TABLE 1.
Organism and specimen type | BD Max xEBP performance characteristic compared to the reference methodc,g |
|||||||
---|---|---|---|---|---|---|---|---|
No. of specimens with result: |
PPA (95% CI) | NPA (95% CI) | Kappaf (95% CI) | |||||
True pos | False neg | False pos | True neg | Totalb | ||||
Vibrio | ||||||||
Prospective fresh | 0 | 0 | 1 | 837 | 838 | No data | 99.9 (99.3–100) | |
Prospective frozen | 2 | 0 | 6 | 1,380 | 1,388 | 100 (32.4–100) | 99.6 (99.1–99.8) | |
Retrospectivea | 4 | 0 | 1 | 61 | 66 | 100 (51.0–100) | 98.4 (91.4–99.7) | |
Contrived | 96 | 0 | 0 | 288 | 384 | 100 (95.2–100) | 100 (98.4–100) | |
Total | 102 | 0 | 8 | 2,566 | 2,676 | 100 (96.4–100) | 99.7 (99.4–99.8) | 0.96 (0.93–0.99) |
Plesiomonas shigelloides | ||||||||
Prospective fresh | 0 | 0 | 0 | 834 | 834 | No data | 100 (99.5–100) | |
Prospective frozen | 0 | 0 | 3 | 1,384 | 1,387 | No data | 99.8 (99.4–99.9) | |
Retrospectivea | 7 | 0 | 1 | 84 | 92 | 100 (64.6–100) | 98.8 (93.6–99.8) | |
Contrived | 96 | 0 | 1d | 287 | 384 | 100 (96.2–100) | 99.7 (98.1–99.9) | |
Total | 103 | 0 | 5 | 2,589 | 2,697 | 100 (96.4–100) | 99.8 (99.5–99.9) | 0.98 (0.95–1) |
Yersinia enterocolitica | ||||||||
Prospective fresh | 0 | 0 | 0 | 823 | 823 | No data | 100 (99.5–100) | |
Prospective frozen | 0 | 0 | 1 | 1,381 | 1,382 | No data | 99.9 (99.6–100) | |
Retrospectivea | 9 | 0 | 0 | 79 | 88 | 100 (70.1–100) | 100 (95.4–100) | |
Contrived | 95 | 1e | 0 | 287 | 384 | 99.0 (94.3–99.8) | 99.7 (97.8–99.9) | |
Total | 104 | 1 | 1 | 2,570 | 2,676 | 99.0 (94.8–99.8) | 99.96 (99.8–1) | 0.99 (0.98–1) |
ETEC | ||||||||
Prospective fresh | 9 | 0 | 0 | 821 | 830 | 100 (70.1–100) | 100 (99.5–100) | |
Prospective frozen | 17 | 0 | 4 | 1,345 | 1,366 | 100 (81.6–100) | 99.7 (99.2–99.9) | |
Retrospectivea | 14 | 1 | 1 | 54 | 70 | 93.3 (70.2–98.8) | 98.2 (90.4–99.7) | |
Total | 40 | 1 | 5 | 2,220 | 2,266 | 97.6 (87.4–99.6) | 99.8 (99.5–99.9) | 0.93 (0.87–0.99) |
Results of all retrospective samples were confirmed by alternate PCR and bidirectional sequencing prior to testing with the BD Max xEBP.
Number of specimens varies by target due to differences in compliance with study protocol and unresolved results.
Abbreviations: pos, positive; neg, negative; PPA, positive percent agreement; NPA, negative percent agreement; CI, confidence interval.
One false-positive result occurred initially for P. shigelloides from an unpreserved specimen at 4 times the LoD but was found negative upon repeat testing from the SBT.
One false-negative result was observed for Y. enterocolitica among a Cary-Blair-preserved specimen at 4 times the LoD but was positive upon repeat testing from the SBT.
Kappa coefficient, correlation of BD Max result with reference methods.
Reference methods were standard culture techniques and/or alternate PCR followed by sequencing.