Table 8. Analysis of combination of the tests evaluated over 53 active pulmonary TB patients and 82 HCA being concomitantly tested and stratified by HIV status.
Positive over total tested. Percentage (95% CI) | Negative over total tested. Percentage (95% CI) | |||||||||||||
Sensitivity | Specificity | |||||||||||||
TST | QFT-IT | SM | QFT-GITwith TST | SMwith TST | SM withQFT-GIT | QFT-GITwith TSTwith SM | P Value* | TST | QFT-IT | SM | QFT-GITwith TST | QFT-GITwith TSTand SM | p value * | |
HIV-infected | 17/33. 51.5 (33.5–69.2) | 22/33. 66.7 (48.2–82.0) | 15/33. 45.5 (28.1–63.7) | 24/33. 72.7 (54.5–86.7) | 24/33. 72.7 (54.5–86.7) | 28/33. 84.9 (68.1–94.9) | 28/33. 84.9 (68.1–94.9) | 0.0016 | 45/54. 83.3 (70.7–92.1) | 35/54 64.8 (50.6–77.3) | 0/54 100 (93.4–100) | 34/54 63.0 (48.7–75.7) | 34/54 63.0 (48.7–75.7) | <0.0001 |
HIV-uninfected | 17/20 85.0 (62.1–96.8) | 19/20 95.0 (75.1–99.9) | 16/20 80 (56.3–94.3) | 20/20 100 (83.2–100) | 19/20 95.0 (73.1–99.8) | 19/20 95.0 (73.1–99.8) | 20/20 100 (83.2–100) | 0.1111 | 16/12 57.1 (37.2–75.5) | 7/28 25.0 (10.7–44.9) | 0/28 100 (79.4–100) | 6/28 21.4 (8.3–41.0) | 6/28 21.4 (8.3–41.0) | <0.0001 |
Total | 34/53 64.2 (49.8–76.9) | 41/53 77.4 (63.8–87.7) | 31/53 58.5 (44.1–71.9) | 44/53 83.0 (70.2–91.9) | 43/53 81.1 (68.0–90.6) | 47/53 88.7 (77.0–95.7) | 48/53 90.6 (79.4–96.9) | 0.0002 | 61/82 74.4 (63.3–82.4) | 42–82 51.2 (39.9–62.4) | 0/82 100 (88.8–100) | 40/82 48.8 (37.6–60.1) | 40/82 48.8 (37.6–60.1) | <0.0001 |
Footnotes: HIV: human immunodeficiency virus; TB: tuberculosis; TST: Tuberculin skin test; HCA: healthy community adults; QFT-GIT: QuantiFERON® Gold in Tube (indeterminate results included as negative results); SM: smear microscopy.
X square test was used for statistical analysis.