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Table 2 Effectiveness of different variables at correctly predicting a diagnosis of bacterial vs. aseptic meningitis

From: Point-of-care cerebrospinal fluid Gram stain for the management of acute meningitis in adults: a retrospective observational study

 

Sensitivity

Specificity

Accuracy

LR + 

LR−

AUC (95% CI)

Age and history

 Age≥45

73.5

89.7

85.5

7.1

0.30

0.82 (0.73–0.90)

 Immunocompromised host

50.0

91.2

80.9

6.1

0.54

0.71 (0.62–0.80)

 Shaking chills

26.5

93.8

76.3

4.3

0.78

0.60 (0.52–0.68)

Vital signs and physical examinations

 Glasgow Coma Scale < 15

81.2

97.9

93.7

38.2

0.19

0.90 (0.83–0.97)

 Pulse rate≥100(/min)

76.4

80.0

79.1

3.8

0.29

0.78 (0.70–0.86)

 Systolic BP≥120(mmHg)

85.3

61.1

67.4

2.2

0.24

0.73 (0.65–0.81)

 Respiratory rate≥22(/min)

64.7

73.9

71.4

2.5

0.48

0.69 (0.60–0.79)

 Neck stiffness

84.9

50.5

59.4

1.7

0.30

0.68 (0.60–0.76)

 Body temperature≥38.0(℃)

69.7

61.1

63.3

1.8

0.50

0.65 (0.56–0.75)

PCGS and laboratory data

 CSF PCGS

91.2

99.0

97.0

88.4

0.09

0.95 (0.90–1.00)

 CSF monocyte≤20(%)

85.3

83.3

83.9

5.1

0.18

0.84 (0.77–0.91)

 CSF glucose/blood glucose ratio≤0.5

85.3

75.5

78.1

3.5

0.20

0.80 (0.73–0.88)

 WBC≥10,000(/μL)

78.8

76.8

77.3

3.4

0.28

0.78 (0.70–0.86)

 CSF protein≥100(mg/dL)

76.5

77.3

77.1

3.4

0.30

0.77 (0.69–0.85)

 CRP≥1.0(mg/dL)

77.4

76.0

76.4

3.2

0.30

0.77 (0.68–0.85)

 CSF cell≥100(/μL)

76.5

58.8

63.4

1.9

0.40

0.68 (0.59–0.76)

  1. AUC area under curve, BP blood pressure, CI confidence interval, CRP C-reactive protein, CSF cerebrospinal fluid, GCS Glasgow Coma Scale, LR likelihood ratio, PCGS point-of-care Gram stain, WBC white blood cell