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. 2022 Jan 18;66(1):e01196-21. doi: 10.1128/AAC.01196-21

TABLE 1.

Accuracy of genotypic prediction rules V.1 when applied to the Boston validation seta

Antimicrobial V.1 rules applied to the Boston validation set
Total no. of isolates Phenotypic susceptibility rate, % Genotype used for resistance prediction (V.1) Categorical agreement, % Very major error rate (FN), % (95% CI) Major error rate (FP), % (95% CI) PPV, % NPV, %
Ampicillin 203 12 Mutation of pbp5 485M 99 1.1 (0.13, 4.0)b 0 (0, 13) 100 92.6
Vancomycin 204 21 Presence of vanA or vanB 99 0 (0, 2.3) 2.3 (0.06, 12)c 99.4 100
Gentamicin, high level 198 94 Presence of aac(6′)-le-aph(2”)-la 100 0 (0, 28) 0 (0, 1.9) 100 100
Ciprofloxacind 198 15 Mutation of gyrA (84S) or parC (82S) 100 0 (0, 2.2) 0 (0, 11) 100 100
Levofloxacind 205 15 Mutation of gyrA (84S) or parC (82S) 100 0 (0, 2.1) 0 (0, 11) 100 100
Tetracycline 205 24 Presence of tet(L), tet(M), or tet(S) 97 0 (0, 2.4) 14 (5.8, 27) 95.7 100
Doxycycline 205 29 Presence of tet(M) 91 1.4 (0.16, 4.9) 27 (16, 40) 90.0 95.7
Linezolidd 200 99 Mutation of 23S rRNA G2576T in at least 3 alleles 100 0 (0, 84) 0 (0, 1.8) 100 100
a

FN, false negative; FP, false positive; PPV, positive predictive value; NPV, negative predictive value.

b

Both isolates that were phenotypically resistant to ampicillin harbored wild-type pbp5 Met485 but had an aspartic acid inserted after position 466 (Asp466′).

c

A single vancomycin-variable enterococcus, which appeared phenotypically susceptible but could gain vancomycin resistance during treatment, was conservatively classified as a major error.

d

Antibiotic for which intermediate isolates were considered with susceptible isolates.