TABLE 3.
Target and specimen type | No. of specimens with BD Max EBP result with reference to culture/EIA or alternate PCRa |
Total no. of specimensc | PPA (95% confidence interval) | P value for PPAd | NPA (95% confidence interval) | P value for NPAd | |||
---|---|---|---|---|---|---|---|---|---|
True positive | False negative | False positive | True negative | ||||||
Campylobacter | |||||||||
Total | 195 | 5 | 31 | 3,170 | 3,401 | 97.5 (94.3–99.2) | 99.0 (98.6–99.3) | ||
Prospective | 66 | 1 | 29 | 2,797 | 2,893 | 98.5 (91.3–99.7) | 0.867 | 99.0 (98.5–99.3) | 0.525 |
Retrospectiveb | 129 | 4 | 2 | 373 | 508 | 97.0 (92.5–98.8) | 99.5 (98.1–99.9) | ||
Salmonella | |||||||||
Total | 219 | 6 | 8 | 3,307 | 3,540 | 97.3 (94.3–99.0) | 99.8 (94.5–99.9) | ||
Prospective | 53 | 5 | 7 | 2,857 | 2,922 | 91.4 (81.0–97.1) | 0.005 | 99.8 (99.5–99.9) | 1.000 |
Retrospective | 166 | 1 | 1 | 450 | 618 | 99.4 (96.7–99.9) | 99.8 (98.8–100) | ||
Shigella | |||||||||
Total | 124 | 1 | 1 | 3,340 | 3,466 | 99.2 (95.6–99.9) | 100 (99.8–100) | ||
Prospective | 33 | 0 | 1 | 2,889 | 2,923 | 100 (89.3–100) | 1.000 | 100 (99.8–100) | 1.000 |
Retrospective | 91 | 1 | 0 | 451 | 543 | 98.9 (94.1–99.8) | 100 (99.2–100) | ||
Shiga toxins | |||||||||
Total | 85 | 0 | 8 | 2,437 | 2,530 | 100 (95.7–100) | 99.7 (99.4–99.9) | ||
Prospective | 19 | 0 | 8 | 2,347 | 2,374 | 100 (82.2–100) | 1.000 | 99.7(99.3–99.9) | 1.000 |
Retrospective | 66 | 0 | 0 | 90 | 156 | 100 (94.5–100) | 100 (95.9–100) |
For Campylobacter spp., Salmonella spp., and Shigella spp., a positive result by either culture or alternate PCR was considered a true-positive result. For the resolution of discrepant results for Shiga toxins, results of alternate PCR were considered true-positive results.
Results for all retrospective samples were confirmed by alternate PCR and bidirectional sequencing prior to testing with the BD Max EBP assay. Discrepancies were not further resolved.
The number of prospective specimens varies by target due to differences in compliance with the study protocol and unresolved results.
P value for testing of the significance of the difference between prospective and retrospective data sets.