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Table 1. Comparison of Commericial Gonorrhea Tests*

Test Manufacturer Advantages/ Disadvantages Combined Chlamydia/ Gonorrhea Test Sensitivity Specificity Collection Method Test Location
Nucleic Acid Amplification Tests
Polymerase Chain Reaction (PCR)
Amplicor™
Cobas Amplicor™
Roche Diagnostics Corporation, Basel, Switzerland High sensitivity; use of urine specimens provides less invasive collection method Yes 66.7-100% 93.9-100%Endocervical swabs for women, urethral swabs for men, or urine for bothLaboratory
Strand Displacement Amplification (SDA)
BDProbeTec™
Becton, Dickinson and Company, Franklin Lakes, NJ High sensitivity; use of urine specimens provides less invasive collection method Yes 86.3-100% 96.0-100%Endocervical swabs for women, urethral swabs for men, or urine for bothLaboratory
Transcription Mediated Amplification (TMA)
APTIMA® Combo 2
Gen-Probe, Inc., San Diego, CA High sensitivity; use of urine specimens provides less invasive collection method; identification tests can be used as followup or direct tests Yes 96.9-99.2% 98.6-99.6%Endocervical swabs for women, urethral swabs for men, or urine for bothLaboratory
Nucleic Acid Hybridization Tests
DNA Probe
Hybrid Capture® II
Digene Corporation, Gaithersburg, MD Identification tests can be used as followup or direct tests Yes 92.2-100% 96.8%-100%Cervical brushes for women, urethral swabs for menLaboratory
DNA Probe
Pace® 2
Gen-Probe, Inc., San Diego, CA Low sensitivity; requires confirmation testing Yes 54.0-99.4% 99.5%-100%Endocervical swabs for women, urethral swabs for menLaboratory
Culture
Culture NA Poor sensitivity; can be used for antibiotic resistance testing No 61.8-92.6% 100%Endocervical swabs for women, urethral swabs for menLaboratory

*The majority of commercial NAATs [Nucleic Acid Amplification Tests] have been cleared** by the Food and Drug Administration (FDA) to detect C. trachomatis and N. gonorrhoeae in endocervical swabs from women, urethral swabs from men, and urine from both men and women. In addition, other specimens (e.g., those from the vagina and eye) have been used with satisfactory performance, although these applications have not been cleared by FDA. Testing of rectal and oropharyngeal specimens with NAATs has had limited evaluation and is not recommended.20

**The term cleared is used by the Food and Drug Administration (FDA) to describe the process they use to review applications to market the class of diagnostic tests that includes C. trachomatis and N. gonorrhoeae tests discussed in these guidelines. The term approved is used by FDA to describe a more rigorous process they use to review applications to market classes of diagnostic tests that involve, for example, higher levels of risk if the test result is erroneous than is the case for C. trachomatis or N. gonorrhoeae.20

Note: NA = Not Available.

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