Ann Clin Microbiol 2020;23:93-104. Evaluation of Diagnostic Performance of Three Real-Time PCR Assays for the Detection of Mycobacteria Species

Table 5. Diagnostic accuracy of three real-time PCR assays for the MTB detection stratified by AFB smear results (n=261)
Parameter AFB smear AdvanSure Genedia PowerChek
Result 95% CI Result 95% CI Result 95% CI
Sensitivity (%) Positive 98.4 91.5-100.0 96.8 89.0-99.6 98.4 91.5-100.0
Negative 0.0 0.0-79.3 0.0 0.0-79.3 0.0 0.0-79.3
Total 96.9 89.2-99.6 95.3 86.9-99.0 96.9 89.2-99.6
Specificity (%) Positive 100.0 84.6-100.0 100.0 84.6-100.0 95.5 77.2-99.9
Negative 98.3 95.1-99.4 99.4 96.8-99.9 98.9 95.9-99.7
Total 98.5 95.6-99.7 99.5 97.2-100.0 98.5 95.6-99.7
PPV (%) Positive 100.0 100.0 32.8 6.7-76.8
Negative Incomputable Incomputable Incomputable Incomputable Incomputable Incomputable
Total 58.9 31.7-81.5 80.9 37.4-96.8 58.9 31.7-81.5
NPV (%) Positive 100.0 99.8-100.0 99.9 99.7-100.0 100.0 99.7-100.0
Negative Incomputable Incomputable Incomputable Incomputable Incomputable Incomputable
Total 99.9 99.7-100.0 99.9 99.7-100.0 99.9 99.7-100.0
AUC Positive 0.99 0.94-1.00 0.98 0.93-1.00 0.97 0.91-1.00
Negative Incomputable Incomputable Incomputable Incomputable Incomputable Incomputable
Total 0.98 0.95-0.99 0.97 0.94-0.99 0.98 0.95-0.99

Abbreviation: PPV, positive predictive value; NPV, negative predictive value; AUC, area under the ROC curve; CI, confidence interval.