Components
Specimen Sources
Cervical/Endocervical
Cervix
Conjunctiva
Eye
Eye, Left
Eye, Right
Genital
Labia
Misc Source
Other
Penile Discharge
Penis
Pharyngeal
Rectal
Rectal Swab
Throat
Urethra
Urethral
Vaginal
Vulva
Collection Requirements
Collect the sample using ESwab according to source-specific methods described in the linked document found in the Electronic Test Catalog.
Shipping And Handling
Send the sample at room temperature as soon as possible after collection.
Turn Around Time (TATs for Specific Labs Below May Differ)
Turn Around Time:
- ASAP: 4 Day(s)
- STAT: 4 Day(s)
- ROUTINE: 4 Day(s)
Performing Labs, Collection Containers and TATs
▷ Duke Microbiology Laboratory
Containers
|
Container
|
Min Volume |
Temperature |
| • Blue Top ESwab |
0.1 |
Room Temperature |
| • Green Top ESwab |
0.1 |
Room Temperature |
| • STERILE CONTAINER |
0.5 |
Room Temperature |
Clinical Indications
Used for the diagnosis of gonorrhea.
Clinical Significance
The term "gonorrhea" is used for any infection caused by Neisseria gonorrhoeae. It is the most commonly diagnosed sexually transmitted disease in the United States. Most of these infections are in the genital area (e.g., urethritis, cervicitis), but rectal and pharyngeal gonorrhea are also seen. It can also disseminate and cause arthritis, cutaneous lesions, and even endocarditis. The infection usually causes inflammation and symptoms; it can also be asymptomatic.
Although all genital specimens should be screened for Neisseria gonorrhoeae, the preferred sites for culturing are the cervix of the female and the urethra of the male. When indicated, throat, rectal, or other specimens may also be submitted for culture.
False negatives may occur if the specimen is delayed in transport or collected post-antimicrobial therapy.
All non-urogenital specimens should be submitted for culture instead of the Chlamydia trachomatis and Neisseria gonorrhoeae, DNA Amplification (LAB6166) test.
Culture is the only legally accepted detection method in sexual abuse cases.
Methodology
Aerobic culture and identification of Neisseria gonorrhoeae from appropriate specimen types.
NOTE: Routine culture techniques used for sterile specimens (e.g., CULTURE BACTERIA BLOOD, and CULTURE BACTERIA BODY FLD for joint fluid) include recovery of Neisseria gonorrhoeae in the case of disseminated disease provided specimens are delivered to the laboratory in a timely manner (30 minutes of collection).
Additional Information
Critical Values
No Critical Values