Review Article

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

Table 3

Performance evaluations of point of care tests for Trichomonas vaginalis 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)Negative predictive value (95% CI)

Hegazy et al. 2012 [29]Mansoura, Dakahlia Governorate, EgyptOSOM Trichomonas Rapid Test
(antigen detection)
Vaginal swab (care provider-collected)Positive on either wet mount microscopy or culture258 women, age 18–50, attending gynecology and fertility clinic98.0%99.4%99.0%98.8%

Khatoon et al. 2015 [30]North IndiaOSOM Trichomonas Rapid Test
(antigen detection)
Vaginal swab (collector not specified)Culture835 females, age 15–45, at gynecological clinic, symptomatic, excluded pregnant women88.2% 99.6%95.2%98.9%

Nathan et al. 2015 [31]UKOSOM Trichomonas Rapid Test
(antigen detection)
Vaginal swab (care provider-collected)Positive on 2+ of 5 tests: microscopy, culture, OSOM Trichomonas Rapid Test (Sekisui, USA), in-house real time PCR, and Aptima TV assay (Hologic, USA)246 women, age 18+, at sexual/reproductive health clinic, symptomatic92% (73–99%)100% (98.3–100%)100% (84–100%)99.1% (96.8–99.9%)

Khatoon et al. 2015 [30]North IndiaAcridine orange stainingVaginal swab (collector not specified)Culture 835 females, age 15–45, at gynecological clinic, symptomatic, excluded pregnant women73.5%99.6%94.3%97.7%

Khatoon et al. 2015 [30]North IndiaWet mount microscopyVaginal swab (collector not specified)Culture 835 females, age 15–45, at gynecological clinic, symptomatic, excluded pregnant women58.8%99.3%88.9%96.5%

Nathan et al. 2015 [31]UKWet mount microscopyVaginal swab (care provider-collected)Positive on 2+ of 5 tests: microscopy, culture, OSOM Trichomonas Rapid Test (Sekisui, USA), in-house real time PCR, and Aptima TV assay (Hologic, USA)246 women, age 18+, at sexual/reproductive health clinic, symptomatic38% (19–59%)100% (98.3–100%)100% (66–100%)93.7%
(89.8–96.4%)

Nathan et al. 2015 [31]UKReal-time in-house PCRVaginal swab (care provider-collected)Positive on 2+ of 5 tests: microscopy, culture, OSOM Trichomonas Rapid Test (Sekisui, USA), in-house real time PCR, and Aptima TV assay (Hologic, USA)246 women, age 18+, at sexual/reproductive health clinic, symptomatic88% (68–97%)99.6
(97.5–99.99%)
96% (77–99.2%)98.7% (96.1–99.7%)

Nathan et al. 2015 [31]UKCultureVaginal swab (care provider-collected)Positive on 2+ of 5 tests: microscopy, culture, OSOM Trichomonas Rapid Test (Sekisui, USA), in-house real time PCR, and Aptima TV assay (Hologic, USA)246 women, age 18+, at sexual/reproductive health clinic, symptomatic88% (68–97%)100% (98.3–100%)100% (84–100%)98.7% (96.2–99.7%)