Table 1

Negative agreement (NA) performance for serological assays.

AssaysPre-December 2019%NA (95% CI)Negative/n
NAAT-negative
%NA (95% CI)
Overall% NA (95% CI)
Non cross-reactivityCross-reactivityTotal
Positive = Positive and Equivocal resultsAbbott IgG

99.3 (97.6–99.2) 297/299

98.9 (96.7–101.0) 93/94

99.2 (98.4–100.0) 390/393

100.0 (91.2–100.0) 40/40

99.3 (98.0–99.9) 430/433

Beckman IgG

100.0 (98.7–100.0) 292/292

98.9 (96.8–101.0) 91/92

99.7 (99.2–100.2) 383/384

100.0 (91.2–100.0) 40/40

99.8 (98.7–100.0) 423/424

DiaSorin IgG

98.7 (96.6–99.6) 294/298

96.8 (93.3–100.4) 91/94

98.5 (96.9–99.5) 385/392

100.0 (91.2–100.0) 40/40

98.4 (97.2–99.6) 425/432

Roche Total

99.7 (98.2–100.0) 298/299

100.0 (98.8–100.0) 299/299

99.7 (99.2–100.2) 392/393

100.0 (91.2–100.0) 40/40

99.8 (99.3–100.2) 432/433

Bio-Rad Total

99.3 (97.6–99.9) 297/299

98.9 (96.7–101.0) 93/94

99.2 (98.4–100.0) 390/393

100.0 (91.2–100.0) 40/40

99.3 (98.0–99.9) 430/433

EU IgG

97.7 (95.2–99.1) 292/299

97.9 (95.0–100.8) 92/94

97.7 (96.9–99.5) 384/393

95.0 (88.2–101.8) 38/40

97.5 (95.5–98.7) 422/433

EU IgA

80.6 (75.7–84.9) 241/299

84.0 (76.6–91.4) 79/94

81.4 (77.6–85.3) 320/393

62.5 (47.5–77.5) 25/40

79.7 (75.9–83.5) 345/433

Positive = Positive resultsBio-Rad Total

99.7 (98.2–100.0)298/299

98.9 (96.7–101.0) 93/94

99.5 (98.8–100.2)391/393

100.0 (91.2–100.0) 40/40

99.5 (98.9–100.2)431/433

EU IgG

98.7 (96.6–99.6)295/299

97.9 (95.0–100.8) 92/94

98.5 (96.7–99.4)387/393

95.0 (88.2–101.8) 38/40

98.2 (96.4–99.2)425/433

EU IgA

83.3 (78.6–87.3)249/299

88.3 (80.0–94.0)83/94

84.7 (81.2–88.3)332/393

67.5 (53.0–82.0)27/40

82.9 (79.4–86.5)359/433

AssaysPre-December 2019%NA (95% CI)Negative/n
NAAT-negative
%NA (95% CI)
Overall% NA (95% CI)
Non cross-reactivityCross-reactivityTotal
Positive = Positive and Equivocal resultsAbbott IgG

99.3 (97.6–99.2) 297/299

98.9 (96.7–101.0) 93/94

99.2 (98.4–100.0) 390/393

100.0 (91.2–100.0) 40/40

99.3 (98.0–99.9) 430/433

Beckman IgG

100.0 (98.7–100.0) 292/292

98.9 (96.8–101.0) 91/92

99.7 (99.2–100.2) 383/384

100.0 (91.2–100.0) 40/40

99.8 (98.7–100.0) 423/424

DiaSorin IgG

98.7 (96.6–99.6) 294/298

96.8 (93.3–100.4) 91/94

98.5 (96.9–99.5) 385/392

100.0 (91.2–100.0) 40/40

98.4 (97.2–99.6) 425/432

Roche Total

99.7 (98.2–100.0) 298/299

100.0 (98.8–100.0) 299/299

99.7 (99.2–100.2) 392/393

100.0 (91.2–100.0) 40/40

99.8 (99.3–100.2) 432/433

Bio-Rad Total

99.3 (97.6–99.9) 297/299

98.9 (96.7–101.0) 93/94

99.2 (98.4–100.0) 390/393

100.0 (91.2–100.0) 40/40

99.3 (98.0–99.9) 430/433

EU IgG

97.7 (95.2–99.1) 292/299

97.9 (95.0–100.8) 92/94

97.7 (96.9–99.5) 384/393

95.0 (88.2–101.8) 38/40

97.5 (95.5–98.7) 422/433

EU IgA

80.6 (75.7–84.9) 241/299

84.0 (76.6–91.4) 79/94

81.4 (77.6–85.3) 320/393

62.5 (47.5–77.5) 25/40

79.7 (75.9–83.5) 345/433

Positive = Positive resultsBio-Rad Total

99.7 (98.2–100.0)298/299

98.9 (96.7–101.0) 93/94

99.5 (98.8–100.2)391/393

100.0 (91.2–100.0) 40/40

99.5 (98.9–100.2)431/433

EU IgG

98.7 (96.6–99.6)295/299

97.9 (95.0–100.8) 92/94

98.5 (96.7–99.4)387/393

95.0 (88.2–101.8) 38/40

98.2 (96.4–99.2)425/433

EU IgA

83.3 (78.6–87.3)249/299

88.3 (80.0–94.0)83/94

84.7 (81.2–88.3)332/393

67.5 (53.0–82.0)27/40

82.9 (79.4–86.5)359/433

EU, EUROIMMUN; n, sample size; CI, Confidence interval. Performance changes with the definition of 'positive=positive results' are bolded.

Table 1

Negative agreement (NA) performance for serological assays.

AssaysPre-December 2019%NA (95% CI)Negative/n
NAAT-negative
%NA (95% CI)
Overall% NA (95% CI)
Non cross-reactivityCross-reactivityTotal
Positive = Positive and Equivocal resultsAbbott IgG

99.3 (97.6–99.2) 297/299

98.9 (96.7–101.0) 93/94

99.2 (98.4–100.0) 390/393

100.0 (91.2–100.0) 40/40

99.3 (98.0–99.9) 430/433

Beckman IgG

100.0 (98.7–100.0) 292/292

98.9 (96.8–101.0) 91/92

99.7 (99.2–100.2) 383/384

100.0 (91.2–100.0) 40/40

99.8 (98.7–100.0) 423/424

DiaSorin IgG

98.7 (96.6–99.6) 294/298

96.8 (93.3–100.4) 91/94

98.5 (96.9–99.5) 385/392

100.0 (91.2–100.0) 40/40

98.4 (97.2–99.6) 425/432

Roche Total

99.7 (98.2–100.0) 298/299

100.0 (98.8–100.0) 299/299

99.7 (99.2–100.2) 392/393

100.0 (91.2–100.0) 40/40

99.8 (99.3–100.2) 432/433

Bio-Rad Total

99.3 (97.6–99.9) 297/299

98.9 (96.7–101.0) 93/94

99.2 (98.4–100.0) 390/393

100.0 (91.2–100.0) 40/40

99.3 (98.0–99.9) 430/433

EU IgG

97.7 (95.2–99.1) 292/299

97.9 (95.0–100.8) 92/94

97.7 (96.9–99.5) 384/393

95.0 (88.2–101.8) 38/40

97.5 (95.5–98.7) 422/433

EU IgA

80.6 (75.7–84.9) 241/299

84.0 (76.6–91.4) 79/94

81.4 (77.6–85.3) 320/393

62.5 (47.5–77.5) 25/40

79.7 (75.9–83.5) 345/433

Positive = Positive resultsBio-Rad Total

99.7 (98.2–100.0)298/299

98.9 (96.7–101.0) 93/94

99.5 (98.8–100.2)391/393

100.0 (91.2–100.0) 40/40

99.5 (98.9–100.2)431/433

EU IgG

98.7 (96.6–99.6)295/299

97.9 (95.0–100.8) 92/94

98.5 (96.7–99.4)387/393

95.0 (88.2–101.8) 38/40

98.2 (96.4–99.2)425/433

EU IgA

83.3 (78.6–87.3)249/299

88.3 (80.0–94.0)83/94

84.7 (81.2–88.3)332/393

67.5 (53.0–82.0)27/40

82.9 (79.4–86.5)359/433

AssaysPre-December 2019%NA (95% CI)Negative/n
NAAT-negative
%NA (95% CI)
Overall% NA (95% CI)
Non cross-reactivityCross-reactivityTotal
Positive = Positive and Equivocal resultsAbbott IgG

99.3 (97.6–99.2) 297/299

98.9 (96.7–101.0) 93/94

99.2 (98.4–100.0) 390/393

100.0 (91.2–100.0) 40/40

99.3 (98.0–99.9) 430/433

Beckman IgG

100.0 (98.7–100.0) 292/292

98.9 (96.8–101.0) 91/92

99.7 (99.2–100.2) 383/384

100.0 (91.2–100.0) 40/40

99.8 (98.7–100.0) 423/424

DiaSorin IgG

98.7 (96.6–99.6) 294/298

96.8 (93.3–100.4) 91/94

98.5 (96.9–99.5) 385/392

100.0 (91.2–100.0) 40/40

98.4 (97.2–99.6) 425/432

Roche Total

99.7 (98.2–100.0) 298/299

100.0 (98.8–100.0) 299/299

99.7 (99.2–100.2) 392/393

100.0 (91.2–100.0) 40/40

99.8 (99.3–100.2) 432/433

Bio-Rad Total

99.3 (97.6–99.9) 297/299

98.9 (96.7–101.0) 93/94

99.2 (98.4–100.0) 390/393

100.0 (91.2–100.0) 40/40

99.3 (98.0–99.9) 430/433

EU IgG

97.7 (95.2–99.1) 292/299

97.9 (95.0–100.8) 92/94

97.7 (96.9–99.5) 384/393

95.0 (88.2–101.8) 38/40

97.5 (95.5–98.7) 422/433

EU IgA

80.6 (75.7–84.9) 241/299

84.0 (76.6–91.4) 79/94

81.4 (77.6–85.3) 320/393

62.5 (47.5–77.5) 25/40

79.7 (75.9–83.5) 345/433

Positive = Positive resultsBio-Rad Total

99.7 (98.2–100.0)298/299

98.9 (96.7–101.0) 93/94

99.5 (98.8–100.2)391/393

100.0 (91.2–100.0) 40/40

99.5 (98.9–100.2)431/433

EU IgG

98.7 (96.6–99.6)295/299

97.9 (95.0–100.8) 92/94

98.5 (96.7–99.4)387/393

95.0 (88.2–101.8) 38/40

98.2 (96.4–99.2)425/433

EU IgA

83.3 (78.6–87.3)249/299

88.3 (80.0–94.0)83/94

84.7 (81.2–88.3)332/393

67.5 (53.0–82.0)27/40

82.9 (79.4–86.5)359/433

EU, EUROIMMUN; n, sample size; CI, Confidence interval. Performance changes with the definition of 'positive=positive results' are bolded.

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