Table 1.
Performance of previously published Fiebig and 4th gen staging systems
| Model and stage | Specimens | Predicted and observed times after first viremia (DDI100) for each stage | |||
|---|---|---|---|---|---|
| Predicted time | Distribution of actual times observed | Error in model estimates | |||
| N/n | Median | [25th,75th] IQR | RMS difference (predicted-observed) |
||
| Fiebig (after Fiebig, et al., 2003)2 | |||||
| Stage 1 RNA+ p24− 3G− | 30/62 | 9 days | 9 days | [8,12] days | 3.5 days |
| Stage 2 RNA+ p24+ 3G− | 29/55 | 15 | 16 | [14,19] | 3.1 |
| Stage 3 RNA+ p24+ 3G+ 2G/WB− | 15/27 | 19 | 20 | [20,23] | 4.5 |
| Stage 4 RNA+ WB indeterminate | 10/18 | 23 | 27 | [22,30] | 6.8 |
| Stage 5 RNA+ WB+ (p31−) | 8/54 | 61 | 35 | [30,41] | 26.2 |
| Stage 1-2* RNA+ 3G− | 31/117 | 12 | 13 | [9,16] | 7.7 |
| Stage 1-3* RNA + Ab rapid test− | 31/144 | 13 | 14 | [10,20] | 7.8 |
| Stage 1-4* RNA + unspecified Ab− | 31/162 | 17 | 15 | [11,21] | 10.5 |
| 4th Gen (after Ananworanich, et al. 2013)1 | |||||
| Stage 1 RNA+ 4G− 3G− | 30/64 | 9 | 9 | [8,12] | 3.4 |
| Stage 2 RNA+ 4G+ 3G− | 28/53 | 19 | 16 | [14,19] | 4.0 |
| Stage 3 RNA+ 4G+ 3G+ WB indeterminate | 18/45 | 22 | 23 | [21,27] | 5.4 |
Abbreviations: 3G = 3rd Generation (IgM-sensitive antibody assays); 4G = 4th Generation (p24 antigen/antibody assays); RMS = root mean square; IQR = interquartile range; DDI100 = days since detectable infection on a 100-copy viral load; N = unique individuals; n = specimens from distinct timepoints
Because it is often impossible to determine the precise Fiebig stage, examples are also given for the infection times seen for combinations of stages which can sometimes be inferred from ‘incomplete’ staging information