Infection
Conditions
Keywords
sexually transmitted infection, gonorrhea, chlamydia, presumptive therapy
Brief summary
To evaluate if a rapid urine Nucleic Acid Amplification Testing (NAAT) is non-inferior to the traditional swab NAAT for gonorrhea and chlamydia when performed in the Emergency Department.
Detailed description
All patients presenting to the Emergency Department during the study period who are tested for gonorrhea and chlamydia by the traditional swab NAAT will concurrently have their urine tested for gonorrhea and chlamydia using the Cepheid GeneXpert rapid NAAT. The result of both tests will be compared to determine if the rapid assay is non-inferior to the current traditional NAAT. Both the traditional and Cepheid GeneXpert rapid NAAT are FDA and CDC approved for evaluation of gonorrhea and chlamydia. However, the Cepheid GeneXpert rapid NAAT has not been prospectively validated in the Emergency Department setting. We intend for both the provider obtaining the sample and the technician running the rapid assay sample to be blinded to the result of the traditional NAAT. The Cepheid GeneXpert rapid NAAT will not be used in patient care decisions.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinical concern for gonorrhea and/or chlamydia infection * Concurrent testing for gonorrhea and chlamydia using traditional NAAT assay
Exclusion criteria
* age \<18 years
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Diagnosis of a chlamydia trachomatis or neisseria gonorrhoeae | 24 hours | comparative test characteristics to traditional swab in the Emergency Department. |
Countries
United States