Table 2. Determination of sensitivity and specificity of RT-PCR assay for N. meningitidis (ctrA), S. pneumoniae (lytA), and H. influenzae (bexA) in cerebrospinal fluid and serum specimens (see text for details).
Pathogen | No.* | Sensitivity | 95% CIs | Specificity-Method 1** | No.* | 95% CIs | Specificity-Method 2, unadjusted*** | No. | 95% CIs | Specificity-Method 2, adjusted**** | No.* | 95% CIs |
CEREBROSPINAL FLUID | ||||||||||||
N. meningitidis | 90 | 100% | 96.0–100 | 100% | 51 | 93.0–100 | 75.7% | 342 | 70.8–80.2 | 98.9% | 262 | 96.7–99.8 |
S. pneumoniae | 46 | 97.8% | 88.5–99.9 | 100% | 94 | 96.2–100 | 93.5% | 386 | 90.6–95.8 | 100% | 361 | 99.0–100 |
H. influenzae | 3 | 66.7% | 9.4–99.2 | 100% | 139 | 97.4–100 | 99.8% | 433 | 98.7–100 | 100% | 432 | 99.2–100 |
SERUM | ||||||||||||
N. meningitidis | 21 | 57.1% | 34.0–78.2 | 100% | 12 | 73.5–100 | 83.1% | 223 | 77.4–87.9 | 94.1% | 188 | 89.8–97.0 |
S. pneumoniae | 10 | 80.0% | 44.4–97.5 | 100% | 25 | 86.3–100 | 96.2% | 235 | 92.9–98.2 | 100% | 226 | 98.4–100 |
H. influenzae | 2 | 0% | 0–84.2 | 100% | 33 | 89.4–100 | 100% | 243 | 98.5–100 | 100% | 243 | 98.5–100 |
*Number of specimens contributing to the calculation of sensitivity or specificity
**Specificity determined using specimens positive for other organisms
***Specificity determined using specimens positive for other organisms or culture negative
****Specificity determined using specimens positive for other organisms or culture negative but positive for second gene target