From: Ventilator-associated pneumonia in intubated children: comparison of different diagnostic methods
Diagnostic method | Number of patients with positive results (n/30) | Concordance with reference standard (%) | Kappa score | Sensitivity (%) | Specificity (%) | Global value (%) |
---|---|---|---|---|---|---|
Clinical criteria (CDC) | 28 | 43 | 0.11 | 100 | 15 | 43 |
BAL | ||||||
Culture ≥ 102 CFU/ml | 14 | 67 | 0.32 | 70 | 65 | 67 |
Culture ≥ 103 CFU/ml | 11 | 70 | 0.34 | 60 | 75 | 70 |
Culture ≥ 104 CFU/ml | 9 | 70 | 0.31 | 50 | 80 | 70 |
Culture ≥ 105 CFU/ml | 6 | 67 | 0.17 | 30 | 85 | 67 |
Intracellular bacteria | 4 | 73 | 0.29 | 30 | 95 | 73 |
Gram stain | 9 | 70 | 0.31 | 50 | 81 | 73 |
Bacterial index > 5 | 9 | 83 | 0.61 | 78 | 86 | 90 |
Endotracheal culture | 21 | 57 | 0.24 | 90 | 40 | 57 |