Screening Veterans for Syphilis: Implementation of the Reverse Sequence Algorithm

We evaluated the syphilis reverse sequence algorithm (RSA) in a Veteran Affairs facility, finding 5.5% reactive Treponema pallidum enzyme immunoassay (EIA) tests. In a subset of EIA+/VDRL-/TP-PA+ cases, 48% were previously treated. Of veterans with unknown/no prior therapy, only 45% had documentatio...

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Bibliographic Details
Published in:Clinical infectious diseases Vol. 65; no. 11; p. 1930
Main Authors: Clement, Meredith E, Hammouda, Amr, Park, Lawrence P, Maxwell, Jason, Samoff, Erika, Seña, Arlene C, Joyce, Maria
Format: Journal Article
Language:English
Published: United States 01.12.2017
Subjects:
syphilis screening
veterans
reverse sequence algorithm
ISSN:1537-6591, 1537-6591
Online Access:Get more information
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Summary:We evaluated the syphilis reverse sequence algorithm (RSA) in a Veteran Affairs facility, finding 5.5% reactive Treponema pallidum enzyme immunoassay (EIA) tests. In a subset of EIA+/VDRL-/TP-PA+ cases, 48% were previously treated. Of veterans with unknown/no prior therapy, only 45% had documentation of subsequent treatment, suggesting suboptimal interpretation of RSA results.
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ISSN:1537-6591
1537-6591
DOI:10.1093/cid/cix679