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Table 5 Comparative performance of SSM versus LAM; and the combination of SSM and LAM versus SSM alone using composite 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

SM only

LAM only

SM plus LAM

p-value

Sensitivity (95 % CI)

       

 CD4 (cells/μL)

       

 ≤50

35.8 (26.8-45.5)

60.6 (50.7-69.8)

<0.001

35.8 (26.8-45.5)*

60.6 (50.7-69.8)

67.6 (57.9-76.3)*

<0.001

 51-100

30.0 (14.7-49.4)

40.0 (22.7-59.4)

0.417

30.0 (14.7-49.4)

40.0 (22.7-59.4)

50.0 (31.3-68.7)

>0.05

 >100

17.2 (8.6-29.4)

32.8 (21.0-46.3)

0.054

17.2 (8.6-29.4)*

32.8 (21.0-46.3)

41.4 (28.6-55.1)*

0.004

Specificity (95 % CI)

       

 CD4 (cells/μL)

       

 ≤50

97.2 (92.2-99.4)

97.2 (92.2-99.4)

>0.05

97.2 (92.2-99.4)

97.2 (92.2-99.4)

97.2 (92.2-99.4)

>0.05

 51-100

100.0 (92.5-100.0)

97.9 (88.7-99.9)

>0.05

100.0 (92.5-100.0)

97.9 (88.7-99.9)

97.9 (88.7-99.9)

>0.05

 >100

100.0 (96.5-100.0)

99.0 (94.8-100.0)

>0.05

100.0 (96.5-100.0)

99.0 (94.8-100.0)

99.0 (94.8-100.0)

>0.05

  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)