Skip to main content
. 2017 Jan 13;12(1):e0169915. doi: 10.1371/journal.pone.0169915

Table 3. Predictors of false positive results (using direct fluorescent antibody testing (DFA) as the gold standard) for stool specimens that tested positive for Cryptosporidium infection by Meridian Immunocard Stat! rapid cartridge assay at community laboratories (n = 305).

Total Number (%) false positives Unadjusted OR (95% CI) Adjusted* OR (95% CI)
Overall 305 139 (45.6%) NA NA
Site
    New York 116 43 (37.1) ref ref
    Wisconsin 94 38 (40.4) 1.2 (0.7, 1.9) 0.6 (0.3, 1.2)
    Minnesota 95 58 (61.1) 2.7 (1.5, 4.7) 1.6 (1.0, 2.8)
Age Group
    ≤25 140 31 (22.1) ref ref
    >25 152 99 (65.1) 6.5 (3.6, 11.7) 6.3 (3.4, 11.7)**
Sex
    Male 142 60 (42.3) ref ref
    Female 150 70 (46.7) 1.2 (0.8, 2.0) 0.8 (0.5, 1.5)
Season
    Summer 153 63 (41.2) ref ref
    Fall, Winter, Spring 148 75 (50.7) 1.5 (0.9, 2.5) 1.7 (0.9, 3.2)
Storage temperature at community laboratory
    Room temperature 223 100 (44.8) ref ref
    Refrigerated (4C) 74 35 (47.3) 1.1 (0.7, 1.9) 0.7 (0.3, 1.5)
Preservative used
    10% Formalin 90 35 (38.9) ref ref
    SAF 100 43 (43.0) 1.2 (0.6, 2.4) 1.4 (0.9, 2.4)
    Cary Blair 88 48 (54.6) 2.0 (1.0, 3.7) 3.0 (1.8, 4.9)**
    Other*** 15 4 (26.7) 0.6 (0.2, 1.3) 0.5 (0.4, 0.7)**
    No preservative used 12 9 (75.0) 4.7 (1.0, 21.9) 8.1 (1.9, 35.4)**
Time between collection and testing at community laboratory
    Same Day 176 89 (50.6) ref ref
    Next Day 99 38 (38.4) 0.6 (0.4, 0.9) 0.5 (0.3, 1.0)
    2–3 Days 21 9 (42.9) 0.8 (0.3, 2.2) 0.8 (0.2, 2.9)

* Log binomial regression using GEE with an exchangeable correlation matrix was used to account for correlation between isolates from the same lab. The adjusted model included all attributes shown in the table.

** 95% confidence interval for odds ratios did not include the null after adjustment

*** “Other” category included Totalfix, Ecofix, and preservatives described as “Other” with no brand specified.