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Table 3 Predictors of HIV seropositivity in study population and their sensitivity and specificity

From: HIV infection in severely malnourished children in Kumasi, Ghana: a cross-sectional prospective study

Clinical variable

Sensitivity% (95% CI)

Specificity% (95% CI)

PPV% (95% CI)

NPV% (95% CI)

Prolonged diarrhoea

23.9 (14.3 - 35.9)

94.4 ( 90.0-97.3)

61.5 (40.6 - 79.8)

76.8 (70.7 - 82.2)

Chronic cough

40.3 (28.5 - 53.0)

95.5 (91.4 - 98.1)

77.1 (59.9 - 89.6)

81.0 (75.1 - 86.1)

Prolonged fever

46.3 (34.0 - 58.9)

92.2 (87.2 - 95.7)

68.9 (53.4 - 81.8)

82.1 (76.1 - 87.1)

Oral thrush

68.7 (56.2-79.4)

82.1 (75.7-87.4)

59.0 (47.3-70.0)

87.5 (81.5-92.1)

Generalised lymphadenopathy

44.8 (32.6-57.4)

98.3 (95.2-99.7)

90.9 (75.7-98.1)

82.6 (76.9-87.5)

Sensitivities and specificities of a clinical algorithm consisting of above variables

No of parameters identified

Sensitivity%

Specificity%

Correctly Classified%

≥ 1

92.5

72.1

77.6

 

≥ 2

68.7

92.2

85.8

 

≥ 3

41.7

98.3

82.9

 

≥ 4

16.4

100.0

77.2

 

5

4.8

100.0

74.0

 
  1. PPV - Positive predictive value.
  2. NPV - Negative predictive value.