Table 1.
Assay | Manufacturer | Target(s) | Laboratory Test Platform |
---|---|---|---|
Assay 1 | Xpert CT/NG Assay (Cepheid, Sunnyvale, California) | Real-time PCR to detect 2 noncontiguous chromosomal DNA regions from Neisseria gonorrhoeae (NG2 and NG4)—both of which must be positive to yield a positive result—and 1 chromosomal DNA target from Chlamydia trachomatis (CT1) [20] | GeneXpert System |
Assay 2 | Aptima Combo 2 Assay (Hologic, Inc, Marlborough, Massachusetts) | Utilizes target capture, TMA, and a dual kinetic assay to detect regions from the 16S rRNA of NG and the 23S rRNA from CT using labeled DNA probes [23] | Panther System |
Assay 3 | Abbott RealTime CT/GC assay (Abbott Laboratories, Abbott Park, Illinois) | A combination assay that uses real-time PCR to detect a highly conserved region within the Opa gene of NG and 2 distinct regions within the CT cryptic plasmid DNA [19] | Abbott m2000 RealTime System |
NG tiebreaker | Aptima NG assay (Hologic, Inc) | Utilizes target capture, TMA, and hybridization protection assays to identify the presence of NG 16S rRNAa [20] | Tigris DTS System |
CT tiebreaker | Aptima CT assay (Hologic, Inc) | Utilize target capture, TMA, and hybridization protection assays to identify the presence of CT 16S rRNAa [21] | Tigris DTS System |
Abbreviations: CT, Chlamydia trachomatis; DTS, direct tube sampling; GC/NG, Neisseria gonorrhoeae; PCR, polymerase chain reaction; rRNA, ribosomal RNA; TMA, transcription-mediated amplification.
aBoth tiebreaker assays utilize distinct molecular genetic targets from the assays under evaluation.