title: Combined Testing for Chlamydia, Gonorrhea, and Trichomonas by Use of the BD Max CT/GC/TV Assay with Genitourinary Specimen Types.
abstract: The BD Max CT/GC/TV (MAX) assay is a true multiplex assay for simultaneous detection of chlamydia (CT), gonorrhea (GC), and trichomonas (TV). We evaluated assay performance for women using endocervical and vaginal swabs as well as urine specimens. A total of 1,143 women were tested for CT, GC, and TV and, subsequently, another 847 (1,990 total women) for CT and GC only, with positivity rates for CT, GC, and TV of 7.1%, 2.3%, and 13.5%, respectively. In men, the performance for CT and GC was determined using only urine specimens. TV performance was not assessed in male urine samples. Among men, 181/830 (21.8%) and 108/840 (12.9%) chlamydia and gonorrhea infections, respectively, were identified. Comparator assays included BD ProbeTec Chlamydia trachomatis Qx(CTQ)/Neisseria gonorrhoeae Qx(GCQ), Hologic Aptima Combo 2 (AC2) and Aptima TV (ATV), trichomonas microscopy, and culture. MAX CT sensitivity was 99.3% (95% confidence interval [CI], 96.1% to 99.9%), 95.7% (90.8% to 98.0%), 91.5% (85.8% to 95.1%), and 96.1% (92.2% to 98.1%) for vaginal swabs, endocervical swabs, female urine samples, and male urine samples, respectively. MAX GC sensitivity was 95.5% (84.9% to 98.7%), 95.5% (84.9% to 98.7%), 95.7% (85.5% to 99.8%), and 99.1% (94.9% to 99.8%) in the same order. MAX TV sensitivity was 96.1% (91.7% to 98.2%) for vaginal swabs, 93.4% (88.3% to 96.4%) for endocervical swabs, and 92.9% (87.8% to 96.0%) for female urine samples. Specificity for all organisms across all sample types was ≥98.6%. Performance estimates for the MAX assays were consistent with estimates calculated for the comparator assays (all P values were >0.1). The availability of a CT/GC/TV multiplexed assay on a benchtop instrument with a broad menu has the potential to facilitate local sexually transmitted infection (STI) testing at smaller laboratories and may encourage expanded screening for these highly prevalent infections.
authors: University of Alabama at Birmingham School of Medicine, Birmingham, Alabama, USA barbaravanderpol@uabmc.edu.
authors: Barbara
authors: 0000-0003-3064-8564
authors: B
authors: Van Der Pol
authors: Indiana University School of Medicine, Indianapolis, Indiana, USA.
authors: James A
authors: JA
authors: Williams
authors: Eskenazi Health Services, Indianapolis, Indiana, USA.
authors: DeAnna
authors: D
authors: Fuller
authors: Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA.
authors: Stephanie N
authors: SN
authors: Taylor
authors: University of Alabama at Birmingham School of Medicine, Birmingham, Alabama, USA.
authors: Edward W
authors: EW
authors: Hook
mesh_terms: D000293:Adolescent; D000328:Adult; D002584:Cervix Uteri / Q000382:microbiology / Q000469:parasitology; D002692:Chlamydia trachomatis / Q000235:genetics / Q000302:isolation & purification*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D025202:Molecular Diagnostic Techniques / Q000379:methods*; D009344:Neisseria gonorrhoeae / Q000235:genetics / Q000302:isolation & purification*; D012680:Sensitivity and Specificity; D012749:Sexually Transmitted Diseases / Q000175:diagnosis*; D014244:Trichomonas / Q000235:genetics / Q000302:isolation & purification*; D014556:Urine / Q000382:microbiology / Q000469:parasitology; D014621:Vagina / Q000382:microbiology / Q000473:pathology; D055815:Young Adult
keywords: Chlamydia trachomatis; Neisseria gonorrhoeae; Trichomonas vaginalis; molecular diagnostics; sexually transmitted infections