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Table 3 Comparison of P. falciparum diagnostic results

From: Dry season prevalence of Plasmodium falciparum in asymptomatic Gambian children, with a comparative evaluation of diagnostic methods

 

RDT

(n = 1381)

Microscopy

(n = 1381)

18S PCR

(n = 788)

Positive

Negative

Positive

Negative

Positive

Negative

var ATS

qPCR

Positive

13

128

15

126

56

56

Negative

8

1232

25

1215

10

666

Specificity (95% CI)

99.4% (98.7–99.7)

98.0% (97.0–98.7)

98.5% (97.3–99.3)

Sensitivity (95% CI)

9.2% (5.0–15.3)

10.6% (6.1–16.9)

50.0% (40.4–59.6)

Risk ratioa (95% CI),

p value

1

1.2 (0.66–2.0)

0.80

5.6 (3.1–10.1)

< 0.0001

  1. Using varATS qPCR as the ‘gold standard’ comparator, assay results are shown for RDT and microscopy in the analysis cohort (n = 1381) and for 18S PCR in the subgroup analysis (n = 788). Assay sensitivity was calculated as the number of assay positives detected divided by the number of true total positives (i.e. varATS positive). Assay specificity was calculated as the number of assay negatives detected divided by the number of true total negatives (i.e. varATS negative)
  2. aRisk Ratios (with confidence intervals) and p-values comparing sensitivity estimates obtained from McNemar’s test (comparator = RDT)