Table 5.

Sensitivity and specificity of historical factors reported by mothers and clinic signs and symptoms observed by community health workers across sites in Sylhet, Bangladesh (n = 278)

	TP	TN	FP	FN	Sensitivity			Specificity
					%	95% CI		%	95% CI
Suspected puerperal sepsis / Other suspected illness / Suspected local infection
Clinical signs:
High fever: temperature 102.4oF (39.1°C) or higher	1	270	7	0	100	3	100	98	95	99
Fever: Temperature 100.6°F-102.3°F (38.1°C-39.0°C)	2	257	15	4	33	4	78	95	91	97
Symptoms:
History of fever	37	214	23	4	90	77	97	90	86	94
Lower abdominal or pelvic pain	107	79	11	81	57	50	64	88	79	94
Abnormal or foul-smelling discharge	11	243	12	12	48	27	69	95	92	98
Other conditions
Clinical signs:
Fever only: temperature 100.6°F-102.3°F (38.1°C-39.0°C)	1	277	0	0	–	–	–	–	–	–
Symptoms:
Severe vaginal bleeding	4	252	15	7	36	11	69	94	91	97
Severe headache and blurred vision	41	149	22	66	38	29	48	87	81	92
Leaking urine and/or stool	0	277	1	0	–	–	–	–	–	–
Convulsions or unconscious	3	275	0	0	–	–	–	–	–	–
Lower abdominal pain (without fever)	48	145	9	76	39	30	48	94	89	97
History of fever only	37	214	23	4	90	77	97	90	86	94
Abnormal or foul-smelling vaginal discharge (without fever)	1	264	6	7	13	0	53	98	95	99
Burning on micturition	26	199	12	41	39	27	52	94	90	97
Cough or difficulty breathing	13	220	14	31	30	17	45	94	90	97
Pus or pain from tear, c- section or episiotomy wound	8	257	4	9	47	23	72	99	96	100
Swollen, red, or painful breast	4	252	3	19	17	5	39	99	97	100