Table 3 Accuracy of one or two oral swab PCR tests when using two different positive reference standards and Unlikely TB as the negative reference standard.

From: Microbiological diagnosis of pulmonary tuberculosis in children by oral swab polymerase chain reaction

Sensitivity reference standard

Index method

Sensitivity n (%)

(95% CI)

Specificity n (%)a

(95% CI)

Positive LRb

(95% CI)

Negative LR

(95% CI)

Confirmed TB

OS1c

12/40 (30)

(17–47)

44/44 (100)

(92–100)

NAd

0.7

(0.6–0.9)

Confirmed TB

OS1 OR OS2

17/40 (43)

(27–59)

41/44 (93)

(81–99)

6.2

(2–20)

0.6

(0.5–0.8)

Confirmed TB

ISe Xpert MTB/RIF

23/36 (64)

(46–79)

43/43 (100)

(92–100)

NA

0.4

(0.2–0.6)

Confirmed + Unconfirmed TB

OS1

21/111 (19)

(12–27)

43/43 (100)

(92–100)

NA

0.8

(0.7–0.9)

Confirmed + Unconfirmed TB

OS1 OR OS2

34/111 (31)

(22–40)

40/43 (93)

(81–99)

4.4

(1–14)

0.8

(0.6–0.9)

Confirmed + Unconfirmed TB

IS Xpert MTB/RIF

23/111 (21)

(14–29)

43/43 (100)

(92–100)

NA

0.8

(0.7–0.9)

  1. aUnlikely TB was the negative reference standard in all cases.
  2. bLR, likelihood ratio.
  3. cOS1, first oral swab PCR; OS2, second oral swab PCR.
  4. dNA, not applicable. Positive LR could not be calculated when specificity was 100%.
  5. eIS, induced sputum.