Table 1

Results of LiPA compared with culture in detecting Mycobacterium tuberculosis complex (2003–2009)

Sample and AFB smear results (2003–2009)Sensitivity (%)CISpecificity (%)CIPPV (%)CINPV (%)CIAccuracy (%)CI
All* 2876\3296 (87.3)86.1 to 88.44137\4540 (91.1)90.2 to 91.92876\3279 (87.7)86.5 to 88.84137\4557 (90.8)89.9 to 91.67013\7836 (89.5)88.8 to 90.2
All smear +ve2421\2604 (93.0)91.9 to 93.9782\1032 (75.8)73.0 to 78.32421\2671 (90.6)89.5 to 91.7782\965 (81.0)78.4 to 83.43203\3636 (88.1)87.0 to 89.1
All smear −ve260\438 (59.4)54.6 to 64.02522\2638 (95.6)94.7 to 96.3260\376 (69.1)64.2 to 73.72522\2700 (93.4)92.4 to 94.32782\3076 (90.4)89.3 to 91.4
Respiratory*2375\2595 (91.5)90.4 to 92.61628\1825 (89.2)87.4 to 90.32375\2572 (92.3)91.0 to 93.21628\1848 (88.1)86.5 to 89.54003\4420 (90.6)89.6 to 91.3
Respiratory smear +ve2083\2221 (93.8)92.7 to 94.7644\782 (82.4)79.5 to 84.92083\2221 (93.8)92.7 to 94.7644\782 (82.4)79.5 to 84.92727\3003 (90.8)89.7 to 91.8
Respiratory smear −ve145\206 (70.4)63.6 to 76.4829\867 (95.6)94.0 to 96.8145\183 (79.2)72.5 to 84.7829\890 (93.1)91.2 to 94.7974\1073 (90.8)88.8 to 92.4
Non-respiratory*500\700 (71.4)68.3 to 74.92500\2706 (92.4)91.6 to 93.6500\706 (70.8)68.4 to 75.02500\2700 (92.6)91.6 to 93.53000\3406 (88.1)87.2 to 89.3
Non-respiratory smear +ve328\373 (87.9)84.5 to 91.2137\246 (55.7)49.0 to 61.8328\437 (75.1)71.2 to 79.4137\182 (75.3)68.1 to 81.1465\619 (75.1)71.8 to 78.7
Non- respiratory smear −ve114\231 (49.4)42.7 to 55.71690\1768 (95.6)94.6 to 96.5114\192 (59.4)52.7 to 66.71690\1807 (93.5)92.3 to 94.51804\1999 (90.2)88.9 to 91.5
Sputum*2089\2237 (93.4)92.3 to 94.4980\1145 (85.6)83.4 to 87.52089\2254 (92.7)91.5 to 93.7980\1128 (86.9)84.7 to 88.83069\3382 (90.7)89.7 to 91.7
Sputum smear +ve1862\1966 (94.7)93.6 to 95.6518\640 (80.9)77.6 to 83.91862\1984 (93.9)92.7 to 94.8518\622 (83.3)80.1 to 86.12380\2606 (91.3)90.2 to 92.4
Sputum smear −ve98\126 (77.8)69.3 to 84.5368\397 (92.7)89.6 to 95.098\127 (77.2)68.7 to 83.9368\396 (92.9)89.8 to 95.2466\523 (89.1)86.0 to 91.6
  • * Smear negative+ smear positive + smear unknown.

  • Respiratory samples + non-respiratory samples + unclassified samples.

  • AFB, acid-fast bacilli; BAL, bronchoalveolar lavage; NPV, negative predictive value; PPV, positive predictive value; −ve, negative; +ve, positive.