TABLE 1.
Sensitivities, specificities, and positive and negative predictive values for each of the four different smear detection methods stratified by HIV status and CD4 cell count
Study group | Sputum samples n | Sensitivity
|
Specificity
|
||||||
---|---|---|---|---|---|---|---|---|---|
Unconcentrated sputum sample
|
Concentrated sputum pellet
|
Unconcentrated sputum sample
|
Concentrated sputum pellet
|
||||||
ZN | LED | MVFM | LED | ZN | LED | MVFM | LED | ||
All | 616 | 49#,¶ (42–57) | 52#,+ (44–59) | 66 (58–73) | 66¶,+ (58–73) | 99 (98–100) | 100 (98–100) | 99 (98–100) | 99 (98–100) |
HIV-negative | 377 | 55§ (45–65) | 57ʄ (46–66) | 74## (64–82) | 71¶¶ (61–79) | 99 (97–100) | 99 (97–100) | 99 (97–100) | 99 (97–100) |
HIV-positive | 150 | 39§,++,§§ (26–54) | 46ʄ,++ (32–61) | 46##,ʄʄ (32–61) | 54¶¶,§§,ʄʄ (39–68) | 100 (97–100) | 100 (97–100) | 100 (97–100) | 99 (95–100) |
CD4 count <200 cells·mL−1 | 69 | 39 (20–61) | 50 (29–71) | 44### (25–66) | 56### (34–75) | 100 (93–100) | 100 (93–100) | 100 (93–100) | 100 (93–100) |
Culture positivity to Mycobacterium tuberculosis served as the reference standard. Data are presented as median (95% CI), unless otherwise stated. ZN: Ziehl–Neelsen staining light microscopy; LED: auramine O staining light-emitting diode fluorescent microscopy; MVFM: auramine O staining conventional mercury vapour fluorescent microscopy.
: p=0.33;
: p=0.001;
: p=0.005;
: p=0.08;
: p=0.28;
: p=0.002;
: p=0.06;
: p=0.25;
: p=0.092;
: p=0.5;
: p=0.5.