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Table 2 Comparative performance of SSM versus LAM, and the combination of LAM and SSM versus SSM alone using the microbiological reference standard

From: Comparative performance characteristics of the urine lipoarabinomannan strip test and sputum smear microscopy in hospitalized HIV-infected patients with suspected tuberculosis in Harare, Zimbabwe

 

SSM versus LAM

Combined SSM and LAM versus SSM alone

N = 457

SSM only

LAM only

p-value

SSM only

LAM only

SSM plus LAM

p-value

Sensitivity

54.9 %

61.0 %

0.429

54.9 %*

61.0 %

74.4 %*

0.009

(95 % CI)

(43.5–65.9)

(49.6-71.6)

 

(43.5-65.9)

(49.6–71.6)

(63.6-83.4)

 

n + ve/total

45/82

50/82

 

45/82

50/82

61/825

 

Specificity

95.7 %

86.1 %

<0.001

95.7 %*

86.1 %

84.8 %*

<0.001

(95 % CI)

(93.2-97.5)

(82.2-89.5)

 

(93.2-97.5)

(82.2-89.5)

(80.8-88.3)

 

n -ve/total

359/375

323/375

 

359/375

323/375

318/375

 

PPV

73.8 %

49.0

0.007

73.8 %*

49.0

51.7 %*

0.015

(95 % CI)

(60.9–84.2)

(39.0-59.1)

 

(60.9-84.2)

(39.0–59.1)

(42.3-61.0)

 

NPV

90.7 %

91.0

0.876

90.7 %

91.0

93.8 %

>0.05

(95 % CI)

(87.6-93.6)

(87.5-93.8)

 

(87.6–93.6)

(87.5-93.8)

(90.7-96.1)

 
  1. SSM smear microscopy, LAM Urine Lipoarabinomannan strip test, n + ve number positive, n –ve number negative
  2. P-value indicate significant differences between patient groups (marked with * and number to indicate comparison group) * - Significantly Different (p ≤ 0.05)