1984
DOI: 10.1128/jcm.20.5.948-950.1984
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Rapid diagnosis of chlamydial infections with the MicroTrak direct test

Abstract: A direct test on clinical specimens, using fluorescein-labeled monoclonal antibodies, for Chlamydia trachomatis (MicroTrak [Syva Co.]) was evaluated for the rapid diagnosis of chlamydial infections. Asymptomatic females attending pregnancy or planned parenthood clinics were tested by the direct test and by a cell culture method. Of 401 paired, endocervical specimens, 398 (99.3%) gave identical direct and culture results. The overall sensitivity of the direct test was 96.3% (26 of 27), and the specificity was 9… Show more

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Cited by 95 publications
(16 citation statements)
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“…It is of concern that reexamination of false-negative MT smears by using x 1,000 magnification revealed 10 to 25 organisms in eight patients, suggesting the x400 screening could miss positive smears, particularly if the microscopist is inexperienced or relatively small numbers of organisms are present. The overall results for sensitivity and specificity appear to differ significantly from those obtained by other investigators (5)(6)(7)(8). However, when the data were analyzed by population, a close correlation between culture and MT results was observed in the population with a high prevalence for chlamydial infections, again confirming the utility of the MT in patient populations with high chlamydial infection rates.…”
contrasting
confidence: 49%
“…It is of concern that reexamination of false-negative MT smears by using x 1,000 magnification revealed 10 to 25 organisms in eight patients, suggesting the x400 screening could miss positive smears, particularly if the microscopist is inexperienced or relatively small numbers of organisms are present. The overall results for sensitivity and specificity appear to differ significantly from those obtained by other investigators (5)(6)(7)(8). However, when the data were analyzed by population, a close correlation between culture and MT results was observed in the population with a high prevalence for chlamydial infections, again confirming the utility of the MT in patient populations with high chlamydial infection rates.…”
contrasting
confidence: 49%
“…An agreement of 86.0% to 96.0% between IF tests and isolation has been demonstrated for urogenital samples (8,18,24,26). In our study, the IF test showed a low sensitivity compared to isolation.…”
Section: Resultssupporting
confidence: 53%
“…The Mikro-Trak assay has been extensively compared with cell culture in previous reports and its sensitivity ranges between 50-990/0 (2, 3, 8, 16) but, as far as we know, there is no comparative study done with Chlamyset. We found this test to be quite sensitive and highly specific compared with cell culture in patients seeking gynecologic care.…”
Section: Discussionmentioning
confidence: 99%