Table 4. Sensitivity of syphilis POC tests compared to clinical syphilis stage.
Determine | Onsite | DPP (Trep) | Bioline | ||
Clinical stage | N | Sens | Sens | Sens | Sens |
(95% CI) | (95% CI) | (95% CI) | (95% CI) | ||
Primary | 53* | 100.0 | 88.7 | 84.9 | 77.3 |
(91.6–100.0) | (76.3–95.3) | (71.9–92.8) | (63.5–87.3) | ||
Secondary | 70 | 100.0 | 98.6 | 94.3 | 94.3 |
(93.5–100.0) | (91.2–99.9) | (85.3–98.2) | (85.3–98.2) | ||
Early latent | 91 | 95.6 | 93.4 | 92.3 | 86.8 |
(88.5–98.6) | (85.7–97.3) | (84.3–96.6) | (77.7–92.7) | ||
Late latent/unknown duration | 25 | 96.0 | 88.0 | 84.0 | 84.0 |
(77.7–99.8) | (67.7–96.8) | (63.1–94.7) | (63.1–94.7) | ||
Past/treated | 248** | 93.1 | 89.9 | 88.3 | 84.7 |
(89.1–95.8) | (85.3–93.2) | (83.5–91.9) | (79.4–88.8) |
Clinical stage = documented in medical records for patient specimens; Sens = sensitivity; *Among Primary syphilis, 2 specimens were IA non-reactive but PCR positive. ** Among past/treated syphilis, 5 specimens were IA non-reactive.
Differences between estimates were considered to be statistically significant where 95% CI were not overlapping.