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Journal of Clinical Microbiology logoLink to Journal of Clinical Microbiology
. 1995 Feb;33(2):474–476. doi: 10.1128/jcm.33.2.474-476.1995

Comparison of GonoGen, GonoGen II, and MicroTrak direct fluorescent-antibody test with carbohydrate fermentation for confirmation of culture isolates of Neisseria gonorrhoeae.

J A Kellogg 1, L K Orwig 1
PMCID: PMC227969  PMID: 7714210

Abstract

When testing 248 clinical isolates of Neisseria gonorrhoeae, the sensitivity was 100% with GonoGen (Becton Dickinson Microbiology Systems), 99.6% (247 of 248) with GonoGen II (Becton Dickinson), 97.2% (241 of 248) with the MicroTrak direct fluorescent-antibody test (Syva), and 97.6% (242 of 248) with Rapid Fermentation Agar carbohydrates (Remel). Of 62 isolates of other Neisseria species, none was misidentified as N. gonorrhoeae by GonoGen, MicroTrak, or Rapid Fermentation Agar carbohydrates but 7 (31.8%) of 22 isolates of N. meningitidis gave strong, repeatedly false-positive results with GonoGen II. The sensitivity of all four assays was good to excellent, but all positive GonoGen II results should be confirmed with an independent assay, especially when isolates are recovered from sites where N. meningitidis is likely. Positive results from any of the assays should be routinely confirmed when dictated by specific clinical, legal, or microbiological circumstances.

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Selected References

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  1. Beebe J. L., Rau M. P., Flageolle S., Calhoon B., Knapp J. S. Incidence of Neisseria gonorrhoeae isolates negative by Syva direct fluorescent-antibody test but positive by Gen-Probe accuprobe test in a sexually transmitted disease clinic population. J Clin Microbiol. 1993 Sep;31(9):2535–2537. doi: 10.1128/jcm.31.9.2535-2537.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Cavicchini S., Alessi E. Monoclonal antibody direct immunofluorescence for the identification of Neisseria gonorrhoeae strains grown on selective culture media. Sex Transm Dis. 1989 Oct-Dec;16(4):195–197. doi: 10.1097/00007435-198910000-00008. [DOI] [PubMed] [Google Scholar]
  3. Dillon J. R., Carballo M., Pauzé M. Evaluation of eight methods for identification of pathogenic Neisseria species: Neisseria-Kwik, RIM-N, Gonobio-Test, Minitek, Gonochek II, GonoGen, Phadebact Monoclonal GC OMNI Test, and Syva MicroTrak Test. J Clin Microbiol. 1988 Mar;26(3):493–497. doi: 10.1128/jcm.26.3.493-497.1988. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Dossett J. H., Appelbaum P. C., Knapp J. S., Totten P. A. Proctitis associated with Neisseria cinerea misidentified as Neisseria gonorrhoeae in a child. J Clin Microbiol. 1985 Apr;21(4):575–577. doi: 10.1128/jcm.21.4.575-577.1985. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Evins G. M., Pigott N. E., Knapp J. S., DeWitt W. E. Panel of reference strains for evaluating serologic reagents used to identify gonococci. J Clin Microbiol. 1988 Feb;26(2):354–357. doi: 10.1128/jcm.26.2.354-357.1988. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Faur Y. C., Weisburd M. H., Wilson M. E. Carbohydrate fermentation plate medium for confirmation of Neisseria species. J Clin Microbiol. 1975 Mar;1(3):294–297. doi: 10.1128/jcm.1.3.294-297.1975. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Granato P. A., Howard R., Wilkinson B., Laser J. Meningitis caused by maltose-negative variant of Neisseria meningitidis. J Clin Microbiol. 1980 Mar;11(3):270–273. doi: 10.1128/jcm.11.3.270-273.1980. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Kellogg D. S., Jr, Turner E. M. Rapid fermentation confirmation of Neisseria gonorrhoeae. Appl Microbiol. 1973 Apr;25(4):550–552. doi: 10.1128/am.25.4.550-552.1973. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Laughon B. E., Ehret J. M., Tanino T. T., Van der Pol B., Handsfield H. H., Jones R. B., Judson F. N., Hook E. W., 3rd Fluorescent monoclonal antibody for confirmation of Neisseria gonorrhoeae cultures. J Clin Microbiol. 1987 Dec;25(12):2388–2390. doi: 10.1128/jcm.25.12.2388-2390.1987. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Lawton W. D., Battaglioli G. J. Gono Gen coagglutination test for confirmation of Neisseria gonorrhoeae. J Clin Microbiol. 1983 Nov;18(5):1264–1265. doi: 10.1128/jcm.18.5.1264-1265.1983. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Minshew B. H., Beardsley J. L., Knapp J. S. Evaluation of GonoGen coagglutination test for serodiagnosis of Neisseria gonorrhoeae: identification of problem isolates by auxotyping, serotyping, and with a fluorescent antibody reagent. Diagn Microbiol Infect Dis. 1985 Jan;3(1):41–46. doi: 10.1016/0732-8893(85)90065-3. [DOI] [PubMed] [Google Scholar]
  12. Morse S. A., Bartenstein L. Adaptation of the Minitek system for the rapid identification of Neisseria gonorrhoeae. J Clin Microbiol. 1976 Jan;3(1):8–13. doi: 10.1128/jcm.3.1.8-13.1976. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Pollock H. M. Evaluation of methods for the rapid identification of Neisseria gonorrhoeae in a routine clinical laboratory. J Clin Microbiol. 1976 Jul;4(1):19–21. doi: 10.1128/jcm.4.1.19-21.1976. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Rajasekariah G. R., Edward S., Shapira D., Tapsall J., Walsh J., Ho J., Hopper K., Pucci A. Direct detection of Neisseria gonorrhoeae with monoclonal antibodies characterized by serotyping reagents. J Clin Microbiol. 1989 Jul;27(7):1700–1703. doi: 10.1128/jcm.27.7.1700-1703.1989. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Reddick A. A simple carbohydrate fermentation test for identification of the pathogenic Neisseria. J Clin Microbiol. 1975 Jul;2(1):72–73. doi: 10.1128/jcm.2.1.72-73.1975. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Ridderhof J. C., Vaughan M., Tinney A., Meier F. A., Dalton H. P. Two confirmatory tests for identification of Neisseria gonorrhoeae from primary culture. J Clin Microbiol. 1990 Mar;28(3):619–620. doi: 10.1128/jcm.28.3.619-620.1990. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Robinson A., Griffith S. B., Moore D. G., Carlson J. R. Evaluation of the RIM system and Gono Gen test for identification of Neisseria gonorrhoeae from clinical specimens. Diagn Microbiol Infect Dis. 1985 Mar;3(2):125–130. doi: 10.1016/0732-8893(85)90021-5. [DOI] [PubMed] [Google Scholar]
  18. Sáez-Nieto J. A., Fenoll A., Vazquez J., Casal J. Prevalence of maltose-negative Neisseria meningitidis variants during an epidemic period in Spain. J Clin Microbiol. 1982 Jan;15(1):78–81. doi: 10.1128/jcm.15.1.78-81.1982. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Waitkins S. A., Anderson R. D. Failure of the fluorescent antibody reaction to identify penicillinase-producing gonococci. J Clin Pathol. 1982 Feb;35(2):215–218. doi: 10.1136/jcp.35.2.215. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Walton D. T. Fluorescent-antibody-negative penicillinase-producing Neisseria gonorrhoeae. J Clin Microbiol. 1989 Aug;27(8):1885–1886. doi: 10.1128/jcm.27.8.1885-1886.1989. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Welch W. D., Cartwright G. Fluorescent monoclonal antibody compared with carbohydrate utilization for rapid identification of Neisseria gonorrhoeae. J Clin Microbiol. 1988 Feb;26(2):293–296. doi: 10.1128/jcm.26.2.293-296.1988. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Whittington W. L., Rice R. J., Biddle J. W., Knapp J. S. Incorrect identification of Neisseria gonorrhoeae from infants and children. Pediatr Infect Dis J. 1988 Jan;7(1):3–10. doi: 10.1097/00006454-198801000-00002. [DOI] [PubMed] [Google Scholar]
  23. Yong D. C., Prytula A. Rapid micro-carbohydrate test for confirmation of Neisseria gonorrhoeae. J Clin Microbiol. 1978 Dec;8(6):643–647. doi: 10.1128/jcm.8.6.643-647.1978. [DOI] [PMC free article] [PubMed] [Google Scholar]

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