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. 2018 Aug 27;56(9):e00531-18. doi: 10.1128/JCM.00531-18

TABLE 3.

Resolution of discrepant FluoroType MTBDR rifampin and isoniazid resistance results using Sanger sequencing and Genotype MTBDRplus results obtained from DNA extracted from sputum specimensa

Antimicrobial Smear result Initial classification MTBDRplus resultb FluoroType MTBDR resultc Method used to resolve discrepancyd Final result Reclassification
Rifampin Positive False resistant (n = 3) WT D516V MTBDRplus WT + D516V True resistant
WT MUT Sequencing Q513P True resistant
WT ins(514-515) Sequencing TTC ins(514-515) True resistant
False sensitive (n = 4) S531L WT MTBDRplus WT True resistant
WT + S531L WT MTBDRplus WT True resistant
D516V WT MTBDRplus WT True resistant
WT + D516V WT Sequencing WT + D516V False sensitive
Negative False resistant (n = 3) WT S531L MTBDRplus S531L True resistant
WT MUT Sequencing WT + D516Y True resistant
WT S531L MTBDRplus WT False resistant
Isoniazid Positive False resistant (n = 3) WT S315T2 MTBDRplus WT + S315T1 True resistant
WT S315T1 MTBDRplus WT + S315T1 True resistant
WT MUT MTBDRplus WT False resistant
False sensitive (n = 2) S315T2 WT MTBDRplus WT True sensitive
S315T1 WT MTBDRplus WT True sensitive
Negative False resistant (n = 2) WT S315T1 MTBDRplus S315T1 True resistant
WT C-15T No valid result obtained False resistant
a

Definitions of abbreviations: WT, wild type; MUT, undifferentiated mutation; ins(514-515), insertion between codons 514 and 515.

b

GenoType MTBDRplus result from DNA extracted from cultured isolate.

c

FluoroType MTDR result from DNA extracted from sputum specimen.

d

Discrepancies were resolved by using either the sequencing or GenoType MTBDRplus results from DNA extracted from sputum specimens.