Table 2.
Performance Characteristics of Nasopharyngeal and Non-nasopharyngeal Swab Detection Methods for SARS-CoV-2 by Various Reference Standardsa
| Swab | Reference Standard | Sensitivityb | Adjusted Sensitivityb | Specificityb | NPVb | Adjusted NPVb | PPVb |
|---|---|---|---|---|---|---|---|
| NP | Gargle + NP | 0.98 (0.92–1.00) | 0.88 (0.83–0.92) | 1.00 (0.99–1.00) | 1.00 (0.98–1.00) | ||
| Gargle | Gargle + NP | 0.89 (0.79–0.96) | 0.90 (0.86–0.94) | 0.99 (0.97–0.99) | 1.00 (0.98–1.00) | ||
| Gargle | NP | 0.89 (0.79–0.96) | 0.89 (0.79–0.95) | 1.00 (0.99–1.00) | 0.99 (0.97–0.99) | 1.00 (1.00–1.00) | 1.00 (0.94–1.00) |
| NP | Oral + NP | 0.98 (0.90–1.00) | 0.92 (0.84–0.97) | 1.00 (0.99–1.00) | 1.00 (0.95–1.00) | ||
| Oral | Oral + NP | 0.80 (0.68–0.90) | 0.82 (0.72–0.89) | 0.98 (0.97–0.99) | 1.00 (0.95–1.00) | ||
| Oral | NP | 0.80 (0.67–0.90) | 0.80 (0.67–0.89) | 1.00 (0.99–1.00) | 0.98 (0.97–0.99) | 1.00 (1.00–1.00) | 0.98 (0.88–1.00) |
| NP | Oral–Anterior Nasal + NP | 0.95 (0.84–0.99) | 0.89 (0.80–0.95) | 0.99 (0.98–1.00) | 1.00 (0.95–1.00) | ||
| Oral–Anterior Nasal | Oral–Anterior Nasal + NP | 0.86 (0.71–0.95) | 0.87 (0.77–0.93) | 0.98 (0.96–0.99) | 1.00 (0.95–1.00) | ||
| Oral–Anterior Nasal | NP | 0.85 (0.70–0.94) | 0.85 (0.70–0.93) | 0.99 (0.98–1.00) | 0.98 (0.96–0.99) | 0.99 (0.99–1.00) | 0.94 (0.81–0.99) |
Note. NP, nasopharyngeal; NPV, negative predictive value; PPV, positive predictive value.
Unadjusted and adjusted (by inverse probability weighting) for the testing subsample were calculated.
Data shown with 95% confidence intervals.