TABLE 1.
Area under the receiver-operating characteristic curve, sensitivity, specificity, and predictive values of five serological assays for the diagnosis of R. equi pneumonia in foalsa
Assay | Area under ROC curve (95% CI) | Selected cut-off | Sensitivity (%) | Specificity (%) | Predictive value (%)
|
|||
---|---|---|---|---|---|---|---|---|
Prevalence 10%
|
Prevalence 40%
|
|||||||
Positive | Negative | Positive | Negative | |||||
ELISA-VapA | 0.55a (0.44-0.65) | 1:40 | 81 | 4 | 9 | 66 | 36 | 24 |
1:80 | 71 | 13 | 8 | 79 | 36 | 40 | ||
1:160 | 61 | 30 | 9 | 87 | 37 | 53 | ||
1:320 | 56 | 50 | 12 | 41 | 43 | 64 | ||
1:640 | 37 | 63 | 10 | 89 | 39 | 60 | ||
1:1,280 | 24 | 84 | 14 | 90 | 50 | 62 | ||
1:2,560 | 14 | 96 | 28 | 91 | 69 | 62 | ||
1:5,120 | 10 | 86 | 7 | 89 | 31 | 59 | ||
ELISA-California | 0.68b (0.56-0.79) | 20% | 90 | 8 | 10 | 88 | 40 | 56 |
30% | 83 | 46 | 15 | 97 | 50 | 46 | ||
40% | 59 | 88 | 34 | 95 | 76 | 76 | ||
50% | 34 | 92 | 31 | 93 | 73 | 68 | ||
60% | 7 | 92 | 10 | 90 | 37 | 60 | ||
ELISA-33701 | 0.67a,b (0.54-0.78) | 0.2 | 66 | 4 | 7 | 53 | 31 | 16 |
0.4 | 44 | 48 | 9 | 88 | 36 | 57 | ||
0.7 | 15 | 65 | 4 | 87 | 31 | 53 | ||
1.0 | 10 | 83 | 6 | 89 | 27 | 57 | ||
1.2 | 5 | 83 | 3 | 89 | 16 | 56 | ||
ELISA-6939 | 0.67a,b (0.54-0.78) | 0.2 | 78 | 61 | 18 | 96 | 58 | 80 |
0.4 | 39 | 83 | 20 | 92 | 60 | 68 | ||
0.7 | 17 | 91 | 18 | 91 | 57 | 62 | ||
1.0 | 5 | 96 | 11 | 91 | 43 | 60 | ||
1.2 | 5 | 100 | 100 | 90 | 100 | 61 | ||
Agar gel immunodiffusion | NA | Weak positive | 61 | 58 | 13 | 93 | 49 | 69 |
Positive | 44 | 71 | 14 | 91 | 50 | 65 | ||
Strong positive | 10 | 92 | 12 | 90 | 45 | 60 |
Within a column, assay results with different superscripts were significantly different (P < 0.05). NA, not applicable. CI, confidence interval.