*4.3.1.2 Neisseria gonorrhea diagnostic considerations among infants and children*

Culture and NAATs can be used to test urogenital and extragenital sites in children. Same as CT, only validated NAAT tests must be used for the diagnosis of Ng in samples coming from extragenital sites. It will be very important to take into account the potential cross-reaction with non-gonococcal Neisseria (i.e., *Neisseria meningitidis, N. sicca, Neisseria lactamica, N. cinerea*) and other commensals (*Moraxella catarrhalis*) for an adequate interpretation of the results.

Gram stains are not recommended in prepuberal children for diagnosis, must NOT be used. In the case of disseminated Ng, culture and antimicrobial susceptibility testing should be obtained from the relevant clinical sites.
