SCREENING FOR CHLAMYDIA TRACHOMATIS AND NEISSERIA GONORRHOEAE IN ADOLESCENT MALES: VALUE OF FIRST-CATCH URINE EXAMINATION

Hoover Adger, Richard L Sweet, Mary Ann Shafer, Julius Schachter

Research output: Contribution to journalArticle

52 Scopus citations

Abstract

50 adolescent males attending a general teen clinic (aged 13-21) were evaluated for urethritis. After examination of sediment from the initial 15-20 ml of voided urine, first-catch urine (FCU), specimen urethral swabs were taken for culture of Chlamydia trachomatis and Neisseria gonorrhoeae. 21 of 23 (91%) males with >10 leucocytes per high-power field of resuspended sediment (FCU-positive) had positive urethral cultures for C trachomatis or N gonorrhoeae compared with only 1 of 27 (4%) FCU-negative subjects (p<0·001) 12 of 22 culture-positive subjects had no genitourinary symptoms and 11 of the 12 had C trachomatis infections. The sensitivity of FCU examination in identifying culture-positive urethritis was 95%, the specificity 93%, and the predictive value of a positive FCU 91%. FCU examination is a useful, non-invasive screening test to detect urethritis associated with C trachomatis and N gonorrhoeae. The test may be especially helpful in identifying symptom-free males with chlamydia-associated urethritis.

Original languageEnglish (US)
Pages (from-to)944-945
Number of pages2
JournalThe Lancet
Volume324
Issue number8409
DOIs
StatePublished - Oct 27 1984

ASJC Scopus subject areas

  • Medicine(all)

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