Table 1.
Categorical and C t value agreement between extracted/unextracted specimens
Primer/probe | Positive percent agreement | ΔC t | Negative percent agreement | |
---|---|---|---|---|
(A) Extracted versus unextracted/unconcentrated | N1 |
95.0% (38/40) 95% CI: 83.5%‐98.6% |
5.2 ± 4.0 |
95.1% (39/41) 95% CI: 83.4%‐98.7% |
N2 |
32.5% (13/40) 95% CI: 20.0%‐48.0% |
>15 C t—37/40 specimensa |
100% (41/41) 95% CI: 91.4%‐100% |
|
N3 |
95.0% (38/40) 95% CI: 83.5%‐98.6% |
5.2 ± 3.5 |
97.6% (40/41) 95% CI: 87.4%‐99.6% |
|
RP |
100% (81/81) 95% CI: 95.5%‐100% |
6.9 ± 3.3 | NA* | |
(B) Extracted versus unextracted/concentrated | N1 |
95.1% (39/41) 95% CI: 83.4%‐98.7% |
2.6 ± 2.5 |
97.5% (39/40) 95% CI: 87.1%‐99.6% |
N2 |
85.4% (35/41) 95% CI: 85.4%‐93.1% |
8.7 ± 2.5 |
100% (40/40) 95% CI: 91.2%‐100% |
|
N3 |
100% (41/41) 95% CI: 91.4%‐100% |
2.4 ± 1.9 |
95.0% (38/40) 95% CI: 83.5%‐98.6% |
|
RP |
100% (81/81) 95% CI: 95.5%‐100% |
4.2 ± 2.7 | NA* |
Note: Summarized here are the observed categorical positive and negative agreement (detected/nondetected) for each CDC primer/probe‐set, between extracted and unextracted specimens (percentage agreement with 95% CI). Data are summarized for comparisons between (a) extracted VTM versus unextracted/unconcentrated VTM and (b) extracted VTM versus unextracted/concentrated VTM. For each evaluation of positive agreement, the table also includes the pairwise C t‐value difference between extracted and unextracted specimens (ΔC t = C t‐unextracted − C t‐extracted, mean ± standard deviation).
Abbreviations: CDC, Centers for Disease Control; CI, confidence interval; C t, cycle‐threshold value; SARS‐CoV‐2, severe acute respiratory syndrome coronavirus 2; VTM, viral transport media.
A standard deviation could not be meaningfully calculated for N2‐unextracted/unconcentrated, given the preponderance of specimens generated an undetected (>45) C t value.
Negative percent agreement for the RP primer/probe‐set was not applicable (NA), as these SARS‐CoV‐2‐negative specimens still appropriately demonstrate positivity for the RP internal control.