TABLE 1.
Study group |
S. aureus prevalence (no. positive [%]) |
Test sensitivity (%) |
Test agreement |
Sample size | ||||
---|---|---|---|---|---|---|---|---|
Jointa | CHROMagar | Broth enrichment | CHROMagar | Broth enrichment | Kappa (95% confidence interval)b | Kappa interpretationc (agreement) | ||
MRSA | ||||||||
Enrollment visit | ||||||||
Subsetd,e | 37 (40.7) | 27 (29.7) | 29 (31.9) | 73.0 | 78.4 | 0.54 [0.35–0.72]*** | Moderate | 91 |
Index only | 32 (40.5) | 26 (32.9) | 24 (30.4) | 81.3 | 75 | 0.59 [0.40–0.78]*** | Moderate | 79 |
3-mo visit | ||||||||
Subsetd,e | 12 (48.0) | 12 (48.0) | 10 (40.0) | 100 | 83.3 | 0.84 [0.63–1.00]*** | Almost perfect | 25 |
Index only | 29 (53.7) | 22 (40.7) | 26 (48.2) | 75.9 | 89.7 | 0.63 [0.42–0.83]*** | Substantial | 54 |
MSSA | ||||||||
Enrollment visit | ||||||||
Subsetd,e | 20 (22.0) | 8 (8.8) | 15 (16.5) | 40 | 75 | 0.17 [-0.08–0.42]* | Slight | 91 |
Index only | 12 (15.2) | 7 (8.9) | 8 (10.1) | 58.3 | 66.7 | 0.34 [0.00–0.67]** | Fair | 79 |
3-mo visit | ||||||||
Subsetd,e | 1 (4.0) | 1 (4.0) | 1 (4.0) | 100 | 100 | 1.00 [1.00–1.00]*** | Almost perfect | 25 |
Index only | 8 (14.8) | 3 (5.6) | 8 (14.8) | 37.5 | 100 | 0.50 [0.15–0.86]*** | Moderate | 54 |
Joint prevalence combines test results from the CHROMAgar and broth-enrichment protocols and is positive if either protocol yielded the target organism (gold standard), and the sensitivity is calculated by dividing the number positive for the individual tests by the number positive according to the gold standard (17).
*, P ≤0.05; **, P ≤ 0.01; ***, P ≤ 0.001.
According to criteria by Landis and Koch (14).
Subset was all household members from the first 25 homes enrolled, of which 14 continued in the study at the 3-month visit.
No lesion swabs were included in the subset analysis; the subset includes index participants in order to mimic whole-household testing.