Diagnosing non-gonococcal urethritis: the gram-stained urethral smear in perspective.

Abstract:

:The value of microscopy of a Gram-stained urethral smear in the diagnosis of non-gonococcal urethritis and chlamydial urethral infection was assessed in 153 men attending a department of genitourinary medicine. A mean of more than 4 polymorphs in 5 fields (x1000) was considered to be abnormal. In the diagnosis of urethritis, the sensitivity (94%), specificity (91%), positive predictive value (93%) and negative predictive value (93%) were high. In the diagnosis of chlamydial infection, sensitivity (91%) and negative predictive value (96%) were high, but specificity (68%) and positive predictive value (46%) were low. In men with symptoms of genitourinary infection, the sensitivity (96.7%) and negative predictive value (97.4%) of the Gram-stained urethral smear in the diagnosis of chlamydial infection was comparable with modern chlamydial antigen detection tests.

journal_name

Int J STD AIDS

authors

Terry PM,Holland S,Olden D,O'Connell S

doi

10.1177/095646249100200409

subject

Has Abstract

pub_date

1991-07-01 00:00:00

pages

272-5

issue

4

eissn

0956-4624

issn

1758-1052

journal_volume

2

pub_type

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