Appropriate Time for Test-of-Cure when Diagnosing Gonorrhoea with a Nucleic Acid Amplification Test

Authors

  • Stig Ove Hjelmevoll
  • Merethe Elise Olsen
  • Johanna U. Ericson Sollid
  • Håkon Haaheim
  • Kjetil K. Melby
  • Harald Moi
  • Magnus Unemo
  • Vegard Skogen

DOI:

https://doi.org/10.2340/00015555-1275

Keywords:

TOC, test-of-cure, N. gonorrhoeae, PCR, NAAT.

Abstract

Culture is commonly regarded as the gold standard for diagnosis of Neisseria gonorrhoeae. However, nucleic acid amplification tests (NAATs) have rapidly replaced culture for diagnostics in many settings. The aim of the present study was to investigate the appropriate time for test-of-cure (TOC) when NAATs are used for diagnosis of gonorrhoea. In total, 30 patients (28 men and 2 women) provided urethral, cervical, rectal or pharyngeal specimens for TOC. All included patients, except one who did not return for second TOC before day 19, tested negative within 2 weeks after treatment with cefixime 400 mg × 1. Antimicrobial susceptibility testing showed that 68% of the culture-positive strains were resistant to ciprofloxacin. Thus, the recommended empirical treatment with ciprofloxacin in Norway should be changed immediately. TOC can be performed 2 weeks after treatment when NAATs are used for diagnosis of gonorrhoe

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Published

2012-01-11

How to Cite

Ove Hjelmevoll, S., Elise Olsen, M., Ericson Sollid, J. U., Haaheim, H., Melby, K. K., Moi, H., … Skogen, V. (2012). Appropriate Time for Test-of-Cure when Diagnosing Gonorrhoea with a Nucleic Acid Amplification Test. Acta Dermato-Venereologica, 92(3), 316–319. https://doi.org/10.2340/00015555-1275

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Articles