Table 1

Summary of detection and genotyping results obtained by Public Health England (PHE) versus SpeeDx ResistancePlus kit and a breakdown of the mutations present in the specimen panel

Initial testingDiscrepant analysis  No. of SpeeDx repeatsFinal results
PHESpeeDxPHESpeeDx
Mycoplasma genitalium detection—positive97/97 (100%, 95%
 CI 96.4% to 100%)
92/97* (94.9%, 95%
 CI 88.4% to 98.3%)
597/97 (100%, 95%
 CI 96.4% to 100%)
96/97† (99.0%, 95%
 CI 94.4% to 100%)
Macrolide-susceptible genotype21/92‡ (22.8%)28/92‡ (30.4%)11§21/97 (21.7%)25/96¶ (26.0%)
Macrolide-resistant genotype71/92‡ (77.2%)64/92‡ (69.6%)76/97 (78.4%)71/96¶ (74.0%)
Macrolide mutations detected
 A2058G25 (35.2%)
 A2059C7 (9.9%)
 A2059G38 (53.5%)
 A2059G/WT1 (1.4%)
  • *Five initial false-negative results consisted of one specimen containing an A2058T and four specimens containing A2059G mutations (Escherichia coli numbering).

  • †SpeeDx false-negative reconfirmed as M. genitalium positive at PHE. 

  • ‡Five detection false-negatives not included.

  • §Contains one mixed sample with A2058G/wild-type, one specimen which could not be reconfirmed by sequencing, one mixed sample with A2059G/wild-type sequence, four specimens genotyped as resistant by PHE and the four initial false-negative specimens. 

  • ¶SpeeDx confirmed false-negative not included in denominator.