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Table 7 Sensitivity and specificity of hospital malaria diagnosis based real time PCR

From: Health care provider practices in diagnosis and treatment of malaria in rural communities in Kisumu County, Kenya

Real time PCR results as standard reference

Hospital laboratory Microscopic inspection of blood smear

Expert Microscopy results

Positive

Negative

Positive

Negative

Positive PCR

62

100

90

71

Negative PCR

10

104

13

102

Sensitivity % (95%CI)

38.3 (31.1, 45.9)

55.9 (47.9, 63.6)

Specificity % (95% CI)

91.2 (84.6, 95.2)

88.7 (81.1, 93.6)

Positive predictive value % (95% CI)

86.1 (76.3, 92.3)

87.4 (79.0, 92.8)

Negative predictive Value % (95% CI)

51.0 (44.2, 57.8)

59.0 (51.2, 66.3)

Diagnostic accuracy % (95% CI)

60.1 (54.1, 66.0)

69.6 (58.1, 79.2)

Agreement (Cohen's kappa)

0.26 (0.18, 0.35)

0.42 (0.32, 0.51)