Table 4 Prevalence of reactivity of HCV by chemiluminescence (CLIA) and nucleic acid testing (NAT).

From: A comparative analysis between NAT and chemiluminescence in detection of transfusion transmitted viruses in two main university blood transfusion centers

HCV

(N/%)

Total (N = 87620)

Assuit (N = 75156)

Mansoura (N = 12464)

CLIA

NAT

CLIA

NAT

CLIA

NAT

Non-reactive

86,143/98.31

86,292/98.48

73,858/98.27

73,988/98.45

12,285/98.56

12,304/98.72

Reactive

1477/1.69

1328/1.52

1298/1.73

1168/1.55

179/1.44

160/1.28

Anti-HCV + ve NAT + ve (TP)

1305/1.49

1149/1.53

156/1.25

Anti-HCV + ve NAT-ve (FP)

172/0.2

149/0.2

23/0.19

Anti-HCV -ve NAT + ve (FN)

(NAT yield)

23/0.03

19/0.03

4/0.03

Anti-HCV -ve NAT-ve (TN)

86,120/98.28

73,839/98.24

12,281/98.53

Sensitivity, Specificity, PPV, NPV and accuracy of chemiluminescence compared to gold standard test NAT

(value, 95% CI)

Sensitivity

98.27% (97.41–98.90%)

98.37% (97.47–99.02%)

97.50% (93.72–99.31%)

Specificity

99.80% (99.77–99.83%)

99.80% (99.76–99.83%)

99.81% (99.72–99.88%)

PPV

88.35% (86.73–89.81%)

88.52% (86.79–90.05%)

87.15% (81.84–91.08%)

NPV

99.97% (99.96–99.98%)

99.97% (99.96–99.98%)

99.97% (99.91–99.99%)

Accuracy

99.78% (99.74–99.81%)

99.78% (99.74–99.81%)

99.78% (99.68–99.86%)

Inter-rater agreement

- %

- Kappa coefficient value

99.77%

0.929 (very good)

99.77%

0.930 (very good)

99.78%

0.919 (very good)