1st order laboratory parameters – obligatory laboratory tests.
- Microscopic detection of the bacteria by immunofluorescence test (IFT).
- Chlamydia trachomatis IgM, IgG, and IgA antibodies (only in chronic invasive infections).
- Chlamydia PCR (molecular genetic method), this allows the reliable direct detection of the pathogen DNA from the secretion of the cervix or urine [material of first choice – men: first stream urine; women: Vaginal swab or cervical secretion (secretion of the cervix) and rectal swab].
Laboratory parameters 2nd order – depending on the results of the history, physical examination, etc. – for differential diagnostic clarification.
- Bacteria
- Neisseria gonorrhoeae (gonorrhea, gonorrhea) – genital swab for pathogen and resistance, specifically for Neisseria gonorrhoeae.
- Treponema pallidum (lues, syphilis) – antibodies against Treponema pallidum (TPHA, VDRL, etc.).
- Ureaplasma urealyticum
- Viruses
- HIV (AIDS)
- Herpes simplex virus type 1/2 (HSV type 1 u. 2)
- Human papilloma virus [HPV] (Condylomata acuminata)
- Fungi/Parasites
- Fungi: Candida albicans et al. Candida species genital smear (pathogen and resistance).
- Trichomonas vaginalis (trichomoniasis, colpitis) – antigen detection.
Chlamydia screening
Chlamydia screening is the examination of a urine sample using a nucleic acid amplifying test (NAT). This is done in Germany as part of prenatal care and before interruptions (abortions). Furthermore, since the decision of the G-BA in 2008, every woman under the age of 25 is entitled to one examination per year.
