An assessment of nucleic acid amplification testing for active mycobacterial infection



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AUC = area under curve; NAAT = nucleic acid amplification testing; SROC = summary receiver–operator characteristic

Comparison of AFB microscopy, NAAT and AFB plus NAAT, using culture as a reference standard


Using both AFB microscopy and NAAT to diagnose MTB infections was more sensitive than using either test alone for both sputum and non-sputum specimens (Figure 24); however, there was a corresponding decrease in specificity when the two tests were combined.

Forest plot showing the pooled sensitivity <a href=and specificity values for AFB, NAAT and AFB plus NAAT compared with culture according to specimen type" align="bottom" width="602" height="270" border="0">

Figure 24 Forest plot showing the pooled sensitivity and specificity values for AFB, NAAT and AFB plus NAAT compared with culture according to specimen type



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