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Table 2 Diagnostic accuracy of symptoms and rapid testing for diagnosing culture-confirmed pulmonary tuberculosis.

From: Rapid urine lipoarabinomannan assay as a clinic-based screening test for active tuberculosis at HIV diagnosis

 

Sensitivity

Specificity

Positive PV

Negative PV

 

Positive/Total

% (95% CI)

Negative/Total

% (95% CI)

% (95% CI)

% (95% CI)

Existing screening algorithms

 Cough

66/123

54 (44–63)

376/552

68 (64–72)

27 (22–33)

87 (83–90)

 Any TB-related Symptoma

95/123

77 (69–84)

222/552

40 (36–44)

22 (18–27)

89 (84–92)

 Any TB-related Symptoma or Abnormal chest x-ray

102/123

83 (75–89)

219/552

40 (36–44)

23 (20–28)

91 (87–95)

Urine LAM alone

 Urine LAM Test Positive

38/123

31 (23–39)

508/552

92 (89–94)

46 (35–58)

86 (83–88)

Adding urine LAM to existing screening algorithms

 Cough or Urine LAM Positive

84/123

68 (59–76)

353/552

63 (60–68)

30 (24–35)

90 (87–93)

 Any TB-related Symptoma or Urine LAM Positive

102/123

83 (75–89)

205/552

37 (33–41)

23 (19–27)

91 (86–94)

 Any TB-related Symptoma or Abnormal chest x-ray or Urine LAM Positive

107/123

87 (80–92)

208/552

38 (34–42)

24 (20–28)

93 (89–96)

  1. CI confidence interval, LAM lipoarabinomannan, PV predictive value, TB tuberculosis
  2. a TB-related symptoms were current cough, fever, night sweats, and weight loss