Phenotypic profiles | R | S | U | F | Total | R | S | U | F | Total | Prevalence of resistance among each of the listed drug profiles, % | Sensitivity, % | Specificity, % | PPV, % | NPV,% | Expected NPV at given prevalence of resistance based on simulations, % (95% CI)* | Calculated NPV at 20% prevalence of resistance, % (see table S3) | Calculated NPV at 40% prevalence of resistance, % (see table S3) | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Isoniazid | -SSS | 391 | 30 | 18 | 12 | 451 | 21 | 4,653 | 133 | 104 | 4,911 | 8.4 | 93 | 100 | 95 | 99.4 | 99.3-100 | 98.2 | 95.4 |
-RSS | 459 | 21 | 20 | 6 | 506 | 7 | 85 | 5 | 1 | 98 | 83.8 | 96 | 92 | 98 | 80.2 | 83.5-100 | 98.8 | 96.9 | |
-RRS | 424 | 3 | 13 | 4 | 444 | 2 | 2 | 2 | 0 | 6 | 98.7 | 99 | 50 | 100 | 40.0 | 73.7-85.6 | 99.6 | 99.1 | |
-SRS | 24 | 4 | 1 | 0 | 29 | 0 | 10 | 1 | 0 | 11 | 72.5 | 86 | 100 | 100 | 71.4 | 90.5-95.6 | 96.6 | 91.3 | |
-SSR | 24 | 1 | 2 | 1 | 28 | 0 | 95 | 6 | 3 | 104 | 21.2 | 96 | 100 | 100 | 99.0 | 98.5-99.7 | 99 | 97.4 | |
-RRR | 662 | 3 | 11 | 4 | 680 | 0 | 0 | 0 | 0 | 0 | 100.0 | 100 | . | 100 | 0.0 | 73.7-85.6 | n/a | n/a | |
-RSR | 217 | 3 | 5 | 5 | 230 | 0 | 3 | 0 | 0 | 3 | 98.7 | 99 | 100 | 100 | 50.0 | 73.7-85.6 | 99.7 | 99.1 | |
-SRR | 13 | 0 | 0 | 2 | 15 | 0 | 0 | 0 | 0 | 0 | 100.0 | 100 | . | 100 | . | 73.7-85.6 | n/a | n/a | |
Rifampicin | S-SS | 74 | 16 | 0 | 8 | 98 | 30 | 4,632 | 126 | 123 | 4,911 | 2.0 | 82 | 99 | 71 | 99.7 | 99.3-100 | 95.7 | 89.3 |
S-RS | 6 | 0 | 0 | 0 | 6 | 1 | 9 | 1 | 0 | 11 | 35.3 | 100 | 90 | 86 | 100.0 | 97.8-99.5 | 100 | 100 | |
S-SR | 1 | 2 | 0 | 0 | 3 | 0 | 100 | 3 | 1 | 104 | 2.8 | 33 | 100 | 100 | 98.0 | 99.3-100 | 85.7 | 69.2 | |
S-RR | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | . | . | . | . | . | . | n/a | n/a | |
R-SS | 464 | 20 | 1 | 21 | 506 | 18 | 424 | 3 | 6 | 451 | 52.9 | 96 | 96 | 96 | 95.5 | 95.8-98.6 | 98.9 | 97.2 | |
R-RS | 424 | 7 | 2 | 11 | 444 | 4 | 25 | 0 | 0 | 29 | 93.9 | 98 | 86 | 99 | 78.1 | 76.2-86.6 | 99.5 | 98.8 | |
R-SR | 218 | 4 | 0 | 8 | 230 | 7 | 20 | 0 | 1 | 28 | 89.1 | 98 | 74 | 97 | 83.3 | 77.9-87.9 | 99.4 | 98.4 | |
R-RR | 665 | 2 | 0 | 13 | 680 | 10 | 3 | 0 | 2 | 15 | 97.8 | 100 | 23 | 99 | 60.0 | 76.2-86.6 | 99.7 | 99.1 | |
Ethambutol | SS-S | 1 | 9 | 1 | 0 | 11 | 4 | 4,399 | 472 | 36 | 4,911 | 0.2 | 10 | 100 | 20 | 99.8 | 98.8-99.9 | 81.6 | 62.5 |
RS-S | 21 | 5 | 3 | 0 | 29 | 31 | 376 | 40 | 4 | 451 | 6.0 | 81 | 92 | 40 | 98.7 | 98.8-99.9 | 95.1 | 87.8 | |
SR-S | 4 | 2 | 0 | 0 | 6 | 1 | 93 | 3 | 1 | 98 | 5.8 | 67 | 99 | 80 | 97.9 | 98.8-99.9 | 92.2 | 81.7 | |
RR-S | 375 | 20 | 30 | 19 | 444 | 203 | 241 | 48 | 14 | 506 | 46.7 | 95 | 54 | 65 | 92.3 | 93.4-96.7 | 97.7 | 94.1 | |
SS-R | 0 | 0 | 0 | 0 | 0 | 1 | 81 | 22 | 0 | 104 | 0.0 | . | 99 | 0 | 100.0 | 98.8-99.9 | n/a | n/a | |
RS-R | 12 | 2 | 1 | 0 | 15 | 7 | 20 | 1 | 0 | 28 | 34.9 | 86 | 74 | 63 | 90.9 | 95.7-98.1 | 95.4 | 88.6 | |
SR-R | 0 | 0 | 0 | 0 | 0 | 0 | 3 | 0 | 0 | 3 | 0.0 | . | 100 | . | 100.0 | 98.8-99.9 | n/a | n/a | |
RR-R | 625 | 9 | 26 | 20 | 680 | 150 | 50 | 25 | 5 | 230 | 74.7 | 99 | 25 | 81 | 84.7 | 82.0-88.2 | 98.6 | 96.4 | |
Pyrazinamide | SSS- | 74 | 28 | 0 | 2 | 104 | 12 | 4,826 | 13 | 60 | 4,911 | 2.1 | 73 | 100 | 86 | 99.4 | 98.6-99.6 | 93.6 | 84.5 |
RSS- | 13 | 8 | 4 | 3 | 28 | 5 | 431 | 2 | 13 | 451 | 5.8 | 62 | 99 | 72 | 98.2 | 98.6-99.6 | 91.2 | 79.6 | |
RRS- | 166 | 25 | 22 | 17 | 230 | 49 | 374 | 68 | 15 | 506 | 31.3 | 87 | 88 | 77 | 93.7 | 95.5-97.7 | 96.4 | 91 | |
SRS- | 0 | 3 | 0 | 0 | 3 | 0 | 97 | 0 | 1 | 98 | 3.0 | 0 | 100 | . | 97.0 | 98.6-99.6 | 80 | 60 | |
RRR- | 532 | 15 | 83 | 50 | 680 | 107 | 216 | 105 | 16 | 444 | 60.5 | 97 | 67 | 83 | 93.5 | 87.3-91.0 | 99 | 97.3 | |
SRR- | 0 | 0 | 0 | 0 | 0 | 0 | 6 | 0 | 0 | 6 | 0.0 | . | 100 | . | 100.0 | 98.6-99.6 | n/a | n/a | |
RSR- | 10 | 2 | 1 | 2 | 15 | 0 | 28 | 0 | 1 | 29 | 34.1 | 83 | 100 | 100 | 93.3 | 95.0-97.3 | 96 | 90 | |
SSR- | 0 | 0 | 0 | 0 | 0 | 0 | 11 | 0 | 0 | 11 | 0.0 | . | 100 | . | 100.0 | 98.6-99.6 | n/a | n/a | |
Phenotypic profiles are listed in the following order: Isoniazid, Rifampicin, Ethambutol, Pyrazinamide. '-' under 'Phenotypic profiles' marks the drug phenotype being assessed. PPV = Positive Predictive Value; NPV = Negative Predictive Value; R=resistant; S=susceptible; U=mutation of unknown association present; F=genotypic prediction failed due to missing data around a genomic resistance locus; All % results based on R/S genotypic predictions only, excluding U and F. Expected NPV was calculated as follows: specificity x (1-prevlence) / (specificity x (1-prevlence)+(1-sensitivity) x prevalence). * indicates that for prevalence <10% or >90%, simulated values are given for 10% and 90% respectively as simulations were not performed below or above these values.