Table 4 Diagnostic performance of different methods, including culture, Xpert MTB/RIF, and nucleotide MALDI-TOF assay on BALFs from the clinical susceptible smear-negative 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) | Accuracy (%, 95%CI) | |
|---|---|---|---|---|---|---|---|---|
PTB (212) | non-PTB (64) | |||||||
MGIT 960 culture (n = 217) | Positive | 46 | 4 | 25.4 (19.2–32.4) | 88.9 (73.9–96.9) | 92. 0 (80.8–97.8) | 19.2 (13.5–26. 0) | 35.9 (29.6–42.7) |
Negative | 135 | 32 | Â | Â | Â | Â | Â | |
|  |  |  | p < 0.001 | p = 0.986 | p > 0.99 | p = 0.002 | p < 0.001 | |
Xpert MTB/RIF (n = 178) | Positive | 43 | 0 | 30.7 (23.2–39.1) | 100.0 (90.7–100.0) | 100.0 (91.8–100.0) | 28.1 (20.8–36.5) | 45.5 (38.0–53.1) |
Negative | 97 | 38 | Â | Â | Â | Â | Â | |
|  |  |  | p < 0.001 | p = 0.667 | p = 0.872 | p = 0.125 | p = 0.012 | |
nucleotide MALDI-TOF MS (n = 276) | Positive | 138 | 10 | 65.1 (58.3–71.5) | 84.4 (73.1–92.2) | 93.2 (87.9–96.7) | 42.2 (33.5–51.2) | 69.6 (63.8–74.9) |
Negative | 74 | 54 | Â | Â | Â | Â | Â | |
| Â | Â | Â | ref | ref | ref | ref | ref | |