%0 Journal Article %1 bachmann_nucleic_2009 %A Bachmann, Laura H %A Johnson, Robert E %A Cheng, Hong %A Markowitz, Lauri E %A Papp, John R %A Hook, Edward W %D 2009 %J Journal of Clinical Microbiology %K Acid Adolescent, Adult Adult, Aged, Amplification Bacteriological Diagnostic, Female, Gonorrhea, Humans, Kits, Male, Middle Neisseria Nucleic Oropharynx, Reagent Sensitivity Specificity, Studies, Techniques, Young and gonorrhoeae, {Cross-Sectional} {HIV,} %N 4 %P 902--907 %R 10.1128/JCM.01581-08 %T Nucleic acid amplification tests for diagnosis of Neisseria gonorrhoeae oropharyngeal infections %U http://www.ncbi.nlm.nih.gov/pubmed/19193848 %V 47 %X The optimal methods for the diagnosis of pharyngeal Neisseria gonorrhoeae infection are uncertain. The objective of this study was to define the performance of culture and nucleic acid amplification tests (NAATs) for the diagnosis of pharyngeal N. gonorrhoeae. In this cross-sectional study, males and females \textgreater15 years old who acknowledged performing fellatio or cunnilingus (in the previous 2 months) were recruited from three clinics (two human immunodeficiency virus clinics and one sexually transmitted diseases clinic) located in Birmingham, AL. The test performance of culture for N. gonorrhoeae, the Gen-Probe Aptima Combo 2 transcription-mediated amplification assay (TMA), the BD ProbeTec ET amplified DNA strand displacement assay (SDA), and the Roche Cobas Amplicor PCR was defined by using a rotating "gold standard" of any positive results by two or three of the three tests that excluded the test being evaluated. A total of 961 evaluable test sets were collected. On the basis of a rotating gold standard of positive results by two of three comparator tests, the sensitivity and the specificity were as follows: culture for N. gonorrhoeae, 50.0\% and 99.4\%, respectively; PCR, 80.3\% and 73.0\%, respectively; TMA, 83.6\% and 98.6\%, respectively; and SDA, 93.2\% and 96.3\%, respectively. On the basis of a rotating gold standard of positive results by three of three comparator tests, the sensitivity and specificity were as follows: culture for N. gonorrhoeae, 65.4\% and 99.0\%, respectively; PCR, 91.9\% and 71.8\%, respectively; TMA, 100\% and 96.2\%, respectively; and SDA, 97.1\% and 94.2\%, respectively. In conclusion, currently available NAATs are more sensitive than culture for the detection of pharyngeal gonorrhea in at-risk patients. PCR is substantially less specific than culture, TMA, or SDA and should not be used for the detection of pharyngeal gonorrhea.

@article{bachmann_nucleic_2009, abstract = {The optimal methods for the diagnosis of pharyngeal Neisseria gonorrhoeae infection are uncertain. The objective of this study was to define the performance of culture and nucleic acid amplification tests {(NAATs)} for the diagnosis of pharyngeal N. gonorrhoeae. In this cross-sectional study, males and females {\textgreater}15 years old who acknowledged performing fellatio or cunnilingus (in the previous 2 months) were recruited from three clinics (two human immunodeficiency virus clinics and one sexually transmitted diseases clinic) located in Birmingham, {AL.} The test performance of culture for N. gonorrhoeae, the {Gen-Probe} Aptima Combo 2 transcription-mediated amplification assay {(TMA),} the {BD} {ProbeTec} {ET} amplified {DNA} strand displacement assay {(SDA),} and the Roche Cobas Amplicor {PCR} was defined by using a rotating "gold standard" of any positive results by two or three of the three tests that excluded the test being evaluated. A total of 961 evaluable test sets were collected. On the basis of a rotating gold standard of positive results by two of three comparator tests, the sensitivity and the specificity were as follows: culture for N. gonorrhoeae, 50.0\% and 99.4\%, respectively; {PCR,} 80.3\% and 73.0\%, respectively; {TMA,} 83.6\% and 98.6\%, respectively; and {SDA,} 93.2\% and 96.3\%, respectively. On the basis of a rotating gold standard of positive results by three of three comparator tests, the sensitivity and specificity were as follows: culture for N. gonorrhoeae, 65.4\% and 99.0\%, respectively; {PCR,} 91.9\% and 71.8\%, respectively; {TMA,} 100\% and 96.2\%, respectively; and {SDA,} 97.1\% and 94.2\%, respectively. In conclusion, currently available {NAATs} are more sensitive than culture for the detection of pharyngeal gonorrhea in at-risk patients. {PCR} is substantially less specific than culture, {TMA,} or {SDA} and should not be used for the detection of pharyngeal gonorrhea.}, added-at = {2011-03-11T10:05:34.000+0100}, author = {Bachmann, Laura H and Johnson, Robert E and Cheng, Hong and Markowitz, Lauri E and Papp, John R and Hook, Edward W}, biburl = {https://www.bibsonomy.org/bibtex/2a04a0093989cbd74d56ebb3d38ace729/jelias}, doi = {10.1128/JCM.01581-08}, interhash = {53fc600401362c7d0dd880cec0346d5d}, intrahash = {a04a0093989cbd74d56ebb3d38ace729}, issn = {{1098-660X}}, journal = {Journal of Clinical Microbiology}, keywords = {Acid Adolescent, Adult Adult, Aged, Amplification Bacteriological Diagnostic, Female, Gonorrhea, Humans, Kits, Male, Middle Neisseria Nucleic Oropharynx, Reagent Sensitivity Specificity, Studies, Techniques, Young and gonorrhoeae, {Cross-Sectional} {HIV,}}, month = apr, note = {{PMID:} 19193848}, number = 4, pages = {902--907}, timestamp = {2011-03-11T10:06:12.000+0100}, title = {Nucleic acid amplification tests for diagnosis of Neisseria gonorrhoeae oropharyngeal infections}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19193848}, volume = 47, year = 2009 }