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. 2024 Aug;20(8):469–476.

Table 2.

Comparison of NGS With Culture-based Susceptibility Testing

Culture Gastric NGS Stool NGS
Availabilitya ++ + +
Genotypic-phenotypic correlation NA High for clarithromycin and levofloxacin
Uncertain for metronidazole
High for clarithromycin and levofloxacin
Uncertain for metronidazole
Technical success Variable, 50%-80% >90% >90%
Repeat endoscopy for susceptibility testing Yes Yes No

NA, not applicable; NGS, next-generation sequencing.

a ++, available in several US laboratories; +, only available currently from a single US laboratory.