Open AccessMycoplasma genitalium Detection in Urogenital Specimens from Symptomatic and Asymptomatic Men and Women by Use of the cobas TV/MG Test
Author(s) -
Barbara Van Der Pol,
Ken B. Waites,
Li Xiao,
Stephanie N. Taylor,
Arundhati Rao,
Melinda B. Nye,
Steven Chavoustie,
Aaron Ermel,
Clair Kaplan,
David L. Eisenberg,
Philip A. Chan,
Leandro Mena,
Sixto Pacheco,
Smitha Krishnamurthy,
Ruchika Mohan,
Rasa Bertuzis,
Chris L. McGowin,
Rodney Arcenas,
Elizabeth M. Marlowe
Publication year - 2020
Publication title -
journal of clinical microbiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.349
H-Index - 255
eISSN - 1070-633X
pISSN - 0095-1137
DOI - 10.1128/jcm.02124-19
Subject(s) - mycoplasma genitalium , asymptomatic , trichomonas vaginalis , genitourinary system , urethritis , medicine , virology , mycoplasmataceae , mycoplasma , gynecology , biology , immunology , chlamydia trachomatis , mollicutes , microbiology and biotechnology
Mycoplasma genitalium (MG) infections are a growing concern within the field of sexually transmitted infections. However, diagnostic assays for M. genitalium have been limited in the United States. As most infections are asymptomatic, individuals can unknowingly pass the infection on, and the prevalence is likely to be underestimated. Diagnosis of M. genitalium infection is recommended using a nucleic acid test. This multicenter study assessed the performance of the cobas Trichomonas vaginalis (TV)/MG assay (cobas) for the detection of M. genitalium , using 22,150 urogenital specimens from both symptomatic and asymptomatic men and women collected at geographically diverse sites across the United States. The performance was compared to a reference standard of three laboratory-developed tests (LDTs). The specificity of the cobas assay for M. genitalium ranged from 96.0% to 99.8% across symptomatic and asymptomatic men and women. The sensitivities in female vaginal swabs and urine samples were 96.6% (95% confidence interval [CI], 88.5 to 99.1%) and 86.4% (95% CI, 75.5 to 93.0%), respectively. The sensitivities in male urine and meatal swab samples were 100% (95% CI, 94.0 to 100%) and 85.0% (95% CI, 73.9 to 91.9%), respectively. This study demonstrated that the cobas assay was highly sensitive and specific in all relevant clinical samples for the detection of M. genitalium .