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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Vydáno v:Clinical infectious diseases Ročník 65; číslo 11; s. 1930
Hlavní autoři: Clement, Meredith E, Hammouda, Amr, Park, Lawrence P, Maxwell, Jason, Samoff, Erika, Seña, Arlene C, Joyce, Maria
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States 01.12.2017
Témata:
syphilis screening
veterans
reverse sequence algorithm
ISSN:1537-6591, 1537-6591
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Abstract 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.
AbstractList 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.
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.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.
Author Samoff, Erika
Maxwell, Jason
Hammouda, Amr
Joyce, Maria
Clement, Meredith E
Seña, Arlene C
Park, Lawrence P
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  surname: Joyce
  fullname: Joyce, Maria
  organization: Durham Veterans Affairs Medical Center
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Issue 11
Keywords syphilis screening
veterans
reverse sequence algorithm
Language English
License The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.
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– reference: 26063719 - Clin Infect Dis. 2015 Oct 1;61(7):1049-53
– reference: 21930610 - J Infect Dis. 2011 Nov;204(9):1297-304
– reference: 21051682 - Psychosomatics. 2010 Nov-Dec;51(6):503-7
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