Table 4.
Sensitivity and specificity of antituberculosis drug resistance predictions based on whole-genome sequence compared with the MICs of phenotypic AST of each antituberculosis drug
Susceptible isolates (phenotypic AST) | Resistant isolates (phenotypic AST) | Isolates without genotypic AST resistance marker | Isolates with genotypic AST resistance marker | Sensitivity (95% CI) | Specificity (95% CI) | |
---|---|---|---|---|---|---|
Isoniazid* | 88 | 808 | 95 | 801 | 98·8% (98·5–99·0) | 96·6% (95·2–97·9) |
Rifampicin* | 114 | 780 | 77 | 817 | 99·5% (99·3–99·7) | 64·0% (61·0–67·1) |
Kanamycin | 564 | 331 | 549 | 346 | 96·1% (95·4–96·8) | 95·0% (94·4–95·7) |
Amikacin | 714 | 181 | 709 | 186 | 97·2% (96·4–98·1) | 98·6% (98·3–98·9) |
Capreomycin | 600 | 29 | 592 | 37 | 93·1% (90·0–96·3) | 98·3% (98·0–98·7) |
Moxifloxacin | 681 | 216 | 686 | 211 | 88·9% (87·4–90·3) | 97·2% (96·8–97·6) |
Levofloxacin† | 628 | 96 | 615 | 109 | 94·8% (93·3–97·6) | 97·1% (96·7–97·6) |
Ethambutol | 142 | 81 | 166 | 57 | 100% (100) | 40·1% (37·4–42·9) |
Pyrazinamide | 80 | 132 | 85 | 127 | 87·9% (86·0– 89·8) | 83·8% (81·0–86·5) |
MIC=minimum inhibitory concentration. AST=antimicrobial susceptibility testing.
Due to potential laboratory error, four samples with Ser450Leu mutation in rpoB (rifampicin) and two samples with Ser315Thr in katG (isoniazid) were excluded from the analysis.
17 samples were tested at MIC 1·5 mg/L (previous critical concentration) and were excluded from the analysis.