Table 2 Sensitivity, specificity, positive and negative predictive values and likelihood ratios for the detection of any bacteria on mNGS compared to organism isolation by culture.

From: Direct detection and identification of periprosthetic joint infection pathogens by metagenomic next-generation sequencing

Test methods

Sensitivity* (%)

Specificity* (%)

PPV* (%)

NPV * (%)

PLR*

NLR*

jω

Culture of DT + SF

58.6 (45.0–71.1)

94.6 (80.5–99.1)

94.4 (80.0–99.0)

59.3 (45.8–71.7)

10.8 (2.8–42.5)

0.4 (0.3–0.6)

0.46

Culture of DT

58.6 (45.0–71.1)

100 (88.3–100)

100 (87.4–100)

60.7 (47.3–72.7)

Infinity

0.4 (0.3–0.6)

0.50

Culture of SF

48.3 (35.1–61.7)

94.6 (80.5–99.1)

93.3 (76.5–98.8)

53.8 (41.1–66.1)

8.9 (2.3–35.3)

0.5 (0.4–0.7)

0.34

mNGS of DT + SF

94.8 (84.7–98.7)

89.2 (73.6–96.5)

93.2 (82.7–97.8)

91.7 (76.4–97.8)

8.8 (3.5–22.2)

0.1 (0.02–0.2)

0.85

mNGS of DT

93.1 (82.5–97.8)

97.3 (84.2–99.9)

98.2 (89.0–99.9)

90.0 (75.4–96.7)

34.4 (5.0–238.4)

0.1 (0.02–0.2)

0.90

mNGS of SF

86.2 (74.1–93.4)

89.2 (73.6–96.5)

92.6 (81.3–97.6)

80.5 (64.6–90.6)

8.0 (3.1–20.2)

0.2 (0.1–0.3)

0.75

  1. mNGS metagenomic next-generation sequencing, PPV positive predictive value, NPV negative predictive value, PLR positive likelihood ratio, NLR negative likelihood ratio, DT deep tissue, SF synovial fluid.
  2. *The values are given as the estimate, with the 95% confidence interval (CI) in parentheses.