Comparison of the Clearview Chlamydia, the PACE 2 assay, and culture for detection of Chlamydia trachomatis from cervical specimens in a low-prevalence population

J Clin Microbiol. 1993 Jun;31(6):1622-5. doi: 10.1128/jcm.31.6.1622-1625.1993.

Abstract

The Clearview Chlamydia assay (Wampole Laboratories, Cranbury, N.J.), the PACE 2 DNA probe assay (GenProbe, San Diego, Calif.), and culture were compared for their abilities to detect Chlamydia trachomatis from cervical specimens in a population with a low prevalence (3.9%) of chlamydial infections. A consensus reference method was used. The consensus reference method defined a positive specimen as one with a positive culture result or positive by both of the two nonculture methods. Of the 940 specimens tested, 37 were positive; 36 were positive by culture, 28 were positive by the PACE 2 assay, and 27 were positive by the Clearview assay, giving sensitivities of 97.3, 75.5, and 72.9%, respectively, and specificities of 100, 97.1, and 98.9%, respectively. There was a direct correlation between the number of inclusion-forming units detected by culture and the ability of the two nonculture methods to detect the positive specimens.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Bacteriological Techniques / statistics & numerical data
  • Cervix Uteri / microbiology*
  • Chlamydia Infections / diagnosis*
  • Chlamydia Infections / epidemiology
  • Chlamydia trachomatis / genetics
  • Chlamydia trachomatis / isolation & purification*
  • DNA Probes
  • Diagnostic Errors
  • Evaluation Studies as Topic
  • Female
  • Humans
  • Latex Fixation Tests / methods
  • Latex Fixation Tests / statistics & numerical data
  • Molecular Probe Techniques / statistics & numerical data
  • Sensitivity and Specificity

Substances

  • DNA Probes