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: Chlamydia Antigen, Urine

Published: August 9, 2026Updated: August 16, 2026

: This test looks for proteins (antigens) from the bacterium Chlamydia trachomatis in a urine sample to help detect a chlamydia infection.

Quick summary

[": A positive result suggests chlamydia antigen is present, but antigen tests are less sensitive than modern molecular tests, so results should be interpreted with your clinician."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
108569-5
Short code
CHLMUR
Synonyms
Chlamydia Ag Msmt Urth
Category
chemistry
Sample
serum
Container
Sterile Dacron or rayon-tipped swab in viral/chlamydia transport medium
Units
N/A
Fasting
false
Population
adult
Sex
male
Age range
14–99 years
Method
Direct immunofluorescence assay (DFA) / Enzyme immunoassay (EIA)
CPT
87320
SNOMED
310659008
Specimen volume
One urethral swab specimen
Stability
Refrigerate at 2-8°C; process within 24-48 hours of collection. If delayed, freeze at -70°C or below.
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–48 hours
Order
routine

: What This Test Measures

: The test detects antigens, which are surface components of the Chlamydia trachomatis bacterium. Finding these antigens in urine suggests that the bacteria are present in the genital or urinary tract.

: How the Sample Is Collected

: A urine specimen is collected in a sterile container, usually a "first-catch" sample (the first part of the urine stream), which is most likely to contain organisms from the urethra. No special preparation is typically needed unless your provider says otherwise.

: What Results Mean

: A positive result indicates that chlamydia antigen was detected and generally points to an active infection that should be evaluated and treated. A negative result makes infection less likely but does not completely rule it out, since antigen tests can miss some infections.

: Test Limitations

: Antigen-based tests are generally less sensitive than nucleic acid amplification tests (NAATs), which are the preferred method for chlamydia detection. Because of this, a negative antigen result may need confirmation with a molecular test if symptoms or exposure suggest infection.

Reference range

Negative: No Chlamydia sp. antigen detected. Positive: Chlamydia sp. antigen detected, indicating active infection.N/A

Specimen: serum

Patient should refrain from urinating for at least 1-2 hours prior to specimen collection. Avoid recent antibiotic use if possible. No fasting required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

: Chlamydia Antigen

Frequently asked questions

: Is this the same as a chlamydia NAAT test?
: No. This test detects bacterial antigens rather than genetic material. NAATs amplify chlamydia DNA or RNA and are generally more sensitive, so many clinics now use NAATs as the standard test.
: Do I need to fast or prepare for this urine test?
: Usually no fasting is required. Your provider may ask for a first-catch urine sample, so follow any specific collection instructions you are given.
: What should I do if my result is positive?
: A positive result usually means an active infection that needs antibiotic treatment. Contact your healthcare provider promptly, and discuss testing and treatment for sexual partners to prevent reinfection.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy