Estimating the Accuracy and Additionality of TB-LAM to Diagnose TB in Children Without HIV (AccuLAM)

New diagnostic tests and alternative samples to diagnose tuberculosis in children are needed to tackle the diagnostic gap of pediatric tuberculosis. The Determine TB LAM Ag test in urine demonstrated sensitivity of 15.9% and specificity of 90.6%. Collecting the urine in adhesive bag was an independent risk factor for positivity (odds ratio, 11.38; P < .01).

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Publication Details

Journal
Clinical Infectious Diseases
Published
2025-11-10
DOI
https://doi.org/10.1093/cid/ciaf525
Primary Topic
Tuberculosis Research and Epidemiology
Type
article
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article

Estimating the Accuracy and Additionality of TB-LAM to Diagnose TB in Children Without HIV (AccuLAM)

Sabine Hermans, Willy Ssengooba, Elisa López‐Varela, Edson Mambuque et al.
Clinical Infectious Diseases
Tuberculosis Research and Epidemiology
article

Estimating the Accuracy and Additionality of TB-LAM to Diagnose TB in Children Without HIV (AccuLAM)

Sabine Hermans, Willy Ssengooba, Elisa López‐Varela, Edson Mambuque, Alexander Kay, Shilzia Munguambe, Anna M. Mandalakas, Clement Gascua Adu-Gyamfi, Christoph Lange, Lucía Carratalá-Castro, Alberto L. García‐Basteiro, Sozinho Acácio, Joanna Ehrlich, Andrew R. DiNardo, Durbbin Mulengwa, Anca Vasiliù, Abigail Seeger, Helton Timoteo
article en

Abstract

New diagnostic tests and alternative samples to diagnose tuberculosis in children are needed to tackle the diagnostic gap of pediatric tuberculosis. The Determine TB LAM Ag test in urine demonstrated sensitivity of 15.9% and specificity of 90.6%. Collecting the urine in adhesive bag was an independent risk factor for positivity (odds ratio, 11.38; P < .01).

Clinical Infectious DiseasesVol. 82(2)
Radboud University Nijmegen (NL), Baylor College of Medicine (US), Radboud University Medical Center (NL), Departament de Salut (ES), Baylor College of Medicine Children’s Foundation (UG), Radboud Institute for Molecular Life Sciences (NL), German Center for Infection Research (DE), Manhiça Health Research Centre (MZ), Amsterdam Institute for Global Health and Development (NL), Research Center Borstel - Leibniz Lung Center (DE), Children’s Foundation (GB), Barcelona Institute for Global Health (ES), Amsterdam University Medical Centers (NL), Ministry of Health (SZ), Universitat de Barcelona (ES), Makerere University (UG), University of Amsterdam (NL), University of Lübeck (DE)
Openalex Percentile: Top 61%
Tuberculosis Research and Epidemiology
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