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Table 5 Sensitivity, specificity, PPV and NPV of CRP as a test for detecting GAS (n = 111)

From: The use and usefulness of point-of-care tests in patients with pharyngotonsillitis – an observational study in primary health care

CRP (mg/l)

No of patients

GAS

No GAS

Sensitivity (95% CI)

Specificity (95% CI)

PPV (95% CI)

NPV (95% CI)

Adjusted PPV*

Adjusted NPV*

≥ 0

111

25

86

1 (0.86–1)

0 (0–0.04)

0.23 (0.23–0.23)

N/A

0.30 (0.30–0.30)

N/A

≥ 10

61

20

41

0.80 (0.59–0.93)

0.52 (0.41–0.63)

0.33 (0.27–0.40)

0.90 (0.80–0.95)

0.42 (0.35–0.49)

0.86 (0.73–0.93)

≥ 20

50

19

31

0.76 (0.55–0.91)

0.64 (0.53–0.74)

0.38 (0.30–0.47)

0.90 (0.82–0.95)

0.48 (0.38–0.56)

0.86 (0.75–0.93)

≥ 30

34

15

19

0.60 (0.39–0.79)

0.78 (0.68–0.86)

0.44 (0.32–0.57)

0.87 (0.80–0.92)

0.54 (0.41–0.67)

0.82 (0.74–0.88)

≥ 40

26

13

13

0.52 (0.31–0.72)

0.85 (0.76–0.92)

0.50 (0.35–0.65)

0.86 (0.80–0.90)

0.60 (0.44–0.73)

0.80 (0.73–0.86)

≥ 50

22

11

11

0.44 (0.24–0.65)

0.87 (0.78–0.93)

0.50 (0.33–0.67)

0.84 (0.79–0.88)

0.60 (0.42–0.75)

0.78 (0.72–0.84)

         

≥ 100

10

6

4

0.24 (0.09–0.45)

0.95 (0.89–0.99)

0.60 (0.31–0.83)

0.81 (0.78–0.84)

0.69 (0.40–0.88)

0.75 (0.70–0.79)

  1. CI = Confidence interval; CRP = C-reactive protein; GAS = group A streptococci; NPV = negative predictive value; PPV = positive predictive value.
  2. * Assuming a 30% prevalence of GAS (in accordance with the aetiological findings of this study [9]) with the same distribution of CRP values as in the tested patients.