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Table 3 Sensitivity and specificity of reported symptoms for diagnosing malaria1 among patients attending a peripheral health facility in Kabale District, SW Uganda.

From: Diagnosis and treatment of malaria in peripheral health facilities in Uganda: findings from an area of low transmission in south-western Uganda

Presenting symptoms

Malaria case1 (%): n = 392

Not malaria case (%): n = 1187

P- value2

Sensitivity (%)

Specificity (%)

Positive predictive value (%)

Negative predictive value (%)

Headache

332 (84.7)

962 (81.0)

P = 0.009

84.7

19.0

25.7

21.1

Joint pain

287 (73.2)

947 (79.8)

P = 0.009

73.2

20.2

23.3

30.4

History of fever

293 (74.7)

936 (78.9)

n.s.

74.7

21.1

23.8

28.3

Loss of appetite

239 (61.0)

747 (62.9)

n.s.

61.0

37.0

24.3

25.8

Vomiting

232 (59.2)

619 (52.1)

P = 0.03

59.2

47.9

27.3

22.0

General weakness

216 (55.1)

648 (54.6)

n.s.

55.1

45.4

25.0

24.6

Rigors

76 (19.4)

190 (16.0)

n.s.

19.4

84.0

28.6

24.1

Cough

75 (19.1)

236 (19.9)

n.s.

19.1

80.1

24.1

25.0

Dizziness

48 (12.2)

137 (11.5)

n.s.

12.2

88.5

25.9

24.7

Abdominal pain

50 (12.8)

96 (8.1)

P = 0.03

12.8

91.9

34.2

23.9

Backache

17 (4.3)

58 (4.9)

n.s.

4.3

95.1

22.7

24.9

Flu-like symptoms

17 (4.3)

40 (3.4)

n.s.

4.3

96.6

29.8

24.6

  1. 1Malaria case defined as: parasitaemia and axillary temperature ≥ 37.5°C
  2. 2 χ2 values calculated using log likelihood, df = 1; n.s. not significant