Advantages of Syndromic Diagnostics: Detection of the Pathogens Causing Urethritis/Cervicitis with the STI CNM Real-Time PCR Kit from Vitro S.A

Pol J Microbiol. 2024 Dec 13;73(4):529-534. doi: 10.33073/pjm-2024-045. eCollection 2024 Dec 1.

Abstract

The STI CNM Real-Time PCR Kit from Vitro S.A. (Spain) demonstrates high sensitivity and specificity, is cost-effective, and can detect the three main etiological agents of urethritis/cervicitis in a single multiplex PCR. Sexually transmitted infections (STIs) are a significant public health problem and a significant burden of morbidity and mortality in hospitals. The World Health Organization (WHO) estimates the number of daily infections to be 1 million. Currently, the number of infections and antimicrobial-resistant strains is rising. A rapid and accurate etiologic diagnosis is critical to solving this problem. In this study, we compared the STI CNM Real-Time PCR Kit using the Xpert® CT/NG technique (Cepheid®, USA) as Gold Standard for the diagnosis of Chlamydia trachomatis and Neisseria gonorrhoeae and EasyNAT® MG (Ustar Biotechnologies (Hangzhou) Ltd., China) as Gold Standard for the diagnosis of Mycoplasma genitalium infection. Regarding C. trachomatis and N. gonorrhoeae, out of 200 samples, there was a match in 199 cases, with only one positive sample not being detected by the STI CNM Real-Time PCR Kit. This results in a sensitivity of 96% and a specificity of 100% for this kit. Diagnosing M. genitalium infection, out of 200 samples, the STI CNM Real-Time PCR Kit correctly detected all negative and positive samples, with 100% agreement compared to the reference technique. In summary, the STI assay has a very high sensitivity and specificity, comparable to other commercial diagnostic kits. Furthermore, it has the advantage of bundling the detection of the three main bacterial agents of urethritis/cervicitis, resulting in better cost efficiency.

Keywords: Chlamydia trachomatis; Mycoplasma genitalium; Neisseria gonorrhoeae; STI; syndromic diagnostics.

MeSH terms

  • Chlamydia Infections / diagnosis
  • Chlamydia Infections / microbiology
  • Chlamydia trachomatis* / genetics
  • Chlamydia trachomatis* / isolation & purification
  • Female
  • Gonorrhea / diagnosis
  • Gonorrhea / microbiology
  • Humans
  • Male
  • Mycoplasma Infections / diagnosis
  • Mycoplasma Infections / microbiology
  • Mycoplasma genitalium / genetics
  • Mycoplasma genitalium / isolation & purification
  • Neisseria gonorrhoeae* / genetics
  • Neisseria gonorrhoeae* / isolation & purification
  • Reagent Kits, Diagnostic
  • Real-Time Polymerase Chain Reaction* / methods
  • Sensitivity and Specificity*
  • Sexually Transmitted Diseases / diagnosis
  • Sexually Transmitted Diseases / microbiology
  • Urethritis* / diagnosis
  • Urethritis* / microbiology
  • Uterine Cervicitis / diagnosis
  • Uterine Cervicitis / microbiology

Substances

  • Reagent Kits, Diagnostic