Table 4.
Meta-analysis for sensitivity of Xpert against reference standard of culture in children by age as well as HIV status, subdivided by smear status
| Specimen type (number of studies, number of children) | Median pooled and predicted sensitivity (pooled 95% credible interval; predicted 95% credibility level) | |
|---|---|---|
|
Smear-positive status
| ||
| Age 0–4 years | ES and IS (6; 27)12,15,18,22,23,25 | 94% (79–99; 69–99) |
| Age 0–4 years | GLA (4; 12)12,14,20,21 | 82% (51–96; 40–97) |
| Age 5–15 years | ES and IS (5; 35)12,15,18,22,23,25 | 96% (85–99; 78–100) |
| HIV-positive | ES and IS (6; 25)12,15,16,18,22,25 | 97% (87–100; 82–100) |
| HIV-negative | ES and IS (7; 41)12,15,16,18,22,23,25 | 94% (83–99; 75–99) |
|
| ||
|
Smear-negative status
| ||
| Age 0–4 years | ES and IS (6; 109)12,15,18,22,23,25 | 44% (30–61; 18–74) |
| Age 5–15 years | ES and IS (5; 34)12,15,18,22,23,25 | 66% (44–84; 29–92) |
| HIV-positive | ES and IS (7; 36)12,15,16,18,22,23,25 | 60%* (40–77; 26–87) |
| HIV-negative | ES and IS (7; 125)12,15,16,18,22,23,25 | 44% (30–59; 18–73) |
There were not enough data to assess GLA results in the age group 5–15 years. ES=expectorated sputum. IC=induced sputum. GLA=gastric lavage.
Predicted sensitivity is 59% due to rounding.