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. 2022 Jul 5;76(3):e920–e929. doi: 10.1093/cid/ciac556

Table 1.

Accuracy of Direct MTBDRplus and MTBDRsl Testing for Tuberculosis and Phenotypic Second-line Drug Resistance in Sputum of Xpert-Positive Rifampicin-Resistant Patients

Assay Overall Smear-Positive Smear-Negative
Sensitivity Specificity Sensitivity Specificity Sensitivity Specificity
MTBDRplus Tuberculosis 88 (751/849) 86–90 43 (40/93) 32–53 97 (363/373) 94–98 36 (4/11) 10–69 82 (388/476) 77–84 aP < .001 44 (36/82) 32–54 aP = .635
MTBDRsl Tuberculosis 82 (696/849) 79–84 bP < .001 51 (47/93) 32–54 bP = .303 93 (347/373) 90–95 bP = .006 73 (8/11) 39–93 bP = .086 73 (349/476) 69–77 aP < .001  bP = .002 48 (39/82) 36–58 aP = .117 bP < .001
Fluoroquinolones 87 (71/82) 77–93 93 (297/321) 90–96 89 (40/45) 75–96 92 (180/195) 88–96 84 (31/37) 67–93 aP = .105 93 (117/126) 89–98 aP = .855
Second-line injectable drugs 84 (32/38) 68–93 cP = .720 94 (317/339) 90–95 cP = .820 86 (19/22) 65–97 cP = .001 97 (205/212) 93–98 cP = .108 81 (13/16) 54–95 aP = .011 cP = .821 88 (112/127) 81–93 aP = .002 cP = .052
Fluoroquinolone and second-line injectable drugs 70 (19/27) 69–98 97 (257/264) 94–98 85 (11/13) 54–98 97(165/169) 94–99 57 (8/14) 28–82 aP = .118 97 (92/95) 91–99 aP = .701

Data are % (n/N), 95% confidence interval. All P values which were statistically significant appeared in bold.

Within-row comparisons between smear statuses.

Within-column comparisons for MTBDRsl vs MTBDRplus.

Within-column comparisons for second-line injectable drugs vs fluoroquinolones.