Value of vaginal and rectal cultures in the diagnosis of gonorrhoea. With special reference to areas with limited medical facilities.

Diagnosis of gonorrhoea in women. Role of the rectal sample.

“…Scott and Stone (1966) Not all these authors used proctoscopes. Nicol (1948), Scott and Stone (1966), and Schmale and others (1969) certainly did, but Jensen (1953), Roepstorff and Hammarstrom (1966), and Olsen (1971) appeared to have taken specimens from the anal canal.…”

Combining cervical and anal-canal specimens for gonorrhea on a single culture plate

“…An endocervical culture is more sensitive than a culture from either the vagina, urethra, or anal canal, but detects only 86 to 96% of women who are culture positive at any site (1,7,(11)(12)(13). Through the addition of an anal-canal (1,2,6,7,(12)(13)(14) or a second endocervical (6, 7) culture, the diagnostic yield of a single endocervical culture can be increased by 2 to 7.5%; however, the cost of culturing is nearly doubled. As a compromise, the Center for Disease Control currently recommends that women at high risk of having gonorrhea, i.e., sexually transmitted disease clinic patients, receive both endocervical and anal-canal cultures and women at low risk, i.e., family planning clinic patients, receive only an endocervical culture (3).…”