Table 3. Combination assay screening to identify HIV infection recency for the 130 and 180-day cut-offs periods.
Sensitivity level | Relative False- Recency Rate | 95% Lower bound | 95% Upper bound | |
---|---|---|---|---|
BED+PwD | 75 | 28.3 | 13.8 | 47.9 |
130-day | 80 | 35.0 | 17.0 | 48.3 |
cut-off | 85 | 36.7 | 19.4 | 52.1 |
90 | 40.0 | 23.2 | 68.5 | |
BED+PwD | 75 | 28.9 | 11.8 | 44.6 |
180-day | 80 | 31.1 | 13.8 | 46.2 |
cut-off | 85 | 31.1 | 18.1 | 53.2 |
90 | 42.2 | 21.1 | 62.8 | |
LAg+PwD | 75 | 44.0 | 25.0 | 68.2 |
130-day | 80 | 48.0 | 28.6 | 68.4 |
cut-off | 85 | 48.0 | 27.5 | 73.3 |
90 | 48.0 | 30.9 | 87.5 | |
LAg+PwD | 75 | 42.1 | 15.8 | 71.8 |
180-day | 80 | 42.1 | 17.4 | 73.3 |
cut-off | 85 | 42.1 | 18.5 | 71.8 |
90 | 47.4 | 22.2 | 83.3 |
The table shows the reduction in the relative false-recency rate (rFRR) of the BED and LAg assays due to the PwD assay. A BED = 0.8 or LAg = 1.5 threshold was first used to screen the specimens for HIV infection recency. Specimens classified as recent were then re-screened using the PwD assay in order to reduce the rFRR while maintaining a 75%, 80%, 85% or 90% true-recency rate (sensitivity) of the BED or LAg assay. Since we are interested in the reduction of the rFRR by the PwD assay, we subtract this estimate from 100%. The results can be interpreted as follows: for the 180-day cut-off, the PwD assay reduces the rFRR by (100–42.2 =) 57.8% while maintaining a BED sensitivity of 90%. The table also gives the 95% confidence bounds for the reduction in the rFRR. The same result can be interpreted as follows: for the 180-day cut-off, the PwD assay reduces the rFRR by at least (100–62.8 =) 37.2% while maintaining a BED sensitivity of 90%.