Table 4.
Effect of malnourishment, BCG vaccination and very young age on test performance for the diagnosis of active tuberculosis*
| TST n (%)† (95% CI) |
Standard ELISpot n (%)† (95% CI) |
Enhanced ELISpot n (%)† (95%CI) |
|
|---|---|---|---|
| Malnourished | |||
| Sensitivity | 1/12 (8) (0–39) | 4/11 (36) (11–70) | 5/11 (46) (17–77) |
| Specificity | 40/40 (100) (91–100) | 31/38 (82) (66–92) | 31/38 (82) (66–92) |
| BCG-vaccinated | |||
| Sensitivity | 7/33 (21) (9–39) | 10/30 (33) (17–53) | 11/30 (37) (20–56) |
| Specificity | 114/117 (97) (93–100) | 97/109 (89) (82–94) | 91/109 (84) (75–90) |
| Age <1 year | |||
| Sensitivity | 2/12 (17) (2–48) | 6/12 (50) (21–79) | 6/12 (50) (21–79) |
| Specificity | 15/15 (100) (78–100) | 14/15 (93) (68–100) | 13/15 (87) (60–98) |
Diagnostic performance in HIV-coinfected children could not be calculated due to the very small sample size.
All percentages rounded to the nearest whole number.
BCG = bacille Calmette-Guérin; TST = tuberculin skin test; CI = confidence interval; ELISpot = enzyme linked immunospot based assay; HIV = human immunodeficiency virus.