Table 3.

Comparison of Results From Self-LFIA and ALFA, ECLIA, and SARS-CoV-2 Neutralization Titer (NT)

Self- LFIANT Positive
(Median (IQR) Titer)
NT Negative
(Median (IQR) Titer)
Total
(Median (IQR) Titer)
Performance (95% CI)
Positive133 (20.0; 10.0–113.1)34 (0.1; 0.1–0.1)167 (14.1; 7.1–80.0)Sensitivity: 78.7 (71.8–84.6)
Negative36 (10.0;7.1–14.1)47 (0.1; 0.1–0.1)83 (0.1; 0.1–10.0)Specificity: 58.0 (46.5–68.9)
Total169 (20.0;10.0–80.0)81 (0.1; 0.1–0.1)250 (10.0; 0.1–28.3)
ALFA
ȃPositive142 (20.0; 10.0–104.8)41 (0.1; 0.1–0.1)183 (14.1; 7.1–56.6)Sensitivity: 91.6 (86.1–95.5)
ȃNegative13 (10.0;7 .1–14.1)34 (0.1; 0.1–0.1)47 (0.1; 0.1–7.1)Specificity: 45.3 (33.8–57.3)
ȃTotal155 (20.0; 10.0–80.0)75 (0.1; 0.1–0.1)230 (10.0; 0.1–28.3)
ECLIA (≥0.8 U mL–1)
ȃPositive169 (20; 10–80)81 (0.1; 0.1–0.1)250 (10; 0.1–28.3)Sensitivity: 100% (97.8–100)
ȃNegative0 …0 …0 …Specificity: 0% (0–4.5)
Total169 (20; 10–80)81 (0.1; 0.1–0.1)250 (10; 0.1–28.3)
Self- LFIANT Positive
(Median (IQR) Titer)
NT Negative
(Median (IQR) Titer)
Total
(Median (IQR) Titer)
Performance (95% CI)
Positive133 (20.0; 10.0–113.1)34 (0.1; 0.1–0.1)167 (14.1; 7.1–80.0)Sensitivity: 78.7 (71.8–84.6)
Negative36 (10.0;7.1–14.1)47 (0.1; 0.1–0.1)83 (0.1; 0.1–10.0)Specificity: 58.0 (46.5–68.9)
Total169 (20.0;10.0–80.0)81 (0.1; 0.1–0.1)250 (10.0; 0.1–28.3)
ALFA
ȃPositive142 (20.0; 10.0–104.8)41 (0.1; 0.1–0.1)183 (14.1; 7.1–56.6)Sensitivity: 91.6 (86.1–95.5)
ȃNegative13 (10.0;7 .1–14.1)34 (0.1; 0.1–0.1)47 (0.1; 0.1–7.1)Specificity: 45.3 (33.8–57.3)
ȃTotal155 (20.0; 10.0–80.0)75 (0.1; 0.1–0.1)230 (10.0; 0.1–28.3)
ECLIA (≥0.8 U mL–1)
ȃPositive169 (20; 10–80)81 (0.1; 0.1–0.1)250 (10; 0.1–28.3)Sensitivity: 100% (97.8–100)
ȃNegative0 …0 …0 …Specificity: 0% (0–4.5)
Total169 (20; 10–80)81 (0.1; 0.1–0.1)250 (10; 0.1–28.3)

Neutralization titers of 7.1 have been assigned an arbitrary threshold of 0.1, N = 250 (Self-LFIA) and N = 230 (ALFA).

Abbreviations: ALFA, automated image analysis; CI, confidence interval; ECLIA, electrochemiluminescence immunoassay; IQR, interquartile range; LFIA, lateral flow immunoassay; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2.

Table 3.

Comparison of Results From Self-LFIA and ALFA, ECLIA, and SARS-CoV-2 Neutralization Titer (NT)

Self- LFIANT Positive
(Median (IQR) Titer)
NT Negative
(Median (IQR) Titer)
Total
(Median (IQR) Titer)
Performance (95% CI)
Positive133 (20.0; 10.0–113.1)34 (0.1; 0.1–0.1)167 (14.1; 7.1–80.0)Sensitivity: 78.7 (71.8–84.6)
Negative36 (10.0;7.1–14.1)47 (0.1; 0.1–0.1)83 (0.1; 0.1–10.0)Specificity: 58.0 (46.5–68.9)
Total169 (20.0;10.0–80.0)81 (0.1; 0.1–0.1)250 (10.0; 0.1–28.3)
ALFA
ȃPositive142 (20.0; 10.0–104.8)41 (0.1; 0.1–0.1)183 (14.1; 7.1–56.6)Sensitivity: 91.6 (86.1–95.5)
ȃNegative13 (10.0;7 .1–14.1)34 (0.1; 0.1–0.1)47 (0.1; 0.1–7.1)Specificity: 45.3 (33.8–57.3)
ȃTotal155 (20.0; 10.0–80.0)75 (0.1; 0.1–0.1)230 (10.0; 0.1–28.3)
ECLIA (≥0.8 U mL–1)
ȃPositive169 (20; 10–80)81 (0.1; 0.1–0.1)250 (10; 0.1–28.3)Sensitivity: 100% (97.8–100)
ȃNegative0 …0 …0 …Specificity: 0% (0–4.5)
Total169 (20; 10–80)81 (0.1; 0.1–0.1)250 (10; 0.1–28.3)
Self- LFIANT Positive
(Median (IQR) Titer)
NT Negative
(Median (IQR) Titer)
Total
(Median (IQR) Titer)
Performance (95% CI)
Positive133 (20.0; 10.0–113.1)34 (0.1; 0.1–0.1)167 (14.1; 7.1–80.0)Sensitivity: 78.7 (71.8–84.6)
Negative36 (10.0;7.1–14.1)47 (0.1; 0.1–0.1)83 (0.1; 0.1–10.0)Specificity: 58.0 (46.5–68.9)
Total169 (20.0;10.0–80.0)81 (0.1; 0.1–0.1)250 (10.0; 0.1–28.3)
ALFA
ȃPositive142 (20.0; 10.0–104.8)41 (0.1; 0.1–0.1)183 (14.1; 7.1–56.6)Sensitivity: 91.6 (86.1–95.5)
ȃNegative13 (10.0;7 .1–14.1)34 (0.1; 0.1–0.1)47 (0.1; 0.1–7.1)Specificity: 45.3 (33.8–57.3)
ȃTotal155 (20.0; 10.0–80.0)75 (0.1; 0.1–0.1)230 (10.0; 0.1–28.3)
ECLIA (≥0.8 U mL–1)
ȃPositive169 (20; 10–80)81 (0.1; 0.1–0.1)250 (10; 0.1–28.3)Sensitivity: 100% (97.8–100)
ȃNegative0 …0 …0 …Specificity: 0% (0–4.5)
Total169 (20; 10–80)81 (0.1; 0.1–0.1)250 (10; 0.1–28.3)

Neutralization titers of 7.1 have been assigned an arbitrary threshold of 0.1, N = 250 (Self-LFIA) and N = 230 (ALFA).

Abbreviations: ALFA, automated image analysis; CI, confidence interval; ECLIA, electrochemiluminescence immunoassay; IQR, interquartile range; LFIA, lateral flow immunoassay; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2.

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