Several commercial methods exist for the molecular detection of Chlamydia trachomatis and Neisseria gonorrhoeae in clinical samples. Here we evaluated the performance characteristics of the newly FDAcleared Abbott RealTime CT/NG assay (where "CT" stands for Chlamydia trachomatis and "NG" stands for Neisseria gonorrhoeae) that uses the automated m2000 molecular platform. Results were compared to those of the Roche Cobas Amplicor CT/NG assay. A total of 926 cervical swab, 45 female urine, 6 male urethral swab, and 407 male urine specimens from 1,384 patients were examined. After resolving all Roche N. gonorrhoeae-positive results with two additional real-time PCR assays, we found that the agreement between the assays was excellent. For urine samples, there was 99.6% positive agreement and 97.7% negative agreement for C. trachomatis, and for male urine samples, there was 100% positive agreement and 99.7% negative agreement for N. gonorrhoeae. For cervical swab samples, there was 98.8% positive agreement and 98.5% negative agreement for C. trachomatis, and there was 96.6% positive agreement and 99.8% negative agreement for N. gonorrhoeae. In limiting dilution analyses, we found that the Abbot assay was more sensitive than the Roche assay for both C. trachomatis and N. gonorrhoeae. In addition, there appeared to be an enhanced ability of the Abbott assay to detect dual infections, especially in the presence of large amounts of N. gonorrhoeae and small amounts of C. trachomatis organisms. In summary, we conclude that the Abbott RealTime CT/NG assay is an accurate and automated new addition to the available testing options for C. trachomatis and N. gonorrhoeae.The incidences of Chlamydia trachomatis and Neisseria gonorrhoeae infection continue to increase globally. A more intensive screening effort has been advocated by the U.S. Preventive Services Task Force (18), the Centers for Disease Control and Prevention (24), other public health agencies, and medical societies to bring this emerging epidemic under control. This includes the yearly screening of sexually active women under the age of 25 years for C. trachomatis. The goal of screening is to prevent transmission and the severe sequelae of unrecognized infection, such as pelvic inflammatory disease and associated infertility.Rapid, automated, and sensitive nucleic acid amplification testing methods are needed to respond optimally to this public health mandate. In this regard, there have been limited published evaluations of the recently FDA-cleared Abbott RealTime CT/NG assay (where "CT" stands for Chlamydia trachomatis and "NG" stands for Neisseria gonorrhoeae) (9). There was a recent report of clinical trial data comparing the Abbott assay to Gen-Probe Aptima Combo 2 (AC2), BD ProbeTec ET CT/GC, and GC culture (where "GC" represents N. gonorrhoeae) (6). There was also one prior study from Canada using a CE-marked Abbott kit with different cutoff and interpretation algorithms (8) and a U.S. study performed by Abbott Laboratories (Des Plaines, IL) using a prototype ...