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Table 2 Performance of diagnostics for the diagnosis of pleural tuberculosis in pleural effusion samples

From: An improved algorithm for rapid diagnosis of pleural tuberculosis from pleural effusion by combined testing with GeneXpert MTB/RIF and an anti-LAM antibody-based assay

Method

Sensitivity

95% CI

Specificity

95% CI

PPVa

95% CI

NPV

95% CI

Culture

8.4% (13/155)

100.0% (64/64)

100.0% (13/13)

31.1% (64/206)

(4.0–12.8%)

(92.9–100.0%)

(100.0–100.0%)

(24.7–37.4%)

GeneXpert

14.2% (22/155)

100.0% (64/64)

100.0% (22/22)

32.5% (64/197)

(8.7–19.7%)

(92.9–100.0%)

(100.0–100.0%)

(25.9–39.0%)

LAM

35.5% (55/155)

96.9% (62/64)

96.5% (55/57)

38.3% (62/162)

 

(28.1–43.6%)

(88.2–99.5%)

(91.7–100.0%)

(30.8–45.8%)

Culture+GeneXpert

14.8% (23/155)

100.0% (64/64)

100.0% (23/23)

32.7% (64/196)

(9.2–20.4%)

(92.9–100.0%)

(100.0–100.0%)

(26.1–39.2%)

Culture+LAM

38.7% (60/155)

96.9% (62/64)

96.8% (60/62)

39.5% (62/157)

(31.0–46.4%)

(88.2–99.5%)

(92.4–100.0%)

(31.8–47.1%)

GeneXpert+LAM

40.0% (62/155)

96.9% (62/64)

96.9% (62/64)

40.0% (62/155)

(32.3–47.7%)

(88.2–99.5%)

(92.6–100.0%)

(32.3–47.7%)

Culture+GeneXpert+LAM

40.6% (63/155)

96.9% (62/64)

96.9% (63/65)

40.3% (62/154)

(32.9–48.4%)

(88.2–99.5%)

(92.7–100.0%)

(32.5–48.0%)

  1. aPPV positive predictive value, NPV negative predictive value
  2. bχ2 = 33.23, P < 0.01(Culture Se. vs. LAM Se.); χ2 = 18.82, P < 0.01(GeneXpert Se.vs. LAM Se.); χ2 = 2.61, P = 0.11(Culture Se.vs. GeneXpert Se.); χ2 = 39.58, P < 0.01(Culture Se. vs. Culture+LAM Se.); χ2 = 26.13, P < 0.01(GeneXpert Se.vs. GeneXpert+LAM Se.); χ2 = 3.14, P = 0.08(Culture Se.vs. Culture+GeneXpert Se)