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Table 2 Sensitivity and specificity comparisons of LAM test after α-mannosidase treatment of urine vs. LAM test by Site and CD4 values using a composite gold standard

From: Accuracy of the tuberculosis point-of-care Alere determine lipoarabinomannan antigen diagnostic test using α-mannosidase treated and untreated urine in a cohort of people living with HIV in Guatemala

 

LAM after α-mannosidase treatment of urine

LAM alone

p valueb

LAM after α-mannosidase treatment of urine

LAM alone

p valueb

All CD4 values

Sensitivity (% (95% CI)

Sensitivity (% (95% CI)

Specificity (% (95% CI)

Specificity (% (95% CI)

 

Positive/N

 

Positive/N

  

Negative/N

 

Negative/N

  

Both Sitesa

37/59

56.9 (44–69.2)

37/59

55.2 (42.6–67.4)

1

204/232

90.3 (85.6–93.8)

202/232

90.2 (85.5–93.7)

0.946

Site1

26/41

52 (37.4–66.3)

26/41

49.1 (35.1–63.2)

1

194/218

92.8 (88.4–95.9)

191/218

92.7 (88.3–95.9)

0.944

Site 2

11/18

73.3 (44.9–92.2)

11/18

78.6 (49.2–95.3)

1

10/14

58.8 (32.9–81.6)

11/14

61.1 (35.7–82.7)

1

 

LAM after α-mannosidase treatment of urine

LAM alone

 

LAM after α-mannosidase treatment of urine

LAM alone

 

CD4 values < 200

Sensitivity (% (95% CI)

Sensitivity (% (95% CI)

p valueb

Specificity (% (95% CI)

Specificity (% (95% CI)

p valueb

 

Positive/N

 

Positive/N

  

Negative/N

 

Negative/N

  

Both Sitesa

27/39

60 (44.3–74.3)

28/39

62.2 (46.5–76.2)

1

95/113

88.8 (81.2–94.1)

96/113

89.7 (82.3–94.8)

1

Site1

16/27

53.3 (34.3–71.7)

17/27

54.8 (36–72.7)

1

88/102

88.9 (81–94.3)

88/102

89.8 (82–95)

1

Site 2

11/12

73.3 (44.9–92.2)

11/12

78.6 (49.2–95.3)

1

7/11

87.5 (47.3–99.7)

8/11

88.9 (51.8–99.7)

1

  1. aSite = Site 1 includes UAI 1 = “Dr. Isaac Cohen Alcahé” UAI and Rodolfo Robles Hospital. Site 2 includes UAI 2 = “Dr. Carlos Rodolfo Mejía” UAI and Roosevelt Hospital
  2. b Fischer exact Chi square test was used in comparisons among UAI