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Screening Veterans for Syphilis: Implementation of the Reverse Sequence Algorithm.


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.

SUBMITTER: Clement ME 

PROVIDER: S-EPMC5850439 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature

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Screening Veterans for Syphilis: Implementation of the Reverse Sequence Algorithm.

Clement Meredith E ME   Hammouda Amr A   Park Lawrence P LP   Maxwell Jason J   Samoff Erika E   Seña Arlene C AC   Joyce Maria M  

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America 20171101 11


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. ...[more]

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