The value of urine samples from men with non-gonococcal urethritis for the detection of Chlamydia trachomatis

Genitourin Med. 1991 Apr;67(2):124-8. doi: 10.1136/sti.67.2.124.

Abstract

Chlamydia trachomatis was sought at first and subsequent clinic visits in urethral swabs and urines from 112 heterosexual men with acute non-gonococcal urethritis (NGU). In comparison with a urethral swab tested by Micro Trak (MT), a urine deposit tested in the same way was 90% as sensitive. Examining a urine deposit by the enzyme immunoassay IDEIA was a little less sensitive (89%) than examining a similar deposit by MT, and was less sensitive (82%) than examining a urethral swab by MT. The results of testing urines were little influenced by collecting them either before or after swabbing the urethra, and there was evidence that examining all of a urine sample by IDEIA would have increased sensitivity. Overall, 55 (49%) of the men were diagnosed as C trachomatis-positive based on the results of testing both a urethral swab and a urine sample. Furthermore, a small numbers of chlamydiae were detected by examining urine by MT and, to a lesser extent, by IDEIA, so that there is no reason why this non-invasive approach should not be successful in men other than those with acute NGU.

Publication types

  • Comparative Study

MeSH terms

  • Chlamydia Infections / diagnosis*
  • Chlamydia Infections / microbiology
  • Chlamydia trachomatis / isolation & purification*
  • Fluorescent Antibody Technique
  • Homosexuality
  • Humans
  • Immunoenzyme Techniques
  • Male
  • Polymerase Chain Reaction
  • Reagent Kits, Diagnostic
  • Sensitivity and Specificity
  • Specimen Handling / methods
  • Urethra / microbiology
  • Urethritis / microbiology*
  • Urine / microbiology*

Substances

  • Reagent Kits, Diagnostic