Table 2. Gene X-pert MTB/RIF and Microscopy results by testing centres in Nepal, 2015–2016.
| No | Code of the Centre |
Type of facility | Total sample tested by both method | Positive by both smear and X-pert (%) | Negative by both smear and X-pert (%) |
X-pert positive and smear negative (%) | X-pert negative and smear-positive (%) | N test failure (%) |
Kappa score (95%CI) |
|
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | X1 | NTC | 980 | 53 (5.4) | 639 (65.2) | 235 (24.0) | 6 (0.6) | 47 (4.8) | 0.2 (0.12–0.28) | |
| 2 | X2 | TB reference Lab | 468 | 150 (32.1) | 219 (46.8) | 55 (11.8) | 14 (3.0) | 30 (6.4) | 0.7 (0.63–0.77) | |
| 3 | X3 | NGO | 1642 | 55 (3.3) | 1252 (76.2) | 249 (15.2) | 7 (0.4) | 79 (4.8) | 0.2 (0.12–0.28) | |
| 4 | X4a | Teaching Hospital | 1943 | 135 (6.9) | 1568 (80.7) | 166 (8.5) | 6 (0.3) | 68 (3.5) | 0.6 (0.54–0.66) | |
| 5 | X5 | Hospital | 1856 | 0 (0.0) | 1465 (78.9) | 298 (16.1) | 17 (0.9) | 76 (4.1) | 0.0 (-0.10–0.10) | |
| 6 | X6a | DHO | 800 | 5 (0.6) | 715 (89.4) | 47 (5.9) | 0 (0.0) | 33 (4.1) | 0.2 (-0.03–0.43) | |
| 7 | X7a | DHO | 730 | 6 (0.8) | 646 (88.5) | 59 (8.1) | 0 (0.0) | 19 (2.6) | 0.2 (-0.01–0.41) | |
| 8 | X8 | NTC | 1849 | 86 (4.7) | 1200 (64.9) | 427 (23.1) | 29 (1.6) | 107 (5.8) | 0.2 (0.14–0.26) | |
| 9 | X9 | PHC | 1122 | 4 (0.4) | 897 (79.9) | 165 (14.7) | 1 (0.1) | 55 (4.9) | 0.1 (-0.04–0.23) | |
| 10 | X10 | Hospital | 1189 | 14 (1.2) | 967 (81.3) | 146 (12.3) | 0 (0.0) | 62 (5.2) | 0.1 (-0.03–0.23) | |
| 11 | X11 | DPHO | 449 | 4 (0.9) | 293 (65.3) | 114 (25.4) | 0 (0.0) | 38 (8.5) | 0.1 (-0.05–0.25) | |
| 12 | X12 | Hospital | 269 | 14 (5.2) | 183 (68.0) | 35 (13.0) | 4 (1.5) | 33 (12.3) | 0.4 (0.21–0.59) | |
| 13 | X13 | DPHO | 158 | 19 (12.0) | 80 (50.6) | 37 (23.4) | 1 (0.6) | 21 (13.3) | 0.4 (0.23–0.57) | |
| 14 | X14 | Regional TB Centre | 515 | 56 (10.9) | 312 (60.6) | 89 (17.3) | 16 (3.1) | 42 (8.2) | 0.4 (0.30–0.50) | |
| 15 | X15 | Hospital | 412 | 139 (33.7) | 149 (36.2) | 63 (15.3) | 11 (2.7) | 50 (12.1) | 0.6 (0.52–0.68) | |
| 16 | X16 | Hospital | 743 | 49 (6.6) | 413 (55.6) | 204 (27.5) | 0 (0.0) | 77 (10.4) | 0.2 (0.11–0.29) | |
| 17 | X17 | Hospital | 195 | 0 (0.0) | 130 (66.7) | 38 (19.5) | 0 (0.0) | 27 (13.8) | 0.0 (-0.28–0.28) | |
| 18 | X18 | PHC | 1185 | 21 (1.8) | 926 (78.1) | 138 (11.6) | 1 (0.0) | 99 (8.4) | 0.2 (0.08–0.23) | |
| 19 | X19 | Hospital | 1509 | 15 (1.0) | 938 (62.2) | 390 (25.8) | 0 (0.0) | 166 (11.0) | 0.0 (-0.08–0.08) | |
| 20 21 |
X20b | DHO | 298 | 19 (6.4) | 210 (70.5) | 41 (13.8) | 0 (0.0) | 28 (9.4) | 0.5 (0.34–0.66) | |
| X21 | NGO | 3976 | 1 (0.0) | 3126 (78.6) | 318 (8.00 | 0 (0.0) | 531 (13.4) | 0.0 (-0.10–0.10) | ||
| Total | 22288 | 845 (3.8) | 16328(73.3) | 3314 (14.9) | 113 (0.5) | 1688 (7.6) | 0.3 (0.28–0.32) | |||
a—Data to April 30, 2016
b—17 Nov 2014 to 16 nov 2015