Table 9. Impact of the physicians’ clinical suspicion of TB (CSTB) on the sensitivity of smear microscopy in tuberculosis patients according to disease localization and HIV status.
Pulmonary TB | Extrapulmonary TB | |||||||||
TB diagnosis*CSTB LowCSTB HighCSTB Very High | p value “TB diagnosis vs very high" | TB diagnosisCSTB LowCSTB HighCSTB Very High | p value “TB diagnosis vs very high" | |||||||
N of AFB-positive/N of patients within the group | N of AFB-positive/N of patients within the group | |||||||||
(%) | (%) | |||||||||
HIV-infected | 38/90 | 0/1 | 21/56 | 18/32 | 0.2 | 3/31 | 0/2 | 2/19 | 1/10 | 1 |
(42.2) | (0) | (37.5) | (56.2) | (9.7%) | (0) | (10.5) | (10.0) | |||
HIV-infected | 205/270 | 0/1 | 39/83 | 167/186 | 0.0002 | 9/46 ( | - | 7/37 | 2/9 | 1 |
(75.9) | (0) | (47.0) | (89.8) | 19.6%) | (18.9) | (22.2) | ||||
HIV-unknown | 180/293 | 0/5 | 48/134 | 133/154 | 0.0001 | 13/67 | 0/2 | 11/58 | 2/7 | 0.6 |
(61.4) | (0) | (26.1) | (74.8) | (19.4%) | (0) | (19.0) | (28.6) | |||
Total | 423/653 | 0/7 | 107/273 | 318/372 | 0.0001 | 25/144 | 0/4 | 20/114 | 5/26 | 0.7 |
(64.8) | (0) | (39.2) | (85.5) | (16.6) | (0) | (17.5) | (19.2) |
TB: tuberculosis; AFB: acid fast bacilli. *TB diagnosis by SM within the group considered; CSTB: clinical suspicion of TB