Results Worksheet

[NCHHSTP] CDC Model Performance Evaluation Program (MPEP) for Mycobacterium tuberculosis Drug Susceptibility Testing

Att. 8-Results Worksheet

MPEP Mycobacterium Tuberculosis Results

OMB: 0920-0600

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CDC Model Performance Evaluation Program (MPEP) for

Mycobacterium tuberculosis Drug Susceptibility Testing





Attachment 8

MPEP Mycobacterium tuberculosis Results Worksheet








































MPEP Mycobacterium tuberculosis Results Worksheet

Enter your drug susceptibility test results for each isolate by using the data worksheets below. There are two worksheetsone for growth-based drug susceptibility results and one for molecular test results. These worksheets are provided as a tool for recording results prior to online data entry.



Growth-based Drug Susceptibility Worksheet: Isolate            Method           

Drug

Susceptible

Resistant

Intermediate

Contaminated/ No Growth

No Interpretation

Not Done

Rifampin

Isoniazid—low

Isoniazid—high

Ethambutol

Pyrazinamide








Streptomycin

Ofloxacin

Ciprofloxacin

Moxifloxacin

Levofloxacin

Amikacin

Kanamycin

Capreomycin

Ethionamide

Rifabutin

Cycloserine

Para-aminosalicylic Acid

Rifapentine

Bedaquiline

Linezolid

Clofazimine

Delamanid

Pretomanid







Molecular Results Worksheet: Isolate            Method           

Drug

Mutation Not Detected

Mutation Detected

No Result

Not Done

Rifamycins (Rifampin, Rifabutin, Rifapentine)

Isoniazid

Ethambutol

Pyrazinamide

Streptomycin

Fluoroquinolones (Moxifloxacin, Levofloxacin, Ofloxacin)

Amikacin

Kanamycin

Capreomycin

Ethionamide

Cycloserine

Para-aminosalicylic Acid

Bedaquiline

Linezolid

Clofazimine

Delamanid

Pretomanid







File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorYakrus, Mitchell (CDC/OID/NCHHSTP)
File Modified0000-00-00
File Created2025-09-19

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