorbent assay kit used, the specific analyte targeted (e.g. total content or allergen protein content) and the limit of detection achievable. FAPAS® has run more than 40 proficiency tests for allergen analysis over the past 7 years, during which time methods have been developed and improved and the requirements for determination of food ingredient allergens has increased. Two case studies are presented which highlight some of the issues around the use of allergen measurement methods. FigureA selection of food items which might cause allergenic or intolerance reactions