TABLE 1.
Antimicrobial | V.1 rules applied to the Boston validation set |
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---|---|---|---|---|---|---|---|---|
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 |
FN, false negative; FP, false positive; PPV, positive predictive value; NPV, negative predictive value.
Both isolates that were phenotypically resistant to ampicillin harbored wild-type pbp5 Met485 but had an aspartic acid inserted after position 466 (Asp466′).
A single vancomycin-variable enterococcus, which appeared phenotypically susceptible but could gain vancomycin resistance during treatment, was conservatively classified as a major error.
Antibiotic for which intermediate isolates were considered with susceptible isolates.