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Table 5 Comparison of microscopy, RDT, uRDT for detecting P. falciparum in Primi, Secundi and multigravidae at baseline

From: Performance of ultra-sensitive malaria rapid diagnostic test to detect Plasmodium falciparum infection in pregnant women in Kinshasa, the Democratic Republic of the Congo

   

qPCR

Value (95%CI)

LR (+) (95%CI)

LR (-) (95%CI)

Kappa (95%CI)

Sensitivity (95%CI)

Specificity (95%CI)

PPV (95%CI)

NPV (95%CI)

Primigravidae (N = 94)

Test

 

(+)

(-)

       

Microscopy

(+)

39

2

67.2% (53.6–78.9)

94.4% (81.3–99.3)

95.1 (83.3–98.7)

64.1 (55.1–72.2)

12.1 (3.1–47.1)

0.3 (0.2–0.5)

0.57 (0.41–0.71)

(-)

19

34

RDT

(+)

53

3

91.3% (81–97.1)

91.7% (77.5–98.2)

94.6% ( 85.6–98.1)

86.8% (74–93.9)

11.0 (3.7–32.5)

0.09 (0.0–0.2)

0.82 (0.7–0.93)

(-)

5

33

uRDT

(+)

56

4

96.6% (88–99.6)

88.9% (73.9–96.9)

93.3% (84.7–97.3)

94.1 (80.3–98.4)

8.7 (3.4–21.9)

0.0 (0.0–0.1)

0.86 (0.76–0.96)

(-)

2

32

Secundigravidae (N = 52)

Microscopy

(+)

17

0

63% (42.3–80.6)

100% (86.2–100)

100%

71.4% (60.4–80.4)

-

0.37 (0.2–0.6)

0.62 (0.42–0.81)

(-)

10

25

RDT

(+)

22

1

81.5% (61.9–93.7)

96% (79.7–99.9)

95.7% (76.1–99.3)

82.8 (68.4–91.4)

20.4 (3.0–140.2)

0.2 (0.1–0.4)

0.77 (0.6–0.94)

(-)

5

24

uRDT

(+)

26

1

96.3% (81–99.9)

96% (79.7–99.9)

96.3% (79.1–99.4)

96.6% (77.8–99.4)

24.1 (3.5–164.5)

0.0 (0.0–0.3)

0.92 (0.81–1)

(-)

1

24

Multigravidae (N = 103)

Microscopy

(+)

24

2

53.3% (36.9–68.3)

96.6% (88.0 – 99.6)

92.3% (75–98)

72.7% (66–78.5)

15.5 (3.9–62.0)

0.5 (0.3–0.7)

0.52 (0.4–0.7)

(-)

21

56

RDT

(+)

31

2

68.8% (53.3–81.8)

96.6% (88.0–99.6)

93.9% (79.7–98.4)

80% (72.0–86.1)

20.0 (5.0–79.0)

0.3 (0.2–0.5)

0.67 (0.53–0.81)

(-)

14

56

uRDT

(+)

34

2

75.6 (60.5–87.1)

96.5% (88.0–99.6)

94.4% (81.2–98.5)

83.5% (75.2–89.5)

22.0 (5.6–86.4)

0.2 (0.1–0.4)

0.73 (0.6–0.87)

(-)

11

56

  1. RDT (rapid diagnostic test); uRDT (ultra-sensitive rapid diagnostic test); qPCR (quantitative polymerase chain reaction); ( +) (positive); (-) (negative); PPV (positive predictive value); NPV (negative predictive value); CI (confidence interval); N (sample size); LR: Likelihood ratio