Performance of the GeneXpert CT/NG Assay Compared to That of the Aptima AC2 Assay for Detection of Rectal Chlamydia trachomatis and Neisseria gonorrhoeae by Use of Residual Aptima Samples
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作者:
Goldenberg, S. D.
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Guys & St Thomas NHS Fdn Trust, Ctr Clin Infect & Diagnost Res, London, England
Kings Coll London, London WC2R 2LS, EnglandGuys & St Thomas NHS Fdn Trust, Ctr Clin Infect & Diagnost Res, London, England
Goldenberg, S. D.
[1
,2
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Finn, J.
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机构:Guys & St Thomas NHS Fdn Trust, Ctr Clin Infect & Diagnost Res, London, England
Finn, J.
Sedudzi, E.
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GSTS Pathol, London, EnglandGuys & St Thomas NHS Fdn Trust, Ctr Clin Infect & Diagnost Res, London, England
Sedudzi, E.
[3
]
White, J. A.
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Guys & St Thomas NHS Fdn Trust, Dept Genitourinary Med, London, EnglandGuys & St Thomas NHS Fdn Trust, Ctr Clin Infect & Diagnost Res, London, England
White, J. A.
[4
]
Tong, C. Y. W.
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Guys & St Thomas NHS Fdn Trust, Ctr Clin Infect & Diagnost Res, London, England
Kings Coll London, London WC2R 2LS, EnglandGuys & St Thomas NHS Fdn Trust, Ctr Clin Infect & Diagnost Res, London, England
Tong, C. Y. W.
[1
,2
]
机构:
[1] Guys & St Thomas NHS Fdn Trust, Ctr Clin Infect & Diagnost Res, London, England
[2] Kings Coll London, London WC2R 2LS, England
[3] GSTS Pathol, London, England
[4] Guys & St Thomas NHS Fdn Trust, Dept Genitourinary Med, London, England
There are currently no commercially available molecular assays for the detection of Chlamydia trachomatis and Neisseria gonorrhoeae in rectal swabs with regulatory approval. We compared the Cepheid GeneXpert CT/NG assay with the GenProbe Aptima Combo2 assay, using 409 rectal swabs. Using Aptima as the gold standard, the sensitivity, specificity, and positive and negative predictive values of GeneXpert for the detection of C. trachomatis and N. gonorrhoeae were 86%, 99.2%, 92.5%, and 98.4% and 91.1%, 100%, 100%, and 98.6%, respectively. Despite significant dilution of samples prior to GeneXpert testing, the assay performed well with excellent specificity.
机构:
Publ Hlth Agcy Canada, Natl Microbiol Lab Branch, Guelph, ON, Canada
Univ Manitoba, Fac Hlth Sci, Dept Med Microbiol & Infect Dis, Winnipeg, MB, Canada
Ctr AIDS Programme Res South Afr CAPRISA, Durban, South Africa
Univ KwaZulu Natal, Dept Med Microbiol, Durban, South AfricaPubl Hlth Agcy Canada, Natl Microbiol Lab Branch, Guelph, ON, Canada
Sivro, Aida
Severini, Alberto
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Publ Hlth Agcy Canada, Natl Microbiol Lab Branch, Guelph, ON, Canada
Univ Manitoba, Fac Hlth Sci, Dept Med Microbiol & Infect Dis, Winnipeg, MB, CanadaPubl Hlth Agcy Canada, Natl Microbiol Lab Branch, Guelph, ON, Canada