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. Author manuscript; available in PMC: 2016 Aug 1.
Published in final edited form as: J Acquir Immune Defic Syndr. 2015 Aug 1;69(4):430–438. doi: 10.1097/QAI.0000000000000610

Table 2.

Comparison of different testing approaches for evaluating samples with discordant HIV rapid test results.*

Samples evaluated N=173
HIV positive N=29 (Tanzania N=24, South Africa N=5)
HIV negative N=144 (Tanzania N=103, South Africa N=41)

Testing approach True Positive False positive True Negative False negative Sensitivity Specificity Accuracy
Rapid testa
  Tanzania 2 4 99 22 8.3% 96.1% 79.5%

3rd-gen EIA
  Tanzania 3 1 102 21 12.5% 99.0%
  South Africa 4 1 40 1 80% 97.6%
  Total 7 2 142 22 24.1% 98.6% 86.1%

Bio-Rad 4th-gen
  Tanzania 23 16 87 1 95.8% 84.5%
  South Africa 4 1 40 1 80% 97.6%
  Total 27 17 127 2 93.1% 88.2% 89.0%

Abbott 4th-gen
  Tanzania 24 13 90 0 100% 87.4%
  South Africa 4 1 40 1 80% 97.6%
  Total 28 14 130 1 96.6% 90.3% 91.3%
*

Abbreviations: 3rd-gen: third-generation; 4th-gen: fourth-generation; EIA: enzyme immunoassay.

The assays used for testing (See Methods) included: Rapid test: Uni-Gold HIV Test; 3rd-gen EIA: VITROS Anti-HIV 1+2 assay; Bio-Rad 4th-gen: GS HIV Combo Ag/Ab EIA; Abbott 4th-gen: ARCHITECT HIV Ag/Ab Combo assay.

a

The HIV rapid test (third test, tie-breaker) was performed in Tanzania only; all other testing was performed at the HPTN Laboratory Center in Baltimore, MD, USA.