From: A novel field-based molecular assay to detect validated artemisinin-resistant k13 mutants
Samples from | Performances | K13 mutants | K13 wild-type | |||
---|---|---|---|---|---|---|
C580Y | F446I | R539T | Y493H | |||
All samples | Sensitivity (CI 95%) | 90.2% (85.9–93.6) | 95.8% (88.1–99.1) | 95.2% (76.1–99.9) | 90.0% (68.3–98.8) | 94.1% (90.2–96.8) |
Specificity (CI 95%) | 99.4% (97.6–99.9) | 98.0% (96.2–99.0) | 100% (99.4–100) | 99.8% (99.0–99.9) | 92.4% (89.2–94.9) | |
AUC (CI 95%) | 0.948 (0.927–0.965) | 0.968 (0.951–0.981) | 0.976 (0.961–0.987) | 0.949 (0.928–0.965) | 0.933 (0.909–0.952) | |
PPV (CI 95%) | 99.1% (96.6–99.8) | 86.1% (77.5–91.7) | 100% | 94.7% (71.6–99.2) | 88.2% (83.9–91.4) | |
NPV (CI 95%) | 93.0% (90.1–95.1) | 99.4% (98.2–99.8) | 99.8% (98.9–99.9) | 99.7% (98.7–99.9) | 96.3% (93.9–97.8) | |
P. falciparum symptomatic patients | Sensitivity (CI 95%) | 95.8% (92.1–98.0) | 95.8% (88.1–99.1) | 95.2% (76.2–99.9) | 90.0% (68.3–98.8) | 94.0% (90.1–96.8) |
Specificity (CI 95%) | 99.4% (97.8–99.9) | 97.6% (95.7–98.8) | 100% (99.3–100) | 99.8% (98.9–99.9) | 96.0% (93.3–97.9) | |
AUC (CI 95%) | 0.976 (0.958–0.987) | 0.967 (0.949–0.981) | 0.976 (0.960–0.987) | 0.949 (0.927–0.966) | 0.950 (0.929–0.967) | |
PPV (CI 95%) | 99.0% (96.2–99.8) | 86.1% (77.5–91.7) | 100% | 94.7% (71.6–99.2) | 94.1% (90.3–96.4) | |
NPV (CI 95%) | 97.3% (95.1–98.6) | 99.3% (98.1–99.8) | 99.8% (98.7–99.9) | 99.6% (98.5–99.9) | 96.0% (93.4–97.6) | |
P. falciparum asymptomatic individuals | Sensitivity (CI 95%) | 62.8% (46.7–77.0) | 100% (29.2–100) | |||
Specificity (CI 95%) | – | 65.1% (49.1–79.0) | ||||
AUC (CI 95%) | 0.314 (0.185–0.468) | 0.826 (0.699–0.915) | ||||
PPV (CI 95%) | 90.0% (87.7–91.9) | 16.7% (11.7–23.1) | ||||
NPV (CI 95%) | – | 100% |