Page 204 - SAHCS HIVMed Journal Vol 20 No 1 2019
P. 204

Page 8 of 10  Original Research


              Appendix 1


              TABLE 1-A1: Patients with positive urine Xpert rifampicin resistant results – details of additional tuberculosis tests and clinical course.
              Study ID  n Sample type Test  Organism  Susceptibility  Susceptibility  12-week  Classification of  Heteroresistance  Reason for classification
                                                  to rifampicin  to isoniazid  outcome urine Xpert
                                                                           rifampicin
                                                                           resistance†
              KDHTB067  1  Blood  Culture  MTB    -         -        Died  Unknown    No        No samples could confirm
                      1  Blood    Culture  Neg    -         -                                   resistance. Patient initially
                                                                                                improved on drug-sensitive TB
                                                                                                treatment and then experienced
                                                                                                rapid neurological deterioration
                                                                                                and died on day 3 of therapy.
              KDHTB086  2  Blood  Culture  Neg    -         -        Died  True Resistance  No  Urine culture sample confirmed
                      1  CSF      Culture  Neg    -         -                                   rifampicin resistance and sputum
                                                                                                Xpert indicated rifampicin
                      1  Sputm    Xpert  MTB      Resistant  -                                  resistance.
                      1  Urine    Culture  MTB    Resistant  Resistant
              KDHTB110  1  Blood  Culture  Neg    -         -        Alive  True Resistance  No  One blood and three urine culture
                      1  Blood    Culture  MTB    Resistant  Resistant                          samples confirmed rifampicin
                                                                                                resistance.
                      1  CSF      Culture  Neg    -         -
                      1  Sputum   Culture  Neg    -         -
                      3  Urine    Culture  MTB    Resistant  Resistant
              KDHTB203  1  Blood  Culture  MTB    -         -        Alive  True Resistance  Yes  Sputum culture result showed
                      1  Blood    Culture  MTB    Sensitive  Sensitive                          rifampicin resistance and three
                                                                                                other cultures (sputum, blood
                      1  Sputum   Culture  MTB    Sensitive  -                                  and urine) showed drug-sensitive
                      1  Sputum   Culture  MTB    Resistant  Sensitive                          MTB.
                      1  Urine    Culture  MTB    Sensitive  Sensitive
              KDHTB238  1  Blood  Culture  MTB    Resistant  Sensitive  LTFU  True Resistance  No  Five cultures and one additional
                      4  Sputum   Culture  MTB    Resistant  Sensitive                          Xpert confirmed rifampicin
                                                                                                resistance.
                      1  Sputum   Xpert  MTB      Resistant  -
              KDHTB242  1  Blood  Culture  Neg    -         -        Alive  True Resistance  No  Four cultures confirmed
                      1  Pleural  Culture  MTB    Resistant  Sensitive                          rifampicin resistance.
                      2  Sputum   Culture  MTB    Resistant  Sensitive
                      1  Urine    Culture  MTB    Resistant  Sensitive
              KDHTB264  2  Blood  Culture  Neg    -         -        Alive  True Resistance  No  One culture result confirmed
                      1  CSF      Culture  Neg    -         -                                   rifampicin resistance.
                      1  Pleural  Culture  MTB    Resistant  Resistant
                      2  Urine    Culture  Neg    -         -
              KDHTB398  2  Blood  Culture  MTB    Resistant  Resistant  Died  True Resistance  No  Two culture results confirmed
                      1  CSF      Culture  Neg    -         -                                   rifampicin resistance.
              KDHTB416  1  Blood  Culture  Neg    -         -        LTFU  True Resistance  No  Two culture results confirmed
                      1  Sputum   Culture  Neg    -         -                                   rifampicin resistance.
                      2  Sputum   Culture  MTB    Resistant  Resistant
              KDHTB439  1  Blood  Culture  Neg    -         -        Alive  False Resistance No  One culture and three Xpert
                      1  Pleural  Xpert  MTB      Sensitive  -                                  results showed rifampicin
                                                                                                sensitivity.
                      1  Sputum   Xpert  MTB      Sensitive  -
                      1  Sputum   Culture  MTB    Sensitive  Sensitive
                      1  Urine    Culture  Contam  -        -
                      1  Urine    Xpert  MTB      Sensitive  -
              KDHTB444  2  Blood  Culture  MTB    -         -        Died  True Resistance  No  One culture result confirmed
                      1  Blood    Culture  MTB    Neg       -                                   rifampicin resistance.
                      1  Sputum   Culture  MTB    Resistant  Resistant
              KDHTB445  1  Blood  Culture  Neg    -         -        Alive  True Resistance  No  Three culture results confirmed
                      3  Sputum   Culture  MTB    Resistant  Resistant                          rifampicin resistance.
              KDHTB477  1  Blood  Culture  MTB    Resistant  Sensitive  Alive  True Resistance  No  Three culture results confirmed
                      2  Sputum   Culture  MTB    Resistant  Sensitive                          rifampicin resistance.
              KDHTB479  1  Blood  Culture  Neg    -         -        Alive  False Resistance No  Two culture results showed
                      2  Sputum   Culture  MTB    Sensitive  Sensitive                          rifampicin sensitivity.
              KDHTB524  1  Blood  Culture  Neg    -         -        Alive  True Resistance  No  One culture and two Xpert results
                      1  Sputum   Culture  Neg    -         -                                   confirmed rifampicin resistance.
                      2  Sputum   Xpert  MTB      Resistant  -
                      1  Sputum   Culture  MTB    Resistant  Sensitive
                                                                                            Table 1-A1 continues on the next page →






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