Table 2. Sensitivity and specificity using CDC and WHO definitions of suspected Zika virus infection in study of clinical assessments to distinguish Zika and dengue virus infections, Singapore*.
Case definition |
Characteristic |
|||||||
---|---|---|---|---|---|---|---|---|
Source | Criteria | Patient meets criteria | Zika virus positive, n = 34 | Zika virus negative, n = 57 | Total, n = 91 | Sensitivity, % | Specificity, % | |
CDC |
Clinically compatible illness with >1 of the following not explained by another etiology: fever, rash, arthralgia, or conjunctivitis† |
|
Yes |
34 |
56 |
90 |
100 |
2 |
WHO | Fever and/or rash and any of the following: arthralgia, arthritis, nonpurulent conjunctivitis | Yes | 24 | 19 | 43 | 71 | 67 | |
No | 10 | 38 | 48 |
*CDC, Centers for Disease Control and Prevention; WHO, World Health Organization. †We excluded 2 additional criteria, complications of pregnancy and neurologic manifestations, because they were not present in our study population.