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. 2023 Jan 4;61(3):e00790-21. doi: 10.1128/jcm.00790-21

TABLE 2.

Examples of commercial molecular tests for detection of M. genitalium that have been CE marked and/or FDA cleareda

Product Manufacturer(s); platform(s) Method(s) of detection Pathogen(s) detected M. genitalium target(s) Detection of macrolide resistance mutationsb Regulatory status Selected reference(s)
Aptima Mycoplasma genitalium Hologic, Marlborough, MA; Panther TMA, HPA, PCR M. genitalium 16S rRNA No FDA, CE 107110, 113, 174, 200207
cobas TV/MG detection Roche Molecular Systems, Pleasanton, CA; cobas 6800/8800 PCR M. genitalium, T. vaginalis 16S rRNA No FDA, CE 112 114
Alinity m STI Abbott Molecular Diagnostics, Des Plaines, IL; Alinity m PCR N. gonorrhoeae, C. trachomatis, T. vaginalis, M. genitalium rRNA No FDA, CE 208
STI Plus ELITe MGB ELITechGroup, Bothell, WA; ELITe InGenius PCR N. gonorrhoeae, C. trachomatis, T. vaginalis, M. genitalium 23S rRNA No CE 114
Allplex STI Essential Seegene, Seoul, South Korea; Bio-Rad Cfx96 PCR N. gonorrhoeae, C. trachomatis, M. genitalium, T. vaginalis, M. hominis, U. urealyticum, U. parvum mgpA No CE 108, 109, 114, 178, 207
Bio-Rad Dx CT/NG/MG Bio-Rad, Marnes-la-Coquette, France; Bio-Rad Dx real-time system PCR N. gonorrhoeae, C. trachomatis, M. genitalium mgpA No CE 2, 116, 117
Hyplex STD mycoplasma test system Amplex Biosystems, Lich, Germany PCR M. genitalium, M. hominis, U. urealyticum, U. parvum mgpA No CE 2, 118
N. gonorrhoeae/C. trachomatis/M. genitalium/T. vaginalis Real-TM Sacace Biotechnologies, Como, Italy PCR N. gonorrhoeae, C. trachomatis, T. vaginalis, M. genitalium Undisclosed No CE 114
FTD Urethritis Plus Fast-Track Diagnostics, Luxembourg PCR N. gonorrhoeae, C. trachomatis, T. vaginalis, M. genitalium, U. urealyticum, U. parvum, M. hominis Undisclosed No CE 2, 114
AmpliSens N. gonorrhoeae/C. trachomatis/M. genitalium/T. vaginalis-Multiprime FRT assay InterLabService, Moscow, Russia PCR N. gonorrhoeae, C. trachomatis, T. vaginalis, M. genitalium gyrB No CE 2, 111
S-DiaMGTV Diagenode, Liege, Belgium PCR M. genitalium, T. vaginalis mgpA, MG219 No CE 2, 115, 209, 210
ResistancePlus MG FleXible SpeeDx/Cepheid, Sydney, Australia, Cepheid GeneXpert, Sunnyvale, CA PlexZyme, PlexPrime technology, PCR M. genitalium mgpA Yes, 4 mutations, A2058G/C/T and A2059C CE 167, 177180
ResistancePlus MG SpeeDx, Sydney, Australia PlexZyme, PlexPrime technology, PCR M. genitalium mgpA Yes, 5 mutations, A2058G/C/T and A2059C/G CE 109, 110, 123, 133, 136, 154, 170175, 203
Macrolide-R/MG ELITe MGB ELITechGroup, Bothell, WA; ELITe InGenius PCR M. genitalium 23S rRNA Yes, 5 mutations, A2058G/C/T and A2059G/C, and WT CE 160, 180
Allplex MG & AziR Seegene, Seoul, South Korea; Bio-Rad Cfx 96 PCR M. genitalium mgpA Yes, 6 mutations, A2058G/C/T and A2059G/C/T CE 109, 180
S-DiaMGRes Diagenode, Liege, Belgium PCR M. genitalium MG219 Yes, 5 mutations, A2058G/C/T and A2059G/C CE 173, 176, 208
Real-Accurate TVMGres Pathofinder, Maastricht, Netherlands PCR M. genitalium, T. vaginalis mgpA Yes, 4 mutations, A2058G/C/T and A2059G CE 173
a

Adapted from Table 4 in reference 211. TMA, transcription-mediated amplification; HPA, hybridization protection assay; CE-IVD, approved Communauté Européenne marking on in vitro diagnostic medical devices; FDA, U.S. Food and Drug Administration; WT, wild type.

b

23S rRNA mutations that are known to confer macrolide resistance in M. genitalium (E. coli numbering).