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.