Table 3 Diagnostic performance of different methods, including smear microscopy, culture, Xpert MTB/RIF, and nucleotide MALDI-TOF MS assay on BALFs from the clinical susceptible PTB patients using clinical diagnosis as reference.
Test method | Results of MTB | Clinical diagnosis | Sensitivity (%, 95%CI) | Specificity (%, 95%CI) | PPV (%, 95%CI) | NPV (%, 95%CI) | |
|---|---|---|---|---|---|---|---|
PTB (274) | non-PTB (69) | ||||||
Smear microscopy (n = 343) | Positive | 62 | 5 | 22.6 (17.8–28.0) | 92.8 (83.9–97.6) | 92.5 (83.4–97.5) | 23.2 (18.3–28.6) |
Negative | 212 | 64 | Â | Â | Â | Â | |
|  |  |  | p < 0.001 | p = 0.839 | p = 0.971 | p = 0.004 | |
MGIT 960 culture (n = 280) | Positive | 97 | 8 | 40.6 (34.3–47.1) | 80.5 (65.1–91.2) | 92.4 (85.5–96.7) | 18.9 (13.4–25.5) |
Negative | 142 | 33 | Â | Â | Â | Â | |
|  |  |  | p < 0.001 | p = 0.953 | p = 0.932 | p < 0.001 | |
Xpert MTB/RIF (n = 220) | Positive | 73 | 0 | 40.8 (33.5–48.4) | 100.0 (91.4–100.0) | 100.0 (95.1–100.0) | 27.9 (20.8–35.9) |
Negative | 106 | 41 | Â | Â | Â | Â | |
|  |  |  | p < 0.001 | p = 0.681 | p = 0.872 | p = 0.083 | |
nucleotide MALDI-TOF MS (n = 343) | Positive | 196 | 10 | 71.5(65.8–76.8) | 85.5 (75. 0–92.8) | 95.1 (91.3–97.6) | 43.1(34.6–51.8) |
Negative | 78 | 59 | Â | Â | Â | Â | |
| Â | Â | Â | ref | ref | ref | ref | |