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Table 6 Performance of procalcitonin at birth, at 12–24 h, and 36–48 h of life for the diagnosis of neonatal sepsis of vertical transmission (cutoff points selected to achieve 90% sensitivity).

From: Evaluation of procalcitonin for diagnosis of neonatal sepsis of vertical transmission

 

At birth n = 205

12–24 h of life n = 212

36–48 h of life n = 193

Cutoff, ng/ml

≥0.15

≥1.2

≥0.75

Sensitivity, % (95% CI)

91.2 (81.1 – 96.2)

90.2 (80.2 – 95.4)

91.8 (80.8 – 96.8%)

Specificity (95% CI)

10.8 (6.8 – 16.8)

43.0 (35.4 – 51.0)

51.4 (43.3 – 59.4)

Youden's index

0.02

0.33

0.43

PPV (95% CI)

28.3 (22.3 – 35.2)

39.0 (31.3 – 47.2)

55.9 (44.1 – 67.1)

NPV (95% CI)

76.2 (54.9 – 89.4)

91.5 (82.8 – 96.1)

91.2 (84.9 – 95.0)

LR+ (95% CI)

1.02 (0.93 – 1.13)

1.58 (1.35 – 1.86)

1.89 (1.57 – 2.28)

LR- (95% CI)

0.81 (0.32 – 2.07)

0.23 (0.10–0.50)

0.16 (0.06 – 0.41)

  1. PPV: positive predictive value, NPV: negative predictive value, LR+: likelihood ratio of a positive result, LR-: likelihood ratio of a negative result.