Medicaid Managed Care Open Enrollment Extended through Dec. 15
Current Suspected Overdose Deaths in Delaware for 2017: 225
Over the years, there have been many serological tests for syphilis disease. The Laboratory ultimately decides which tests it will use. In general, we will perform a highly sensitive but somewhat non-specificrapid screening test and a highly sensitive and specific confirmatory test. Both types of tests can be performed on one sample of patient serum.
DARKFIELD EXAMINATION is the only direct test for syphilis infection and is only effective when lesions are present. Since lesions may only be present for a few weeks during the early course of the disease it is often necessary to use serological tests for diagnosis. This test requires a special microscope and is no longer performed in our lab.
PREMARITAL TESTING - Delaware no longer has a requirement for premarital screening for syphilis. The laboratory does perform premarital testing for clients who are obtaining marriage licenses in states that still have such a requirement and will provide the results on a form accepted by that state.
SEROLOGIC TESTS FOR SYPHILIS (STS): Two types of antibodies are measured by these tests:
Expected turnaround is 1-3 workdays for both negative and positive reports. Positive results are confirmed with the more specific confirmatory test. Patients previously confirmed positive do not warrant repeat confirmatory testing.
Negative screening tests are not routinely confirmed unless certain and rare extenuating circumstances, such as untreated tertiary syphilis, are present. Contact the laboratory if it is suspected that the patient falls into this category.
FTA's are sent to a reference lab and require 2-3 weeks.
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