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Table 4 Comparative performance of SSM versus LAM; and the combination of SSM and LAM versus SSM alone using the microbiological reference standard, stratified by CD4 count

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

N = 457

SSM versus LAM

Combined SSM with LAM versus SSM alone

 

SSM only

LAM only

p-value

SSM only

LAM only

SSM plus LAM

p-value

Sensitivity (95 % CI)

       

 CD4 (cells/μL)

       

 ≤50

63.8 (48.5-77.3)

76.6 (62.0-87.7)

0.176

63.8 (48.5-77.3)*

76.6 (62.0-87.7)

87.2 (74.3-95.2)*

0.008

 51-100

50.0 (24.70- 75.3)

43.8 (19.8-70.1)

0.723

50.0 (24.70- 75.3)

43.8 (19.8-70.1)

62.5 (35.4-84.8)

>0.05

 >100

36.8 (16.3-61.6)

36.8 (16.3- 61.6)

-

36.8 (16.3-61.6)

36.8 (16.3- 61.6)

52.6 (28.9-75.6)

>0.05

Specificity (95 % CI)

       

 CD4 (cells/μL)

       

 ≤50

93.0 (88.1-96.3)

80.7 (74.0-86.8)

0.001

93.0 (88.1-96.3)*

80.7 (74.0-86.8)

78.9 (72.1-84.8)*

0.001

 51-100

98.4 (91.2-100.0)

90.2 (79.8-96.3)

0.052

98.4 (91.2-100.0)

90.2 (79.8-96.3)

90.2 (79.8-96.3)

>0.05

 >100

97.9 (94.0-99.6)

90.9 (85.0-95.1)

0.010

97.9 (94.0-99.6)*

90.9 (85.0-95.1)

89.5 (83.3-94.0)*

0.004

  1. SSM sputum smear microscopy, LAM Urine Lipoarabinomannan strip test
  2. P-value indicate significant differences between patient groups (marked with * and number to indicate comparison group) * - Significantly Different (p ≤ 0.05) NS – Not Significantly Different (p > 0.05)