
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.
Male, Antibodies, Bacterial, Sensitivity and Specificity, Anti-Bacterial Agents, Syphilis Serodiagnosis, Immunoenzyme Techniques, Immunoglobulin G, Humans, Mass Screening, Syphilis, Treponema pallidum, Algorithms, Retrospective Studies, Veterans
Male, Antibodies, Bacterial, Sensitivity and Specificity, Anti-Bacterial Agents, Syphilis Serodiagnosis, Immunoenzyme Techniques, Immunoglobulin G, Humans, Mass Screening, Syphilis, Treponema pallidum, Algorithms, Retrospective Studies, Veterans
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