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Table 3 Diagnostic accuracy of NINA-LAMP and microscopy compared with the gold standard nested PCR for diagnosis of Plasmodium parasite and P. falciparum at Kola Diba Health Centre, Northwest Ethiopia, 2014

From: Evaluation of non-instrumented nucleic acid amplification by loop-mediated isothermal amplification (NINA-LAMP) for the diagnosis of malaria in Northwest Ethiopia

Method

 

Senstivity(%) (95% CI)

Specificity(%) (95% CI)

PPV(%) (95% CI)

NPV(%) (95% CI)

%agreement (Kapp = κ )

NINA -LAMP

Pan (Gondar)

96.8 (83.2-99.5)

84.3 (71.4-92.9)

52.1 (33.9-71.3)

99.3 (96.0-99.9)

89.0 (0.776)

 

Pf (Gondar)

100 (75.1-100)

81.2 (69.9-89.6)

27.0 (14.8-40.0)

100 (97.6-100)

84.1 (0.577)

 

Pan (Calgary)

96.8 (83.2-99.5)

98.0 (89.5-99.7)

89.7 (58.3-98.2)

99.4 (96.8-99.9)

97.6 (0.948)

 

Pf (Calgary)

100 (75.1-100)

100 (94.7-100)

100 (49.8-100)

100 (98.2-100)

100 (1.000)

Microscopy

Pan

93.6 (78.5-99.0)

98.0 (89.5- 99.7)

89.4 (56.9-98.2)

98.8 (95.9-99.8)

96.3 (0.922)

 

Pf

92.3 (63.9-98.7)

100 (94.7-100 )

100 (45.8-100)

99.5 (97.4-99.9)

98.8 (0.953)

  1. Percentage of agreement between tests: (Number of positives by both tests + Number of negatives by both tests)/N, against what might be expected by chance; Kappa value(κ): 1.00 = Perfect agreement; > 0.80, almost perfect agreement; 0.61-0.8, substantial agreement; 0.41-0.6, moderate agreement; 0.21-0.4, fair agreement; NPV = negative predictive value; PPV = positive predictive value; Pan = Plasmodium genus; Pf = Plasmodium falciparum; 95% CI = 95% confidence interval.