Table 4. Performance of clinical indicators in diagnosing TB in children with HIV

 

Study

Design

Setting

Sample size

Gold standard

Indicator

Performance

Marias et al, 2006 [7]

Prospective

Community based.

Cape Town,

South Africa.

Subset of 428,

297 tested (37 HIV positive)

Microbiology OR diagnostic radiology OR suggestive radiology AND response to therapy

Persistent non-remitting coughing > 2 weeks, objective weight loss and reported fatigue

Sensitivity 56%, Specificity 62%, PPV 62%.

 

 

 

 

 

 

 

Van Rheenan, 2002 [38]

Prospective

Hospital, Copperbelt Zambia

147

Microbiology OR diagnostic radiology OR (Mantoux OR suggestive radiology) AND response to therapy

Keith Edwards score > 7

Sensitivity 88%, Specificity 25%.