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Journal of Clinical Microbiology, Apr 1997, 982-984, Vol 35, No. 4
MA Chernesky, S Chong, D Jang, K Luinstra, J Sellors and JB Mahony
A total of 287 men (37.6% with symptoms of urethritis) attending a
hospital-based sexually transmitted disease clinic had urethral swabs
tested by culture and by direct fluorescent-antibody assay. First-void
urine (FVU) was tested for Chlamydia trachomatis by commercially available
ligase chain reaction (LCR) and PCR assays. By using an expanded reference
standard, 35 men (12.2%) were found to be positive. By performing LCR and
PCR, the infection prevalence was found to be approximately twice (11.5 and
12.2%, respectively) that determined swab testing. The sensitivity values
were 94.3% for LCR and 100% for PCR. One of the two positive specimens
missed by LCR contained inhibitors. PCR produced five false-positive
results and LCR produced one.
Copyright © 1997 by the American Society for Microbiology. All rights reserved.
Ability of commercial ligase chain reaction and PCR assays to diagnose Chlamydia trachomatis infections in men by testing first-void urine
McMaster University Regional Virology and Chlamydiology Laboratory, St. Joseph's Hospital, Hamilton, Ontario, Canada.
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