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Table 5 Diagnostic test performance of clinical diagnosis, RDT, and TFM in the diagnosis of malaria with PCR as reference method

From: A comparison of thick-film microscopy, rapid diagnostic test, and polymerase chain reaction for accurate diagnosis of Plasmodium falciparum malaria

Test characteristic

Clinical diagnosis

RDT

TFM

TP (PCR = 298)

298

234

170

FP (PCR negative)

209

15

2

TN (PCR = 253)

44

237

251

FN (PCR positive)

0

65

128

Sensitivity [95% CI]

100% [99–100]

78% [73–82]

57% [51–63]

Specificity [95% CI]

17% [13–23]

94% [90–97]

99% [97–99]

PPV [95% CI]

59% [54–63]

94% [90–96]

99% [96–99]

NPP [95% CI]

100% [92–100]

78% [73–83]

66% [61–71]

Accuracy [95% CI]

62% [58–66]

85% [82–88]

76% [73–80]

Kappa value [95% CI]

0.18 [0.14–0.24]

0.71 [0.65–0.77]

0.54 [0.48–0.60]

Misclassification rate (%)

34

14

23

  1. TP true positive, FP false positive, TN true negative, FN false negative, PPV positive predictive value, NPV negative predictive value