“…(16) In a reviewed data it is found that the serological ICT test was not sufficiently predictive for use as routine diagnostic aid for Pulmonary and/or extra pulmonary tuberculosis in TB endemic areas. The test performance was universally poor and evaluated inconsistent and imprecise estimates of sensitivities and is not enough to replace AFB smear microscopy or culture (21,25,26,27,28,28,29,30,31,32). Despite of an acceptable specificity our study result also showed very poor performance with low sensitivity 0%, 55%, 15% for IgM, IgG and IgA respectively.…”