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Fig 1.

(a) M. tuberculosis colonies as seen under the inverted microscope (x 400). (b) Characteristic serpentine cords of M. a tuberculosis observed under the inverted microscope (x 400).

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Table 1.

Demographic characteristics and patient profile.

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Fig 2.

Flowchart of patient enrolment and analysis of results by different detection methods.

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Table 2.

Sensitivity, specificity, positive predictive value and negative predictive value of DST by modified MODS for the detection of M. tuberculosis and INH or RIF resistance.

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Fig 3.

GenoType MTBDR-plus strip showing the mutational pattern of representative isolates (Lane 1) Multidrug-resistant tuberculosis, rpoB S531L mutation.

(Lane 2) Multidrug-resistant tuberculosis, rpoB H526R mutation. (Lane 3) Multidrug-resistant tuberculosis, katG S315T2 mutation. (Lane 4) M. tuberculosis, INH monoresistant (katG S315T1 mutation). (Lane 5) M. tuberculosis, INH heteroresistant (mutation in katG 315 region). (Lane 6) Multidrug-resistant tuberculosis, InhA T8C mutation. (Lane 7) M. tuberculosis, INH heteroresistant (mutation in InhA -15 region). (Lane 8) M. tuberculosis, INH heteroresistant (mutation in InhA -16 region). (Lane 9) Mycobacterium tuberculosis, susceptible to isoniazid and rifampicin. (Lane 10) H37Rv Positive control. (Lane 11) Negative control (distilled water).

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Table 3.

The mutational pattern of drug-resistant Mycobacterium Tuberculosis strains.

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Table 3 Expand

Fig 4.

Time to positive culture for modified MODS, Lowenstein–Jensen (LJ) and APM.

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Fig 5.

Time to LJ and modified MODS positivity in relation to smear grade.

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