TABLE 2.
Sensitivities of NAATs for detection of N. gonorrhoeae and C. trachomatis with self-collected glans swab specimens from asymptomatic and symptomatic MSMa
Collection method and specimen | Test | Sensitivity (%)
|
|||
---|---|---|---|---|---|
N. gonorrhoeae
|
C. trachomatis
|
||||
Asymptomatic MSM | Symptomatic MSMb | Asymptomatic MSM | Symptomatic MSM | ||
Method 1c | |||||
Glans swab | SDA | 100 (7/7)d | 91.8 (67/73)e | 55.6 (5/9) | 56.5 (13/23)f |
Glans swab | AC2 | 100 (7/7) | 95.9 (70/73) | 66.7 (6/9) | 56.5 (13/23)f |
FCU | AC2 | 71.4 (5/7) | 100 (73/73) | 77.8 (7/9) | 100 (23/23) |
Method 2g | |||||
Glans swab | SDA | 42.9 (3/7) | 85.7 (18/21) | 53.8 (7/13) | 66.7 (10/15) |
Glans swab | AC2 | 42.9 (3/7) | 95.2 (20/21) | 84.6 (11/13) | 53.3 (8/15) |
FCU | AC2 | 85.7 (6/7) | 100 (21/21) | 76.9 (10/13) | 86.7 (13/15) |
True-positive results are defined as a positive result by AC2 with FCU, positive results for glans swab specimens by both NAATs, or a positive result by a single NAAT with glans swab specimens confirmed by an alternate amplification method. Overall, the prevalence rates of C. trachomatis infection were 3.7% (22/602) for asymptomatic MSM and 13.6% (38/280) for symptomatic MSM. Overall, the prevalence rates of N. gonorrhoeae were 2.3% (14/602) for asymptomatic MSM and 33.6% (94/280) for symptomatic MSM.
Urethral symptoms only.
For specimen collection by method 1, the prevalence rates of N. gonorrhoeae and C. trachomatis among asymptomatic MSM were 2.5 (7/279) and 3.2 (9/279), respectively, and those among symptomatic MSM were 34.3 (73/213) and 10.8 (23/213), respectively.
The values in parentheses are the number of MSM positive/total number of MSM tested.
P = 0.04 by comparison with the results of AC2 with FCU.
P < 0.001 by comparison with the results of AC2 with FCU.
For specimen collection by method 2, the prevalence rates of N. gonorrhoeae and C. trachomatis among asymptomatic MSM were 2.2 (7/323) and 4.0 (13/323), respectively, and those among symptomatic MSM were 31.3 (21/67) and 22.4 (15/67), respectively.