TABLE 1.
Performance of PCR detection of Toxoplasma gondii in blood and ocular samples, calculation of Goldmann-Witmer coefficient, and immunoblotting for diagnosis of ocular toxoplasmosisa
Sample | Method (nb) | Immune statusc | Group | No. of samples with result |
% sensitivity | % specificity | Positive predictive value (%) | Negative predictive value (%) | P valued | |
---|---|---|---|---|---|---|---|---|---|---|
Positive | Negative | |||||||||
Blood samples | SV-PCR (405) | All patients | OT | 5 | 116 | 4.1 | 99.6 | 83.3 | 70.9 | |
Control | 1 | 283 | ||||||||
Immunocompetent | OT | 1 | 69 | 1.4 | 99.4 | 50 | 70.5 | |||
Control | 1 | 165 | ||||||||
Immunocompromised | OT | 4 | 20 | 16.7 | 100 | 100 | 67.7 | |||
Control | 0 | 42 | <0.005 | |||||||
LV-PCR (55) | All patients | OT | 9 | 27 | 25 | 89.5 | Not applicable | Not applicable | ||
Control | 2 | 17 | ||||||||
Immunocompetent | OT | 4 | 21 | 16 | 100 | Not applicable | Not applicable | |||
Control | 0 | 12 | ||||||||
Immunocompromised | OT | 5 | 6 | 45.4 | 71.4 | Not applicable | Not applicable | |||
Control | 2 | 5 | 0.06 | |||||||
Ocular samples | PCR (434) | All patients | OT | 47 | 84 | 35.9 | 100 | 100 | 78.3 | |
Control | 0 | 303 | ||||||||
Immunocompetent | OT | 18 | 56 | 24.3 | 100 | 100 | 74.3 | |||
Control | 0 | 162 | ||||||||
Immunocompromised | OT | 16 | 10 | 61.5 | 100 | 100 | 81.5 | |||
Control | 0 | 44 | <0.001 | |||||||
Immunoblotting (363) | All patients | OT | 59 | 65 | 47.6 | 100 | 100 | 78.6 | ||
Control | 0 | 239 | ||||||||
Immunocompetent | OT | 33 | 39 | 45.8 | 100 | 100 | 76.9 | |||
Control | 0 | 130 | ||||||||
Immunocompromised | OT | 9 | 12 | 42.9 | 100 | 100 | 74.5 | |||
Control | 0 | 35 | 0.88 | |||||||
GWC (267) | All patients | OT | 68 | 26 | 72.3 | 98.6 | 98.6 | 73.5 | ||
Control | 1 | 172 | ||||||||
Immunocompetent | OT | 35 | 14 | 71.4 | 99 | 97.2 | 87.6 | |||
Control | 1 | 99 | ||||||||
Immunocompromised | OT | 12 | 5 | 70.6 | 100 | 100 | 82.8 | |||
Control | 0 | 24 | 0.88 |
SV-PCR, small-volume PCR; LV-PCR, large-volume PCR; OT, ocular toxoplasmosis; GWC, calculation of the Goldmann-Witmer coefficient.
n, no. of samples.
Patients for whom immune status was available were categorized as “immunocompetent” or “immunocompromised.” Global analysis independent of the immune status is indicated on the “All patients” line.
As calculated by the chi-square test between immunocompetent and immunocompromised groups.