How accurate are patient-collected vaginal gonorrhea and chlamydia swabs in detecting infection?

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EVIDENCE-BASED ANSWERPatient-collected vaginal swabs are accurate—with a sensitivity of 92% and a specificity of 98% for chlamydia and a sensitivity of 98% and a specificity of 97% for gonorrhea, when using provider-collected endocervical swabs as the gold standard (SOR: B, meta-analysis of cross-sectional studies).

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