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Quest Diagnostics Chlamydia Urine Test

Chlamydia And Gonorrhea Are 2 Of The Most Common Sexually Transmitted Diseases

Out-out screening for chlamydia and gonorrhea and comprehensive testing for cervicitis and PID

They are easy to treat but they can become serious if not treated. The treatment for chlamydia is antibiotic pills. The treatment for gonorrhea is an antibiotic injection/shot.

If you have chlamydia and/or gonorrhea you can get others STDs, including HIV, more easily. Left untreated they can cause infertility in women as chlamydia and gonorrhea can damage your tubes.

Chlamydia And Gonorrhea Cases In Arizona

According to the Arizona Department of Health Services, the number of chlamydia cases in Arizona increased by 7% from 2015 to 2016. Both men and women can be infected with chlamydia, but women are at a significantly higher risk of acquiring chlamydia than men. As of 2016, 690 out of every 100,000 women were infected with chlamydia while only 331 out of every 100,000 men were infected with the disease. Rates of gonorrhea increased by 25% from 2015 to 2016 in Arizona, according to the Arizona Department of Health Services. However, the overall number of gonorrhea cases in Arizona are much lower than the number of chlamydia cases. In 2016, 177 out of every 100,000 men were infected with gonorrhea while 126 out of every 100,000 women were infected with the disease.

Better Sexual Health In Ontario Ca

Your sexual health is just one part of your overall and general health. STDs can cause serious problems with fertility and the ability to conceive and carry children successfully to term. These infections can also lead to poor general health, and in some cases, death if not properly treated.

You owe it to yourself and to everyone in your life who cares about you to get STD testing. Ordering is easy and completing the process is fast and easy. It only takes between 15 to 20 minutes of your time to stop by a local lab. Friendly and professional technicians are available to assist you in completing your testing. They can answer any questions that you may have. Shortly, you will have your private and confidential testing results and you will know for certain. If the results are positive, you will be able to start the necessary treatment to help preserve your health. If the results are negative, then you will have greater peace of mind.

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What Your Chlamydia And Gonorrhea Test Results Mean

Having a negative chlamydia test result means that you do not have an active chlamydia infection, at the time of the test. However, this does not imply that you will remain negative if you had high risk sex. Having a positive chlamydia test result means that you have an active infection that has to be treated by your doctor. The treatment normally consists of an antibiotic, such as the Zithromax, that should clear the infection in one to two weeks. If the chlamydia infection is severe, women might need hospitalization and an intravenous antibiotic.

Having a negative gonorrhea test results means that you do not have an active gonorrhea infection at the time of taking the test. This test is not significant for people will get engaged in risky behaviors such as having unprotected sex with multiple partners, among others. In that case, even if your test is negative, you have to repeat it after a possible infection. Having a positive gonorrhea test indicates an active gonorrhea infection. You will have to check with your doctor to address problem and, get treated with a course of antibiotics.

Question 3 What Are The Guidelines For Additional Testing Following A Positive Screening Test

Interactive STI map reveals most at

Repeat testing of the same positive sample using the same NAAT methodology is usually not needed and does not improve the positive predictive value when screening with currently available NAATs.5 Positive results are considered presumptive evidence of infection.

If a false-positive result is expected to have adverse medical, social, or psychological consequences, confirmatory testing should be considered.10 Confirmatory testing using an alternative nucleic acid target region, should also be considered in low-prevalence settings, where the positive predictive value of assays is reduced . Treatment probably should not be withheld while awaiting the results of confirmatory testing.

The following tests target alternative nucleic acid and can thus be used to confirm positive test results-

  • Test Code 15031-Chlamydia trachomatis RNA, TMA, Alternate Target
  • Test Code 91046-Chlamydia trachomatis RNA, TMA, Alternate Target, Rectal
  • Test Code 15033-Neisseria gonorrhoeae RNA, TMA, Alternate Target
  • Test Code 90990-Neisseria gonorrhoeae RNA, TMA, Alternate Target, Rectal

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What Does The Test Measure

Chlamydia testing looks for evidence of infection with the bacteria Chlamydia trachomatis. There are several types of tests that can be used to detect chlamydia, including molecular testing, also called Nucleic Acid Amplification Test , and cell culture.

Other types of chlamydia tests are available but are rarely used given the accuracy and availability of NAAT.

Appendix: Key Questions Reviewed By The Work Group And Member Responsible For Literature Summary

Performance Characteristics

  • Does the sensitivity and specificity of available tests for C. trachomatis and N. gonorrhoeae vary with respect to anatomic site from which the specimen was collected and/or specimen type?
  • Joan Chow, DrPH, California Department of Public Health, Richmond, California
  • Katherine Whitaker, PhD, Food and Drug Administration, Rockville, Maryland
  • What recommendations should be made for the detection of C. trachomatis and N. gonorrhoeae infections of the genital tract, rectum, and throat?
  • Gary Budnick, MHS, Connecticut Department of Public Health Laboratory, Hartford, Connecticut
  • Steven Shapiro, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC
  • Rick Steece, PhD, Infertility Prevention Project Laboratory Consultant, Pierre, South Dakota
  • What test recommendations should be made for the diagnosis of suspected LGV infections ?
  • Lisa Steele, PhD, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC
  • Screening Applications

    • What specimen types are optimal for of C. trachomatis and N. gonorrhoeae screening purposes?
    • Charlotte Gaydos, DrPH, Johns Hopkins University, Baltimore, Maryland
    • Sarah Guerry, MD, Los Angeles County Department of Health Services, Los Angeles, California
    • Barbara Van Der Pol, PhD, Indiana University School of Public Health, Bloomington, Indiana
  • What parameters should be considered when selecting a C. trachomatis and N. gonorrhoeae test for screening purposes?
  • Economic Considerations

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    Question 1 Which Specimen Types Are Suitable For C Trachomatis And N Gonorrhoeae Nucleic Acid Amplification Tests

    For women, a vaginal sample is recommended in the absence of a pelvic exam. For men, first-catch urine is the recommended specimen.

    The following urogenital specimens are suitable:

    • First-catch urine sample from a male or a female
    • Endocervical, vaginal, SurePath, or ThinPrep® vial with PreservCyt® specimens from a female patient
    • Male urethral swab
    • Vaginal swab collected by a physician or the patient1-3

    For nonurogenital specimens, see Question 2 below.

    How Reliable Is Urine Testing For Gonorrhea And Chlamydia

    Womens STD Testing from Quest Diagnostics

    Am Fam Physician. 2005 Dec 1 72:2354.

    Until recently, testing patients for chlamydia and gonorrhea involved collecting samples from the cervix or urethra and sending them for cultures. The discomfort and embarrassment associated with sampling these sites may deter some high-risk patients from seeking testing for these treatable infections. An alternative to cervical or urethral cultures is nucleic acid amplification tests that can be performed on urine samples. Three types of NAAT are commercially available: polymerase chain reaction , transcription-mediated amplification, and strand displacement amplification. However, concerns remain about the sensitivity and specificity of the NAAT compared with culture techniques. Cook and colleagues conducted a systematic review of the literature to compare the sensitivity and specificity of the NAAT for detecting chlamydia and gonorrhea in urine samples with that of cervical and urethral samples.

    The authors conclude that all three commercially available NAATs have high sensitivity and specificity for chlamydia regardless of the site of sample collection. With the exception of PCR for detection of gonorrhea in women, urine samples perform as well as samples collected from other sites. The authors suggest that the widespread use of NAATs on urine samples may improve adherence to screening recommendations for these common sexually transmitted diseases.

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    Std Testing And Sexual Health Education In Ontario Ca

    Acknowledgement of the growing problem has led state officials to develop plans and strategies for more effectively addressing the problem of the spread of STDs. All public schools now provide mandatory sexual health education for students in attendance. The classes are offered just prior to the age at which some students begin sexual experimentation. The content includes facts about the consequences of unprotected sex including unwanted pregnancy. In addition, the signs of STD infection, pregnancy and ways to prevent these from occurring is included. Upon completion, students will know where they can go to get a Herpes test or HIV testing.

    More interventions are needed because the rates of people age 15 to 19 are increasing for STD infection. Poverty is another indicator of risk. This is because people who have limited economic resources are less likely to receive the education about STD risks and may not have the means to seek quality health care for testing and treatment. Although free STD testing centers are available, there is no guarantee that all persons in need can receive services. When funding is depleted for the cycle, there may be a waiting period until the next funding money comes in for free and reduced fee service. Also, not everyone is aware that these clinics exist.

    Convenient Blood Testing Near You

    We work with both Quest Diagnostics and LabCorp, two of the largest lab testing companies in the country. These labs are certified by CLIA and run their testing on FDA or LDT approved equipment. Using both LabCorp and Quest for lab services provides us with over 3500 locations near you to choose from. If you live somewhere that is not convenient to one of these locations, we encourage you to look at our at-home test kit options.

    While appointments are not necessary, we encourage you to make one. These locations service millions of patients per month, many of whom are fasting. Especially in the mornings its a good idea to make an appointment. A link to hours of operation are also included for each lab location, so you can find a lab open now. It is not required to print a copy of your requisition but it can help avoid confusion at the patient service center.

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    Why Take The Chlamydia And Gonorrhea Test

    The Chlamydia and Gonorrhea tests are the best methods to screen and effectively diagnose an active infection. They also help monitor the effectiveness of a treatment path. If positively diagnosed, you are expected to repeat the test three months after completing the treatment. Most doctors opt for a combined test in order to have the right diagnosis and elimination tool.

    For both sexually transmitted diseases, people who are at high risk of contracting any of these infections need to get tested routinely. Risk factors include being sexually active and under the age of 25 years, having numerous sex partners, not regularly using condoms, having a previous chlamydia or gonorrhea infection, being a drug addict, having a sex partner who have STD, as well as being HIV positive. Men who have sex with men are also at high risk of becoming infected. Having an early diagnosis can help prevent any complications arising from these infections.

    Complications caused by untreated chlamydia or gonorrhea include:

    Other complications witnessed by infected men are lymphadenitis, balanitis, urethral stricture, or fistula. To prevent these complications from arising and affecting the quality of your life, you have to be tested routinely and address the problem, effectively.

    Chlamydia And Gonorrhea Urine Test Random

    HIV RNA Test

    A chlamydia and gonorrhea urine test, random detects chlamydia trachomatis and neisseria gonorrhoeae which is generally transmitted through sexual contact with an infected partner.

    Also Known As: Chlamydia/Gonococcus, Amplicor PCR Chlamydia/Gonococcus, Aptima TMA Chlamydia/Gonococcus, LCR Chlamydia/Gonococcus, ProbeTec, SDA

    Methodology:

    No fasting required. Patient should not urinate one hour prior to collection.

    Test Results:

    2-3 days. May take longer based on weather, holiday or lab delays.

    Also Known As: Chlamydia/Gonococcus, Amplicor PCR Chlamydia/Gonococcus, Aptima TMA Chlamydia/Gonococcus, LCR Chlamydia/Gonococcus, ProbeTec, SDA

    Methodology:

    Dual Kinetic Assay Target Capture Transcription-Mediated Amplification

    Preparation:

    No fasting required. Patient should not urinate one hour prior to collection.

    Test Results:

    2-3 days. May take longer based on weather, holiday or lab delays.

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    What Are The Symptoms Of Chlamydia And Gonorrhea

    Most people with chlamydia are asymptomatic and will not have any symptoms. In cases in which symptoms do develop, the onset of symptoms may take weeks to develop after initial exposure. According to the CDC, women will typically show signs and symptoms of cervicitis and urethritis, along with other symptoms such as abdominal pain, cervical motion tenderness, and uterine tenderness. Men will typically experience urethritis and may also experience testicular pain, tenderness, and swelling. As is the case with chlamydia, most people with gonorrhea are asymptomatic and will not have any symptoms. According to the CDC, when symptoms are present, some of the symptoms men may experience are white, yellow, or green urethral discharge, and possibly testicular or scrotal pain. Symptoms for women may include dysuria, vaginal discharge, or vaginal bleeding between periods.

    How Will I Get The Chlamydia And Gonorrhea Test Result

    You will receive a notification email informing you that your results are available. This email will contain a link to the secure communications area where your results will be available. Please read the email for important information associated with the login process. Once you have successfully logged into the secure communication area, additional instructions will be available to guide you to the appropriate area to view, print and/or save your results.

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    Understanding Of Lab Tests Results

    Please visit the page about chlamydia on the site associated with The American Association for Clinical Chemistry for better understanding of tests. There you will find the most detailed and full information regarding lab tests. In “common questions” tab you will find answers on the most common questions.

    In addition, you can use a special form to ask the question. It is useful, if there is no answer on your question on the web site. A laboratory scientist will answer your question. It is a part of voluntary service provided by the American Society for Clinical Laboratory Science.

    Who Should Be Tested For Chlamydia And Gonorrhea

    Aptima® Urine Collection Kit Collection Procedure Guide

    Any person that is sexually active is at risk for contracting STDs such as chlamydia and gonorrhea. Current CDC guidelines state that all sexually active women under the age of 25 should be tested yearly for chlamydia and gonorrhea. Additionally, women that are pregnant should also be tested during their first prenatal care visit. Anyone else that has new or multiple sex partners, or that is an areas with a high prevalence of the disease, should discuss with a doctor if testing is needed.

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    What Your Chlamydia Gonorrhea And Trichomoniasis Test Results Mean

    All three sexually transmitted diseases need to be routinely tested, to have an early diagnosis and prevent further complications. A positive test, for any of these three infections, indicate an ongoing infection that needs to be treated properly with a prescription medication, such as antibiotics.

    A negative gonorrhea or chlamydia test result indicates the absence of an active infection caused by any of these two bacteria. A negative Trichomoniasis test indicates the absence of the parasite. It also indicates that the symptoms may be due to other underlying causes. However, if trichomoniasis is still suspected, other tests t may be needed to have a more accurate diagnosis.

    How Does This At

    This gonorrhea and chlamydia at-home test is a urine test â so a vaginal swab or blood sample is not required. To take the test, simply urinate in a collection cup and place your sample in the mail. Weâll send your sample to one of the labs we use for testing .

    The lab will then use molecular testing technology that can identify the DNA of gonorrhea and chlamydia in your sample. This type of testing, known as nucleic acid amplification, is usually more accurate than other methods of gonorrhea and chlamydia testing .

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    What Do The Gonorrhea And Chlamydia Test Results Mean

    A positive test result means that Chlamydia or Gonorrhea bacteria are present and you have an infection. Sometimes you may have both types of infection. If you have a positive result, your health care provider will prescribe treatment with antibiotics.

    State laws often require that health care providers report the names of people who have these infections to the health department. This allows the state health department to monitor for outbreaks and for infections that are becoming resistant to the usual antibiotics.

    How Long Do Sti Test Results Take

    Gonorrhea test kit

    STI test results can take between five and 10 days. If you have testing done at Planned Parenthood, well contact you ONLY if your results are positive. If this is the case, well give you a call to ask you to come back for follow up. Planned Parenthood does not contact patients if the results are negative. Patients can view negative results in the Patient Portal. If you want to confirm a negative result or want a copy for your records, please call the health center or stop by for a copy.

    If the result is positive or inconclusive, we will call you to notify you of the results and ask you to make a follow up appointment to receive treatment or further services. The call also gives you a chance to ask questions.

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