TABLE 3.
Performances of the MeningoSpeed RDT by comparison to the IPP RT-PCR assay used as reference standard for the serogroup determination of the 319 specimens found positive for Neisseria meningitis by PCRa
Parameterb | Values by serogroup, determined by PCR |
||||
---|---|---|---|---|---|
A | C | W | X | Y | |
No. of CSF+ samples by PCR | 43 | 47 | 159 | 58 | 12 |
Sensitivity (95% CI) | 0.930 (0.799–0.981) | 0.744 (0.594–0.856) | 0.981 (0.942–0.945) | 1 (0.923–1) | 0.883 (0.509–0.970) |
Specificity (95% CI) | 0.990 (0.976–0.996) | 1 (0.990–1) | 0.980 (0.960–0.990) | 0.986 (0.976–0.994) | 1 (0.991–1) |
PPV (95% CI) | 0.889 (0.751–0.958) | 1 (0.877–1) | 0.951 (0.903–0.978) | 0.892 (0.784–0.952) | 1 (0.655–1) |
NPV (95% CI) | 0.994 (0.982–0.998) | 0.977 (0.959–0.988) | 0.992 (0.976–0.998) | 1 (0.990–1) | 0.996 (0.985–0.999) |
Cohen’s kappa coefficient (95% CI) | 0.901 (0.834–0.969) | 0.842 (0.755–0.930) | 0.952 (0.924–0.980) | 0.936 (0.889–0.983) | 0.907 (0.780–1) |
After exclusion of the 10 samples serogrouped as NmB, as this antigen was absent from the RDT.
PPV,: positive predictive value; NPV, negative predictive value.