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Table 1 Clinical performance of POC PCR, laboratory PCR, bacterial culture, and POC RADT when compared with final results by sequencing for group A Streptococcus (n = 255)

From: Diagnosis and antibiotic treatment of group a streptococcal pharyngitis in children in a primary care setting: impact of point-of-care polymerase chain reaction

 

Cobas Liat POC PCRa

Quidel QuickVue POC RADT

Bacterial culture

Final resultb

Positive

Negative

Total

Positive

Negative

Total

Positive

Negative

Total

Positive

105

1

106

94

9

103

79

0

79

Negative

5

144

149

16

136

152

31

144

175

Total

110

145

255

110

145

255

110

144

254

Sensitivity n/N (%, 95 CI)

105/110 (95.5%, 89.7–98.5)

94/110 (85.5%, 77.5–91.5)

79/110 (71.8%, 62.4–80.0)

Specificity n/N (%, 95 CI)

144/145 (99.3%, 96.2–99.9)

136/145 (93.7%, 88.5–97.1)

144/144 (100.0%, 97.5–100.0)

PPV n/N (%, 95 CI)

105/106 (99.1%, 94.9–99.9)

94/103 (91.3%, 84.1–95.9)

79/79 (100.0%, 95.4–100.0)

NPV n/N (%, 95 CI)

144/149 (96.6%, 92.3–98.9)

136/152 (89.5%, 83.5–93.9)

144/175 (82.3%, 75.8–87.6)

OPA n/N (%, 95 CI)

249/255 (97.6%, 94.9–99.1)

230/255 (90.2%, 85.9–93.6)

223/254 (87.8%, 83.1–91.6)

  1. NPV negative predictive value, OPA overall percentage agreement, PPV positive predictive value
  2. acobas Liat Strep A (POC) and Solana GAS NAAT (laboratory based). PCR via Clopper–Pearson (exact)
  3. bResults based on concordant test results or bidirectional DNA sequencing when results were discordant