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Table 3 Diagnostic performance* of the Leucocyte Esterase Test (LET) after a reading time of 2 min (“LET 2 m”) and 5 min (“LET 5 m”) in the detection of urogenital Chlamydia Trachomatis (Ct) among male patients, STI outpatient clinic, Amsterdam, The Netherlands, 2009–2010

From: Leucocyte esterase dip-stick test as a point-of-care diagnostic for urogenital chlamydia in male patients: A multi-center evaluation in two STI outpatient clinics in Paramaribo and Amsterdam

 

N

LET+ NAAT+

LET- NAAT+

LET+ NAAT-

LET- NAAT-

Sens. (95 % CI)

Spec. (95 % CI)

PPV (95 % CI)

NPV (95 % CI)

Agr.

Kappa

LET 2 m

 ALL

645

68

20

233

324

77.3 % (67.1–85.5)

58.1 % (53.9–62.3)

22.6 % (18.0–27.7)

94.2 % (91.1–96.4)

60.8 %

0.176

 Sympto-matic patients

257

44

9

100

104

83.0 % (70.2–91.9)

51.0 % (43.9–58.0)

30.6 % (23.2–38.8)

92.0 % (85.4–96.3)

57.6 %

0.208

 Asympto-matic patients

379

23

11

129

216

67.6 % (49.5–82.6)

62.6 % (57.2–67.7)

15.1 % (9.8–21.8)

95.1 % (91.4–97.5)

63.1 %

0.026

 <25 years

110

18

3

41

48

85.7 % (63.7–97.0)

53.9 % (43.0–64.6)

30.5 % (19.2–43.9)

94.1 % (84.8–98.8)

60.0 %

0.068

LET 5 m

 ALL

645

80

8

330

227

90.9 % (82.9–96.0)

40.8 % (36.7–45.0)

19.6 % (15.9–23.8)

96.6 % (93.4–98.5)

47.6 %

0.125

  1. *Sensitivity (Sens.), Specificity (Spec.), Positive Predictive Value (PPV), Negative Predictive Value (NPV), Agreement (Agr.) and Kappa