TABLE 3.
Composite reference method versus NG-Test Carba 5 results by isolate tested from blood or MacConkey agar, post-discrepant analysisa
Organism (total no. of isolates) | NG-Test Carba 5 carbapenemase target (no. of expected positives) | No. of results |
PPA | 95% CI |
NPA | 95% CI |
|||||
---|---|---|---|---|---|---|---|---|---|---|---|
TP | FP | FN | TN | Low | High | Low | High | ||||
Enterobacterales (240) | KPC (n = 83) | 83 | 0 | 0 | 157 | 100.0 | 95.6 | 100.0 | 100.0 | 97.6 | 100.0 |
OXA-48-like (n = 17) | 17 | 0 | 0 | 223 | 100.0 | 81.6 | 100.0 | 100.0 | 98.3 | 100.0 | |
VIM (n = 10) | 10 | 0 | 0 | 230 | 100.0 | 72.3 | 100.0 | 100.0 | 98.4 | 100.0 | |
IMP (n = 7) | 7 | 0 | 0 | 233 | 100.0 | 64.6 | 100.0 | 100.0 | 98.4 | 100.0 | |
NDM (n = 35) | 35 | 0 | 0 | 205 | 100.0 | 90.1 | 100.0 | 100.0 | 98.2 | 100.0 | |
OXA-48 + NDM (n = 2) | 2 | 0 | 0 | 238 | 100.0 | 34.2 | 100.0 | 100.0 | 98.4 | 100.0 | |
OXA-48 + VIM (n = 1) | 1 | 0 | 0 | 239 | 100.0 | 20.7 | 100.0 | 100.0 | 98.4 | 100.0 | |
KPC + NDM (n = 1) | 1 | 0 | 0 | 239 | 100.0 | 20.7 | 100.0 | 100.0 | 98.4 | 100.0 | |
Overall (n = 156) | 156 | 0 | 0 | 84 | 100.0 | 97.6 | 100.0 | 100.0 | 95.6 | 100.0 | |
Pseudomonas aeruginosa (69) | KPC (n = 2) | 2 | 0 | 0 | 67 | 100.0 | 34.2 | 100.0 | 100.0 | 94.6 | 100.0 |
OXA-48-like (n = 0) | 0 | 0 | 0 | 69 | NA | NA | NA | 100.0 | 94.7 | 100.0 | |
VIM (n = 9) | 9 | 0 | 0 | 60 | 100.0 | 70.1 | 100.0 | 100.0 | 94.0 | 100.0 | |
IMP (n = 5) | 5 | 0 | 0 | 64 | 100.0 | 56.6 | 100.0 | 100.0 | 94.3 | 100.0 | |
NDM (n = 0) | 0 | 0 | 0 | 69 | NA | NA | NA | 100.0 | 94.7 | 100.0 | |
Overall (n = 16) | 16 | 0 | 0 | 53 | 100.0 | 80.6 | 100.0 | 100.0 | 93.2 | 100.0 | |
Enterobacterales+ P. aeruginosa (309) | Overall (n = 172) | 172 | 0 | 0 | 137 | 100.0 | 97.8 | 100.0 | 100.0 | 97.3 | 100.0 |
The results on blood and MacConkey agars were the same. Testing was performed at sites 1 to 3. TP, true positive; FP, false positive; TN, true negative; FN, false negative; NA, not applicable; 95% CI, 95% confidence interval.