Table 4: Sensitivity and specificity of the in-house IgM ELISA on six different sera dilutions with respective cutoff values using various types of sera samples



Cutoff Dilution Cut-off values (abs 490)
No. of specimens
% bFalse positive % aSensitivity % Specificity (100 - % bFalse positive)
True positive False Negative True negative False positive
1:80 1.085 34 11 108 10 a1: 3
a2: 1
a4: 2
a6: 4
0.855 75.56 91.45
1:160 0.788 36 9 110 10 a1: 2
a4: 4
a6: 4
0.855 80 91.45
1:320 0.605 37 8 111 6 a4: 3
a6: 3
5.13 82.2 94.87
1:640 0.404 36 9 106 11 a1: 1
a4: 5
a6: 5
9.40 80 90.6
1:1280 0.300 36 9 104 13 a1: 2
a3: 3
a4: 3
a5: 1
a6: 4
11.11 80 88.89
1:2560 0.259 32 13 106 11 a1: 2
a3: 4
a4: 3
a6: 2
9.40 71.11 90.6
aPositive cases; 45 melioidosis cases, bNegative cases; 117 non-melioidosis cases (a1leptospirosis (n=18), a2tubercµlosis (n=8), a3dengue (n=12), a4chikungunya (n=19), a5hepatitis B (n=23) and a6rheumatoid arthritis (n=37))