Re: clinical question on syphilis

[Guest guest]

Per USPSTF via UpToDate:

The following groups are at increased risk for syphilis and should be

screened [26,27] :

* All pregnant women at the first prenatal visit (and during the

third trimester and at delivery for women in high-risk groups). (See

" Pregnant women " below).

* Commercial sex workers

* Persons in correctional facilities

* Persons diagnosed with another STD

* MSM who engage in high risk behaviors

I have folks who fit in some of these categories.

Haresch

> > >

> > > Hey Gang,

> > >

> > > Just thought to ask the group...

> > >

> > > Have a young lady, screening RPR came back

> > positive at

> > > 1:4 but the treponemal Ab is negative. No prior

> > > knowledge of anybody telling her she had syphlis

> > in

> > > the past. I plan on doing HIV and other STD

> > testing on

> > > her.

> > >

> > > What would you guys do? I'm quite confused reading

> > the

> > > literature of false negativity...

> > >

> > > Thanks.

> > >

> > > Soma

> > >

> > > Positive Health Primary Care

> > > 166 5th Ave., 2nd Flr.

> > > NY, NY 10010

> > > http://www.positivehealthpc.com

> > >

> >

> >

> >

>