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 both | Laboratory |
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 both | Laboratory |
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 both | Laboratory |
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 men | Laboratory |
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 men | Laboratory |
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 men | Laboratory |
*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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