Table 1

Estimates of the probability of events in the model

Probability % (range)Reference
Prevalence of Mycobacterium tuberculosis infection in child household TB contacts0–2-year-old cohort: 28 (8–48)19–21
3–5-year-old cohort: 40 (23–62)
Probability of test positivity in the study setting0–2 years—TST: 31.2 (22.2–41.5), TSPOT: 32.6 (23.2–43.2), QTF: 33.7 (24.0–44.5)22*
3–5 years—TST: 39.8 (29.8–50.5), TSPOT: 39.1 (28.8–50.0), QTF: 43.0 (32.4–54.2)
TST23
 Sensitivity84 (75–93)
 Specificity88 (62–100)
 Sensitivity in LMIC70 (45–94)
 Specificity in LMIC93 (77–100)
QTF assays23
 Sensitivity83 (75–92)
 Specificity91 (78–100)
 Sensitivity in LMIC58 (28–87)
 Specificity in LMIC94 (71–100)
T-SPOT23
 Sensitivity84 (63–100)
 Specificity94 (87–100)
 Sensitivity in LMIC77 (23–100)
 Specificity in LMIC93 (83–100)
Child referred for IPT (referral)7512,24
Child begins IPT (uptake)7512,24
Child completes IPT (adherence)24 (10–80)10,12,24,25
IPT treatment efficacy70 (50–90)5–8,26,27
Development of disease given M tuberculosis infection in the absence of IPTAgePulmonaryDisseminated1
<235 (30–40)15 (10–20)
215 (10–20)3.5 (2–5)
3–55 (5–5)0.5 (0.5–0.5)
6–102 (2–2)0.25 (0.25–0.25)
>1015 (10–20)0.25 (0.25–0.25)
Development of death given active TB diseaseAgePulmonaryDisseminated13,28,29
<35 (2–8)10 (5–15)
3–51 (0.5–2)4 (2–6)
>60.5 (0.2–0.7)2 (1–3)
ARI4 (2–6)30
Dying from other causesSouth African 2003 life tables31
  • * Data derived from study employing the Quantiferon-Gold In-tube version of QFN.

  • Data derived from studies considering a TST to be positive if induration was ≥10 mm.

  • Pediatric specific data from high, middle and low income countries used for base-case model.

  • ARI, annual risk of infection; IPT, isoniazid preventive therapy; LMIC, low middle income country (as defined by the World Bank Index); QTF, QuantiFERON; TB, tuberculosis; TSPOT, T-SPOT.TB; TST, tuberculin skin test.