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Table 2 Comparison of diagnostic accuracy of PC ae C44:6 and CSF cell count to distinguish between acute bacterial meningitis (n = 32) and nonbacterial infectious, autoimmune, and non-inflammatory CNS disorders (n = 189)

From: Phosphatidylcholine PC ae C44:6 in cerebrospinal fluid is a sensitive biomarker for bacterial meningitis

Parameter

AUC (95% CI)

Cut-off

Accuracya

Sensitivity

Specificity

PPV

NPV

Fold differenceb

CSF cell count

0.93c (0.89–0.97)

> 1000 cells/μL

70.0

40.6

99.4

92.9

89

64.7

PC ae C44:6

0.93c (0.87–0.99)

> 5 nM

90.5

90.6

90.3

65.9

97.9

6.8

  1. Values were obtained by ROC analysis. Sensitivity, specificity, positive and negative predictive value (PPV and NPV) were determined at the trade-off value (Youden index), corresponding to the maximal value of (sensitivity + specificity)/2 in the case of PCaeC44:6 and the clinically recommended cut-off for cell count. Diagnostic groups included in the analysis: bacterial meningitis (n = 32), HSV encephalitis (n = 9), varicella zoster virus meningoencephalitis (n = 15), enterovirus meningitis (n = 10), facial zoster (n = 16), segmental zoster (n = 14), anti-NMDA-receptor autoimmune encephalitis (n = 8), multiple sclerosis (n = 17), Tourette syndrome (n = 20), Bell’s palsy (n = 11), and normal pressure hydrocephalus (n = 35)
  2. AUC area under the curve, CI confidence interval, ROC receiver operating characteristic
  3. aDefined as (sensitivity + specificity)/2 at the cut-off value, bratio of mean values, bacterial meningitis/all others, casymptotic significance, P < 0.001