How accurate is urine test for chlamydia?
Daniel Lopez
Updated on March 11, 2026
The sensitivity of clean urine to diagnose chlamydia was 86.2% (95% CI: 74.8%-93.1%) and specificity was 98.8% (95% CI: 96.5%-99.8%). The sensitivity of dirty urine to diagnose chlamydia was 89.8% (95% CI: 79.2%-95.6%), and the specificity was 99.6% (95% CI 97.6%-100%).
Can a urine test give a false negative for chlamydia?
For chlamydia testing in males, false-positive rates were 0.4% for meatal testing19 and 0.3% to 0.7% for urine testing,19,29 while false-negative rates ranged from 0% to 8%.Can urine tests miss chlamydia?
Gonorrhea and Chlamydia"Testing only urine would have missed all gonorrhea infections and 75% of chlamydia infections," he said. "The chances of finding either gonorrhea or chlamydia increase substantially when extragenital sites are tested."