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Table 4 Quadruplex ddPCR results of follow-up MDR-TB patient samples

From: Development of a multiplex droplet digital PCR method for detection and monitoring of Mycobacterium tuberculosis and drug-resistant tuberculosis

Sample No.

Sample type

Tx Hx

AFB smear

Molecular resistance (sequencing)

Phenotypic resistance

Culture

ddPCR (copies/reaction)

Xpert

Probe

MTB

RIF

G-2a

Sputum

17 months of Tx

-

INH, RIF

INH, RIF, EMB, PZA

Negative

-

Negative

Negative

-

G-5.2

Sputum

2 days of HERZ

2+

NT

NT

NT

IS6110 (2.33)

Negative

Negative

-

G-6.2

Bronchial lavage

3 months of HERZ

-

NT

NT

Negative

IS6110 (268.66)

NT

NT

NT

inhA (15.46)

S-1

Sputum

3 weeks of HERZ

-

NT

NT

Positive

IS6110 (162.28)

Positive

Positive

probe E

inhA (15.20)

rpoB (13.03)

S-3

Sputum

2 months of HERZ, 3 weeks of Z + H + Q

1+

INH, RIF

INH, RIF, EMB

Positive

IS6110 (195.64)

Positive

Positive

probe E

inhA (20.81)

rpoB (7.66)

embB (14.54)

rpsL (3.11)

S-4b

Sputum

1year of Tx (on and off)

2+

NT

NT

Positive

IS6110 (124.50)

Positive

Positive

probe E

inhA (4.36)

rpoB (10.89)

S-7

Sputum

4 months of HERZ

-

NT

NT

Negative

IS6110 (9.93)

Positive

Positive

probe A

inhA (3.31)

rpoB (1.14)

S-9 a

Sputum

3 months of HERZ

-

RIF

INH, RIF, EMB, PZA, FQ, SM

NT

IS6110 (6.23)

Positive

Positive

probe E

inhA (2.08)

S-13 a

Sputum

2 months of HERZ

-

INH, RIF

INH, RIF, EMB, SM

Positive

-

Positive

Positive

probe E

S-14

Sputum

1 months of HERZ

-

NT

NT

Negative

IS6110 (11.38)

Positive

Positive

probe B

  1. H, isoniazid; R, rifampin; E, ethambutol; Z, pyrazinamide; Q, fluoroquinolone; NT, not tested; -, not detected
  2. a pDST and Xpert RIF test from initial positive strain prior to treatment
  3. b Drug sensitivity test (DST) failed due to low bacterial culturability