TABLE 4.
Sensitivities, specificities, and agreement (κ) of standard isolation technique, IMS isolation, and PCR tests (omlA and Adiavet App PCRs) for detection of A. pleuropneumoniae from whole tonsils
| Test | % Positive samples | Results of comparison with the following benchmark tests:
|
||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| All testsa
|
Isolation
|
PCR
|
||||||||||||||||||||
| Directb
|
After culturec
|
|||||||||||||||||||||
| Standard
|
IMS
|
omlAd
|
Adiavet App
|
omlA
|
Adiavet App
|
|||||||||||||||||
| SEe (%) | SPf (%) | κ | SE (%) | SP (%) | κ | SE (%) | SP (%) | κ | SE (%) | SP (%) | κ | SE (%) | SP (%) | κ | SE (%) | SP (%) | κ | SE (%) | SP (%) | κ | ||
| Standard isolation | 10 | 17 | 100 | 0.15 | 31 | 99 | 0.38 | 37 | 100 | 0.46 | 22 | 100 | 0.25 | 18 | 100 | 0.17 | 20 | 100 | 0.21 | |||
| IMS isolation | 28 | 49 | 100 | 0.46 | 91 | 79 | 0.38 | 83 | 91 | 0.73 | 61 | 97 | 0.61 | 49 | 96 | 0.44 | 56 | 97 | 0.53 | |||
| omlA PCR, direct | 26 | 46 | 100 | 0.42 | 100 | 82 | 0.46 | 78 | 94 | 0.73 | 61 | 100 | 0.64 | 49 | 100 | 0.47 | 55 | 100 | 0.57 | |||
| Adiavet App PCR, direct | 43 | 75 | 100 | 0.73 | 100 | 63 | 0.25 | 94 | 77 | 0.61 | 100 | 77 | 0.64 | 77 | 96 | 0.72 | 87 | 97 | 0.84 | |||
| omlA PCR, after culture | 53 | 93 | 100 | 0.93 | 100 | 51 | 0.17 | 94 | 62 | 0.44 | 100 | 63 | 0.47 | 96 | 78 | 0.72 | 98 | 86 | 0.84 | |||
| Adiavet App PCR, after culture | 47 | 83 | 100 | 0.81 | 100 | 58 | 0.21 | 94 | 71 | 0.53 | 100 | 71 | 0.57 | 96 | 89 | 0.84 | 87 | 98 | 0.84 | |||
A sample was considered positive if A. pleuropneumoniae was detected by at least one assay; a sample was considered negative if A. pleuropneumoniae was not detected by any of the assays.
PCR was carried out with DNA obtained without culture of the sample.
PCR was carried out with DNA obtained after culture of the sample.
As described by Savoye et al. (34).
SE, sensitivity. The sensitivity of a test was defined as the number of samples positive by the test that were also positive by the benchmark test divided by the total number of samples positive by the benchmark test.
SP, specificity. The specificity of a test was defined as the number of samples negative by the test that were also negative by the benchmark test divided by the total number of samples negative by the benchmark test.