Table 3.

Performance Characteristics for the Discrimination of Late-onset Sepsis and Matched Controls Using Fecal Volatile Organic Compounds

AnalysisSepsis Samplesa (n)P ValueAUC (± 95% CI)Sensitivity (± 95% CI)Specificity (± 95% CI)PPVNPVApplied Method
Escherichia colib14.00020.87 (0.74–1)0.93 (0.66–1)0.71 (0.42–0.92)0.760.91Gaussian Process
Escherichia coli t-113.00060.86 (0.71–1)0.92 (0.64–1)0.77 (0.46–0.95)0.80.91Support Vector Machine
Escherichia coli t-29<.00010.99 (0.95–1.0)1 (0.66–1)0.89 (0.52–1.0)0.91Gaussian Process
Escherichia coli t-311.00130.88 (0.72–1)0.91 (0.59–1.0)0.82 (0.48–0.98)0.830.9Random Forest
S. aureusb21.01910.69 (0.52–0.85)0.76 (0.53–0.92)0.62 (0.38–0.82)0.670.72Gaussian Process
S. aureus t-115.00160.8 (0.64–0.96)0.73 (0.45–0.92)0.8 (0.52–0.96)0.790.75Support Vector Machine
S. aureus t-213.04060.7 (0.5–0.91)0.85 (0.55–0.98)0.62 (0.32–0.86)0.690.8Random Forest
S. aureus t-316.00020.85 (0.7–1)0.88 (0.62–0.98)0.81 (0.54–0.96)0.820.87Gaussian Process
S. epidermidisb42.98230.63 (0.51–0.75)0.74 (0.58–0.86)0.55 (0.39–0.7)0.620.68Support Vector Machine
S. epidermidis t-135.03080.63 (0.5–0.76)0.54 (0.37–0.71)0.71 (0.54–0.85)0.660.61Gaussian Process
S. epidermidis t-222.00060.78 (0.64–0.92)0.82 (0.60–0.95)0.68 (0.45–0.86)0.720.79Sparse Logistic Regression
S. epidermidis t-319<.00010.90 (0.79–1.0)0.84 (0.6–0.97)0.89 (0.67–0.99)0.890.85Random Forest
Gram-negative bacteriab27.00300.77 (0.63–0.9)0.78 (0.58–0.91)0.81 (0.62–0.94)0.810.79Support Vector Machine
Gram-positive bacteriab28.00070.74 (0.61–0.88)0.75 (0.55–0.89)0.75 (0.55–0.89).75.75Sparse Logistic Regression
CoNSb73.10770.56 (0.47–0.65)0.56 (0.44–0.68)0.6 (0.48–0.72)0.590.58Random Forest
t-1 to t-3b127.04370.56 (0.49–0.63)0.69 (0.6–0.76)0.44 (0.35–0.53)0.550.58Random Forest
t-1105.02490.58 (0.5–0.66)0.61 (0.51–0.7)0.55 (0.45–0.65)0.580.59Random Forest
t-278.98980.61 (0.52–0.7)0.91 (0.82–0.96)0.29 (0.2–0.41)0.560.77Gaussian Process
t-378.97910.59 (0.51–0.68)0.55 (0.43–0.66)0.62 (0.5–0.72)0.590.58Random Forest
Mono-culturesb113.00790.59 (0.52–0.67)0.81 (0.72–0.87)0.4 (0.31–0.49)0.570.67Random Forest
AnalysisSepsis Samplesa (n)P ValueAUC (± 95% CI)Sensitivity (± 95% CI)Specificity (± 95% CI)PPVNPVApplied Method
Escherichia colib14.00020.87 (0.74–1)0.93 (0.66–1)0.71 (0.42–0.92)0.760.91Gaussian Process
Escherichia coli t-113.00060.86 (0.71–1)0.92 (0.64–1)0.77 (0.46–0.95)0.80.91Support Vector Machine
Escherichia coli t-29<.00010.99 (0.95–1.0)1 (0.66–1)0.89 (0.52–1.0)0.91Gaussian Process
Escherichia coli t-311.00130.88 (0.72–1)0.91 (0.59–1.0)0.82 (0.48–0.98)0.830.9Random Forest
S. aureusb21.01910.69 (0.52–0.85)0.76 (0.53–0.92)0.62 (0.38–0.82)0.670.72Gaussian Process
S. aureus t-115.00160.8 (0.64–0.96)0.73 (0.45–0.92)0.8 (0.52–0.96)0.790.75Support Vector Machine
S. aureus t-213.04060.7 (0.5–0.91)0.85 (0.55–0.98)0.62 (0.32–0.86)0.690.8Random Forest
S. aureus t-316.00020.85 (0.7–1)0.88 (0.62–0.98)0.81 (0.54–0.96)0.820.87Gaussian Process
S. epidermidisb42.98230.63 (0.51–0.75)0.74 (0.58–0.86)0.55 (0.39–0.7)0.620.68Support Vector Machine
S. epidermidis t-135.03080.63 (0.5–0.76)0.54 (0.37–0.71)0.71 (0.54–0.85)0.660.61Gaussian Process
S. epidermidis t-222.00060.78 (0.64–0.92)0.82 (0.60–0.95)0.68 (0.45–0.86)0.720.79Sparse Logistic Regression
S. epidermidis t-319<.00010.90 (0.79–1.0)0.84 (0.6–0.97)0.89 (0.67–0.99)0.890.85Random Forest
Gram-negative bacteriab27.00300.77 (0.63–0.9)0.78 (0.58–0.91)0.81 (0.62–0.94)0.810.79Support Vector Machine
Gram-positive bacteriab28.00070.74 (0.61–0.88)0.75 (0.55–0.89)0.75 (0.55–0.89).75.75Sparse Logistic Regression
CoNSb73.10770.56 (0.47–0.65)0.56 (0.44–0.68)0.6 (0.48–0.72)0.590.58Random Forest
t-1 to t-3b127.04370.56 (0.49–0.63)0.69 (0.6–0.76)0.44 (0.35–0.53)0.550.58Random Forest
t-1105.02490.58 (0.5–0.66)0.61 (0.51–0.7)0.55 (0.45–0.65)0.580.59Random Forest
t-278.98980.61 (0.52–0.7)0.91 (0.82–0.96)0.29 (0.2–0.41)0.560.77Gaussian Process
t-378.97910.59 (0.51–0.68)0.55 (0.43–0.66)0.62 (0.5–0.72)0.590.58Random Forest
Mono-culturesb113.00790.59 (0.52–0.67)0.81 (0.72–0.87)0.4 (0.31–0.49)0.570.67Random Forest

Corresponding Area Under the Curves, Sensitivity, Specificity, Positive and Negative Predictive Values are Displayed

Abbreviations: AUC ± 95% CI, area under the curve with 95% confidence interval; CoNS, coagulase negative Staphylococcus; NPV, negative predictive value; PPV, positive predictive value; S, Staphylococcus.

aCorresponding number of fecal samples from controls were analyzed.

bfor this analysis only the last fecal sample produced prior to late-onset sepsis was used.

Table 3.

Performance Characteristics for the Discrimination of Late-onset Sepsis and Matched Controls Using Fecal Volatile Organic Compounds

AnalysisSepsis Samplesa (n)P ValueAUC (± 95% CI)Sensitivity (± 95% CI)Specificity (± 95% CI)PPVNPVApplied Method
Escherichia colib14.00020.87 (0.74–1)0.93 (0.66–1)0.71 (0.42–0.92)0.760.91Gaussian Process
Escherichia coli t-113.00060.86 (0.71–1)0.92 (0.64–1)0.77 (0.46–0.95)0.80.91Support Vector Machine
Escherichia coli t-29<.00010.99 (0.95–1.0)1 (0.66–1)0.89 (0.52–1.0)0.91Gaussian Process
Escherichia coli t-311.00130.88 (0.72–1)0.91 (0.59–1.0)0.82 (0.48–0.98)0.830.9Random Forest
S. aureusb21.01910.69 (0.52–0.85)0.76 (0.53–0.92)0.62 (0.38–0.82)0.670.72Gaussian Process
S. aureus t-115.00160.8 (0.64–0.96)0.73 (0.45–0.92)0.8 (0.52–0.96)0.790.75Support Vector Machine
S. aureus t-213.04060.7 (0.5–0.91)0.85 (0.55–0.98)0.62 (0.32–0.86)0.690.8Random Forest
S. aureus t-316.00020.85 (0.7–1)0.88 (0.62–0.98)0.81 (0.54–0.96)0.820.87Gaussian Process
S. epidermidisb42.98230.63 (0.51–0.75)0.74 (0.58–0.86)0.55 (0.39–0.7)0.620.68Support Vector Machine
S. epidermidis t-135.03080.63 (0.5–0.76)0.54 (0.37–0.71)0.71 (0.54–0.85)0.660.61Gaussian Process
S. epidermidis t-222.00060.78 (0.64–0.92)0.82 (0.60–0.95)0.68 (0.45–0.86)0.720.79Sparse Logistic Regression
S. epidermidis t-319<.00010.90 (0.79–1.0)0.84 (0.6–0.97)0.89 (0.67–0.99)0.890.85Random Forest
Gram-negative bacteriab27.00300.77 (0.63–0.9)0.78 (0.58–0.91)0.81 (0.62–0.94)0.810.79Support Vector Machine
Gram-positive bacteriab28.00070.74 (0.61–0.88)0.75 (0.55–0.89)0.75 (0.55–0.89).75.75Sparse Logistic Regression
CoNSb73.10770.56 (0.47–0.65)0.56 (0.44–0.68)0.6 (0.48–0.72)0.590.58Random Forest
t-1 to t-3b127.04370.56 (0.49–0.63)0.69 (0.6–0.76)0.44 (0.35–0.53)0.550.58Random Forest
t-1105.02490.58 (0.5–0.66)0.61 (0.51–0.7)0.55 (0.45–0.65)0.580.59Random Forest
t-278.98980.61 (0.52–0.7)0.91 (0.82–0.96)0.29 (0.2–0.41)0.560.77Gaussian Process
t-378.97910.59 (0.51–0.68)0.55 (0.43–0.66)0.62 (0.5–0.72)0.590.58Random Forest
Mono-culturesb113.00790.59 (0.52–0.67)0.81 (0.72–0.87)0.4 (0.31–0.49)0.570.67Random Forest
AnalysisSepsis Samplesa (n)P ValueAUC (± 95% CI)Sensitivity (± 95% CI)Specificity (± 95% CI)PPVNPVApplied Method
Escherichia colib14.00020.87 (0.74–1)0.93 (0.66–1)0.71 (0.42–0.92)0.760.91Gaussian Process
Escherichia coli t-113.00060.86 (0.71–1)0.92 (0.64–1)0.77 (0.46–0.95)0.80.91Support Vector Machine
Escherichia coli t-29<.00010.99 (0.95–1.0)1 (0.66–1)0.89 (0.52–1.0)0.91Gaussian Process
Escherichia coli t-311.00130.88 (0.72–1)0.91 (0.59–1.0)0.82 (0.48–0.98)0.830.9Random Forest
S. aureusb21.01910.69 (0.52–0.85)0.76 (0.53–0.92)0.62 (0.38–0.82)0.670.72Gaussian Process
S. aureus t-115.00160.8 (0.64–0.96)0.73 (0.45–0.92)0.8 (0.52–0.96)0.790.75Support Vector Machine
S. aureus t-213.04060.7 (0.5–0.91)0.85 (0.55–0.98)0.62 (0.32–0.86)0.690.8Random Forest
S. aureus t-316.00020.85 (0.7–1)0.88 (0.62–0.98)0.81 (0.54–0.96)0.820.87Gaussian Process
S. epidermidisb42.98230.63 (0.51–0.75)0.74 (0.58–0.86)0.55 (0.39–0.7)0.620.68Support Vector Machine
S. epidermidis t-135.03080.63 (0.5–0.76)0.54 (0.37–0.71)0.71 (0.54–0.85)0.660.61Gaussian Process
S. epidermidis t-222.00060.78 (0.64–0.92)0.82 (0.60–0.95)0.68 (0.45–0.86)0.720.79Sparse Logistic Regression
S. epidermidis t-319<.00010.90 (0.79–1.0)0.84 (0.6–0.97)0.89 (0.67–0.99)0.890.85Random Forest
Gram-negative bacteriab27.00300.77 (0.63–0.9)0.78 (0.58–0.91)0.81 (0.62–0.94)0.810.79Support Vector Machine
Gram-positive bacteriab28.00070.74 (0.61–0.88)0.75 (0.55–0.89)0.75 (0.55–0.89).75.75Sparse Logistic Regression
CoNSb73.10770.56 (0.47–0.65)0.56 (0.44–0.68)0.6 (0.48–0.72)0.590.58Random Forest
t-1 to t-3b127.04370.56 (0.49–0.63)0.69 (0.6–0.76)0.44 (0.35–0.53)0.550.58Random Forest
t-1105.02490.58 (0.5–0.66)0.61 (0.51–0.7)0.55 (0.45–0.65)0.580.59Random Forest
t-278.98980.61 (0.52–0.7)0.91 (0.82–0.96)0.29 (0.2–0.41)0.560.77Gaussian Process
t-378.97910.59 (0.51–0.68)0.55 (0.43–0.66)0.62 (0.5–0.72)0.590.58Random Forest
Mono-culturesb113.00790.59 (0.52–0.67)0.81 (0.72–0.87)0.4 (0.31–0.49)0.570.67Random Forest

Corresponding Area Under the Curves, Sensitivity, Specificity, Positive and Negative Predictive Values are Displayed

Abbreviations: AUC ± 95% CI, area under the curve with 95% confidence interval; CoNS, coagulase negative Staphylococcus; NPV, negative predictive value; PPV, positive predictive value; S, Staphylococcus.

aCorresponding number of fecal samples from controls were analyzed.

bfor this analysis only the last fecal sample produced prior to late-onset sepsis was used.

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