TABLE 4.
Diagnostic accuracy of induced sputum smear microscopy stratified by patient setting, HIV status and CD4 cell count
| All# | Outpatients | Inpatients | HIV infected¶ | HIV uninfected¶ | CD4 >200 cells·μL−1§ | CD4 ≤ 200 cells·μL−1§ | |
|---|---|---|---|---|---|---|---|
| Subjects | 485 | 190 | 295 | 210 | 136 | 104 | 89 | 
| Sensitivity | 49 (39–59) 47/96  | 
32f (14–50) 8/25  | 
55f (43–67) 39/71  | 
53 (40–66) 27/51  | 
50 (28–72) 8/16  | 
58 (39–76) 14/24  | 
50 (31–69) 12/24  | 
| Specificity | 98 (97–100) 383/389  | 
99 (97-100) 164/165  | 
98 (95–99) 219/224  | 
98 (94–99) 155/159  | 
100 (97–100) 120/120  | 
99 (93–100) 79/80  | 
95 (87–98) 62/65  | 
| PPV | 89 (77–95) 47/53  | 
89 (57–98) 8/9  | 
89 (76–95) 39/44  | 
87 (71–95) 27/31  | 
100 (68–100) 8/8  | 
93 (70–99) 14/15  | 
80 (55–93) 12/15  | 
| NPV | 89 (85–91) 383/432  | 
91 (86–94) 164/181  | 
87 (83–91) 219/251  | 
87 (81–92) 155/179  | 
94 (88–97) 120/128  | 
89 (81–94) 79/89  | 
84 (74–91) 62/74  | 
Data are presented as n or % (95% CI] n/N. Mycobacterium tuberculosis culture positivity was used as the reference standard. PPV: positive predictive value; NPV: negative predictive value.
: only patients with a valid induced sputum smear and culture result are included (fig. 1);
: only patients with available HIV results are included (202 patients refused test/HIV status unknown);
: only patients with available CD4 cell count data are included (74 HIV-infected patients missing recent CD4 cell count data);
:p = 0.05 between the two patient groups.