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Table 3 Diagnostic accuracy of different low CrAg LFA titers in patients with different immune status

From: Evaluation of low cryptococcal antigen titer as determined by the lateral flow assay in serum and cerebrospinal fluid among HIV-negative patients: a retrospective diagnostic accuracy study

Threshold

Value % (95% CI)

Sensitivity

Specificitya

PPV

NPV

Serum

  = 1:10

39.6 (29.7–50.1)

100.0 (69.2–100.0)

100.0 (90.7–100.0)

14.7 (7.3–25.4)

 With predisposing factors

33.3 (16.5–54.0)

100.0 (54.1–100.0)

100.0 (66.4–100.0)

25.0 (9.8–46.7)

 Without predisposing factors

42.0 (30.2–54.5)

100.0 (39.8–100.0)

100.0 (88.1–100.0)

9.1 (2.5–21.7)

  ≥ 1:5

72.9 (62.9–81.5)

70.0 (34.8–93.3)

95.9 (88.5–99.1)

21.2 (9.0–38.9)

 With predisposing factors

70.4 (49.8–86.2)

66.7 (22.2–95.7)

90.5 (69.6–98.8)

33.3 (9.9–65.1)

 Without predisposing factors

73.9 (61.9–83.7)

75.0 (19.4–99.4)

98.1 (89.7–100.0)

14.3 (3.0–36.3)

CSF

  = 1:10

50.0 (21.1–78.9)

/

100.0 (54.1–100.0)

0.0 (0.0–45.9)

 With predisposing factors

33.3 (4.3–77.7)

/

100.0 (15.8–100.0)

0.0 (0.0–60.2)

 Without predisposing factors

66.7 (22.3–95.7)

/

100.0 (39.8–100.0)

0.0 (0.0–84.2)

  ≥ 1:5

66.7 (34.9–90.1)

/

100.0 (63.1–100.0)

0.0 (0.0–60.2)

 With predisposing factors

50.0 (11.8–88.2)

/

100.0 (29.2–100.0)

0.0 (0.0–70.8)

 Without predisposing factors

83.3 (35.9–99.6)

/

100.0 (47.8–100.0)

0.0 (0.0–97.5)

  1. Data are presented as % (95% confidence interval)
  2. Abbreviations: CI confidence interval; NPV negative predictive value; PPV positive predictive value; LFA lateral flow assay; CrAg cryptococcal antigen; CSF cerebrospinal fluid
  3. aSpecificity was not calculated because no false positive case was found in patients with low CrAg LFA titer in CSF