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Table 2 Comparison of the performance of the Tubex® test from published reports

From: Assessment and comparative analysis of a rapid diagnostic test (Tubex®) for the diagnosis of typhoid fever among hospitalized children in rural Tanzania

Author

Year

Journal

Sample Size

Location

Tubex ® cut off

Sens

Spec

True neg . definition

Reader

Gold standard

Study population

Ley, B. et al

This paper

This Journal

139

Tanzania

>4

79%

89%

All non-typhi bacteriamia

Investigator

Blood Culture (BACTEC)

>2 months + >37.5° (inpatients) & history of fever (outpatients)

   

88

  

79%

97%

All non-salmonella bacteriamia

   

Naheed, A. et al

2008

Diagn Microbiol Infect Dis.

867

Bangladesh

≥4

60%

58%

Other confirmed bacteremia

ICDDRB lab

Manual Blood Culture

Active surveillance

Temp ≥38°C

      

60%

64%

Blood culture neg & other bacteremia

   

Rahman, M. et al

2007

Diagn Microbiol Infect Dis.

243

Bangladesh

>4

91.2%

82.3%

Other febrile patients

ICDDRB lab, min. 2 independent lab techs

Manual Blood Culture

Outpatients, all ages with history of fever

      

No. Pos

89.5%

Healthy subjects

  

Healthy subjects

Dong, B. et al

2007

Epidemiol. Infect.

1732

China

≥2

100%

43%

Paratyphoid cases

-

Blood culture (BACTEC)

Age 5-60 with reported history of fever for 3 days

     

≥4

69%

95%

    
     

≥6

62%

95%

    
     

≥8

23%

100%

    
     

≥10

15%

100%

    

Kawano, R. L. et al

2006

JCM.

177

Philippines

≥2

94.7%

80.4%

Blood culture neg.

n/A

Manual Blood Culture &BACTEC

Clinically suspected typhoid cases

Dutta, S. et al

2006

Diagn Microbiol Infect Dis.

495

India

≥4

56%

88%

Paratyphoid and malaria cases

n/A

Blood Culture BACTEC

Outpatients, all ages, Pat with history of fever for 3 days

Ohlsen, S. J. et al

2004

JCM.

79

Vietnam

According to protocol

78%

94%

Other lab-confirmed febrile illnesses

n/A

Manual Blood Culture/BACTEC

Pat ≥3 year and history of ≥4 day fever

House, D. et al

2001

JCM.

127

Vietnam

>2

87%

76%

Febrile hospitalized patients

labtech

Culture

Children and adults

Lim et al

1998

JCM.

105

Hong Kong & Malaysia

>2

100%

100%

Healthy individuals and pat with other bacterial diseases and autoimmune disease

labtechs

Culture confirmed (56% of pos.), clinical picture, various other tests

Clinical picture, culture confirmed,