Performance of NG-Test® CARBA 5 and NG-Test® CTX-M MULTI for rapid detection of carbapenemase and ESBL CTX-M directly from Enterobacterales positive BCs in comparison to reference methods
. | . | Positive . | Negative . | Sensitivity [95% CI] . | Specificity [95% CI] . | PPV [95% CI] . | NPV [95% CI] . |
---|---|---|---|---|---|---|---|
Carbapenemase detection according to reference method . | NG-Test® CARBA 5 . | ||||||
K. pneumoniae (n = 468) | Positive | 155 | 14 | 91.7 [86.5–95.4] | 100 [98.8–100] | 100 | 95.5 [92.8–97.2] |
Negative | 0 | 299 | |||||
E. coli (n = 6) | Positive | 6 | 0 | 100 [54.1–100] | 100 | ||
Negative | 0 | 0 | |||||
E. cloacae (n = 3) | Positive | 3 | 0 | 100 [29.2–100] | 100 | ||
Negative | 0 | 0 | |||||
K. aerogenes (n = 1) | Positive | 1 | 0 | 100 [2.5–100] | 100 | ||
Negative | 0 | 0 | |||||
Total (n = 478) | Positive | 165 | 14 | 92.2 [87.2–95.7] | 100 [98.8–100] | 100 | 95.5 [92.8–97.2] |
Negative | 0 | 299 | |||||
ESBL detection according to reference method | NG-Test® CTX-M MULTI | ||||||
E. coli (n = 756) | Positive | 173 | 17 | 91 [86.1–94.7] | 100 [99.3–100] | 100 | 97.1[95.5–98.1] |
Negative | 0 | 566 | |||||
K. pneumoniae (n = 299)a | Positive | 100 | 8 | 92.6 [85.9–96.7] | 100 [98.1–100] | 100 | 96 [92.6–97.9] |
Negative | 0 | 191 | |||||
Total (n = 1055) | Positive | 273 | 25 | 91.6 [87.9–94.5] | 100 [99.5–100] | 100 | 96.8 [95.4–97.8] |
Negative | 0 | 757 |
. | . | Positive . | Negative . | Sensitivity [95% CI] . | Specificity [95% CI] . | PPV [95% CI] . | NPV [95% CI] . |
---|---|---|---|---|---|---|---|
Carbapenemase detection according to reference method . | NG-Test® CARBA 5 . | ||||||
K. pneumoniae (n = 468) | Positive | 155 | 14 | 91.7 [86.5–95.4] | 100 [98.8–100] | 100 | 95.5 [92.8–97.2] |
Negative | 0 | 299 | |||||
E. coli (n = 6) | Positive | 6 | 0 | 100 [54.1–100] | 100 | ||
Negative | 0 | 0 | |||||
E. cloacae (n = 3) | Positive | 3 | 0 | 100 [29.2–100] | 100 | ||
Negative | 0 | 0 | |||||
K. aerogenes (n = 1) | Positive | 1 | 0 | 100 [2.5–100] | 100 | ||
Negative | 0 | 0 | |||||
Total (n = 478) | Positive | 165 | 14 | 92.2 [87.2–95.7] | 100 [98.8–100] | 100 | 95.5 [92.8–97.2] |
Negative | 0 | 299 | |||||
ESBL detection according to reference method | NG-Test® CTX-M MULTI | ||||||
E. coli (n = 756) | Positive | 173 | 17 | 91 [86.1–94.7] | 100 [99.3–100] | 100 | 97.1[95.5–98.1] |
Negative | 0 | 566 | |||||
K. pneumoniae (n = 299)a | Positive | 100 | 8 | 92.6 [85.9–96.7] | 100 [98.1–100] | 100 | 96 [92.6–97.9] |
Negative | 0 | 191 | |||||
Total (n = 1055) | Positive | 273 | 25 | 91.6 [87.9–94.5] | 100 [99.5–100] | 100 | 96.8 [95.4–97.8] |
Negative | 0 | 757 |
Carbapenemase-producing isolates were excluded.
Performance of NG-Test® CARBA 5 and NG-Test® CTX-M MULTI for rapid detection of carbapenemase and ESBL CTX-M directly from Enterobacterales positive BCs in comparison to reference methods
. | . | Positive . | Negative . | Sensitivity [95% CI] . | Specificity [95% CI] . | PPV [95% CI] . | NPV [95% CI] . |
---|---|---|---|---|---|---|---|
Carbapenemase detection according to reference method . | NG-Test® CARBA 5 . | ||||||
K. pneumoniae (n = 468) | Positive | 155 | 14 | 91.7 [86.5–95.4] | 100 [98.8–100] | 100 | 95.5 [92.8–97.2] |
Negative | 0 | 299 | |||||
E. coli (n = 6) | Positive | 6 | 0 | 100 [54.1–100] | 100 | ||
Negative | 0 | 0 | |||||
E. cloacae (n = 3) | Positive | 3 | 0 | 100 [29.2–100] | 100 | ||
Negative | 0 | 0 | |||||
K. aerogenes (n = 1) | Positive | 1 | 0 | 100 [2.5–100] | 100 | ||
Negative | 0 | 0 | |||||
Total (n = 478) | Positive | 165 | 14 | 92.2 [87.2–95.7] | 100 [98.8–100] | 100 | 95.5 [92.8–97.2] |
Negative | 0 | 299 | |||||
ESBL detection according to reference method | NG-Test® CTX-M MULTI | ||||||
E. coli (n = 756) | Positive | 173 | 17 | 91 [86.1–94.7] | 100 [99.3–100] | 100 | 97.1[95.5–98.1] |
Negative | 0 | 566 | |||||
K. pneumoniae (n = 299)a | Positive | 100 | 8 | 92.6 [85.9–96.7] | 100 [98.1–100] | 100 | 96 [92.6–97.9] |
Negative | 0 | 191 | |||||
Total (n = 1055) | Positive | 273 | 25 | 91.6 [87.9–94.5] | 100 [99.5–100] | 100 | 96.8 [95.4–97.8] |
Negative | 0 | 757 |
. | . | Positive . | Negative . | Sensitivity [95% CI] . | Specificity [95% CI] . | PPV [95% CI] . | NPV [95% CI] . |
---|---|---|---|---|---|---|---|
Carbapenemase detection according to reference method . | NG-Test® CARBA 5 . | ||||||
K. pneumoniae (n = 468) | Positive | 155 | 14 | 91.7 [86.5–95.4] | 100 [98.8–100] | 100 | 95.5 [92.8–97.2] |
Negative | 0 | 299 | |||||
E. coli (n = 6) | Positive | 6 | 0 | 100 [54.1–100] | 100 | ||
Negative | 0 | 0 | |||||
E. cloacae (n = 3) | Positive | 3 | 0 | 100 [29.2–100] | 100 | ||
Negative | 0 | 0 | |||||
K. aerogenes (n = 1) | Positive | 1 | 0 | 100 [2.5–100] | 100 | ||
Negative | 0 | 0 | |||||
Total (n = 478) | Positive | 165 | 14 | 92.2 [87.2–95.7] | 100 [98.8–100] | 100 | 95.5 [92.8–97.2] |
Negative | 0 | 299 | |||||
ESBL detection according to reference method | NG-Test® CTX-M MULTI | ||||||
E. coli (n = 756) | Positive | 173 | 17 | 91 [86.1–94.7] | 100 [99.3–100] | 100 | 97.1[95.5–98.1] |
Negative | 0 | 566 | |||||
K. pneumoniae (n = 299)a | Positive | 100 | 8 | 92.6 [85.9–96.7] | 100 [98.1–100] | 100 | 96 [92.6–97.9] |
Negative | 0 | 191 | |||||
Total (n = 1055) | Positive | 273 | 25 | 91.6 [87.9–94.5] | 100 [99.5–100] | 100 | 96.8 [95.4–97.8] |
Negative | 0 | 757 |
Carbapenemase-producing isolates were excluded.
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