Table 1.

Laboratory-Based Diagnostic Tests for Trichomonas vaginalis

Test [Reference]Sample TypeSensitivity/Specificity Compared to NAATComplexity/TimeCosta
Culture [65, 66]Women: Vaginal swab
Men: Urethral or penile-meatal swabs or semen
Women:
Sensitivity: 75%–96%
Specificity: 100%
Men:
Sensitivity: 50%–80%
Specificity: 100%
Incubator and microscope with ×40 objective. Results in 5–7 days.$$
Hologic Aptima T. vaginalis assay [65]Women: Vaginal or endocervical swab or urine
Men: Urethral or urine specimens (if test is internally validated)
Women:
Sensitivity: 88%–100%
Specificity: 98%–100%
Panther, Viper, or Tigris instrumentation needed. Results in <8 hours.$$
BD Probe Tec TV NAAT [71]Women: Vaginal or endocervical swab or urine
Men: Urethral or urine specimens (if test is internally validated)
Sensitivity: 98%–100%
Specificity: 98%–100%
CLIA high complexity. Requires Viper system. Results available in <8 hours.$$
BD Max CT/GC/TV2 assay [72]Women: Vaginal or endocervical swab or urine
Men: Urine
Women:
Sensitivity: 89.8%–99.7%
Specificity: 98.1%–99.5%
Men:
Sensitivity: 81.1%–100%
Specificity: 98.7%–100%
Requires BD MAX system equipment.$$
Roche Cobas TV/MG assay [73, 74]Women: Vaginal or endocervical swab
Men: Urine, meatal swab
Women:
Sensitivity: 96.4%–100%
Specificity: 96.5%– 98.8%
Men:
Sensitivity: 77.2%–100%
Specificity: 97.2%–99.9%
For use on Cobas 6800/8800 systems.$$
BD Affirm VPIII [70]Women: Vaginal specimenWomen:
Sensitivity: 91%–100%
Specificity: 93%–96%
Uses direct hybridization technology.$$
Test [Reference]Sample TypeSensitivity/Specificity Compared to NAATComplexity/TimeCosta
Culture [65, 66]Women: Vaginal swab
Men: Urethral or penile-meatal swabs or semen
Women:
Sensitivity: 75%–96%
Specificity: 100%
Men:
Sensitivity: 50%–80%
Specificity: 100%
Incubator and microscope with ×40 objective. Results in 5–7 days.$$
Hologic Aptima T. vaginalis assay [65]Women: Vaginal or endocervical swab or urine
Men: Urethral or urine specimens (if test is internally validated)
Women:
Sensitivity: 88%–100%
Specificity: 98%–100%
Panther, Viper, or Tigris instrumentation needed. Results in <8 hours.$$
BD Probe Tec TV NAAT [71]Women: Vaginal or endocervical swab or urine
Men: Urethral or urine specimens (if test is internally validated)
Sensitivity: 98%–100%
Specificity: 98%–100%
CLIA high complexity. Requires Viper system. Results available in <8 hours.$$
BD Max CT/GC/TV2 assay [72]Women: Vaginal or endocervical swab or urine
Men: Urine
Women:
Sensitivity: 89.8%–99.7%
Specificity: 98.1%–99.5%
Men:
Sensitivity: 81.1%–100%
Specificity: 98.7%–100%
Requires BD MAX system equipment.$$
Roche Cobas TV/MG assay [73, 74]Women: Vaginal or endocervical swab
Men: Urine, meatal swab
Women:
Sensitivity: 96.4%–100%
Specificity: 96.5%– 98.8%
Men:
Sensitivity: 77.2%–100%
Specificity: 97.2%–99.9%
For use on Cobas 6800/8800 systems.$$
BD Affirm VPIII [70]Women: Vaginal specimenWomen:
Sensitivity: 91%–100%
Specificity: 93%–96%
Uses direct hybridization technology.$$

Abbreviations: CLIA, Clinical Laboratory Improvement Amendments; CT, Chlamydia trachomatis; GC, Neisseria gonorrhoeae; MG, Mycoplasma genitalium; NAAT, nucleic acid amplification test; TV, Trichomonas vaginalis.

a

$, lower cost; $$, midrange; $$$, expensive. Cost estimates may vary depending on availability of equipment and volume of testing.

Table 1.

Laboratory-Based Diagnostic Tests for Trichomonas vaginalis

Test [Reference]Sample TypeSensitivity/Specificity Compared to NAATComplexity/TimeCosta
Culture [65, 66]Women: Vaginal swab
Men: Urethral or penile-meatal swabs or semen
Women:
Sensitivity: 75%–96%
Specificity: 100%
Men:
Sensitivity: 50%–80%
Specificity: 100%
Incubator and microscope with ×40 objective. Results in 5–7 days.$$
Hologic Aptima T. vaginalis assay [65]Women: Vaginal or endocervical swab or urine
Men: Urethral or urine specimens (if test is internally validated)
Women:
Sensitivity: 88%–100%
Specificity: 98%–100%
Panther, Viper, or Tigris instrumentation needed. Results in <8 hours.$$
BD Probe Tec TV NAAT [71]Women: Vaginal or endocervical swab or urine
Men: Urethral or urine specimens (if test is internally validated)
Sensitivity: 98%–100%
Specificity: 98%–100%
CLIA high complexity. Requires Viper system. Results available in <8 hours.$$
BD Max CT/GC/TV2 assay [72]Women: Vaginal or endocervical swab or urine
Men: Urine
Women:
Sensitivity: 89.8%–99.7%
Specificity: 98.1%–99.5%
Men:
Sensitivity: 81.1%–100%
Specificity: 98.7%–100%
Requires BD MAX system equipment.$$
Roche Cobas TV/MG assay [73, 74]Women: Vaginal or endocervical swab
Men: Urine, meatal swab
Women:
Sensitivity: 96.4%–100%
Specificity: 96.5%– 98.8%
Men:
Sensitivity: 77.2%–100%
Specificity: 97.2%–99.9%
For use on Cobas 6800/8800 systems.$$
BD Affirm VPIII [70]Women: Vaginal specimenWomen:
Sensitivity: 91%–100%
Specificity: 93%–96%
Uses direct hybridization technology.$$
Test [Reference]Sample TypeSensitivity/Specificity Compared to NAATComplexity/TimeCosta
Culture [65, 66]Women: Vaginal swab
Men: Urethral or penile-meatal swabs or semen
Women:
Sensitivity: 75%–96%
Specificity: 100%
Men:
Sensitivity: 50%–80%
Specificity: 100%
Incubator and microscope with ×40 objective. Results in 5–7 days.$$
Hologic Aptima T. vaginalis assay [65]Women: Vaginal or endocervical swab or urine
Men: Urethral or urine specimens (if test is internally validated)
Women:
Sensitivity: 88%–100%
Specificity: 98%–100%
Panther, Viper, or Tigris instrumentation needed. Results in <8 hours.$$
BD Probe Tec TV NAAT [71]Women: Vaginal or endocervical swab or urine
Men: Urethral or urine specimens (if test is internally validated)
Sensitivity: 98%–100%
Specificity: 98%–100%
CLIA high complexity. Requires Viper system. Results available in <8 hours.$$
BD Max CT/GC/TV2 assay [72]Women: Vaginal or endocervical swab or urine
Men: Urine
Women:
Sensitivity: 89.8%–99.7%
Specificity: 98.1%–99.5%
Men:
Sensitivity: 81.1%–100%
Specificity: 98.7%–100%
Requires BD MAX system equipment.$$
Roche Cobas TV/MG assay [73, 74]Women: Vaginal or endocervical swab
Men: Urine, meatal swab
Women:
Sensitivity: 96.4%–100%
Specificity: 96.5%– 98.8%
Men:
Sensitivity: 77.2%–100%
Specificity: 97.2%–99.9%
For use on Cobas 6800/8800 systems.$$
BD Affirm VPIII [70]Women: Vaginal specimenWomen:
Sensitivity: 91%–100%
Specificity: 93%–96%
Uses direct hybridization technology.$$

Abbreviations: CLIA, Clinical Laboratory Improvement Amendments; CT, Chlamydia trachomatis; GC, Neisseria gonorrhoeae; MG, Mycoplasma genitalium; NAAT, nucleic acid amplification test; TV, Trichomonas vaginalis.

a

$, lower cost; $$, midrange; $$$, expensive. Cost estimates may vary depending on availability of equipment and volume of testing.

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