TABLE 2.
Clinical sensitivity, specificity, and positive and negative predictive values of synovial fluid culture and the targeted metagenomic sequencing-based approach (tMGS) in 36 periprosthetic joint infection and 118 non-infectious arthroplasty failure cases
| Sensitivity %, [95% CI] | Specificity %, [95% CIb] | Positive predictive value %, [95% CI] | Negative predictive value %, [95% CI] | |
|---|---|---|---|---|
| Synovial fluid culture | 72 [56−84] | 100 [97−100] | 100 [87−100] | 92 [86−96] |
| Synovial fluid tMGS | 69 [53−82] | 100 [97−100] | 100 [87−100] | 91 [85−95] |
| Synovial fluid, 16S rRNA PCR and interpretable Sanger sequencing results | 53 [37−68] | 100 [97−100] | 100 [83−100] | 87 [81−92] |
| Synovial fluid culture and/or tMGS | 83a [68−92] | 100 [97−100] | 100 [89−00] | 95 [90−98] |
aP < 0.05 compared to synovial fluid culture alone.
bCI: confidence interval.