The swabs may be ordered through SPD #2105023 (female) and #2105024 (male)
Body fluid, discharge, pus, swab of genital lesions, urethral discharge, rectal swab, throat swab, vaginal culture, cervical specimen, eye. A less suitable alternative for inpatient specimens ONLY is inoculated modified Thayer-Martin and chocolate agar media (available from the Clinical Microbiology Laboratory).
Specimen should be transported as soon as possible. When transportation is delayed, leave at room temperature. NEVER refrigerate.
No Neisseria gonorrhoeae isolated
LIMITATIONS OF TEST:
Screening for Neisseria gonorrhoeae ONLY; no other organsisms will be identified. Overgrowth by other microorganisms may make it impossible to rule out the presence of Neisseria gonorrhoeae.
Conventional culture utilizing media specifically formulated for isolation of N. gonorrhoeae.
A Gram stain smear has a high sensitivity and specificity in a symptomatic male with urethral discharge (95-99%). Endocervical Gram stain is of little value as the sensitivity is lower (50%) and endemic normal flora have a similar morphologic appearance causing potential false positives. Cervical and/or anal and throat cultures are recommended for women. Cervical cultures have a sensitivity of 80-90%. Although demonstration of gram-negative diplococci in white blood cells in a urethral smear from a symptomatic male is presumptive evidence of gonorrhea and is sufficiently diagnostic to initiate therapy, cultural confirmation should be considered if available. The Gram stain will detect 75% of gonococcal conjunctivitis and 10-20% of gonococcal skin lesions. It is of no value in pharyngitis. Patients from whom N. gonorrhoeae is isolated are reported to the City of Chicago Board of Health. This is mandated by law. A Neisseria gonorrhoeaeDNA probe assay is available for rapid detection of this pathogen. Refer to Neisseria gonorrhoeaeDNA probe assay for additional information.
Culture for N. gonorrhoeae Only; Culture for GC Only; Gonorrhea Culture; Neisseria gonorrhoeae Culture