Table 2.
Specimen type and no(s). | Specimen sourcea | Xpert assayb |
AFB smear resultc | Culture identificationd | Rifampin susceptibility (culture based)e | Roche Cobas TaqMan M. tuberculosis identification | |
---|---|---|---|---|---|---|---|
M. tuberculosis detection | Rifampin resistance | ||||||
Respiratory | |||||||
1 | BAL | Negative | ND | Negative | M. avium | ND | Negative |
2 | Br asp | Negative | ND | Negative | M. chimaera | ND | Negative |
3 | Sputum | Negative | ND | Positive | M. kansasii | ND | Negative |
4, 5, 6 | Sputum | Negative | ND | Positive | M. vulneris | ND | Negative |
7 | Sputum | Negative | ND | Positive | M. avium | ND | ND |
8 | Sputum | Positive (vl) | Indeterminate | Negative | Negative | ND | Negative |
9 | Sputum | Positive (vl) | Indeterminate | Positive | M. tuberculosis | Susceptible | Positive |
10 | BAL | Positive (vl) | Positive | Negative | M. tuberculosis | Susceptible | Positive |
11 | Sputum | Positive (vl) | Positive | Positive | M. tuberculosis | Susceptible | Positive |
12 | Sputum | Positive (l) | Negative | Negative | Negative | ND | Positive |
13 | BAL | Positive (l) | Negative | Positive | M. tuberculosis | Susceptible | Positive |
14, 15, 16 | Sputum | Positive (l) | Negative | Positive | M. tuberculosis | Susceptible | Positive |
17 | Sputum | Positive (l) | Negative | Positive | M. tuberculosis | Susceptible | ND |
18, 19 | Sputum | Positive (m) | Negative | Positive | M. tuberculosis | Susceptible | Positive |
20 | Sputum | Positive (m) | Negative | Positive | M. africanum | Susceptible | Positive |
21, 22, 23 | Br asp | Positive (m) | Negative | Positive | M. tuberculosis | Susceptible | Positive |
24 | Sputum | Invalid result | ND | Negative | Negative | ND | Negative |
Nonrespiratory | |||||||
25 | Biopsy | No result | ND | Negative | Negative | ND | Inhibited |
26 | CSF | Negative | ND | Negative | M. africanum | Susceptible | ND |
27 | Ascitic fluid | Negative | ND | Negative | M. africanum | Susceptible | Positive |
28 | Pleural fluid | Negative | ND | Negative | M. tuberculosis | Susceptible | Negative |
29 | Tissue | Positive (m) | Negative | Positive | M. tuberculosis | Susceptible | Positive |
BAL, bronchoalveolar lavage fluid; Br asp, bronchial aspirate; CSF, cerebrospinal fluid.
vl, very low; 1, low; m, medium; ND, not done.
AFB samples with a positive auramine-rhodamine microscopy result confirmed by positive Ziehl-Neelsen staining were scored smear positive.
Identification of NTM isolates was by 16S rRNA sequence analysis, which when necessary was followed by rpoB or hsp65 sequence analysis; identification of M. tuberculosis isolates by PCR was followed by the MTC line probe assay.
Phenotypic drug susceptibility testing for rifampin using the critical concentration of 1 μg/ml.