II. Indications

  1. Testing for NeisseriaGonorrhea: Urethra, Cervix
  2. Not indicated for GC testing of throat or anus

III. Mechanism

  1. Enzyme Immunoassay

IV. Technique

  1. Cervical Specimen
    1. Avoid lubricating gel (may kill Gonococcus)
    2. Wipe clean Cervix with swab
    3. Compress Cervix between speculum blades
      1. Produces endocervical exudate
    4. Rotate swab in endocervical canal for 10-30 seconds
    5. Avoid touching side walls of vagina with swab
  2. Urethra Specimen (Males)
    1. Gently scrape anterior meatus with swab

V. Efficacy

  1. Sensitivity: 98% Men, 88% Women
  2. Specificity: 100% Men, 98% Women

VI. References

  1. Bakerman (1984) ABCs of Interpretive Lab Data

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