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Chlamydia infection is often asymptomatic in males. While we can now test urine and no longer need to perform urethral swabs, polymerase chain reaction (PCR) assay results are not available during the visit. Researchers in England prospectively evaluated the performance of a new Chlamydia Rapid Test (CRT) in 454 men (mean age, 18; range 16–25) who presented to a sexual health center (site 1) and 757 men (mean age, 30; range, 17–73) who presented to a genitourinary medicine clinic (site 2). Most participants at site 1 were asymptomatic, whereas 62% of participants at site 2 had symptoms, including urethral discharge (21%) and dysuria (23%). Clinic staff performed the CRT on site.
Participants submitted two urine samples: one, used for the CRT…