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Table 6 Performance characteristics of the three tests in Melong HD. Summary of sensitivity, specificity, PPV and NPV for Microscopy, actin-qPCR and O-150 LAMP at different time points following direct observed treatment of microfilaridermic individuals with ivermectin in Melong Health District

From: Differential susceptibility of Onchocerca volvulus microfilaria to ivermectin in two areas of contrasting history of mass drug administration in Cameroon: relevance of microscopy and molecular techniques for the monitoring of skin microfilarial repopulation within six months of direct observed treatment

METHODS

SENSITIVITY

SPECIFICITY

PPV

NPV

D30

 MICROSCOPY

45.4 (10.1–91.2)

99.1 (89.7–100)

89.6 (29.3–100)

91.1 (71.0–99.2)

 REAL-TIME PCR

87.6 (32.2–100)

98.7 (87.1–100)

92.2 (36.2–100)

98.0 (78.3–100)

 LAMP ASSAY

94.2 (52.0–100)

89.3 (71.5–99.7)

60.5 (18.4–99.3)

98.9 (87.4–100)

D90

 MICROSCOPY

90.6 (48.3–100)

94.7 (82.3–100)

78.9 (35.2–99.9)

98.0 (82.0–100)

 REAL-TIME PCR

38.0 (10.9–80.6)

99.4 (92.9–100)

93.1 (43.4–100)

87.8 (69.8–97.9)

 LAMP ASSAY

92.1 (55.3–100)

89.8 (75.9–99.7)

66.1 (28.1–99.2)

98.1 (84.9–100)

D180

 MICROSCOPY

88.9 (58.1–99.9)

96.1 (84.9–99.8)

87.5 (59.2–99.4)

96.5 (84.5–100)

 REAL-TIME PCR

96.7 (69.9–100)

98.8 (89.2–100)

96.2 (66.7–100)

99.0 (89.4–100)

 LAMP ASSAY

97.1 (74.0–100)

75.3 (58.7–88.5)

55.0 (30.6–78.2)

98.9 (87.7–100)

D30 + D90 + D180

 MICROSCOPY

80.2 (57.2–95.0)

95.9 (89.4–99.2)

81.5 (56.6–96.4)

95.7 (87.9–99.0)

 REAL-TIME PCR

78.3 (53.3–97.9)

99.7 (96.5–100)

98.2 (82.1–100)

95.4 (87.4–99.7)

 LAMP ASSAY

98.5 (84.3–100)

84.7 (75.6–92.3)

58.7 (39.1–79.4)

99.6 (95.4–100)