TABLE 2.
Summary of PSQ results from clinical isolates and clinical specimens
| PSQ result (no.) | Phenotypic DST result (no. of samples)b |
Accuracy analysis resultsa (%) |
|||||||
|---|---|---|---|---|---|---|---|---|---|
| Clinical isolates |
Clinical specimens |
Combined |
Correlation | Sensitivity | Specificity | ||||
| R | S | R | S | R | S | ||||
| INH (245) | |||||||||
| Mutations detected | 78 | 0 | 21 | 0 | 99 | 0 | 94.3 | 87.6 | 100 |
| No mutations | 10 | 42 | 4 | 90 | 14 | 132 | |||
| RIF (237) | |||||||||
| Mutations detected | 67 | 3 | 12 | 3 | 79 | 6c | 98.7c | 96.3 | 100c |
| No mutations | 1 | 55 | 2 | 94 | 3 | 149 | |||
| fQs (125)d | |||||||||
| Mutations detected | 17 | 0 | 3 | 0 | 20 | 0 | 97.6 | 87.0 | 100 |
| No mutations | 2 | 79 | 1 | 23 | 3 | 102 | |||
| AMK (120) | |||||||||
| Mutations detected | 14 | 1 | 1 | 0 | 15 | 1 | 99.2 | 100 | 99.0 |
| No mutations | 0 | 79 | 0 | 25 | 0 | 104 | |||
| CAP (119) | |||||||||
| Mutations detected | 14 | 1 | 1 | 0 | 15 | 1 | 99.2 | 100 | 99.0 |
| No mutations | 0 | 79 | 0 | 24 | 0 | 103 | |||
| KAN (55) | |||||||||
| Mutations detected | 11 | 0 | 1 | 0 | 12 | 0 | 96.4 | 85.7 | 100 |
| No mutations | 2 | 28 | 0 | 13 | 2 | 41 | |||
The accuracy analysis was performed with combined data from clinical isolates and clinical specimens. The accuracy analysis for the clinical isolates only is presented in Table S4 in the supplemental material and that for the clinical specimens in Table S5 in the supplemental material.
R, resistant; S, susceptible.
The analysis for RIF was based on known associations of specific rpoB mutations with RIF resistance or susceptibility. The mutations not conferring resistance were CAC526AAC (n = 2) and TTC514TTT (n = 4). The analysis excluded samples with rpoB mutations with unknown or inconsistent associations with RIF resistance, i.e., CTG511CCG, GAC516TTC, CAC526TGC, CAC526AGC, CAC526TCC, and CTG533CCG. For an analysis based on the general assumption that any rpoB mutation is a predictor of RIF resistance, the correlation and specificity would be 96.2% and 96.1%, respectively.
An isolate was classified as fQ resistant when it tested resistant to one of the fQs at its test concentration, i.e., 2 μg/ml for ofloxacin, 1.5 μg/ml for levofloxacin, and 0.25 μg/ml for moxifloxacin.