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Table 2 Diagnostic performance for cryptococcal meningitis

From: Nanopore targeted sequencing-based diagnosis of central nervous system infections in HIV-infected patients

Test

Sensitivity (95% CI; n/N)

Specificity (95% CI; n/N)

PPV (95% CI; n/N)

NPV (95% CI; n/N)

CrAg

100.0

(87.5–100.0; 27 / 27)

100.0

(86.7–100.0; 25 / 25)

100.0

(87.5–100.0; 27 / 27)

100.0

(86.7–100.0; 25 / 25)

Culture

70.4

(51.5–84.1; 19 / 27)

100.0

(88.6–100.0; 30 / 30)

100.0

(83.2–100.0; 19 / 19)

78.9

(63.7–88.9; 30 / 38)

India ink staining

76.0

(56.6–88.5; 19 / 25)

100.0

(84.5–100.0; 21 / 21)

100.0

(83.2–100.0; 19 / 19)

77.8

(59.2–89.4; 21 / 27)

Cryptococcal PCR

77.8

(59.2–89.4; 21 / 27)

100.0

(20.7–100.0; 1 / 1)

100.0

(84.5–100.0; 21 / 21)

14.3

(2.6–51.3; 1 /7)

NTS

85.2

(67.5–94.1; 23 / 27)

100.0

(88.6–100.0; 30 / 30)

100.0

(85.7–100.0; 23 / 23)

88.2

(73.4–95.3; 30 / 34)

  1. The diagnosis of cryptococcal meningitis is based on a combination of all microbiological examination results. CSF CrAg, CSF Culture, CSF India ink staining, CSF Cryptococcal PCR and CSF NTS were done in 52, 57, 46, 28 and 57 patients respectively
  2. Abbreviations: NTS, Nanopore targeted sequencing; CI, Confidence interval; PPV, Positive predictive value; NPV, Negative predictive value