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Table 2 Diagnostic yield of tuberculosis cases from different sample types and the proportion of each diagnosed by Determine TB-LAM

From: Diagnostic accuracy, incremental yield and prognostic value of Determine TB-LAM for routine diagnostic testing for tuberculosis in HIV-infected patients requiring acute hospital admission in South Africa: a prospective cohort

   

Proportion diagnosed by Determine TB-LAM (true positives)

Samples from which TB diagnoses were made

Number of TB diagnoses

Diagnostic yield, % (95% CI)

Number

Proportion, % (95% CI)

All clinical samples and tests

139

100

53

38.1 (30.0–46.7)

Study samples collected during the first 24 h of admission

 Urine

 Urine Xpert (unconcentrated)

59

42.4 (34.1–51.1)

37

62.7 (49.1–75.0)

 Urine Xpert (concentrated)

82

59.0 (50.3–67.3)

43

52.4 (41.1–63.6)

Sputum

 Smear microscopy

27

19.4 (13.2–27.0)

15

55.6 (35.3–74.5)

 Xpert (1st sample only)

37

26.6 (19.5–34.8)

17

45.9 (29.5–63.1)

 Xpert (either sample)

39

28.1 (20.8–36.3)

17

43.6 (27.8–60.4)

All study samples collected during any point during admission

 All EPTB cases*

113

81.3 (73.8–87.4)

51

45.1 (35.8–54.8)

 Blood

41

29.5 (22.1–37.8)

27

65.9 (49.4–79.9)

 Pleural fluid

13

9.4 (5.1–15.5)

4

30.8 (9.0–61.4)

 Urinea

92

66.2 (57.9–74.0)

46

50.0 (39.4–60.6)

 Cerebrospinal fluid

8

5.8 (2.5–11.0)

1

12.5 (0.3–52.7)

 Lymph node fine needle aspirate

6

4.3 (1.6–9.2)

4

66.7 (22.3–95.7)

  1. *All patients who had evidence of extrapulmonary involvement, i.e. ≥1 non-respiratory sample of any type that tested positive by culture and/or Xpert (regardless of other results on respiratory samples); aculture and/or Xpert testing.
  2. Abbreviations: CI confidence interval, EPTB extrapulmonary tuberculosis, TB tuberculosis