TABLE 5.
Estimated specificities of endocervical diagnostic tests for C. trachomatis stratified by subjects' characteristics
| Characteristics of subjects tested | % Specificity (95% CI)a for cervical test type:
|
|||
|---|---|---|---|---|
| PACE2
|
LCR
|
PCR
|
||
| Culture-PCR | Culture-LCR | Culture-PCR | Culture-LCR | |
| All subjects | 99.7 (99.5, 99.9) | 99.7 (99.5, 99.9) | 99.3 (98.9, 99.8) | 99.7 (99.6, 99.9) |
| Age (yr) | ||||
| <20 | 100 (99.5, 100)b | 100 (99.4, 100)b | 98.9 (98.0, 99.9) | 99.8 (99.4, 100) |
| ≥20 | 99.6 (99.4, 99.9) | 99.6 (99.4, 99.9) | 99.4 (99.0, 99.8) | 99.7 (99.5, 99.9) |
| Mucopurulent endocervical discharge | ||||
| Present | 100.0 (99.1, 100) | 100.0 (99.1, 100) | 98.1 (96.9, 99.4)c | 99.7 (98.7, 100) |
| Absent | 99.6 (99.3, 99.9) | 99.6 (99.3, 99.9) | 99.5 (99.1, 99.8) | 99.8 (99.6, 100) |
| Current menses | ||||
| Yes | 99.5 (98.6, 100) | 99.5 (98.6, 100) | 99.5 (98.6, 100) | 99.5 (98.6, 100) |
| No | 99.7 (99.5, 99.9) | 99.7 (99.5, 99.9) | 99.3 (98.8, 99.8) | 99.7 (99.6, 99.9) |
| N. gonorrhoeae detected at cervix | ||||
| Yes | 99.2 (97.9, 100) | 99.2 (97.7, 100) | 97.0 (94.1, 99.9) | 100.0 (97.6, 100) |
| No | 99.8 (99.5, 100) | 99.8 (99.5, 100) | 99.3 (98.9, 99.7) | 99.8 (99.5, 100) |
| Hematuria | ||||
| Yes | 99.5 (99.1, 100) | 99.5 (99.1, 100) | 99.4 (98.9, 99.9) | 100.0 (99.6, 100)c |
| No | 99.7 (99.5, 100) | 99.7 (99.5, 100) | 99.4 (99.0, 99.9) | 99.7 (99.4, 99.9) |
| Urine leukocyte esterase | ||||
| Positive | 99.8 (99.5, 100) | 99.8 (99.5, 100) | 99.3 (98.8, 99.8) | 99.9 (99.7, 100) |
| Negative | 99.7 (99.4, 100) | 99.7 (99.4, 100) | 99.4 (98.8, 99.9) | 99.7 (99.3, 100) |
Adjusted for variation in test performance across centers. Performance is defined as described in the text using two reference standards (culture-PCR and culture-LCR); estimates are reported separately for each. CI, confidence interval.
P = 0.04 for comparison of test specificities in the presence versus absence of subject characteristic noted.
P = 0.05 for comparison of test specificities in the presence versus absence of subject characteristic noted.