Table 4. Diagnostic capability of tested biomarkers for bacterial infection in acute pediatric diarrhea (n=62).
Biomarker | AUC (%) | Cut-off values | TP (No.) | FN (No.) | TN (No.) | FP (No.) | Sensitivity (%) | Specificity (%) | PPV (%) | NPV (%) | Accuracy (%) |
---|---|---|---|---|---|---|---|---|---|---|---|
CRP and lactoferrin (µg/mL) | 0.838 (0.723–0.920) | 13.7, 22.8 | 13 | 5 | 42 | 2 | 72.2 (46.5–90.3) | 95.5 (84.5–99.4) | 86.7 (58.9–98.4) | 89.4 (76.6–96.5) | 88.7 |
CRP and fecal occult blood (µg/mL) | 0.780 (0.650–0.870) | 13.7, 100 | 10 | 8 | 44 | 0 | 55.6 (30.8–78.5) | 100 (92.0–100) | 100 (69.2–100) | 84.6 (72.0–93.1) | 87.1 |
CRP (mg/L) | 0.792 (0.670–0.884) | 13.7 | 15 | 3 | 30 | 14 | 83.3 (58.6–96.4) | 68.2 (52.4–81.4) | 51.7 (32.2–70.9) | 90.9 (75.3–98.2) | 72.6 |
Lactoferrin (µg/mL) | 0.739 (0.611–0.842) | 22.8 | 14 | 4 | 31 | 13 | 77.8 (52.4–93.6) | 70.5 (54.8–83.2) | 51.8 (31.6–71.6) | 88.6 (72.9–96.9) | 72.6 |
Fecal occult blood (ng/mL) | 0.715 (0.586–0.822) | 100 | 11 | 7 | 36 | 8 | 61.1 (35.7–82.7) | 81.8 (67.3–91.8) | 57.9 (33.1–80.1) | 83.7 (69.0–93.3) | 75.8 |
MPO (ng/mL) | 0.685 (0.555–0.797) | 4.14 | 14 | 4 | 25 | 19 | 77.8 (52.4–93.6) | 56.8 (41.0–71.7) | 42.4 (25.2–61.1) | 86.2 (68.0–96.2) | 62.9 |
Calprotectin (µg/g) | 0.675 (0.544–0.788) | 74.0 | 17 | 1 | 17 | 27 | 94.4 (72.7–99.9) | 38.6 (24.4–54.5) | 38.6 (24.1–54.8) | 94.4 (72.2–99.9) | 54.8 |
ESR (mm/hr) | 0.674 (0.542–0.789) | 25 | 11 | 7 | 32 | 12 | 61.1 (35.7–82.7) | 72.7 (57.2–85.0) | 47.8 (26.8–69.4) | 82.1 (66.5–92.5) | 71.0 |
Fecal leukocyte (/HPF) | 0.643 (0.511–0.760) | 1 | 8 | 11 | 37 | 7 | 44.4 (21.5–69.2) | 84.1 (69.9–93.4) | 53.3 (26.2–79.1) | 78.7 (64.1–89.4) | 72.6 |
Values are presented as number only, data (95% confidence interval), or percent only.
AUC: area under the curve, TP: true positive, FN: false negative, TN: true negative, FP: false positive, PPV: positive predictive value, NPV: negative predictive value, CRP: C-reactive protein, MPO: myeloperoxidase, ESR: erythrocyte sedimentation rate, HPF: high power field.