Table 5.
Sensitivity (α ck) | Specificity (β ck) | ||||||||
---|---|---|---|---|---|---|---|---|---|
Test | Parameter | Mean | P2.5% | P97.5% | Test | Parameter | Mean | P2.5% | P97.5% |
ELISA | α 11 | 5.91 | 3.03 | 8.79 | ELISA | α 01 | 3.47 | 1.80 | 5.10 |
γ 111 | 0.50 | 0.02 | 0.96 | γ 011 | −1.92 | −2.79 | −0.94 | ||
γ 112 | 0.51 | 0.03 | 1.00 | γ 012 | −2.10 | −2.90 | −1.14 | ||
γ 113 | 0.50 | −0.01 | 0.96 | γ 013 | −2.12 | −2.89 | −1.11 | ||
IIF | α 12 | 5.79 | 2.89 | 8.82 | IIF | α 02 | 6.51 | 3.01 | 9.73 |
γ 121 | 0.51 | 0.04 | 0.99 | γ 021 | −2.08 | −2.89 | −1.02 | ||
γ 122 | 0.49 | 0.00 | 0.98 | γ 022 | −2.12 | −2.89 | −1.16 | ||
γ 123 | 0.50 | 0.02 | 1.00 | γ 023 | −2.12 | −2.89 | −1.10 | ||
| |||||||||
IHA | α 13 | 5.77 | 2.76 | 8.65 | IHA | α 03 | 6.56 | 2.88 | 10.01 |
γ 131 | 0.51 | 0.03 | 0.99 | γ 031 | −2.10 | −2.86 | −1.05 | ||
γ 132 | 0.49 | 0.01 | 0.97 | γ 032 | −2.11 | −2.91 | −1.11 | ||
γ 133 | 0.51 | 0.04 | 0.98 | γ 033 | −2.12 | −2.85 | −1.15 | ||
| |||||||||
HEMO | α 14 | −0.50 | −0.78 | −0.22 | HEMO | α 04 | 100 | 100 | 100 |
γ 141 | 0.38 | −0.06 | 0.84 | γ 041 | 0 | 0 | 0 | ||
γ 142 | 0.45 | 0.02 | 0.89 | γ 042 | 0 | 0 | 0 | ||
γ 143 | 0.31 | −0.12 | 0.74 | γ 043 | 0 | 0 | 0 | ||
| |||||||||
c-ELISA | α 15 | 5.76 | 2.87 | 8.75 | c-ELISA | α 05 | 2.00 | 1.01 | 2.97 |
γ 151 | 0.51 | 0.02 | 1.00 | γ 051 | −1.91 | −2.77 | −0.94 | ||
γ 152 | 0.49 | 0.04 | 0.97 | γ 052 | −2.11 | −2.90 | −1.07 | ||
γ 153 | 0.49 | 0.00 | 0.98 | γ 053 | −2.08 | −2.85 | −1.11 | ||
| |||||||||
rec-ELISA | α 16 | 5.72 | 2.82 | 8.70 | rec-ELISA | α 06 | 6.50 | 3.16 | 10.03 |
γ 161 | 0.21 | −0.18 | 0.74 | γ 061 | −2.08 | −2.87 | −1.05 | ||
γ 162 | 0.54 | 0.07 | 1.00 | γ 062 | −2.09 | −2.90 | −1.03 | ||
γ 163 | 0.46 | −0.05 | 0.97 | γ 063 | −2.11 | −2.88 | −1.09 | ||
| |||||||||
Prevalence (γ cv) | |||||||||
Stratum | Parameter | Mean | P2.5% | P97.5% | Stratum | Parameter | Mean | P2.5% | P97.5% |
| |||||||||
I | α 1 | 0.50 | 0.21 | 0.81 | II | α 2 | −2.01 | −2.92 | −1.03 |
γ 11 | 0.51 | 0.11 | 0.91 | γ 21 | 0.41 | −0.04 | 0.84 | ||
γ 12 | 0.43 | 0.00 | 0.85 | γ 22 | 0.49 | 0.03 | 0.94 | ||
γ 13 | 0.69 | 0.28 | 1.12 | γ 23 | 0.43 | −0.02 | 0.89 |
P2.5%: 2.5th percentile; P97.5%: 97.5th percentile; ELISA: enzyme-linked immunosorbent assay; IIF: indirect immunofluorescence; IHA: indirect hemagglutination; HEMO: blood culture; c-ELISA: conventional ELISA using the Biomanguinhos kit; rec-ELISA (recombinant ELISA using the Biomanguinhos kit and CRA and FRA antigens); c = 1: AGE-age (≤30, >30 years); c = 2: GEN-gender (male, female); c = 3: RFE-presence of at least two of three risk factors epidemiological (origin from an endemic region, contact with the vector transmitting the disease, and family history of Chagas' disease); Stratum I (v = 1) donors with negative or positive serology and Stratum II (v = 2) with inconclusive serology in the screening test; γ 1kc: effect of the cth covariate on the sensitivity of kth test; γ 0kc: effect of the cth covariate on the specificity of kth test; γ vc: effect of the cth covariate on disease prevalence in vth stratum.