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TABLE 2.

Sensitivities and specificities of serologic assays for detection of antibodies to H5N1 virus

Age groupa Parameterb Values (%)
Individual serologic testsc
Combination of testsd
N E W N-W E-W
Child
Sensitivity (n = 8) 88 100 100 88 100
Specificity (n = 24) 100 92 83 100 100
Adult
Sensitivity (n = 85) 80 80 80 80 80
Specificity (n = 85) 93 62ef 85 96 84e
a

Serum samples from individuals from 1 to 14 years of age (Child) or from individuals 18 to 59 years of age (Adult). 

b

Sensitivity, number of H5N1 virus-infected patients testing positive for antibody divided by the total number of patients with confirmed H5N1 infections tested. Specificity, number of control age-matched sera tested minus the number of control sera testing positive for antibody divided by total number of control sera. 

c

Tests for determination of H5N1 virus positivity (N, microneutralization test; W, Western blotting; E, ELISA). 

d

Combination of tests. Microneutralization test with A/Hong Kong/156/97 virus followed by Western blot confirmation with rHA of A/Hong Kong/156/97 virus (N-W) and ELISA with rHA of A/Hong Kong/156/97 virus followed by Western blot confirmation with rHA of A/Hong Kong/156/97 virus (E-W). 

e

Number of samples, 50. 

f

Statistical analysis for positive association between test result and known status of samples was not significant (Fisher exact test; P = 0.067). All other assays were significant (P = 0.003).