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Table 3 Performance of immunochromatographic test and culture compared with polymerase chain reaction to detect Streptococcus pneumoniae in pleural fluid

From: Aetiology of paediatric pneumonia with effusion in the Dominican Republic and the potential impact of pneumococcal conjugate vaccines

Test

Sensitivity (95% CI)

Specificity (95% CI)

Positive predictive value (95% CI)

Negative predictive value (95% CI)

Point of care ICT at RRCCH

    

   All samples (n = 112)

100 (94.1–100)

86.3 (73.7–94.3)

89.7 (80.0–95.8)

100 (92.0–100)

   Samples from children with prior antibiotic usea (n = 58)

100 (89.1–100)

92.3 (74.9–99.0)

94.1 (80.3–99.3)

100 (85.8–100)

Repeat ICT at CDC

    

   All samplesb (n = 101)

98.2 (90.3–100)

97.8 (88.5–99.9)

98.2 (90.3–100)

97.8 (88.5–99.9)

   Samples from children with prior antibiotic usea (n = 53)

96.6 (82.2–99.9)

100 (85.8–100)

100 (87.8–100)

97.8 (88.5–99.9)

Culture

    

   All samples (n=112)

29.5 (18.5–42.6)

100 (93.0–100)

100 (81.5–100)

54.3 (43.7–64.6)

   Samples from children with prior antibiotic usea (n = 58)

9.4 (2.0–25.0)

100 (86.8–100)

100 (29.2–100)

47.3 (33.6–61.2)

  1. ICT, immunochromatographic test; RRCCH, Robert Reid Cabral Children’s Hospital; CI, confidence interval; CDC, US Centers for Disease Control and Prevention
  2. aAnalysis was restricted to children within each group who reported prior antibiotic use
  3. b101 of the 112 samples were available for repeat ICT at the CDC