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Table 1 Comparison of conventional methods and Sanger sequencing for the detection of individual DPs

From: Clinical application of a multiplex genetic pathogen detection system remaps the aetiology of diarrhoeal infections in Shanghai

Bacteria

Culture

Sequencing

Sensitivity

Specificity

PPV

NPV

Accuracy

+

Vibrio

+

23

0

0.575

1.000

1.000

0.971

0.972

17

573

S. typhimurium

+

17

0

0.415

1.000

1.000

0.960

0.961

24

572

S. enteritis

+

2

0

0.333

1.000

1.000

0.993

0.993

4

607

Shigella

+

3

0

0.333

1.000

1.000

0.990

0.990

6

604

C. difficile

+

6

0

0.214

1.000

1.000

0.964

0.964

22

585

C. jejuni

+

12

0

0.267

1.000

1.000

0.946

0.947

33

578

Y. enterocolitica

+

0

0

0.000

1.000

0.998

0.998

1

612

EPEC

+

49

0

0.325

1.000

1.000

0.819

0.834

102

462

ETEC

+

11

0

0.379

1.000

1.000

0.970

0.971

18

584

EAEC

+

8

0

0.296

1.000

1.000

0.969

0.969

19

586

EIEC

+

2

0

0.250

1.000

1.000

0.990

0.990

6

605

EHEC

+

0

0

0.000

1.000

0.993

0.993

4

609

E. coli O157

+

1

0

0.167

1.000

1.000

0.992

0.992

5

607

Viruses

Singleplex real-time PCR

 Norovirus

+

31

2

1.000

0.997

0.939

1.000

0.997

0

580

 Rotavirus

+

55

3

1.000

0.995

0.948

1.000

0.995

0

555

 Adenovirus

+

8

1

1.000

0.998

0.888

1.000

0.995

0

604

 Astrovirus

+

4

0

1.000

1.000

1.000

1.000

0.997

0

609

  1. Outcomes of conventional detection methods: the results of culture-based methods for bacteria and singleplex real-time PCR for viruses were compared to those of Sanger sequencing. Sensitivity = TP/(TP + FN) × 100, Specificity = TN/(TN + FP) × 100; PPV and NPV were calculated as follows: PPV = TP/P, NPV = TN/N. Notably, the sensitivity of the culture-based method was very low and highly variable for various species, while the outcomes of PCR-based detection of viruses were consistent with the sequencing method
  2. DP-HMGS diarrheal pathogens high-throughput multiple genetic detection system, PPV positive predict value, NPV negative predict value