TABLE 1.
Comparison of the three genotyping methods with respect to predicting Mycobacterium tuberculosis transmission by clustering
Total generated clusters | Total patients in clusters | Cluster patients with epidemiological link | Sensitivity# | Specificity¶ | PPV+ | NPV§ | Accuracyƒ | |
d5WGS | 87 | 351 | 134 | 99.3 (95.9–100) | 79.1 (76.4–81.5) | 38.2 (33.1–43.5) | 99.9 (99.2–100) | 81.2 (78.9–83.4) |
MIRU–VNTR | 131 | 471 | 131 | 97.0 (94.2–99.9) | 67.2 (64.3–70.0) | 27.8 (23.8–31.9) | 99.4 (98.9–100) | 70.6 (68.0–73.2) |
IS6110 DNA fingerprint | 110 | 417 | 131 | 97.0 (94.2–99.9) | 72.4 (69.7–75.1) | 31.4 (27.0–35.9) | 99.5 (99.0–100) | 75.2 (72.8–77.7) |
Data are presented as n or % (95% CI). Total patients n=1171; of those, 135 patients had a confirmed epidemiological link. PPV: positive predictive value; NPV: negative predictive value; d5WGS: five-single nucleotide polymorphism genetic distance between any two strains as a cut-off for whole-genome sequencing; MIRU–VNTR: mycobacterial interspersed repetitive units–variable number of tandem repeats. #: percentage of cluster patients with a confirmed link among all patients with a confirmed transmission link; ¶: percentage of unclustered patients among all patients without confirmed transmission; +: percentage of clustered patients with a confirmed transmission among all clustered patients; §: percentage of patients assigned as unclustered among those without a confirmed transmission; ƒ: (true positives + true negatives)/(true positives + false positives + true negatives + false negatives).