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 |
Definitions of abbreviations: WT, wild type; MUT, undifferentiated mutation; ins(514-515), insertion between codons 514 and 515.
GenoType MTBDRplus result from DNA extracted from cultured isolate.
FluoroType MTDR result from DNA extracted from sputum specimen.
Discrepancies were resolved by using either the sequencing or GenoType MTBDRplus results from DNA extracted from sputum specimens.