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. 2016 Jun 24;54(7):1907–1911. doi: 10.1128/JCM.00132-16

TABLE 1.

Prevalence of methicillin-resistant and methicillin-susceptible Staphylococcus aureus colonization and correlation of results according to the CURE CHROMagar and PETS broth-enrichment study protocols

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
a

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).

b

*, P ≤0.05; **, P ≤ 0.01; ***, P ≤ 0.001.

c

According to criteria by Landis and Koch (14).

d

Subset was all household members from the first 25 homes enrolled, of which 14 continued in the study at the 3-month visit.

e

No lesion swabs were included in the subset analysis; the subset includes index participants in order to mimic whole-household testing.