TABLE 7.
BioFire PN panel discrepancy investigation for detection of bacteria
Analyte | Specimena | No. of results |
|||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
False positive vs. qRefCx (investigative method) |
False negative vs. qRefCx (investigative method) |
False negative vs. SOC culture (SOC quantityb
) |
|||||||||||||
Total | BQc | Molecd | SOC | rTPe | Tot | Molecd | SOC | cFNf | Total | Few | Mod | Many | UQ | ||
A. calcoaceticus-A. baumannii complex | BAL | 7 | 1 | 6 | 7 | 0 | 0 | ||||||||
SPU | 18 | 17 | 1 | 18 | 1 | 0g | 3 | 0 | 2 | 1 | 0 | ||||
E. cloacae complex | BAL | 12 | 6 | 5 | 11 | 1 | 1 | 1 | 2 | 0 | 2 | 0 | 0 | ||
SPU | 21 | 4 | 17 | 21 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | |||
E. coli | BAL | 8 | 6 | 2 | 8 | 0 | 1 | 1 | 0 | 0 | 0 | ||||
SPU | 25 | 6 | 19 | 25 | 1 | 1 | 1 | 2 | 1 | 0 | 0 | 1 | |||
H. influenzae | BAL | 72 | 7 | 64 | 1 | 72 | 0 | 0 | |||||||
SPU | 91 | 4 | 85 | 2 | 91 | 2 | 1 | 1g | 2 | 0 | 1 | 1 | 0 | ||
K. aerogenes | BAL | 7 | 4 | 3 | 1 | 8 | 1 | 1 | 1 | 3 | 2 | 0 | 1 | 0 | |
SPU | 9 | 3 | 6 | 9 | 1 | 0g | 1 | 0 | 0 | 0 | 1 | ||||
K. oxytoca | BAL | 9 | 3 | 6 | 9 | 0 | 3 | 2 | 0 | 1 | 0 | ||||
SPU | 10 | 3 | 7 | 10 | 0 | 1 | 0 | 0 | 0 | 1 | |||||
K. pneumoniae group | BAL | 12 | 7 | 5 | 12 | 0 | 1 | 1 | 0 | 0 | 0 | ||||
SPU | 44 | 15 | 28 | 43 | 2 | 1 | 1h | 2 | 1 | 0 | 0 | 1 | |||
M. catarrhalis | BAL | 29 | 2 | 27 | 29 | 0 | 0 | ||||||||
SPU | 70 | 1 | 68 | 1 | 70 | 0 | 1 | 1 | 0 | 0 | 0 | ||||
Proteus spp. | BAL | 4 | 3 | 1 | 4 | 0 | 0 | ||||||||
SPU | 8 | 2 | 6 | 8 | 0 | 1 | 0 | 0 | 0 | 1 | |||||
P. aeruginosa | BAL | 38 | 19 | 19 | 38 | 0 | 4 | 3 | 0 | 0 | 1 | ||||
SPU | 57 | 21 | 35 | 1 | 57 | 3 | 1 | 1g | 7 | 5 | 0 | 1 | 1 | ||
S. marcescens | BAL | 6 | 4 | 2 | 6 | 0 | 0 | ||||||||
SPU | 27 | 7 | 19 | 26 | 1 | 1 | 1 | 4 | 2 | 0 | 0 | 2 | |||
S. aureus | BAL | 70 | 29 | 38 | 2 | 69 | 1 | 1 | 1 | 6 | 5 | 1 | 0 | 0 | |
SPU | 93 | 43 | 46 | 4 | 93 | 1 | 1 | 1 | 9 | 7 | 0 | 0 | 2 | ||
S. agalactiae | BAL | 24 | 7 | 17 | 24 | 0 | 0 | ||||||||
SPU | 34 | 5 | 29 | 34 | 0 | 0 | |||||||||
S. pneumoniae | BAL | 24 | 5 | 19 | 24 | 0 | 1 | 1 | 0 | 0 | 0 | ||||
SPU | 35 | 1 | 34 | 35 | 0 | 3 | 1 | 0 | 1 | 1 | |||||
S. pyogenes | BAL | 6 | 2 | 4 | 6 | 0 | 0 | ||||||||
SPU | 5 | 0 | 5 | 5 | 0 | 1 | 0 | 1 | 0 | 0 | |||||
Total | 875 | 220 | 639 | 13 | 872 | 16 | 9 | 1 | 10 | 59 | 34 | 7 | 6 | 12 |
SPU, sputum.
Reported organism quantity in subject medical record. “Few” corresponds to values of <10,000 CFU/ml and the descriptions “few,” “1+,” “light growth,” “rare,” and “1 colony”; “Mod” corresponds to values of 10,000 to <100,000 CFU/ml and the descriptions “moderate,” “2+,” and “3+”; “Many” corresponds to values of ≥100,000 and the descriptions “many,” “heavy growth,” and “4+.” UQ, unable to quantify (quantity was given in relative terms, e.g., “listed first” or “least of three”).
BQ, organism present in qRefCx but enumerated below the quantification threshold of 103.5 (3,125) CFU/ml.
Molec, molecular.
rTP, resolved true positive; evidence of organism presence confirming BioFire PN panel correct result.
cFN, confirmed false negative; evidence of organism presence confirming BioFire PN panel incorrect result.
Isolates misidentified by the central lab (see the text).
Evidence of specimen swap at central lab (see the text).