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. 2005 Feb;43(2):577–584. doi: 10.1128/JCM.43.2.577-584.2005

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)
a

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.

b

P = 0.04 for comparison of test specificities in the presence versus absence of subject characteristic noted.

c

P = 0.05 for comparison of test specificities in the presence versus absence of subject characteristic noted.