Chlamydia trachomatis

• Published in: Sexually transmitted infections Vol. 82; no. suppl 4; pp. iv10 - iv12
• Main Authors: Carder, C, Mercey, D, Benn, P
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group Ltd 01.12.2006; BMJ Publishing Group LTD; BMJ Group
• Subjects: Acids; Biological Assay - methods; Cell culture; Chlamydia; Chlamydia Infections - diagnosis; Chlamydia Infections - microbiology; Chlamydia trachomatis; Chlamydia trachomatis - isolation & purification; Condoms; DFA; direct fluorescent antibody; EIA; enzyme immunoassay; Enzymes; Female; Heterosexuality; Homosexuality, Male; Humans; Immunoassay; Immunoenzyme Techniques - methods; Laboratories; Licenses; lipopolysaccharide; LPS; major outer membrane protein; Male; Males; Microbiological Techniques - methods; MOMP; NAATs; nucleic acid amplification tests; Organisms; Part 2b; PCR; Pharyngeal Diseases - diagnosis; Pharyngeal Diseases - microbiology; Point-of-Care Systems; polymerase chain reaction; Pregnancy; Pregnancy Complications, Infectious - diagnosis; Pregnancy Complications, Infectious - microbiology; Rectal Diseases - diagnosis; Rectal Diseases - microbiology; SDA; Sex crimes; Sex Offenses; strand displacement amplification; tissue culture; TMA; transcription mediated amplification; Urethral Diseases - diagnosis; Urethral Diseases - microbiology; Urine; Uterine Cervical Diseases - diagnosis; Uterine Cervical Diseases - microbiology; Vaginal Diseases - diagnosis; Vaginal Diseases - microbiology; Young adults
• DOI: 10.1136/sti.2006.023069
• ISSN: 1368-4973

First catch urine (recommendation grade C) The first 15-50 ml of urine passed any time of the day. First catch urine (FCU) of both males and females licensed for most NAATs, although less sensitive than from urethral or endocervical specimens. Table 1 Summary of recommended tests for use with different sites of samples Test Sites FCU Cervix Urethra Pharynx Rectum Vulvo-vaginal NAAT 1 1 1 3 3 3 EIA 4 2 2 5 5 5 DFA 2 2 2 2 2 5 TC 5 2 2 1 1 5 NAAT, nucleic acid amplification test; EIA, enzyme immunoassay; DFA, direct fluorescent antibody; TC, tissue culture. 1, test of choice; 2, acceptable, but not first choice; 3, not licensed, although encouraging work being performed; 4, only for use in asymptomatic males; 5, not recommended.