Review Article

A Systematic Review of Point of Care Testing for Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis

Table 2

Performance evaluations of point of care tests for Neisseria gonorrhoeae from 2010 to 2015.

Study authors and year LocationTest used Sample typeReference testSample size and populationSensitivity (95% CI)Specificity (95% CI)Positive predictive value (95% CI) or LR+Negative predictive value (95% CI) or LR−

Bartelsman et al. 2014 [27]Amsterdam, NetherlandsGram stained urethral or cervical smear
(2008-2009)
Urethral and cervical swabsCulture10,952 “high risk” men and women attending STI clinic, symptomatic and asymptomatic87.2% (83.3–90.4%)99.9% (99.8–100%)97.0% (94.5–98.5%)99.6%
(99.4%–99.7%)

Bartelsman et al. 2014 [27]Amsterdam, NetherlandsGram stained urethral or cervical smear
(2010-2011)
Urethral and cervical swabsCulture11,755 “high risk” men and women attending STI clinic, only symptomatic84.8% (82.3–87.1%)99.8% (99.7–99.9%)97.7% (96.3–98.6%)98.8% (98.5–99.0%)

Bartelsman et al. 2014 [27]Amsterdam, NetherlandsGram stained cervical smear
(2008-2009)
Cervical swabCulture3767 “high risk” women attending STI clinic, symptomatic and asymptomatic32.0% (19.5–46.7%)100% (99.9–100%)100% (82.9–100%)99.1% (98.7–99.4%)

Bartelsman et al. 2014 [27]Amsterdam, NetherlandsGram stained cervical smear
(2010-2011)
Cervical swabCulture4530 “high risk” women attending STI clinic, only symptomatic23.1% (16.1–31.3%)99.9% (99.8–100%)90.9% (75.7–98.1%)98.7% (97.3–98.2%)

Bartelsman et al. 2014 [27]Amsterdam, NetherlandsGram stained urethral smear
(2008-2009)
Urethral swabCulture7185 “high risk” men attending STI clinic, symptomatic and asymptomatic95.9% (93.1–97.8%)99.9% (99.7–99.9%)96.8% (94.2–98.5%)99.8% (99.7–99.9%)

Bartelsman et al. 2014 [27]Amsterdam, NetherlandsGram stained urethral smear
(2010-2011)
Urethral swabCulture7225 “high risk” men attending STI clinic, only symptomatic95.4% (93.7–96.8%)99.8% (99.6–99.9%)98.0% (96.7–98.9%)99.5% (99.3–99.6%)

Gaydos et al. 2013 [21]USACepheid GeneXpert CT/NG
(NAAT)
Vaginal swab (self-collected)Aptima Combo 2 assay (Hologic, USA) & ProbeTec ET System (BD, USA)1,722 sexually active females, symptomatic and asymptomatic, at OB-GYN, STD, teen, public health, or family planning clinics100% (87.3–100%)99.9% (99.6–100%)91.7%100%

Gaydos et al. 2013 [21]USACepheid GeneXpert CT/NG
(NAAT)
Endocervical swabAptima Combo 2 assay (Hologic, USA) & ProbeTec ET System (BD, USA)1,722 sexually active females, symptomatic and asymptomatic, at OB-GYN, STD, teen, public health, or family planning clinics100% (87.3–100%)100% (99.8–100%)100%100%

Gaydos et al. 2013 [21]USACepheid GeneXpert CT/NG
(NAAT)
Urine Aptima Combo 2 assay (Hologic, USA) & ProbeTec ET System (BD, USA)1,722 sexually active females, symptomatic and asymptomatic, at OB-GYN, STD, teen, public health, or family planning clinics95.6% (78.1–99.9%)99.9% (99.7–100%)95.6%99.9%

Gaydos et al. 2013 [21]USACepheid GeneXpert CT/NG
(NAAT)
Urine Aptima Combo 2 assay (Hologic, USA) & ProbeTec ET System (BD, USA)1,387
sexually active males, symptomatic and asymptomatic, at OB-GYN, STD, teen, public health, or family planning clinics
98.0% (89.4–99.9%)99.9% (99.6–100%)98.0%99.9%

Nuñez-Forero et al. 2016 [25]Bogota, ColombiaACON CT/NG Duo test
(immunoassay)
Endocervical swabCOBAS AMPLICOR Analyzer CT/NG assay (Roche, USA)491 sexually active females, age 14–49, symptomatic
(pregnant women excluded)
12.5% (0–41.7%)99.8% (99.3–100%)60.4 (LR+)0.4 (LR−)

Nuñez-Forero et al. 2016 [25]Bogota, ColombiaACON NG individual test
(immunoassay)
Endocervical swabCOBAS AMPLICOR Analyzer CT/NG assay (Roche, USA)773 sexually active females, age 14–49, asymptomatic (pregnant women excluded)Not quantifiable (no true positives)97.2% (96–98.5%)Not quantifiable (LR+)Not quantifiable (LR−)

Samarawickrama et al. 2014 [28]London, UKBioStar Optical ImmunoAssayUrine Aptima Combo 2 assay (Hologic, USA)52 men, age 18+, attending sexual health clinic100% (57–100%)98% (98–100%)83% (44–97%)100% (92–100%)

Samarawickrama et al. 2014 [28]London, UKBioStar Optical ImmunoAssayUrineMicroscopy33 men, age 18+, attending sexual health clinic100% (51–100%)93% (78–98%)67% (30–90%)100% (88–100%)

Samarawickrama et al. 2014 [28]London, UKBioStar Optical ImmunoAssayUrineCulture32 men, age 18+, attending sexual health clinic100% (51–100%)93% (77–98%)67% (30–90%)100% (87–100%)