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Table 4 Evaluation of (a) QuantiFast™ and (b) abTES™ for P. knowlesi compared to other Plasmodium species

From: Comparative evaluation of two commercial real-time PCR kits (QuantiFast™ and abTES™) for the detection of Plasmodium knowlesi and other Plasmodium species in Sabah, Malaysia

 

P. knowlesi

P. vivax

p-val

(Pk vs Pv)

P. falciparum

p-val

(Pk vs Pf)

P. malariae

p-val

(Pk vs Pm)

(a) QuantiFast™

 PCR reference

+

+

 

+

 

+

 

 Test positive +

51

1

25

0

 

21

0

 

9

1*

 

 Test negative −

1

81

0

109

 

0

113

 

0

124

 

 Sensitivity,  % (95% CI)

98.1 (89.7, 100)

100 (86.3, 100)

0.49

100 (83.9, 100)

0.52

90.0 (55.5, 99.7)

0.20

 Specificity,  % (95% CI)

98.8 (93.4, 100)

100 (96.7, 100)

0.25

100 (96.8, 100)

0.24

100 (97.1, 100)

0.22

 ROC area, (95% CI)

0.98 (0.96, 1)

1 (1, 1)

0.15

1 (1, 1)

0.15

0.95 (0.85, 1)

0.57

 PPV,  % (95% CI)

98.1 (89.7, 100)

100 (86.3, 100)

0.49

100 (83.9, 100)

0.52

100 (66.4, 100)

0.68

 NPV,  % (95% CI)

98.8 (93.4, 100)

100 (96.7, 100)

0.25

100 (96.8, 100)

0.24

99.2 (95.6, 100)

0.77

(b) abTES™

 PCR reference

+

+

 

+

 

+

 

 Test positive +

52

0

25

0

 

21

0

 

10

0

 

 Test negative −

1

81

0

109

 

0

113

 

0

124

 

 Sensitivity,  % (95% CI)

100 (93.2, 100)

100 (86.3, 100)

1.0

100 (83.9, 100)

1.0

100 (69.2, 100)

1.0

 Specificity,  % (95% CI)

98.8 (93.4, 100)

100 (96.7, 100)

0.25

100 (96.8, 100)

0.24

100 (97.1, 100)

0.22

 ROC area, (95% CI)

0.99 (0.98, 1)

1 (1, 1)

0.31

1 (1, 1)

0.31

1 (1, 1)

0.31

 PPV,  % (95% CI)

98.1 (89.9, 100)

100 (86.3, 100)

0.49

100 (83.9, 100)

0.52

100 (69.2, 100)

0.66

 NPV,  % (95% CI)

100 (95.5, 100)

100 (96.7, 100)

1.0

100 (96.8, 100)

1.0

100 (97.1, 100)

1.0

  1. *Includes a mixed P. malariae/P. knowlesi result which was false negative for a P. malariae monoinfection on reference PCR