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screening for syphilis

also see sexually transmitted disease Indications: - early screening for syphilis infection in all pregnant women [3] - all sexually active adults & adolecents at increased risk for sexually transmitted disease [1,2] - USPSTF recommendations are for non-pregant women & adolecents - high risk includes - men who have sex with men - people with HIV - patients with a history of incarceration or commercial sex work - men under age 29 - syphilis prevalence rates are highest among black, Hispanic, & American Indian/Alaska Native people - areas in southern & western U.S., as well as urban settings have a higher prevalence than other areas [2] Procedure: - confirm screening VDRL or RPR with MHA-TP

Related

syphilis Treponema pallidum

General

screening for bacterial infection screening for sexually transmitted disease (STD)

References

  1. Medical Knowledge Self Assessment Program (MKSAP) 17, American College of Physicians, Philadelphia 2015
  2. US Preventive Services Task Force Screening for Syphilis Infection in Nonpregnant Adults and Adolescents. US Preventive Services Task Force Recommendation Statement. JAMA. 2016;315(21):2321-2327 PMID: 27272583 http://jama.jamanetwork.com/article.aspx?articleid=2526645 - Cantor AG et al Screening for Syphilis. Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2016;315(21):2328-2337 PMID: 27272584 http://jama.jamanetwork.com/article.aspx?articleid=2526646 - Clement ME, Hicks CB Syphilis on the Rise. What Went Wrong? JAMA. 2016;315(21):2281-2283 PMID: 27272579 http://jama.jamanetwork.com/article.aspx?articleid=2526614
  3. US Preventive Services Task Force Screening for Syphilis Infection in Pregnant Women. US Preventive Services Task Force Reaffirmation Recommendation Statement. JAMA. 2018;320(9):911-917. PMID: 30193283 https://jamanetwork.com/journals/jama/fullarticle/2698933 - Lin JS, Eder ML, Bean SI Screening for Syphilis Infection in Pregnant Women. Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2018;320(9):918-925 PMID: 30193282 https://jamanetwork.com/journals/jama/fullarticle/2698932