PT - JOURNAL ARTICLE AU - Adu-Sarkodie, Y AU - Opoku, B K AU - Danso, K A AU - Weiss, H A AU - Mabey, D TI - Comparison of latex agglutination, wet preparation, and culture for the detection of <em>Trichomonas vaginalis</em> AID - 10.1136/sti.2003.007864 DP - 2004 Jun 01 TA - Sexually Transmitted Infections PG - 201--203 VI - 80 IP - 3 4099 - http://sti.bmj.com/content/80/3/201.short 4100 - http://sti.bmj.com/content/80/3/201.full SO - Sex Transm Infect2004 Jun 01; 80 AB - Objectives: To compare the performance of three diagnostic methods for Trichomonas vaginalis infection—latex agglutination, saline wet mount, and culture. Methods: Vaginal swabs from 3807 women attending antenatal clinics were tested for the presence of T vaginalis by latex agglutination. All positives and the following two negatives were tested by wet preparation and culture. Results: The prevalence of infection by latex agglutination was 5.4%. Using an expanded gold standard based on the wet mount and culture results, the sensitivity of the latex agglutination test was 98.8% (95% CI 95.9 to 99.9) and specificity was 92.1 (89.2 to 94.5). The kappa index for test agreement was 0.93 for latex and culture and 0.88 for latex and wet preparation. Conclusion: The latex agglutination test is a highly sensitive test for detecting T vaginalis infection. It is a simple rapid test and has the potential for use in screening and diagnostic settings.