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Related Experiment Videos

Syphilis screening in primary care.

G F Snyder1

  • 1Department of Family Medicine, State University of New York, Buffalo.

The Journal of Family Practice
|July 1, 1991
PubMed
Summary
This summary is machine-generated.

Screening for syphilis in urgent care settings yielded no new cases, suggesting it may not be cost-effective for asymptomatic, high-risk individuals. This challenges routine screening protocols for syphilis control.

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Area of Science:

  • Infectious Diseases
  • Public Health
  • Epidemiology

Background:

  • Reported cases of early syphilis have significantly increased since 1987.
  • Screening high-risk populations is a proposed strategy to combat the syphilis epidemic.

Purpose of the Study:

  • To determine the prevalence of previously unrecognized positive syphilis serologies in an urgent care setting.
  • To evaluate the effectiveness of screening in a specific high-risk group.

Main Methods:

  • Syphilis serology screening was performed on 265 patients.
  • Patients were selected from an urgent care center and empirically treated for gonorrhea.

Main Results:

  • Two patients (0.75%) had positive syphilis serology.

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  • Both positive cases had a history of prior syphilis treatment and no evidence of reinfection.
  • The diagnostic yield for previously unrecognized syphilis was 0%.

    • Conclusions:

    • Serologic diagnosis of syphilis is unreliable and not cost-effective in populations with very low disease prevalence.
    • Routine syphilis screening in asymptomatic, high-risk patients may not be universally indicated in all primary care settings.