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Table 3 Comparison of diagnostic performance between mNGS and conventional examinations (CE) in identify the pathogen in suspected local pulmonary infection

From: Diagnostic performance of the metagenomic next-generation sequencing in lung biopsy tissues in patients suspected of having a local pulmonary infection

 

Infected, N = 76

Non-infected, N = 30

CE +

CE −

Total

CE +

CE −

Total

mNGS + 

23

18

41

1

12

13

mNGS-

9

26

35

0

17

17

Total

32

44

76

1

29

30

  1. In the diagnosis of suspected local pulmonary infections, the sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of CE were 42.1%, 96.7%, 97.0% and 39.7%. Respectively, the sensitivity and specificity of mNGS were 53.9% and 56.7%, while the PPV and NPV were 75.9% and 32.7%. There was a poor agreement between CE and mNGS, and the value of kappa coefficient was 0.269 (95% CI: 0.077 to 0.422)