Table 2.
Diagnostic accuracy of sputum smear microscopy and LAM ELISA alone and in combination for sputum-scarce patients undergoing sputum induction
M. tuberculosis culture-positive vs. -negative (n = 53)
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Diagnostic test(s) | Sensitivity n/N, % (95%CI) |
Specificity n/N, % (95%CI) |
PPV n/N, % (95%CI) |
NPV n/N, % (95%CI) |
Sputum smear microscopy | 5/9, 56 (27–81) | 44/44, 100 (92–100) | 5/5, 100 (57–100) | 44/48, 92 (81–97) |
Sputum LAM ELISA | 5/9, 56 (27–81) | 21/44, 48 (34–62) | 5/28, 18 (8–36) | 21/25, 84 (65–94) |
Sputum LAM ELISA in smear-negative patients | 2/4, 50 (15–85) | NA | NA | NA |
Combined sputum smear microscopy and LAM ELISA | 7/9, 78 (45–94) | 21/44, 48 (34–62) | 7/30, 23 (12–41) | 21/23, 91 (73–98) |
LAM = lipoarabinomannan; ELISA = enzyme-linked immunosorbent assay; CI = confidence interval; PPV = positive predictive value; NPV = negative predictive value; NA = not available.