Table 2.
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.
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.