Table 3.
Performance of the highly sensitive rapid diagnostic test by malaria prevalence
Very low transmission (prevalence < 5%) | Low-moderate transmission (prevalence 5 to < 20%) | High transmission (prevalence 20–50%) | |||||||
---|---|---|---|---|---|---|---|---|---|
HS-RDT | HS-RDT | HS-RDT | |||||||
Positive | Negative | Total | Positive | Negative | Total | Positive | Negative | Total | |
PCR positive | 14 | 18 | 32 | 92 | 206 | 298 | 85 | 82 | 167 |
PCR negative | 77 | 777 | 854 | 230 | 1916 | 2146 | 72 | 229 | 301 |
Total | 91 | 795 | 886 | 322 | 2122 | 2444 | 157 | 311 | 468 |
PCR prevalence | 3.6 (2.5–5.1) | 12.2 (10.9–13.5) | 35.7 (31.3–40.2) | ||||||
Sensitivity (95% CI) | 43.8 (26.4–62.3) | 30.9 (25.6–36.1) | 50.9 (43.3–58.5) | ||||||
Specificity (95% CI) | 90.9 (89.1–92.9) | 89.3 (87.9–90.6) | 76.1 (71.3–80.9) | ||||||
Positive predictive value (95% CI) | 15.4 (8.7–24.5) | 28.6 (23.6–33.5) | 54.1 (46.4–61.9) | ||||||
Negative predictive value (95% CI) | 97.7 (96.4–98.7) | 90.3 (89.0–91.6) | 73.6 (68.7–78.5) |