TABLE 2.
Overall diagnostic performance of RT-PCR and rapid antigen test performed on nasopharyngeal or salivary samplesa
| Patient group | Diagnostic test | Prevalence (%) | Sensitivity [95% CI] (%)b | Specificity [95% CI] (%) | PPV [95% CI] (%) | NPV [95% CI] (%) |
|---|---|---|---|---|---|---|
| Health care workers (n = 453) | Nasopharyngeal RT-PCR | 38 | 98 [94 to 99] | n.a.c | n.a.c | 98 [96 to 99] |
| Salivary RT-PCR | 34 | 87 [81 to 91] | n.a.c | n.a.c | 92 [89 to 95] | |
| Nasopharyngeal RAT | 26 | 66 [59 to 73] | 100 [98 to 100] | 100 [97 to 100] | 100 [78 to 86] | |
| Salivary RAT | 1 | 2 [0.5 to 5] | 99 [97 to 100] | 60 [23 to 93] | 61 [56 to 65] | |
| Hospitalized patients (n = 22) | Nasopharyngeal RT-PCR | 68 | 94 [72 to 99] | n.a.c | n.a.c | 86 [49 to 99] |
| Salivary RT-PCR | 50 | 69 [44 to 86] | n.a.c | n.a.c | 54 [28 to 79] | |
| Nasopharyngeal RAT | 23 | 31 [14 to 56] | 100 [61 to 100] | 100 [57 to 100] | 35 [17 to 59] | |
| Salivary RAT | 4.5 | 6 [1 to 28] | 100 [61 to 100] | 100 [5 to 100] | 29 [14 to 50] |
aCI, confidence interval; PPV, positive predictive value; NP, nasopharyngeal; NPV, negative predictive value, n.a., not applicable; RAT, rapid antigen testing; RT, reverse transcription.
bDiagnostic performances were evaluated based on a composite outcome considering NP PCR and/or saliva PCR as a COVID-19 case.
cCalculation of specificity and PPV is not applicable, since a positive NP PCR and/or saliva PCR are part of the definition of the composite outcome.