Table 2 Estimated overall and CD4-stratified* cryptococcal antigen (CrAg) prevalence by laboratory-based serum CrAg EIA and clinic-based CrAg LFA testing (N = 1,296).

From: Validation of clinic-based cryptococcal antigen lateral flow assay screening in HIV-infected adults in South Africa

 

#Positive

#Tested

Estimated Prevalence (95% CI)

Laboratory-based serum CrAg EIA

All participants

15

1,296

1.2% (0.6–1.9%)

CD4 ≥200 cells/mm3

1

873

0.1% (0.0–0.6%)

CD4 <200 cells/mm3

14

384

3.6% (2.0–6.0%)

CD4 <100 cells/mm3

10

176

5.7% (2.8–10.2%)

Clinic-based venous whole blood CrAg LFA

All participants

28

1,163

2.4% (1.6–3.5%)

CD4 ≥200 cells/mm3

12

790

1.5% (0.8–2.6%)

CD4 <200 cells/mm3

15

336

4.5% (2.5–7.3%)

CD4 <100 cells/mm3

11

156

7.1% (3.6–12.3%)

Clinic-based fingerprick capillary blood CrAg LFA

All participants

43

1,164

3.7% (2.7–4.9%)

CD4 ≥200 cells/mm3

27

792

3.4% (2.3–4.9%)

CD4 <200 cells/mm3

15

335

4.5% (2.5–7.3%)

CD4 <100 cells/mm3

9

156

5.8% (2.7–10.7%)

Clinic-based urine CrAg LFA

All participants

123

1,151

10.7% (9.0–12.6%)

CD4 ≥200 cells/mm3

64

783

8.2% (6.4–10.3%)

CD4 <200 cells/mm3

53

331

16.0% (12.2–20.4%)

CD4 <100 cells/mm3

33

153

21.6% (15.3–28.9%)

  1. CI = confidence interval; CrAg = cryptococcal antigen; EIA = enzyme immunoassay; LFA = lateral flow assay.
  2. *39 participants did not have a CD4 T-cell count result.