Table 3.
Xpert® MTB/RIF assay performance compared with MGIT culture and smear microscopy
Sensitivity (95% CI) | Specificity (95% CI) | PPV | NPV | |
---|---|---|---|---|
Xpert® MTB/RIF assay versus MGIT | ||||
All patients* | 21/26 (80.8%) [60.0–92.7%]† | 66/68 (97.1%) [88.8–99.5%] | 91.3% [70.5–98.5%] | 93.0% [83.7–97.4%] |
HIV negative | 3/3 (100%) [31.0–100%] | 19/19 (100%) [79.1–100%] | 100% [31.0–100%] | 100% [79.1–100%] |
HIV positive | 17/21 (80.1%) [57.4–93.7%]‡ | 39/41 (95.1%) [82.2–99.2%] | 89.5% [65.5–98.2%] | 90.7% [76.9–97.0%] |
Sputum smear microscopy versus MGIT | ||||
All patients | 13/26 (50.0%) [30.4–69.6%]† | 66/66 (100%) [93.3–100%] | 100% [71.7–100%] | 84.0% [73.8–90.8%] |
HIV negative | 2/3 (66.7%) [12.5–98.2%] | 19/19 (100%) [79.1–100%] | 100% [19.8–100%] | 95.0% [73.1–99.7%] |
HIV positive | 10/21 (47.6%) [26.4–69.7%]‡ | 41/41 (100%) [89.3–100%] | 100% [65.5–100%] | 78.8% (65.5–88.5%] |
Data displayed as number correct/number tested, (%) [95% CI]; PPV, positive predictive value; NPV, negative predictive value.
The Xpert® MTB/RIF assay gave repeat errors in 3 samples and is excluded from this analysis. Fisher's exact test:
P = 0.02
P = 0.03.